NUR 283 COMP 3 EXAM 2026–2027 | (50
QUESTIONS AND CORRECT ANSWERS) |
ALREADY GRADED A+ | 100% VERIFIED
Introduction
This structured NUR 283 Comp 3 Exam format for 2026–2027 provides the complete layout
for generating high-quality exam-style questions with correct answers and rationales. It
emphasizes clinical judgment, leadership, delegation, prioritization, and evidence-based
practice principles critical to professional nursing practice, successful transition to the RN
role, and course completion at Galen College of Nursing.
1. A charge nurse is delegating tasks to a newly licensed nurse and an assistive
personnel (AP). Which of the following tasks should the nurse delegate to the AP?
A. Assessing a client's lung sounds after a breathing treatment
B. Providing discharge instructions to a client with heart failure
C. Performing a sterile dressing change on a post-operative wound
D. Recording the intake and output for a stable client
Rationale: Delegation must follow the 'Five Rights'. UAPs/APs should only be delegated
routine, non-invasive tasks on stable patients. Assessment, teaching, and complex sterile
procedures are within the RN scope of practice.
2. An RN is prioritizing care for four clients. Which of the following clients should the
nurse see first?
A. A client who is 1-day post-op and reports a pain level of 4 out of 10
B. A client with pneumonia who has a new onset of confusion and restlessness
C. A client who needs assistance with ambulation to the bathroom
D. A client with a PRN request for a bowel softener
Rationale: Using the ABC (Airway, Breathing, Circulation) and 'stable vs. unstable'
frameworks, new onset confusion/restlessness in a respiratory patient suggests acute
hypoxia. This is an emergent threat to safety.
,3. A nurse on a medical-surgical unit is caring for a group of clients. Which of the
following actions by the nurse demonstrates the ethical principle of 'Fidelity'?
A. Telling the truth to a client about a terminal diagnosis
B. Returning to a client's room at the exact time promised to provide pain medication
C. Allowing a client to make their own decision about surgery
D. Distributing resources fairly among all assigned clients
Rationale: Fidelity refers to the obligation to be faithful to commitments and to keep
promises made to others.
4. A nurse is participating in a root cause analysis (RCA) regarding a medication
error. What is the primary purpose of an RCA?
A. To determine which individual staff member is to blame for the error
B. To implement disciplinary action against the nurse involved
C. To identify system-level failures that contributed to the occurrence of the error
D. To provide a report to the state board of nursing
Rationale: Root cause analysis is a quality improvement process that looks at the 'why' and
'how' of an event to prevent recurrence by fixing underlying system issues, not by assigning
individual blame.
5. A nurse leader is using a 'Democratic' leadership style. Which of the following
behaviors is expected from this leader?
A. Making all decisions independently without staff input
B. Providing minimal guidance and allowing staff to work without supervision
C. Encouraging staff participation in decision-making and problem-solving
D. Focusing primarily on strict adherence to rules and procedures
Rationale: Democratic leadership is collaborative, fostering communication and shared
responsibility, which often leads to higher staff satisfaction and engagement.
, 6. Which of the following is a legal requirement for an RN regarding 'Informed
Consent'?
A. Explaining the risks and benefits of the procedure to the client
B. Describing alternative treatments to the client
C. Witnessing the client's signature on the consent form
D. Obtaining the consent from the client
Rationale: The provider (surgeon/physician) is responsible for explaining the procedure
and obtaining consent. The nurse's role is limited to witnessing the signature and ensuring
the client is competent and signed voluntarily.
7. A nurse is managing care for a client with multiple comorbidities. Which nursing
competency from the AACN Synergy Model involves the ability to manage a complex
environment?
A. Clinical Judgment
B. Advocacy
C. Systems Thinking
D. Collaboration
Rationale: Systems thinking is the ability to navigate the complex relationships and
resources within the healthcare system to provide optimal patient care.
8. An RN is assigned to care for a client with a history of seizures. Which task should
be delegated to an LPN/LVN rather than a UAP?
A. Setting up suction equipment at the bedside
B. Assisting the client with hygiene needs
C. Administering an oral anticonvulsant medication
D. Padding the side rails of the bed
Rationale: LPNs are licensed to administer medications (except for high-acuity IV push
meds in many states). UAPs cannot administer medications. A and D are safety setups that
UAPs can perform.
