, NUR 283 Final Exam – Transition to RN Practice
Actual Questions & Answers (Galen) 100%
Guarantee Pass
Question 1: The nurse working on a pediatric unit has received the hand-off report.
Which client should the nurse plan to see first?
A. A toddler with bronchiolitis on room air and mild wheezing
B. The infant who has a diagnosis of pertussis and is 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. The infant who has a diagnosis of pertussis and is receiving oxygen via
nasal cannula
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 .
Question 2: A newly licensed RN is assigned four patients and must prioritize care.
Which patient should the nurse assess first based on clinical judgment principles?
A. Stable postoperative patient requesting pain medication
B. Patient with COPD reporting increased shortness of breath
C. Patient scheduled for discharge needing education
D. Patient requesting assistance with ambulation
Answer: B. Patient with COPD reporting increased shortness of breath
Rationale: Airway and breathing take priority; increased shortness of breath indicates
potential respiratory compromise requiring immediate assessment .
,Question 3: The nurse working on a medical-surgical unit has been made aware of the
following client situations. The nurse should first plan to assess the client who:
A. Is scheduled for discharge later today and needs final medication teaching
B. Is receiving preparation for a colonoscopy and whose blood pressure was
128/74 mm Hg and is now 106/60 mm Hg
C. Had a knee arthroscopy yesterday and reports pain at 4/10
D. Is NPO for an abdominal ultrasound this morning
Answer: B. Is receiving preparation for a colonoscopy and whose blood pressure
was 128/74 mm Hg and is now 106/60 mm Hg
Rationale: A drop in BP may indicate hypovolemia from bowel prep or other
hemodynamic instability and can quickly progress to shock if not addressed .
Question 4: The nurse has received the hand-off report and is assigning tasks to UAP.
Which task should the nurse instruct the UAP to perform first?
A. Assist a client post-hip replacement with first ambulation
B. Obtain a capillary blood glucose on a client who had a hypoglycemic episode 30
minutes ago and received dextrose IV
C. Change linens for a client who was incontinent of urine
D. Take vital signs on a client scheduled for afternoon surgery
Answer: B. Obtain a capillary blood glucose on a client who had a hypoglycemic
episode 30 minutes ago and received dextrose IV
Rationale: Rechecking blood glucose after treatment of hypoglycemia is time-
sensitive and determines if treatment was effective. Delegating this stable but urgent
reassessment to UAP is appropriate .
Question 5: Using Maslow's hierarchy, which client should the nurse see first?
A. Requesting pain medication for chronic back pain
B. Needing discharge teaching on wound care
C. With new onset confusion and O₂ sat 88%
D. Asking for a warm blanket
, Answer: C. With new onset confusion and O₂ sat 88%
Rationale: Physiological needs (oxygenation) trump comfort or teaching. New
confusion + hypoxia is critical and requires immediate assessment .
Question 6: 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 endoscopic retrograde cholangiopancreatography (ERCP) 30 minutes
ago and is reporting difficulty swallowing
B. Is scheduled for discharge later today and needs final medication teaching
C. Is 24 hours post-knee arthroscopy and reports pain at 3/10
D. Is NPO for an abdominal ultrasound in the morning
Answer: A. Had an ERCP 30 minutes ago and is reporting difficulty swallowing
Rationale: Using the ABCs (Airway, Breathing, Circulation), "difficulty swallowing"
suggests potential airway compromise. Following an ERCP, the gag reflex may be
depressed, putting the patient at high risk for aspiration .
Question 7: The nurse working in an outpatient care clinic is assessing clients who are
waiting. Which client should the nurse have the PHCP see first?
A. A 28-year-old with a sprained ankle and mild swelling
B. A 45-year-old who has pleurisy and is reporting worsening shortness of breath
C. A 32-year-old with seasonal allergies and nasal congestion
D. A 55-year-old with chronic low-back pain requesting a refill
Answer: B. A 45-year-old who has pleurisy and is reporting worsening shortness of
breath
Rationale: Worsening dyspnea in a client with pleuritic pain may indicate pneumonia,
pulmonary embolus, or respiratory failure and demands immediate evaluation .
