NUR 283 Comprehensive Exam Prep | 350+ Practice
QUESTIONs with Correct Answers & Expert
Rationales 2026/2027
QUESTION 1
A charge nurse is planning assignments for a medical-surgical unit.
Which client is appropriate to assign to a licensed practical nurse (LPN)?
• A. A newly admitted client with acute chest pain and unstable vital
signs.
• B. A client receiving the first unit of packed red blood cells.
• C. A client with chronic, stable heart failure requiring scheduled
oral diuretics.
• D. A client who is post-operative day zero and actively bleeding
from the surgical site.
Correct Answer: C. A client with chronic, stable heart failure requiring
scheduled oral diuretics.
Detailed Rationale: LPNs can provide care for stable clients with
predictable outcomes and administer oral medications. Unstable
clients, acute assessments, initial blood product administration, and
active hemorrhaging require the advanced clinical judgment of an RN.
QUESTION 2
,A nurse is preparing a client for a scheduled invasive procedure when
the client states, "I still don't understand the risks or what other
treatment options exist." What is the appropriate nursing action?
• A. Explain all surgical alternatives and risks in detail to the client.
• B. Notify the healthcare provider (surgeon) that the client has
unresolved QUESTIONs regarding risks and alternatives.
• C. Proceed with obtaining the signature because the form is
already filled out.
• D. Tell the client that surgery is the only viable choice available.
Correct Answer: B. Notify the healthcare provider (surgeon) that the
client has unresolved QUESTIONs regarding risks and alternatives.
Detailed Rationale: The nurse acts as a witness to the signature and
verifies voluntariness, but the legal and ethical duty to explain
procedures, risks, and alternatives belongs to the healthcare provider.
QUESTION 3
A nurse manager encourages staff participation in decision-making,
values team input, and fosters a collaborative working environment.
Which leadership style is being demonstrated?
• A. Autocratic leadership
• B. Democratic (Participative) leadership
• C. Laissez-faire leadership
• D. Transactional leadership
Correct Answer: B. Democratic (Participative) leadership
,Detailed Rationale: Democratic leadership encourages group
participation, values team input, and shares decision-making authority,
whereas autocratic relies on top-down control and laissez-faire is
hands-off.
QUESTION 4
During a mass casualty triage exercise, a client presents with an open
femur fracture, respiratory rate of 36 breaths/min, and a capillary refill
of 4 seconds. Using the START triage method, what color tag should this
client receive?
• A. Green (Minor)
• B. Yellow (Delayed)
• C. Red (Immediate)
• D. Black (Expectant)
Correct Answer: C. Red (Immediate)
Detailed Rationale: Under the START system, a respiratory rate greater
than 30 breaths/min or a capillary refill greater than 2 seconds places
the client in the Red (Immediate) triage category.
QUESTION 5
Following a medication error, a hospital conducts a Root Cause Analysis
(RCA). What is the primary purpose of an RCA?
• A. To assign individual disciplinary blame to the nurse involved.
• B. To identify systemic vulnerabilities and process failures that
contributed to the error.
• C. To immediately terminate staff members without investigation.
, • D. To bypass regulatory reporting requirements.
Correct Answer: B. To identify systemic vulnerabilities and process
failures that contributed to the error.
Detailed Rationale: Root Cause Analysis focuses on underlying system
flaws, communication breakdowns, and workflow vulnerabilities rather
than placing sole blame on individuals, aiming to prevent future
occurrences.
QUESTION 6
Two nurses disagree on holiday shift scheduling. The nurse manager
guides them through a problem-solving discussion where both parties
openly communicate and work to fully satisfy each other's concerns.
Which conflict resolution strategy is used?
• A. Competing
• B. Avoiding
• C. Collaborating
• D. Accommodating
Correct Answer: C. Collaborating
Detailed Rationale: Collaborating is a win-win strategy where all parties
work together openly to achieve a mutually satisfying solution that
addresses everyone's concerns fully.
QUESTION 7
A client experiences an injury due to a nurse's deviation from the
standard of care. Which legal element must be proven to establish
professional negligence (malpractice)?