QUESTIONS AND CORRECT ANSWERS) |
ALREADY GRADED A+ | 100% VERIFIED
Introduction
This structured NUR 283 Comp 3 Exam format for 2026–2027 provides the complete layout
for generating high-quality exam-style questions with correct answers and rationales. It
emphasizes clinical judgment, leadership, delegation, prioritization, and evidence-based
practice principles critical to professional nursing practice, successful transition to the RN
role, and course completion at Galen College of Nursing.
1. A charge nurse is delegating tasks to a newly licensed nurse and an assistive
personnel (AP). Which of the following tasks should the nurse delegate to the AP?
A. Assessing a client's lung sounds after a breathing treatment
B. Providing discharge instructions to a client with heart failure
C. Performing a sterile dressing change on a post-operative wound
D. Recording the intake and output for a stable client
Rationale: Delegation must follow the 'Five Rights'. UAPs/APs should only be delegated
routine, non-invasive tasks on stable patients. Assessment, teaching, and complex sterile
procedures are within the RN scope of practice.
2. An RN is prioritizing care for four clients. Which of the following clients should the
nurse see first?
A. A client who is 1-day post-op and reports a pain level of 4 out of 10
B. A client with pneumonia who has a new onset of confusion and restlessness
C. A client who needs assistance with ambulation to the bathroom
D. A client with a PRN request for a bowel softener
Rationale: Using the ABC (Airway, Breathing, Circulation) and 'stable vs. unstable'
frameworks, new onset confusion/restlessness in a respiratory patient suggests acute
hypoxia. This is an emergent threat to safety.
,3. A nurse on a medical-surgical unit is caring for a group of clients. Which of the
following actions by the nurse demonstrates the ethical principle of 'Fidelity'?
A. Telling the truth to a client about a terminal diagnosis
B. Returning to a client's room at the exact time promised to provide pain medication
C. Allowing a client to make their own decision about surgery
D. Distributing resources fairly among all assigned clients
Rationale: Fidelity refers to the obligation to be faithful to commitments and to keep
promises made to others.
4. A nurse is participating in a root cause analysis (RCA) regarding a medication
error. What is the primary purpose of an RCA?
A. To determine which individual staff member is to blame for the error
B. To implement disciplinary action against the nurse involved
C. To identify system-level failures that contributed to the occurrence of the error
D. To provide a report to the state board of nursing
Rationale: Root cause analysis is a quality improvement process that looks at the 'why' and
'how' of an event to prevent recurrence by fixing underlying system issues, not by assigning
individual blame.
5. A nurse leader is using a 'Democratic' leadership style. Which of the following
behaviors is expected from this leader?
A. Making all decisions independently without staff input
B. Providing minimal guidance and allowing staff to work without supervision
C. Encouraging staff participation in decision-making and problem-solving
D. Focusing primarily on strict adherence to rules and procedures
Rationale: Democratic leadership is collaborative, fostering communication and shared
responsibility, which often leads to higher staff satisfaction and engagement.
, 6. Which of the following is a legal requirement for an RN regarding 'Informed
Consent'?
A. Explaining the risks and benefits of the procedure to the client
B. Describing alternative treatments to the client
C. Witnessing the client's signature on the consent form
D. Obtaining the consent from the client
Rationale: The provider (surgeon/physician) is responsible for explaining the procedure
and obtaining consent. The nurse's role is limited to witnessing the signature and ensuring
the client is competent and signed voluntarily.
7. A nurse is managing care for a client with multiple comorbidities. Which nursing
competency from the AACN Synergy Model involves the ability to manage a complex
environment?
A. Clinical Judgment
B. Advocacy
C. Systems Thinking
D. Collaboration
Rationale: Systems thinking is the ability to navigate the complex relationships and
resources within the healthcare system to provide optimal patient care.
8. An RN is assigned to care for a client with a history of seizures. Which task should
be delegated to an LPN/LVN rather than a UAP?
A. Setting up suction equipment at the bedside
B. Assisting the client with hygiene needs
C. Administering an oral anticonvulsant medication
D. Padding the side rails of the bed
Rationale: LPNs are licensed to administer medications (except for high-acuity IV push
meds in many states). UAPs cannot administer medications. A and D are safety setups that
UAPs can perform.
