NUR 283 COMP 1-3 EXAMS – TRANSITION TO RN PRACTICE –
(2026) ACTUAL QUESTIONS & ANSWERS (GALEN) 100%
GUARANTEED PASS | VERIFIED AND WELL DETAILED
ANSWERS | PLUS RATIONALES | LATEST EXAM UPDATE
1. A nurse is caring for a patient with a pressure injury that has tunneling. Which
wound care product is most appropriate?
A) Hydrofiber or alginate dressing
B) Transparent film dressing
C) Hydrocolloid dressing
D) Dry gauze dressing
Rationale: Hydrofiber and alginate dressings are absorbent and conform to wound
contours, making them ideal for tunneling or cavity wounds. They provide moisture
management and promote healing.
2. A nurse is preparing to administer an intradermal injection for a tuberculosis
skin test. Which action is correct?
A) Inserting the needle at a 5-15 degree angle with the bevel up
B) Inserting the needle at a 45-degree angle
C) Inserting the needle at a 90-degree angle
D) Inserting the needle at a 30-degree angle
Rationale: Intradermal injections are administered at a 5-15 degree angle, bevel up, just
below the epidermis to create a wheal. A 45 or 90-degree angle would place the
medication in the subcutaneous tissue.
,3. A patient is on protective (reverse) isolation. Which visitor instruction is correct?
A) Visitors must wear gloves, gown, and mask before entering
B) Visitors do not need to wear PPE
C) Visitors must wear a mask only
D) Visitors must wear sterile gloves only
Rationale: Protective isolation requires all visitors to wear gloves, gown, and mask to
prevent infection in immunocompromised patients. This includes patients undergoing
chemotherapy or bone marrow transplants.
4. A nurse is caring for a patient with an NG tube. Which finding indicates proper
tube placement?
A) The patient is coughing
B) Aspirated gastric contents have a pH of 4.0
C) The patient reports nausea
D) The tube is taped to the nose
Rationale: A gastric pH of 4.0 or less indicates proper placement in the stomach. Coughing
and nausea do not confirm placement. Taping secures the tube but does not confirm
placement.
5. A nurse is preparing to administer an IM injection to a pediatric patient. Which
site is preferred?
A) Dorsogluteal muscle
B) Vastus lateralis muscle
C) Deltoid muscle
D) Ventrogluteal muscle
Rationale: The vastus lateralis is the preferred IM injection site for infants and children. The
dorsogluteal site is not recommended for children due to the risk of sciatic nerve injury.
,6. A patient is experiencing anaphylaxis. Which medication should the nurse
administer first?
A) Diphenhydramine (Benadryl)
B) Epinephrine
C) Albuterol
D) Methylprednisolone
Rationale: Epinephrine is the first-line treatment for anaphylaxis. It reverses airway edema,
hypotension, and bronchospasm. Antihistamines and corticosteroids are adjunctive
treatments.
7. A nurse is applying a warm compress to a patient's wound. Which action is
appropriate?
A) Applying the compress for 15-20 minutes
B) Applying the compress for 4 hours
C) Using cold water instead of warm
D) Placing the compress directly on the skin without a barrier
Rationale: A warm compress should be applied for 15-20 minutes. Prolonged application
can cause burns or skin damage. A barrier should be used to prevent burns.
8. A patient is on airborne precautions for varicella (chickenpox). Which action is
appropriate for room placement?
A) Placing the patient in a room with positive pressure
B) Placing the patient in a negative pressure room with the door closed
C) Placing the patient in a room with standard pressure
D) Placing the patient in a room with another patient
Rationale: Airborne precautions require a negative pressure room with the door closed.
Positive pressure rooms are used for protective isolation. Room sharing is not permitted.
, 9. A nurse is caring for a patient with a surgical wound drain. Which action is
appropriate?
A) Emptying the drain only when full
B) Compressing the drain before closing to create suction
C) Stripping the drain from the insertion site outward
D) Disconnecting the drain from the collection bulb
Rationale: Compressing the drain before closing creates suction to promote drainage. The
drain should be emptied when full or per facility policy. The drain should be stripped from
the insertion site outward, not backward.
10. A patient is experiencing a seizure. Which action should the nurse take?
A) Turning the patient to the side and protecting the head
B) Placing a tongue depressor in the patient's mouth
C) Restraining the patient to prevent injury
D) Leaving the patient alone to rest after the seizure
Rationale: Turning the patient to the side prevents aspiration. Protecting the head prevents
injury. Never place anything in the mouth or restrain the patient during a seizure.
11. A nurse is preparing to administer a topical medication. Which action is
appropriate?
A) Applying a thin layer and covering the area as ordered
B) Applying a thick layer to ensure absorption
C) Applying the medication with bare hands
D) Applying the medication over an open wound
Rationale: A thin layer should be applied, and the area covered as ordered. Gloves should
be worn. Topical medications should not be applied over open wounds unless specified.
