NUR 283 Comp 1–3 Exams – Transition to RN
Practice – (2026/2027) Actual Questions &
ANSWER-s (Galen) 100% Guarantee Pass
Question 1: The charge nurse is assigning staff to patients on a medical-surgical unit. Which patient
should be assigned to the LPN?
A. A patient with newly diagnosed diabetic ketoacidosis on an insulin drip
B. A patient with pneumonia who is hemodynamically stable and requires scheduled IV antibiotics
C. A patient post-cardiac arrest requiring frequent neurological assessments
D. A patient with an epidural catheter for post-op pain management
ANSWER✔✨-: B. A patient with pneumonia who is hemodynamically stable and requires scheduled
IV antibiotics
Rationale: LPNs can care for stable patients with predictable outcomes and perform tasks like
administering IV antibiotics to stable patients. Unstable patients, those requiring frequent assessments,
or those with complex titratable drips (insulin, epidurals) require an RN.
Question 2: An RN delegates a UAP to obtain vital signs on a patient who is 24 hours post-liver biopsy.
Which instruction by the RN is most appropriate?
A. "Take the blood pressure, and I will assess the patient myself afterward."
B. "Get the vitals and let me know what they are when you're done."
C. "Take the vitals; if they are abnormal, retake them in 15 minutes."
D. "You do not need to take vitals on that patient; I will do it myself."
ANSWER✔✨-: D. "You do not need to take vitals on that patient; I will do it myself."
Rationale: A patient post-liver biopsy has a high risk of bleeding. The RN must perform the first set of
post-procedure vital signs to establish a baseline and assess for complications.
Question 3: The nurse observes a UAP applying restraints to a confused patient who is pulling at their IV
line without an order. Which action should the nurse take FIRST?
A. Report the UAP to the state board of nursing
B. Remove the restraints immediately and assess the patient
,C. Sign off on the UAP's actions as a "verbal order"
D. Ignore the situation to avoid conflict with the UAP
ANSWER✔✨-: B. Remove the restraints immediately and assess the patient
Rationale: A UAP cannot apply restraints independently; this requires an RN assessment and a provider's
order. The nurse must prioritize patient safety by removing the restraints immediately. This is also a
form of false imprisonment.
Question 4: When delegating tasks to a float RN from a postpartum unit who is assigned to the medical-
surgical unit for the day, the charge nurse should:
A. Assign the float RN the most complex, unstable patient to challenge their skills
B. Assign the float RN stable patients with predictable outcomes, similar to an LPN assignment
C. Ask the float RN to complete all admission assessments for new patients
D. Have the float RN hang blood products for a patient with active gastrointestinal bleeding
ANSWER✔✨-: B. Assign the float RN stable patients with predictable outcomes, similar to an LPN
assignment
Rationale: A float nurse is often unfamiliar with the specific unit's routines and patient acuity. Treating
the assignment as a "LPN-level assignment" (stable patients, no initial assessments) ensures patient
safety while the nurse orients to the unit.
Question 5: A nurse on a busy telemetry unit is the only RN for 6 patients and has one UAP. Which task
is most appropriate to delegate to the UAP?
A. Teaching a patient about a new low-sodium diet
B. Obtaining a stool sample for occult blood testing
C. Assessing a patient's chest pain
D. Administering oral pain medication
ANSWER✔✨-: B. Obtaining a stool sample for occult blood testing
Rationale: UAPs can perform routine, non-invasive tasks like collecting specimens. Teaching,
assessment, and medication administration are RN responsibilities.
Question 6: Which patient should the RN assess first?
A. A patient with COPD requesting a refill of their inhaler
B. A patient 2 hours post-op appendectomy reporting pain level 4/10
C. A patient with asthma who has an oxygen saturation of 89% on room air
D. A patient with diabetes asking for help with their insulin injection
,ANSWER✔✨-: C. A patient with asthma who has an oxygen saturation of 89% on room air
Rationale: Airway and Breathing are the highest priority (ABCs). An oxygen saturation of 89% indicates
respiratory distress and requires immediate assessment.
Question 7: The RN is caring for a patient with a chest tube. Which task can be safely delegated to the
UAP?
A. Stripping the chest tube to maintain patency
B. Emptying the drainage collection chamber and recording the output
C. Assessing the insertion site for signs of infection
D. Adjusting the suction level on the chest tube system
ANSWER✔✨-: B. Emptying the drainage collection chamber and recording the output
Rationale: UAPs can measure and record output. Stripping tubes, assessing sites, and adjusting
equipment are RN responsibilities.
Question 8: A patient with heart failure is admitted with severe shortness of breath. Which action
should the nurse take first?
A. Administer furosemide IV as prescribed
B. Place the patient in a high-Fowler's position
C. Obtain a chest X-ray
D. Start an IV line
ANSWER✔✨-: B. Place the patient in a high-Fowler's position
Rationale: Positioning the patient upright (high-Fowler's) immediately improves lung expansion and
oxygenation, addressing the ABCs before medication or diagnostics.