QUESTIONs with Correct Answers & Expert
Rationales 2026/2027
QUESTION 1
A charge nurse is planning assignments for a medical-surgical unit.
Which client is appropriate to assign to a licensed practical nurse (LPN)?
• A. A newly admitted client with acute chest pain and unstable vital
signs.
• B. A client receiving the first unit of packed red blood cells.
• C. A client with chronic, stable heart failure requiring scheduled
oral diuretics.
• D. A client who is post-operative day zero and actively bleeding
from the surgical site.
Correct Answer: C. A client with chronic, stable heart failure requiring
scheduled oral diuretics.
Detailed Rationale: LPNs can provide care for stable clients with
predictable outcomes and administer oral medications. Unstable
clients, acute assessments, initial blood product administration, and
active hemorrhaging require the advanced clinical judgment of an RN.
QUESTION 2
,A nurse is preparing a client for a scheduled invasive procedure when
the client states, "I still don't understand the risks or what other
treatment options exist." What is the appropriate nursing action?
• A. Explain all surgical alternatives and risks in detail to the client.
• B. Notify the healthcare provider (surgeon) that the client has
unresolved QUESTIONs regarding risks and alternatives.
• C. Proceed with obtaining the signature because the form is
already filled out.
• D. Tell the client that surgery is the only viable choice available.
Correct Answer: B. Notify the healthcare provider (surgeon) that the
client has unresolved QUESTIONs regarding risks and alternatives.
Detailed Rationale: The nurse acts as a witness to the signature and
verifies voluntariness, but the legal and ethical duty to explain
procedures, risks, and alternatives belongs to the healthcare provider.
QUESTION 3
A nurse manager encourages staff participation in decision-making,
values team input, and fosters a collaborative working environment.
Which leadership style is being demonstrated?
• A. Autocratic leadership
• B. Democratic (Participative) leadership
• C. Laissez-faire leadership
• D. Transactional leadership
Correct Answer: B. Democratic (Participative) leadership
,Detailed Rationale: Democratic leadership encourages group
participation, values team input, and shares decision-making authority,
whereas autocratic relies on top-down control and laissez-faire is
hands-off.
QUESTION 4
During a mass casualty triage exercise, a client presents with an open
femur fracture, respiratory rate of 36 breaths/min, and a capillary refill
of 4 seconds. Using the START triage method, what color tag should this
client receive?
• A. Green (Minor)
• B. Yellow (Delayed)
• C. Red (Immediate)
• D. Black (Expectant)
Correct Answer: C. Red (Immediate)
Detailed Rationale: Under the START system, a respiratory rate greater
than 30 breaths/min or a capillary refill greater than 2 seconds places
the client in the Red (Immediate) triage category.
QUESTION 5
Following a medication error, a hospital conducts a Root Cause Analysis
(RCA). What is the primary purpose of an RCA?
• A. To assign individual disciplinary blame to the nurse involved.
• B. To identify systemic vulnerabilities and process failures that
contributed to the error.
• C. To immediately terminate staff members without investigation.
, • D. To bypass regulatory reporting requirements.
Correct Answer: B. To identify systemic vulnerabilities and process
failures that contributed to the error.
Detailed Rationale: Root Cause Analysis focuses on underlying system
flaws, communication breakdowns, and workflow vulnerabilities rather
than placing sole blame on individuals, aiming to prevent future
occurrences.
QUESTION 6
Two nurses disagree on holiday shift scheduling. The nurse manager
guides them through a problem-solving discussion where both parties
openly communicate and work to fully satisfy each other's concerns.
Which conflict resolution strategy is used?
• A. Competing
• B. Avoiding
• C. Collaborating
• D. Accommodating
Correct Answer: C. Collaborating
Detailed Rationale: Collaborating is a win-win strategy where all parties
work together openly to achieve a mutually satisfying solution that
addresses everyone's concerns fully.
QUESTION 7
A client experiences an injury due to a nurse's deviation from the
standard of care. Which legal element must be proven to establish
professional negligence (malpractice)?