(2026) ACTUAL QUESTIONS & ANSWERS (GALEN) 100%
GUARANTEED PASS | VERIFIED AND WELL DETAILED
ANSWERS | PLUS RATIONALES | LATEST EXAM UPDATE
1. A nurse is caring for a patient with a pressure injury that has tunneling. Which
wound care product is most appropriate?
A) Hydrofiber or alginate dressing
B) Transparent film dressing
C) Hydrocolloid dressing
D) Dry gauze dressing
Rationale: Hydrofiber and alginate dressings are absorbent and conform to wound
contours, making them ideal for tunneling or cavity wounds. They provide moisture
management and promote healing.
2. A nurse is preparing to administer an intradermal injection for a tuberculosis
skin test. Which action is correct?
A) Inserting the needle at a 5-15 degree angle with the bevel up
B) Inserting the needle at a 45-degree angle
C) Inserting the needle at a 90-degree angle
D) Inserting the needle at a 30-degree angle
Rationale: Intradermal injections are administered at a 5-15 degree angle, bevel up, just
below the epidermis to create a wheal. A 45 or 90-degree angle would place the
medication in the subcutaneous tissue.
,3. A patient is on protective (reverse) isolation. Which visitor instruction is correct?
A) Visitors must wear gloves, gown, and mask before entering
B) Visitors do not need to wear PPE
C) Visitors must wear a mask only
D) Visitors must wear sterile gloves only
Rationale: Protective isolation requires all visitors to wear gloves, gown, and mask to
prevent infection in immunocompromised patients. This includes patients undergoing
chemotherapy or bone marrow transplants.
4. A nurse is caring for a patient with an NG tube. Which finding indicates proper
tube placement?
A) The patient is coughing
B) Aspirated gastric contents have a pH of 4.0
C) The patient reports nausea
D) The tube is taped to the nose
Rationale: A gastric pH of 4.0 or less indicates proper placement in the stomach. Coughing
and nausea do not confirm placement. Taping secures the tube but does not confirm
placement.
5. A nurse is preparing to administer an IM injection to a pediatric patient. Which
site is preferred?
A) Dorsogluteal muscle
B) Vastus lateralis muscle
C) Deltoid muscle
D) Ventrogluteal muscle
Rationale: The vastus lateralis is the preferred IM injection site for infants and children. The
dorsogluteal site is not recommended for children due to the risk of sciatic nerve injury.
,6. A patient is experiencing anaphylaxis. Which medication should the nurse
administer first?
A) Diphenhydramine (Benadryl)
B) Epinephrine
C) Albuterol
D) Methylprednisolone
Rationale: Epinephrine is the first-line treatment for anaphylaxis. It reverses airway edema,
hypotension, and bronchospasm. Antihistamines and corticosteroids are adjunctive
treatments.
7. A nurse is applying a warm compress to a patient's wound. Which action is
appropriate?
A) Applying the compress for 15-20 minutes
B) Applying the compress for 4 hours
C) Using cold water instead of warm
D) Placing the compress directly on the skin without a barrier
Rationale: A warm compress should be applied for 15-20 minutes. Prolonged application
can cause burns or skin damage. A barrier should be used to prevent burns.
8. A patient is on airborne precautions for varicella (chickenpox). Which action is
appropriate for room placement?
A) Placing the patient in a room with positive pressure
B) Placing the patient in a negative pressure room with the door closed
C) Placing the patient in a room with standard pressure
D) Placing the patient in a room with another patient
Rationale: Airborne precautions require a negative pressure room with the door closed.
Positive pressure rooms are used for protective isolation. Room sharing is not permitted.
, 9. A nurse is caring for a patient with a surgical wound drain. Which action is
appropriate?
A) Emptying the drain only when full
B) Compressing the drain before closing to create suction
C) Stripping the drain from the insertion site outward
D) Disconnecting the drain from the collection bulb
Rationale: Compressing the drain before closing creates suction to promote drainage. The
drain should be emptied when full or per facility policy. The drain should be stripped from
the insertion site outward, not backward.
10. A patient is experiencing a seizure. Which action should the nurse take?
A) Turning the patient to the side and protecting the head
B) Placing a tongue depressor in the patient's mouth
C) Restraining the patient to prevent injury
D) Leaving the patient alone to rest after the seizure
Rationale: Turning the patient to the side prevents aspiration. Protecting the head prevents
injury. Never place anything in the mouth or restrain the patient during a seizure.
11. A nurse is preparing to administer a topical medication. Which action is
appropriate?
A) Applying a thin layer and covering the area as ordered
B) Applying a thick layer to ensure absorption
C) Applying the medication with bare hands
D) Applying the medication over an open wound
Rationale: A thin layer should be applied, and the area covered as ordered. Gloves should
be worn. Topical medications should not be applied over open wounds unless specified.
