NUR283 Comprehensive Exam 2 & 3 Study Guide |
Complete Exam with Practice Questions, Verified
Correct Answers & Detailed Rationales| Latest
Update 2026/2027 | Galen College of Nursing
Question 1
A nurse working in an ambulatory assessment clinic has clients waiting to see the
primary care provider. Which client should the nurse immediately remove from the
room?
A) Organ Donor
B) Removed soiled
C) Keep dentures in
D) Place absorbent pads
Answer: A
Rationale: The question is asking about a client with a positive TB test (10 mm
raised area to site of purified protein derivative test 48 hours ago). The nurse
should immediately remove the client with a positive TB result from the waiting
room to prevent transmission.
Question 2
An ED nurse has a newly admitted client. Which of the following should the nurse
implement FIRST?
A) Administer a dose of loperamide for diarrhea
B) Document the client's vital signs and symptoms
C) Encourage the client to drink oral fluids
D) IV 0.9% NS with potassium 40 mEq for client with dehydration and diarrhea
and a serum potassium 2.9
Answer: D
Rationale: A serum potassium of 2.9 mEq/L is critically low and requires
immediate intervention. The nurse should implement the IV fluid with potassium
replacement first.
pg. 1
,Question 3
The nurse is caring for assigned clients. Which of the following actions is
appropriate for the nurse to take?
A) Transporting a client who has tuberculosis using a standard surgical mask
B) Having a client who has pertussis wear a surgical mask during transport
C) Allowing a client who has chickenpox to ambulate in the hallway without a
mask
D) Placing a client who has influenza in a room with a client who has pneumonia
Answer: B
Rationale: Clients with pertussis should wear a surgical mask during transport to
prevent droplet transmission. Tuberculosis requires airborne precautions (N95),
chickenpox requires airborne precautions, and influenza requires droplet
precautions with private room or cohorting.
Question 4
The nurse is developing a plan of care for a newly admitted client who has
histrionic personality disorder. Which of the following interventions is appropriate
for the nurse to implement?
A) Focus on the client's strengths and positive attributes during interactions
B) Communicate with the client using concrete and descriptive language
C) Set firm boundaries regarding the client's behavior and attention-seeking actions
D) Encourage the client to express their feelings openly and without judgment
Answer: C
Rationale: Clients with histrionic personality disorder engage in attention-seeking
behaviors. Setting firm boundaries regarding behavior is essential to manage
manipulative or dramatic actions.
Question 5
A nurse is caring for a client on bed rest with end-stage cirrhosis and ascites.
Which intervention should the nurse implement?
A) Encourage vigorous exercise
B) Provide low sodium diet
C) Provide IV antibiotics
D) Provide calm and quiet environment
Answer: B
pg. 2
,Rationale: Clients with cirrhosis and ascites require a low sodium diet to reduce
fluid retention and ascites formation.
Question 6
The nurse is caring for a pediatric client who is postoperative following
ventriculoperitoneal (VP) shunt placement. The nurse notes that the client has
become difficult to arouse. Which of the following actions should the nurse take
immediately?
A) Place the client in a prone position
B) Administer a dose of lorazepam
C) Notify the charge nurse
D) Elevate the client's head of bed (HOB) to 30 degrees
Answer: D
Rationale: A VP shunt malfunction can cause increased intracranial pressure.
Elevating the HOB to 30 degrees helps reduce ICP and is the immediate priority.
Question 7
The nurse is caring for a client who is receiving mechanical ventilation when the
low-pressure alarm sounds. Which of the following actions should the nurse take
next?
A) Suction the endotracheal tube immediately
B) Assess the cuff of the client's ET tube
C) Increase the oxygen concentration to 100%
D) Turn the client to the prone position
Answer: B
Rationale: A low-pressure alarm indicates a leak in the system. The nurse should
assess the ET tube cuff for adequate inflation.
Question 8
The nurse is caring for a client who is receiving streptomycin for treatment of an
infection. Which of the following findings indicates an adverse effect of the
medication?
A) Serum potassium 4.0 (normal range)
B) Creatinine 2.2 (adverse effect)
C) Creatinine 0.8 (normal range)
pg. 3
, D) Blood urea nitrogen 15 (normal range)
Answer: B
Rationale: Streptomycin is an aminoglycoside that can cause nephrotoxicity.
Creatinine 2.2 mg/dL is elevated (normal 0.6-1.2) and indicates renal impairment.
Question 9
The nurse is teaching individuals at a community health fair about guidelines for
health-related screenings, examinations, and immunizations. It is correct for the
nurse to state:
A) Children should begin their first dental check-up at age 5
B) Children between 10 & 14 should be screened annually for scoliosis
C) Adolescents should receive the HPV vaccine annually
D) Adults over 50 should have a colonoscopy every 10 years
Answer: D
Rationale: Adults over 50 should have a colonoscopy every 10 years for colorectal
cancer screening.
Question 10
A nurse manager observed a staff nurse caring for a client who has a sealed
radiation implant. The nurse manager should intervene if the staff:
A) Leaving any jewelry on the client to be transported with them to the funeral
home
B) Keeping dedicated equipment in room until implant removed
C) Initiate normal saline through blood tubing
D) I will sleep with head elevated with wedge style pillows
Answer: A
Rationale: Jewelry should be removed before transport to the funeral home. The
other options are appropriate for radiation implant care.