Question 9: Which statement by a new RN indicates a need for further teaching regarding delegation?
A. "I will delegate the task of ambulating a stable patient to the UAP."
B. "I will assign the LPN to administer oral medications to a stable patient."
C. "I will ask the UAP to assess the patient's pain level after surgery."
D. "I will delegate the task of taking vital signs on a stable patient to the UAP."
ANSWER✔✨-: C. "I will ask the UAP to assess the patient's pain level after surgery."
Rationale: Assessment is the sole responsibility of the RN. UAPs can report pain, but the RN must assess
it.
Question 10: The nurse is caring for a patient who is 1 hour post-op from a total hip replacement. Which
finding requires immediate intervention?
, A. Pain rated 6/10 at the surgical site
B. Urine output of 30 mL/hr
C. Shortness of breath and chest pain
D. Temperature of 99.5°F (37.5°C)
ANSWER✔✨-: C. Shortness of breath and chest pain
Rationale: These are signs of a pulmonary embolism, a life-threatening complication. This requires
immediate intervention (ABCs).
Question 11: A UAP reports that a patient's blood pressure is 190/110. What is the RN's best action?
A. Tell the UAP to retake it in an hour.
B. Assess the patient immediately.
C. Document the finding and continue care.
D. Ask the UAP to give the patient their scheduled antihypertensive.
ANSWER✔✨-: B. Assess the patient immediately.
Rationale: The RN must validate abnormal findings and assess the patient for symptoms of hypertensive
crisis before intervening.
Question 12: Which patient is most appropriate for an LPN to care for?
A. A patient admitted with a stroke 2 hours ago
B. A patient with a stable tracheostomy requiring suctioning
C. A patient receiving a blood transfusion
D. A patient on a heparin drip for DVT
ANSWER✔✨-: B. A patient with a stable tracheostomy requiring suctioning
Rationale: LPNs can care for stable patients with established airways (like a tracheostomy) and perform
routine suctioning. New admissions, blood transfusions, and titratable drips require an RN.
Question 13: The nurse is preparing to discharge a patient. Which task can be delegated to the UAP?
A. Providing discharge instructions
B. Removing the patient's IV catheter
C. Assisting the patient with packing their belongings
D. Assessing the patient's readiness for discharge
ANSWER✔✨-: C. Assisting the patient with packing their belongings
Practice – (2026/2027) Actual Questions &
ANSWER-s (Galen) 100% Guarantee Pass
Question 1: The charge nurse is assigning staff to patients on a medical-surgical unit. Which patient
should be assigned to the LPN?
A. A patient with newly diagnosed diabetic ketoacidosis on an insulin drip
B. A patient with pneumonia who is hemodynamically stable and requires scheduled IV antibiotics
C. A patient post-cardiac arrest requiring frequent neurological assessments
D. A patient with an epidural catheter for post-op pain management
ANSWER✔✨-: B. A patient with pneumonia who is hemodynamically stable and requires scheduled
IV antibiotics
Rationale: LPNs can care for stable patients with predictable outcomes and perform tasks like
administering IV antibiotics to stable patients. Unstable patients, those requiring frequent assessments,
or those with complex titratable drips (insulin, epidurals) require an RN.
Question 2: An RN delegates a UAP to obtain vital signs on a patient who is 24 hours post-liver biopsy.
Which instruction by the RN is most appropriate?
A. "Take the blood pressure, and I will assess the patient myself afterward."
B. "Get the vitals and let me know what they are when you're done."
C. "Take the vitals; if they are abnormal, retake them in 15 minutes."
D. "You do not need to take vitals on that patient; I will do it myself."
ANSWER✔✨-: D. "You do not need to take vitals on that patient; I will do it myself."
Rationale: A patient post-liver biopsy has a high risk of bleeding. The RN must perform the first set of
post-procedure vital signs to establish a baseline and assess for complications.
Question 3: The nurse observes a UAP applying restraints to a confused patient who is pulling at their IV
line without an order. Which action should the nurse take FIRST?
A. Report the UAP to the state board of nursing
B. Remove the restraints immediately and assess the patient
,C. Sign off on the UAP's actions as a "verbal order"
D. Ignore the situation to avoid conflict with the UAP
ANSWER✔✨-: B. Remove the restraints immediately and assess the patient
Rationale: A UAP cannot apply restraints independently; this requires an RN assessment and a provider's
order. The nurse must prioritize patient safety by removing the restraints immediately. This is also a
form of false imprisonment.
