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NUR 283 Prioritization & Clinical Judgment Questions | 109 NCLEX-Style Q&A with Verified Answers | Galen College of Nursing

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THE ULTIMATE NUR 283 PRIORITIZATION & CLINICAL JUDGMENT Q&A BANK! ⚠️ Struggling with "who to see first" and "what to do next" questions? This 109-question prioritization bank is your SECRET WEAPON for NUR 283 success! If there's ONE thing that separates passing nursing students from those who struggle, it's clinical judgment and prioritization. This document is packed with 109 REAL exam-style questions covering the EXACT scenarios you'll face on your NUR 283 exam and the NCLEX! What's INSIDE This Prioritization Power Pack: Client Prioritization (Who to See FIRST): Postoperative pain management (pain level 8 after opioid!) Cirrhosis with ecchymosis and PTT of 76 seconds Pediatric tachycardia (1-month-old with pulse of 180!) Mental health: Bulimia nervosa patient in the restroom after eating Post-thoracic surgery with 175 mL serosanguineous drainage Pericarditis with elevated WBC Medication Administration & Safety: Pyridostigmine (nausea and congested cough = follow-up!) Lithium (reddish-orange urine = further teaching needed!) Furosemide (ringing in ears = priority follow-up!) Heparin (platelet count 100,000 = IMMEDIATE attention!) Potassium replacement (2.4 mEq/L given too fast!) Ciprofloxacin (dizziness and position changes!) Nitroglycerin (chest pain decreases = give another!) Delegation & Assignment: Tasks appropriate for LPN vs UAP vs RN Client assignment based on acuity What can be delegated to assistive personnel Emergency & Critical Situations: Supine hypotensive syndrome in labor (turn to LEFT side!) Ventricular tachycardia (Amiodarone!) Alcohol withdrawal (rising vital signs = notify provider!) Overdose (amitriptyline = oxygen first!) Oxytocin discontinuation (FHR 68 for 90 seconds!) Legal & Ethical Issues: Malpractice example (dissolving med in food!) Informed consent (when can it be waived?) Incident reports (missed medication given late!) Client rights (alternatives to treatment!) Pediatric Considerations: Car seat safety (hand between infant and harness = teaching needed!) Impetigo (towels washed separately!) Cystic fibrosis (interdisciplinary conference!) Acute glomerulonephritis (high-potassium diet = question order!) Developmental milestones Lab Values & Acid-Base Balance: Respiratory alkalosis (pH 7.52, PaCO₂ 26!) Metabolic alkalosis (pH 7.50, HCO₃ 32!) Gentamicin peak and trough timing PTT, PT, platelet counts And MUCH MORE!

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Institution
NURS 283
Course
NURS 283

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GALEN COLLEGE OF NURSING NUR 283 EXAM 3 & 2: 109 KEY PRACTICE
QUESTIONS & RATIONALES | GRADED A+ | GUARANTEED PASS!!


1. Which client condition should the nurse prioritize 24 hours postoperative?-
ANS: The client who reports an increased pain level of 8 on a scale of 0 to 10 after
receiving an opioid analgesic.

2. What is an example of malpractice in nursing? ANS:: A client who is competent
refuses an
antidepressant medication. The nurse dissolves the medication in food and administers it
to the client without the client's knowledge.



3.Which client should the nurse follow up with regarding pyridostigmine? ANS: The client
receiving pyridostigmine who reports nausea and congested cough.

4.What is the first strategy the CQI committee should initiate to reduce med-
ication errors? ANS: Review the events that led to the medication administration error by
creating a flow diagram.

5. When can informed consent be waived?ANS: For urgent medical or surgical
treatment if the client is unconscious, per facility policy.
6.
7. Which client should the nurse prioritize after receiving the hand-off report?-
ANS: The client with cirrhosis, several new areas of ecchymosis, and a partial
thromboplastin time (PTT) of 76 seconds.

8. Which pediatric client should the nurse assess first based on telemetry? ANS: A
1-month-old infant who is sleeping and has a pulse of 180.



, 9. For which child should the nurse initiate an interdisciplinary conference? ANS: A
5-year-old diagnosed with cystic fibrosis (CF) at birth and hospitalized 4 times in the past
2 months.

10. What is the most appropriate action for a nurse reviewing a client with pericarditis
and elevated WBC? ANS: Update the nursing interventions as needed.

11. Which documentation by a nurse indicates correct practice? ANS: IV catheter site in
left antecubital space is red and warm to touch. IV catheter removed intact. 20-gauge
catheter placed in right forearm.



12. What should the nurse do with a client's CPAP machine brought from home? ANS:
Have the machine inspected by the facility's engineering department.

13. Which client is safest for discharge during an emergency response plan? ANS: The
client who has a deep vein thrombosis (DVT), is receiving warfarin, and has a
prothrombin time (PT) of 28 seconds.



14. What indicates correct client care by a newly hired UAP? ANS: Placing dedicated
equipment in the room of a client who has herpes zoster.

15. Which statement by a parent indicates a need for further teaching on child car
passenger safety? ANS: One hand should fit between the infant and the car seat
harness.



16. What order requires follow-up for a child with acute glomerulonephritis? ANS: -
High-potassium diet for a 5-year-old child.

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Institution
NURS 283
Course
NURS 283

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