Question 8: The nurse has been made aware of the following client situations. The
nurse should first plan to see the client who has:
Actual Questions & Answers (Galen) 100%
Guarantee Pass
Question 1: The nurse working on a pediatric unit has received the hand-off report.
Which client should the nurse plan to see first?
A. A toddler with bronchiolitis on room air and mild wheezing
B. The infant who has a diagnosis of pertussis and is 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. The infant who has a diagnosis of pertussis and is receiving oxygen via
nasal cannula
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 .
Question 2: A newly licensed RN is assigned four patients and must prioritize care.
Which patient should the nurse assess first based on clinical judgment principles?
A. Stable postoperative patient requesting pain medication
B. Patient with COPD reporting increased shortness of breath
C. Patient scheduled for discharge needing education
D. Patient requesting assistance with ambulation
Answer: B. Patient with COPD reporting increased shortness of breath
Rationale: Airway and breathing take priority; increased shortness of breath indicates
potential respiratory compromise requiring immediate assessment .
,Question 3: The nurse working on a medical-surgical unit has been made aware of the
following client situations. The nurse should first plan to assess the client who:
A. Is scheduled for discharge later today and needs final medication teaching
B. Is receiving preparation for a colonoscopy and whose blood pressure was
128/74 mm Hg and is now 106/60 mm Hg
C. Had a knee arthroscopy yesterday and reports pain at 4/10
D. Is NPO for an abdominal ultrasound this morning
Answer: B. Is receiving preparation for a colonoscopy and whose blood pressure
was 128/74 mm Hg and is now 106/60 mm Hg
Rationale: A drop in BP may indicate hypovolemia from bowel prep or other
hemodynamic instability and can quickly progress to shock if not addressed .
Question 4: The nurse has received the hand-off report and is assigning tasks to UAP.
Which task should the nurse instruct the UAP to perform first?
A. Assist a client post-hip replacement with first ambulation
B. Obtain a capillary blood glucose on a client who had a hypoglycemic episode 30
minutes ago and received dextrose IV
C. Change linens for a client who was incontinent of urine
D. Take vital signs on a client scheduled for afternoon surgery
Answer: B. Obtain a capillary blood glucose on a client who had a hypoglycemic
episode 30 minutes ago and received dextrose IV
Rationale: Rechecking blood glucose after treatment of hypoglycemia is time-
sensitive and determines if treatment was effective. Delegating this stable but urgent
reassessment to UAP is appropriate .
Question 5: Using Maslow's hierarchy, which client should the nurse see first?
A. Requesting pain medication for chronic back pain
B. Needing discharge teaching on wound care
C. With new onset confusion and O₂ sat 88%
D. Asking for a warm blanket
, Answer: C. With new onset confusion and O₂ sat 88%
Rationale: Physiological needs (oxygenation) trump comfort or teaching. New
confusion + hypoxia is critical and requires immediate assessment .
Question 6: 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 endoscopic retrograde cholangiopancreatography (ERCP) 30 minutes
ago and is reporting difficulty swallowing
B. Is scheduled for discharge later today and needs final medication teaching
C. Is 24 hours post-knee arthroscopy and reports pain at 3/10
D. Is NPO for an abdominal ultrasound in the morning
Answer: A. Had an ERCP 30 minutes ago and is reporting difficulty swallowing
Rationale: Using the ABCs (Airway, Breathing, Circulation), "difficulty swallowing"
suggests potential airway compromise. Following an ERCP, the gag reflex may be
depressed, putting the patient at high risk for aspiration .
Question 7: The nurse working in an outpatient care clinic is assessing clients who are
waiting. Which client should the nurse have the PHCP see first?
A. A 28-year-old with a sprained ankle and mild swelling
B. A 45-year-old who has pleurisy and is reporting worsening shortness of breath
C. A 32-year-old with seasonal allergies and nasal congestion
D. A 55-year-old with chronic low-back pain requesting a refill
Answer: B. A 45-year-old who has pleurisy and is reporting worsening shortness of
breath
Rationale: Worsening dyspnea in a client with pleuritic pain may indicate pneumonia,
pulmonary embolus, or respiratory failure and demands immediate evaluation .
Question 8: The nurse has been made aware of the following client situations. The
nurse should first plan to see the client who has:
