NUR 283 COMP 1, 2 & 3 EXAMS (GALEN)
TEST BANK — 250 QUESTIONS COMP 1
EXAM — PRIORITIZATION, DELEGATION,
SAFETY (QUESTIONS 1–85)
1. The nurse working on a pediatric unit has received the hand-off report and
is reviewing client data and orders. Which client should the nurse plan to see
FIRST?
A. A toddler with bronchiolitis on room air and mild wheezing
B. An infant with pertussis receiving oxygen via nasal cannula
C. A preschooler with otitis media awaiting discharge
D. A school-age child with a simple fracture in a cast
Answer: B
Rationale: Infants with pertussis are at high risk for apnea and severe
respiratory compromise. Any child on supplemental O₂ with a respiratory
diagnosis is a higher priority than stable conditions. Early recognition and
intervention are essential in pediatric safety.
---
,2. The RN charge nurse is making client assessments. Which client should the
charge nurse assign to the LVN/LPN?
A. A client with dyspnea scheduled for a bronchoscopy
B. A client with chest pain awaiting cardiac catheterization
C. A post-operative client 2 hours post-surgery with unstable vital signs
D. A client receiving blood transfusion with signs of transfusion reaction
Answer: A
Rationale: LVN/LPNs can care for stable clients with predictable outcomes.
The client with dyspnea scheduled for a diagnostic procedure is stable and
appropriate for LPN assignment. Unstable clients, those with critical lab
values, or those requiring complex assessments should be assigned to the RN.
---
3. The nurse is prioritizing patient care after a change of shift report. The
nurse should first plan to see the patient who:
A. Had an ERCP 30 minutes ago and is reporting difficulty swallowing
B. Is scheduled for discharge in 2 hours and needs discharge teaching
C. Has a wound dressing scheduled to be changed in 1 hour
D. Requested pain medication for a headache
Answer: A
,Rationale: Difficulty swallowing after ERCP may indicate esophageal
perforation or bleeding, which are life-threatening complications. Airway and
breathing concerns take priority over teaching, dressing changes, and pain
management.
---
4. The nurse is delegating tasks to UAP. Which delegated task would REQUIRE
FOLLOW-UP by the charge nurse?
A. Assisting a client who had a paracentesis 2 hours ago to get out of bed for
the first time
B. Taking routine vital signs on a stable post-operative client
C. Assisting a client with ambulation who has been walking for 3 days
D. Recording intake and output for a client on fluid restriction
Answer: A
Rationale: Anytime a client is doing something for the first time (first
ambulation, first void, etc.), the RN needs to perform or directly supervise the
activity. This ensures proper assessment of the client's response to the
activity. UAP can perform routine, predictable tasks for stable clients.
---
5. Which action is the priority when a patient develops acute shortness of
breath?
, A. Obtain a full set of vital signs
B. Place patient in high-Fowler's position
C. Call the provider
D. Administer PRN pain medication
Answer: B
Rationale: Airway and breathing come first; positioning improves lung
expansion immediately. High-Fowler's position allows for maximum chest
expansion and facilitates breathing.
---
6. The nurse suspects hypoglycemia in a diabetic patient. What is the first
action?
A. Give insulin
B. Check blood glucose
C. Administer glucagon
D. Call the provider
Answer: B
Rationale: A glucose check confirms hypoglycemia before treatment.
Treatment should never be initiated without confirmation of the blood
glucose level.
TEST BANK — 250 QUESTIONS COMP 1
EXAM — PRIORITIZATION, DELEGATION,
SAFETY (QUESTIONS 1–85)
1. The nurse working on a pediatric unit has received the hand-off report and
is reviewing client data and orders. Which client should the nurse plan to see
FIRST?
A. A toddler with bronchiolitis on room air and mild wheezing
B. An infant with pertussis receiving oxygen via nasal cannula
C. A preschooler with otitis media awaiting discharge
D. A school-age child with a simple fracture in a cast
Answer: B
Rationale: Infants with pertussis are at high risk for apnea and severe
respiratory compromise. Any child on supplemental O₂ with a respiratory
diagnosis is a higher priority than stable conditions. Early recognition and
intervention are essential in pediatric safety.
---
,2. The RN charge nurse is making client assessments. Which client should the
charge nurse assign to the LVN/LPN?
A. A client with dyspnea scheduled for a bronchoscopy
B. A client with chest pain awaiting cardiac catheterization
C. A post-operative client 2 hours post-surgery with unstable vital signs
D. A client receiving blood transfusion with signs of transfusion reaction
Answer: A
Rationale: LVN/LPNs can care for stable clients with predictable outcomes.
The client with dyspnea scheduled for a diagnostic procedure is stable and
appropriate for LPN assignment. Unstable clients, those with critical lab
values, or those requiring complex assessments should be assigned to the RN.
---
3. The nurse is prioritizing patient care after a change of shift report. The
nurse should first plan to see the patient who:
A. Had an ERCP 30 minutes ago and is reporting difficulty swallowing
B. Is scheduled for discharge in 2 hours and needs discharge teaching
C. Has a wound dressing scheduled to be changed in 1 hour
D. Requested pain medication for a headache
Answer: A
,Rationale: Difficulty swallowing after ERCP may indicate esophageal
perforation or bleeding, which are life-threatening complications. Airway and
breathing concerns take priority over teaching, dressing changes, and pain
management.
---
4. The nurse is delegating tasks to UAP. Which delegated task would REQUIRE
FOLLOW-UP by the charge nurse?
A. Assisting a client who had a paracentesis 2 hours ago to get out of bed for
the first time
B. Taking routine vital signs on a stable post-operative client
C. Assisting a client with ambulation who has been walking for 3 days
D. Recording intake and output for a client on fluid restriction
Answer: A
Rationale: Anytime a client is doing something for the first time (first
ambulation, first void, etc.), the RN needs to perform or directly supervise the
activity. This ensures proper assessment of the client's response to the
activity. UAP can perform routine, predictable tasks for stable clients.
---
5. Which action is the priority when a patient develops acute shortness of
breath?
, A. Obtain a full set of vital signs
B. Place patient in high-Fowler's position
C. Call the provider
D. Administer PRN pain medication
Answer: B
Rationale: Airway and breathing come first; positioning improves lung
expansion immediately. High-Fowler's position allows for maximum chest
expansion and facilitates breathing.
---
6. The nurse suspects hypoglycemia in a diabetic patient. What is the first
action?
A. Give insulin
B. Check blood glucose
C. Administer glucagon
D. Call the provider
Answer: B
Rationale: A glucose check confirms hypoglycemia before treatment.
Treatment should never be initiated without confirmation of the blood
glucose level.
