NUR 283 Exam 2 – Transition to RN Practice –
(2026/2027) Galen Actual Questions & Answers 100%
Guarantee Pass
1. Question:
The charge nurse is making assignments for the shift. Which client should be
assigned to the most experienced nurse?
A. The client with diabetes mellitus requesting discharge teaching.
B. The client with a new diagnosis of pulmonary embolism requiring a heparin
drip.
C. The client with a hip fracture scheduled for physical therapy.
D. The client with a urinary tract infection requiring IV antibiotics.
Answer: B. The client with a new diagnosis of pulmonary embolism requiring a
heparin drip.
Rationale: A client with a pulmonary embolism on a heparin drip is unstable and
requires titration of a high-alert medication. This client requires the critical
thinking and experience of the most senior nurse .
2. Question:
Which task is most appropriate for the charge nurse to assign to a new graduate
RN (off orientation)?
A. New tracheostomy requiring frequent suctioning
B. Chest tube with tidaling in water seal
C. 1-day post-appendectomy, stable vitals
D. IV vasopressors for septic shock
Answer: C. 1-day post-appendectomy, stable vitals
Rationale: A stable, predictable post-operative client is appropriate for a new
graduate. Unstable clients (vasopressors, new trach, chest tubes) require more
experienced RNs .
3. Question:
Which component is part of the SBAR communication tool?
A. Situation, Background, Assessment, Recommendation
B. Subjective, Background, Action, Response
C. Situation, Beliefs, Assessment, Resolution
,D. Symptoms, Background, Analysis, Recovery
Answer: A. Situation, Background, Assessment, Recommendation
Rationale: SBAR is a structured communication framework that provides a clear,
concise method for healthcare professionals to share patient information,
particularly during handoffs and when escalating concerns .
4. Question:
What is a near-miss event in healthcare?
A. An event that resulted in serious patient harm
B. An event that could have resulted in patient harm but was caught before
reaching the patient
C. An event that only involves property damage
D. An event that is expected and part of normal treatment
Answer: B. An event that could have resulted in patient harm but was caught
before reaching the patient.
Rationale: A near-miss is an error or system failure that could have caused patient
harm but was intercepted before reaching the patient. Analyzing near-misses
reveals system vulnerabilities .
5. Question:
A nurse realizes they missed giving a medication 2 hours ago. Which of the
following actions should the nurse take first?
A. Determine if the client is experiencing any adverse effects.
B. Notify the client's primary health care provider (PHCP).
C. Complete an incident report.
D. Inform the client to report the development of any unusual symptoms.
Answer: A. Determine if the client is experiencing any adverse effects.
Rationale: The first and most critical step in any medication error is to assess the
patient for potential harm. This is the nursing priority before notifying the
provider or completing the report .
6. Question:
The nurse manager has provided a continuing education session to nursing staff
regarding client rights and responsibilities. Which statement by a participant
indicates a correct understanding of the teaching?
A. "Clients who have a mental health diagnosis waive the right to confidentiality
, once hospitalized."
B. "Clients are not allowed to review their medical record during hospitalization."
C. "Clients will be provided a list of home health agencies to contact for any..."
Answer: C. "Clients will be provided a list of home health agencies to contact for
any..."
Rationale: Patients have the right to receive information about available post-
discharge care options. Confidentiality and the right to review medical records are
protected rights for all patients, regardless of mental health diagnosis .
7. Question:
Which task is appropriate for the UAP (unlicensed assistive personnel)?
A. Teaching a patient about a new medication
B. Transporting a stable patient to radiology
C. Assessing a patient's wound
D. Administering eye drops
Answer: B. Transporting a stable patient to radiology
Rationale: UAPs can transport stable patients. Teaching, assessment, and
medication administration are RN/LPN duties .
8. Question:
Which factor contributes most to medication errors in healthcare settings?
A. Lazy healthcare workers
B. System failures such as poor communication and inadequate staffing
C. The high cost of medications
D. Patients refusing medications
Answer: B. System failures such as poor communication and inadequate staffing
Rationale: System failures like poor communication and inadequate staffing are
the most significant contributors to medication errors, highlighting the need for
systemic process improvements, not individual blame .
9. Question:
In the Quality and Safety Education for Nurses (QSEN) framework, which
competency is most directly challenged when a nurse identifies a near-miss
medication error and must decide whether to report it?