Question 11
The nurse is caring for a client who had a kidney transplant 1 week ago. It is a
priority for the nurse to notify the primary health care provider (PHCP) if the client
has a/an:
A) Urine output of 300 mL in the past 4 hours
B) Increase in weight from 199 to 204 lb over the past 24 hours
pg. 4
Complete Exam with Practice Questions, Verified
Correct Answers & Detailed Rationales| Latest
Update 2026/2027 | Galen College of Nursing
Question 1
A nurse working in an ambulatory assessment clinic has clients waiting to see the
primary care provider. Which client should the nurse immediately remove from the
room?
A) Organ Donor
B) Removed soiled
C) Keep dentures in
D) Place absorbent pads
Answer: A
Rationale: The question is asking about a client with a positive TB test (10 mm
raised area to site of purified protein derivative test 48 hours ago). The nurse
should immediately remove the client with a positive TB result from the waiting
room to prevent transmission.
Question 2
An ED nurse has a newly admitted client. Which of the following should the nurse
implement FIRST?
A) Administer a dose of loperamide for diarrhea
B) Document the client's vital signs and symptoms
C) Encourage the client to drink oral fluids
D) IV 0.9% NS with potassium 40 mEq for client with dehydration and diarrhea
and a serum potassium 2.9
Answer: D
Rationale: A serum potassium of 2.9 mEq/L is critically low and requires
immediate intervention. The nurse should implement the IV fluid with potassium
replacement first.
pg. 1
,Question 3
The nurse is caring for assigned clients. Which of the following actions is
appropriate for the nurse to take?
A) Transporting a client who has tuberculosis using a standard surgical mask
B) Having a client who has pertussis wear a surgical mask during transport
C) Allowing a client who has chickenpox to ambulate in the hallway without a
mask
D) Placing a client who has influenza in a room with a client who has pneumonia
Answer: B
Rationale: Clients with pertussis should wear a surgical mask during transport to
prevent droplet transmission. Tuberculosis requires airborne precautions (N95),
chickenpox requires airborne precautions, and influenza requires droplet
precautions with private room or cohorting.
Question 4
The nurse is developing a plan of care for a newly admitted client who has
histrionic personality disorder. Which of the following interventions is appropriate
for the nurse to implement?
A) Focus on the client's strengths and positive attributes during interactions
B) Communicate with the client using concrete and descriptive language
C) Set firm boundaries regarding the client's behavior and attention-seeking actions
D) Encourage the client to express their feelings openly and without judgment
Answer: C
Rationale: Clients with histrionic personality disorder engage in attention-seeking
behaviors. Setting firm boundaries regarding behavior is essential to manage
manipulative or dramatic actions.
Question 5
A nurse is caring for a client on bed rest with end-stage cirrhosis and ascites.
Which intervention should the nurse implement?
A) Encourage vigorous exercise
B) Provide low sodium diet
C) Provide IV antibiotics
D) Provide calm and quiet environment
Answer: B
pg. 2
,Rationale: Clients with cirrhosis and ascites require a low sodium diet to reduce
fluid retention and ascites formation.
Question 6
The nurse is caring for a pediatric client who is postoperative following
ventriculoperitoneal (VP) shunt placement. The nurse notes that the client has
become difficult to arouse. Which of the following actions should the nurse take
immediately?
A) Place the client in a prone position
B) Administer a dose of lorazepam
C) Notify the charge nurse
D) Elevate the client's head of bed (HOB) to 30 degrees
Answer: D
Rationale: A VP shunt malfunction can cause increased intracranial pressure.
Elevating the HOB to 30 degrees helps reduce ICP and is the immediate priority.
Question 7
The nurse is caring for a client who is receiving mechanical ventilation when the
low-pressure alarm sounds. Which of the following actions should the nurse take
next?
A) Suction the endotracheal tube immediately
B) Assess the cuff of the client's ET tube
C) Increase the oxygen concentration to 100%
D) Turn the client to the prone position
Answer: B
Rationale: A low-pressure alarm indicates a leak in the system. The nurse should
assess the ET tube cuff for adequate inflation.
Question 8
The nurse is caring for a client who is receiving streptomycin for treatment of an
infection. Which of the following findings indicates an adverse effect of the
medication?
A) Serum potassium 4.0 (normal range)
B) Creatinine 2.2 (adverse effect)
C) Creatinine 0.8 (normal range)
pg. 3
, D) Blood urea nitrogen 15 (normal range)
Answer: B
Rationale: Streptomycin is an aminoglycoside that can cause nephrotoxicity.
Creatinine 2.2 mg/dL is elevated (normal 0.6-1.2) and indicates renal impairment.
Question 9
The nurse is teaching individuals at a community health fair about guidelines for
health-related screenings, examinations, and immunizations. It is correct for the
nurse to state:
A) Children should begin their first dental check-up at age 5
B) Children between 10 & 14 should be screened annually for scoliosis
C) Adolescents should receive the HPV vaccine annually
D) Adults over 50 should have a colonoscopy every 10 years
Answer: D
Rationale: Adults over 50 should have a colonoscopy every 10 years for colorectal
cancer screening.
Question 10
A nurse manager observed a staff nurse caring for a client who has a sealed
radiation implant. The nurse manager should intervene if the staff:
A) Leaving any jewelry on the client to be transported with them to the funeral
home
B) Keeping dedicated equipment in room until implant removed
C) Initiate normal saline through blood tubing
D) I will sleep with head elevated with wedge style pillows
Answer: A
Rationale: Jewelry should be removed before transport to the funeral home. The
other options are appropriate for radiation implant care.
Question 11
The nurse is caring for a client who had a kidney transplant 1 week ago. It is a
priority for the nurse to notify the primary health care provider (PHCP) if the client
has a/an:
A) Urine output of 300 mL in the past 4 hours
B) Increase in weight from 199 to 204 lb over the past 24 hours
pg. 4