Question 4: When delegating tasks to a float RN from a postpartum unit who is assigned to the medical-
surgical unit for the day, the charge nurse should:
A. Assign the float RN the most complex, unstable patient to challenge their skills
B. Assign the float RN stable patients with predictable outcomes, similar to an LPN assignment
C. Ask the float RN to complete all admission assessments for new patients
D. Have the float RN hang blood products for a patient with active gastrointestinal bleeding
ANSWER✔✨-: B. Assign the float RN stable patients with predictable outcomes, similar to an LPN
assignment
Rationale: A float nurse is often unfamiliar with the specific unit's routines and patient acuity. Treating
the assignment as a "LPN-level assignment" (stable patients, no initial assessments) ensures patient
safety while the nurse orients to the unit.
Question 5: A nurse on a busy telemetry unit is the only RN for 6 patients and has one UAP. Which task
is most appropriate to delegate to the UAP?
A. Teaching a patient about a new low-sodium diet
B. Obtaining a stool sample for occult blood testing
C. Assessing a patient's chest pain
D. Administering oral pain medication
ANSWER✔✨-: B. Obtaining a stool sample for occult blood testing
Rationale: UAPs can perform routine, non-invasive tasks like collecting specimens. Teaching,
assessment, and medication administration are RN responsibilities.
Question 6: Which patient should the RN assess first?
A. A patient with COPD requesting a refill of their inhaler
B. A patient 2 hours post-op appendectomy reporting pain level 4/10
C. A patient with asthma who has an oxygen saturation of 89% on room air
D. A patient with diabetes asking for help with their insulin injection
,ANSWER✔✨-: C. A patient with asthma who has an oxygen saturation of 89% on room air
Rationale: Airway and Breathing are the highest priority (ABCs). An oxygen saturation of 89% indicates
respiratory distress and requires immediate assessment.
Question 7: The RN is caring for a patient with a chest tube. Which task can be safely delegated to the
UAP?
A. Stripping the chest tube to maintain patency
B. Emptying the drainage collection chamber and recording the output
C. Assessing the insertion site for signs of infection
D. Adjusting the suction level on the chest tube system
ANSWER✔✨-: B. Emptying the drainage collection chamber and recording the output
Rationale: UAPs can measure and record output. Stripping tubes, assessing sites, and adjusting
equipment are RN responsibilities.
Question 8: A patient with heart failure is admitted with severe shortness of breath. Which action
should the nurse take first?
A. Administer furosemide IV as prescribed
B. Place the patient in a high-Fowler's position
C. Obtain a chest X-ray
D. Start an IV line
ANSWER✔✨-: B. Place the patient in a high-Fowler's position
Rationale: Positioning the patient upright (high-Fowler's) immediately improves lung expansion and
oxygenation, addressing the ABCs before medication or diagnostics.
Question 9: Which statement by a new RN indicates a need for further teaching regarding delegation?
A. "I will delegate the task of ambulating a stable patient to the UAP."
B. "I will assign the LPN to administer oral medications to a stable patient."
C. "I will ask the UAP to assess the patient's pain level after surgery."
D. "I will delegate the task of taking vital signs on a stable patient to the UAP."
ANSWER✔✨-: C. "I will ask the UAP to assess the patient's pain level after surgery."
Rationale: Assessment is the sole responsibility of the RN. UAPs can report pain, but the RN must assess
it.
Question 10: The nurse is caring for a patient who is 1 hour post-op from a total hip replacement. Which
finding requires immediate intervention?
, A. Pain rated 6/10 at the surgical site
B. Urine output of 30 mL/hr
C. Shortness of breath and chest pain
D. Temperature of 99.5°F (37.5°C)
ANSWER✔✨-: C. Shortness of breath and chest pain
Rationale: These are signs of a pulmonary embolism, a life-threatening complication. This requires
immediate intervention (ABCs).
Question 11: A UAP reports that a patient's blood pressure is 190/110. What is the RN's best action?
A. Tell the UAP to retake it in an hour.
B. Assess the patient immediately.
C. Document the finding and continue care.
D. Ask the UAP to give the patient their scheduled antihypertensive.
ANSWER✔✨-: B. Assess the patient immediately.
Rationale: The RN must validate abnormal findings and assess the patient for symptoms of hypertensive
crisis before intervening.
Question 12: Which patient is most appropriate for an LPN to care for?
A. A patient admitted with a stroke 2 hours ago
B. A patient with a stable tracheostomy requiring suctioning
C. A patient receiving a blood transfusion
D. A patient on a heparin drip for DVT
ANSWER✔✨-: B. A patient with a stable tracheostomy requiring suctioning
Rationale: LPNs can care for stable patients with established airways (like a tracheostomy) and perform
routine suctioning. New admissions, blood transfusions, and titratable drips require an RN.
Question 13: The nurse is preparing to discharge a patient. Which task can be delegated to the UAP?
A. Providing discharge instructions
B. Removing the patient's IV catheter
C. Assisting the patient with packing their belongings
D. Assessing the patient's readiness for discharge
ANSWER✔✨-: C. Assisting the patient with packing their belongings