A. Patient-centered care
B. Teamwork and collaboration
(2026/2027) Galen Actual Questions & Answers 100%
Guarantee Pass
1. Question:
The charge nurse is making assignments for the shift. Which client should be
assigned to the most experienced nurse?
A. The client with diabetes mellitus requesting discharge teaching.
B. The client with a new diagnosis of pulmonary embolism requiring a heparin
drip.
C. The client with a hip fracture scheduled for physical therapy.
D. The client with a urinary tract infection requiring IV antibiotics.
Answer: B. The client with a new diagnosis of pulmonary embolism requiring a
heparin drip.
Rationale: A client with a pulmonary embolism on a heparin drip is unstable and
requires titration of a high-alert medication. This client requires the critical
thinking and experience of the most senior nurse .
2. Question:
Which task is most appropriate for the charge nurse to assign to a new graduate
RN (off orientation)?
A. New tracheostomy requiring frequent suctioning
B. Chest tube with tidaling in water seal
C. 1-day post-appendectomy, stable vitals
D. IV vasopressors for septic shock
Answer: C. 1-day post-appendectomy, stable vitals
Rationale: A stable, predictable post-operative client is appropriate for a new
graduate. Unstable clients (vasopressors, new trach, chest tubes) require more
experienced RNs .
3. Question:
Which component is part of the SBAR communication tool?
A. Situation, Background, Assessment, Recommendation
B. Subjective, Background, Action, Response
C. Situation, Beliefs, Assessment, Resolution
,D. Symptoms, Background, Analysis, Recovery
Answer: A. Situation, Background, Assessment, Recommendation
Rationale: SBAR is a structured communication framework that provides a clear,
concise method for healthcare professionals to share patient information,
particularly during handoffs and when escalating concerns .
4. Question:
What is a near-miss event in healthcare?
A. An event that resulted in serious patient harm
B. An event that could have resulted in patient harm but was caught before
reaching the patient
C. An event that only involves property damage
D. An event that is expected and part of normal treatment
Answer: B. An event that could have resulted in patient harm but was caught
before reaching the patient.
Rationale: A near-miss is an error or system failure that could have caused patient
harm but was intercepted before reaching the patient. Analyzing near-misses
reveals system vulnerabilities .
5. Question:
A nurse realizes they missed giving a medication 2 hours ago. Which of the
following actions should the nurse take first?
A. Determine if the client is experiencing any adverse effects.
B. Notify the client's primary health care provider (PHCP).
C. Complete an incident report.
D. Inform the client to report the development of any unusual symptoms.
Answer: A. Determine if the client is experiencing any adverse effects.
Rationale: The first and most critical step in any medication error is to assess the
patient for potential harm. This is the nursing priority before notifying the
provider or completing the report .
6. Question:
The nurse manager has provided a continuing education session to nursing staff
regarding client rights and responsibilities. Which statement by a participant
indicates a correct understanding of the teaching?
A. "Clients who have a mental health diagnosis waive the right to confidentiality
, once hospitalized."
B. "Clients are not allowed to review their medical record during hospitalization."
C. "Clients will be provided a list of home health agencies to contact for any..."
Answer: C. "Clients will be provided a list of home health agencies to contact for
any..."
Rationale: Patients have the right to receive information about available post-
discharge care options. Confidentiality and the right to review medical records are
protected rights for all patients, regardless of mental health diagnosis .
7. Question:
Which task is appropriate for the UAP (unlicensed assistive personnel)?
A. Teaching a patient about a new medication
B. Transporting a stable patient to radiology
C. Assessing a patient's wound
D. Administering eye drops
Answer: B. Transporting a stable patient to radiology
Rationale: UAPs can transport stable patients. Teaching, assessment, and
medication administration are RN/LPN duties .
8. Question:
Which factor contributes most to medication errors in healthcare settings?
A. Lazy healthcare workers
B. System failures such as poor communication and inadequate staffing
C. The high cost of medications
D. Patients refusing medications
Answer: B. System failures such as poor communication and inadequate staffing
Rationale: System failures like poor communication and inadequate staffing are
the most significant contributors to medication errors, highlighting the need for
systemic process improvements, not individual blame .
9. Question:
In the Quality and Safety Education for Nurses (QSEN) framework, which
competency is most directly challenged when a nurse identifies a near-miss
medication error and must decide whether to report it?
A. Patient-centered care
B. Teamwork and collaboration
