NUR 283 COMP 1, 2 & 3 EXAMS: The
Ultimate Question Practice Bank with
Detailed Rationales for Nursing
Success
## SECTION 1: PRIORITIZATION & DELEGATION (Questions 1-40)
**1. The nurse working on a pediatric unit has received the hand-off
report. Which client should the nurse plan to see FIRST?**
A. Toddler with bronchiolitis on room air and mild wheezing
B. Infant with pertussis receiving oxygen via nasal cannula
C. Preschooler with otitis media awaiting discharge
D. School-age child with a simple fracture in a cast
**## SECTION 1: PRIORITIZATION & DELEGATION (Questions 1-40)
: B**
**Rationale:** Infants with pertussis are at high risk for apnea and
severe respiratory compromise. Any child on supplemental oxygen with
a respiratory diagnosis is a higher priority than stable conditions. This
follows the ABC (Airway, Breathing, Circulation) framework for
prioritization .
,---
**2. After change-of-shift report, which patient should the nurse see
FIRST?**
A. Patient scheduled for discharge needing medication teaching
B. Patient who had ERCP 30 minutes ago reporting difficulty swallowing
C. Patient with knee arthroscopy yesterday reporting pain 4/10
D. Patient NPO for abdominal ultrasound this morning
**Answer: B**
**Rationale:** Difficulty swallowing after ERCP may indicate a
depressed gag reflex or complication such as esophageal perforation.
This poses an aspiration risk and requires immediate assessment.
According to the ABC framework, airway is the priority .
---
**3. The nurse is assigning tasks to UAP. Which task requires 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. Obtaining a capillary blood glucose on a client who had a
hypoglycemic episode 30 minutes ago
,C. Changing linens for a client who was incontinent of urine
D. Taking vital signs on a client scheduled for afternoon surgery
**Answer: A**
**Rationale:** Anytime a client is doing something for the first time
(e.g., first ambulation post-procedure), the RN must perform the task.
Delegating an initial assessment or first-time activity to UAP requires
follow-up because the RN needs to evaluate the client's response and
stability .
---
**4. The nurse should FIRST assess the client who has:**
A. Acute pancreatitis reporting pain on deep inspiration
B. Diabetes mellitus with blood glucose of 180 mg/dL
C. COPD with SpO2 of 92% on 2L oxygen
D. Stage II pressure injury needing dressing change
**Answer: A**
**Rationale:** Pain on deep inspiration in acute pancreatitis may
indicate pleuritis, pneumonia, or pancreatic complications such as a
pseudocyst or pleural effusion. "Acute" conditions can deteriorate
quickly if not addressed .
, ---
**5. Which client should the nurse have the primary health care
provider see FIRST in the outpatient clinic?**
A. 57-year-old with Graves' disease and temperature of 100.5°F
(38.1°C)
B. 45-year-old with osteoarthritis requesting medication refill
C. 30-year-old with seasonal allergies
D. 25-year-old for routine physical examination
**Answer: A**
**Rationale:** A client with Graves' disease who develops a fever may
be experiencing a thyroid storm—a life-threatening condition
characterized by fever, tachycardia, and altered mental status. This
client requires immediate evaluation .
---
**6. Which finding in a client with full-thickness burns to 45% of the
lower body should the nurse report to the provider IMMEDIATELY?**
A. Temperature of 99.2°F (37.3°C)
B. Temperature of 100.4°F (38°C)
C. Temperature of 104.2°F (40.1°C)
D. Urinary output of 45 mL over the past 2 hours
Ultimate Question Practice Bank with
Detailed Rationales for Nursing
Success
## SECTION 1: PRIORITIZATION & DELEGATION (Questions 1-40)
**1. The nurse working on a pediatric unit has received the hand-off
report. Which client should the nurse plan to see FIRST?**
A. Toddler with bronchiolitis on room air and mild wheezing
B. Infant with pertussis receiving oxygen via nasal cannula
C. Preschooler with otitis media awaiting discharge
D. School-age child with a simple fracture in a cast
**## SECTION 1: PRIORITIZATION & DELEGATION (Questions 1-40)
: B**
**Rationale:** Infants with pertussis are at high risk for apnea and
severe respiratory compromise. Any child on supplemental oxygen with
a respiratory diagnosis is a higher priority than stable conditions. This
follows the ABC (Airway, Breathing, Circulation) framework for
prioritization .
,---
**2. After change-of-shift report, which patient should the nurse see
FIRST?**
A. Patient scheduled for discharge needing medication teaching
B. Patient who had ERCP 30 minutes ago reporting difficulty swallowing
C. Patient with knee arthroscopy yesterday reporting pain 4/10
D. Patient NPO for abdominal ultrasound this morning
**Answer: B**
**Rationale:** Difficulty swallowing after ERCP may indicate a
depressed gag reflex or complication such as esophageal perforation.
This poses an aspiration risk and requires immediate assessment.
According to the ABC framework, airway is the priority .
---
**3. The nurse is assigning tasks to UAP. Which task requires 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. Obtaining a capillary blood glucose on a client who had a
hypoglycemic episode 30 minutes ago
,C. Changing linens for a client who was incontinent of urine
D. Taking vital signs on a client scheduled for afternoon surgery
**Answer: A**
**Rationale:** Anytime a client is doing something for the first time
(e.g., first ambulation post-procedure), the RN must perform the task.
Delegating an initial assessment or first-time activity to UAP requires
follow-up because the RN needs to evaluate the client's response and
stability .
---
**4. The nurse should FIRST assess the client who has:**
A. Acute pancreatitis reporting pain on deep inspiration
B. Diabetes mellitus with blood glucose of 180 mg/dL
C. COPD with SpO2 of 92% on 2L oxygen
D. Stage II pressure injury needing dressing change
**Answer: A**
**Rationale:** Pain on deep inspiration in acute pancreatitis may
indicate pleuritis, pneumonia, or pancreatic complications such as a
pseudocyst or pleural effusion. "Acute" conditions can deteriorate
quickly if not addressed .
, ---
**5. Which client should the nurse have the primary health care
provider see FIRST in the outpatient clinic?**
A. 57-year-old with Graves' disease and temperature of 100.5°F
(38.1°C)
B. 45-year-old with osteoarthritis requesting medication refill
C. 30-year-old with seasonal allergies
D. 25-year-old for routine physical examination
**Answer: A**
**Rationale:** A client with Graves' disease who develops a fever may
be experiencing a thyroid storm—a life-threatening condition
characterized by fever, tachycardia, and altered mental status. This
client requires immediate evaluation .
---
**6. Which finding in a client with full-thickness burns to 45% of the
lower body should the nurse report to the provider IMMEDIATELY?**
A. Temperature of 99.2°F (37.3°C)
B. Temperature of 100.4°F (38°C)
C. Temperature of 104.2°F (40.1°C)
D. Urinary output of 45 mL over the past 2 hours
