NUR 283 Comp 3 Final Exam 50 Questions
and 100% Correct Answers 2026/27
Question 1
The nurse is caring for the following assigned clients who are 24 hours postoperative.
The nurse performed a change-of-shift assessment 4 hours ago. Which of the following
changes in client condition should the nurse identify as a priority?
A. The client who reports an increased pain level of 8 on a scale of 0 to 10 after receiving
an opioid analgesic
B. The client who reports nausea after receiving prescribed antibiotics
C. The client whose dressing has a small amount of new serosanguineous drainage
D. The client who has voided 200 mL in the last 4 hours
Answer: A. The client who reports an increased pain level of 8 on a scale of 0 to 10
after receiving an opioid analgesic
Rationale: Unrelieved or increasing pain after opioids may signal complications such as
hemorrhage, compartment syndrome, or anastomotic leak. This change from baseline is
the most concerning and needs prompt evaluation. Pain that does not respond to
analgesia is a red flag that requires immediate assessment .
,Question 2
The charge nurse is making assignments for a medical-surgical unit. Which task should
be assigned to an LPN/LVN?
A. Initial admission assessment of a new client
B. Administering IV push pain medication
C. Administering oral medications to stable clients
D. Teaching a client about insulin administration
Answer: C. Administering oral medications to stable clients
Rationale: Administering oral medications to stable clients is within the LPN/LVN scope of
practice. Initial assessment, IV push medications, and patient teaching are RN
responsibilities that require comprehensive nursing judgment .
Question 3
A nurse is delegating tasks to unlicensed assistive personnel (UAP). Which delegated
task would REQUIRE FOLLOW-UP by the charge nurse?
A. Assisting a client who had a paracentesis 2 hours ago to get out of bed for the first
time
B. Obtaining a capillary blood glucose on a client who had a hypoglycemic episode 30
minutes ago
C. Changing linens for a client who was incontinent of urine
,D. Taking vital signs on a client scheduled for afternoon surgery
Answer: A. Assisting a client who had a paracentesis 2 hours ago to get out of bed
for the first time
Rationale: Anytime a client is doing something for the first time (e.g., first ambulation
post-procedure), the RN must perform the task. Delegating an initial assessment or first-
time activity to a UAP requires follow-up because the nurse needs to evaluate the client's
response and stability .
Question 4
The nurse is serving as a member on the continuous quality improvement (CQI)
committee. The committee has been assigned to develop a program to reduce the
number of medication administration errors following a recent sentinel event at the
facility. Which of the following strategies should the committee plan to initiate first?
A. Provide mandatory remedial medication-safety education to all staff
B. Implement a double-check policy for all high-alert medications
C. Review the events that led to the medication administration error by creating a flow
diagram
D. Require staff involved in the error to complete self-reflection reports
Answer: C. Review the events that led to the medication administration error by
creating a flow diagram
Rationale: CQI begins with analyzing the process that led to the error. A flow diagram
maps each step, helping the team identify system and process issues before implementing
solutions like education or double-checks .
, Question 5
The nurse has attended a conference on informed consent. It indicates a correct
understanding of the conference if the nurse states that informed consent:
A. May be obtained verbally if the client is anxious
B. Can be waived, per facility policy, for urgent medical or surgical treatment if the client
is unconscious
C. Can be signed by a family member without client agreement
D. Is only required for surgical procedures
Answer: B. Can be waived, per facility policy, for urgent medical or surgical
treatment if the client is unconscious
Rationale: Informed consent can be waived in emergency situations when the client is
unconscious and immediate treatment is needed to prevent harm or death. This is an
exception to the general rule requiring explicit client consent .
Question 6
A nurse working on a medical-surgical unit has just received a handoff report. The nurse
should FIRST plan to assess the client who has:
A. Acute pancreatitis and is reporting the development of pain on deep inspiration
B. Diabetes mellitus with a blood glucose of 180 mg/dL
C. Chronic obstructive pulmonary disease (COPD) with SpO₂ of 92% on 2 L oxygen
and 100% Correct Answers 2026/27
Question 1
The nurse is caring for the following assigned clients who are 24 hours postoperative.
The nurse performed a change-of-shift assessment 4 hours ago. Which of the following
changes in client condition should the nurse identify as a priority?
A. The client who reports an increased pain level of 8 on a scale of 0 to 10 after receiving
an opioid analgesic
B. The client who reports nausea after receiving prescribed antibiotics
C. The client whose dressing has a small amount of new serosanguineous drainage
D. The client who has voided 200 mL in the last 4 hours
Answer: A. The client who reports an increased pain level of 8 on a scale of 0 to 10
after receiving an opioid analgesic
Rationale: Unrelieved or increasing pain after opioids may signal complications such as
hemorrhage, compartment syndrome, or anastomotic leak. This change from baseline is
the most concerning and needs prompt evaluation. Pain that does not respond to
analgesia is a red flag that requires immediate assessment .
,Question 2
The charge nurse is making assignments for a medical-surgical unit. Which task should
be assigned to an LPN/LVN?
A. Initial admission assessment of a new client
B. Administering IV push pain medication
C. Administering oral medications to stable clients
D. Teaching a client about insulin administration
Answer: C. Administering oral medications to stable clients
Rationale: Administering oral medications to stable clients is within the LPN/LVN scope of
practice. Initial assessment, IV push medications, and patient teaching are RN
responsibilities that require comprehensive nursing judgment .
Question 3
A nurse is delegating tasks to unlicensed assistive personnel (UAP). Which delegated
task would REQUIRE FOLLOW-UP by the charge nurse?
A. Assisting a client who had a paracentesis 2 hours ago to get out of bed for the first
time
B. Obtaining a capillary blood glucose on a client who had a hypoglycemic episode 30
minutes ago
C. Changing linens for a client who was incontinent of urine
,D. Taking vital signs on a client scheduled for afternoon surgery
Answer: A. Assisting a client who had a paracentesis 2 hours ago to get out of bed
for the first time
Rationale: Anytime a client is doing something for the first time (e.g., first ambulation
post-procedure), the RN must perform the task. Delegating an initial assessment or first-
time activity to a UAP requires follow-up because the nurse needs to evaluate the client's
response and stability .
Question 4
The nurse is serving as a member on the continuous quality improvement (CQI)
committee. The committee has been assigned to develop a program to reduce the
number of medication administration errors following a recent sentinel event at the
facility. Which of the following strategies should the committee plan to initiate first?
A. Provide mandatory remedial medication-safety education to all staff
B. Implement a double-check policy for all high-alert medications
C. Review the events that led to the medication administration error by creating a flow
diagram
D. Require staff involved in the error to complete self-reflection reports
Answer: C. Review the events that led to the medication administration error by
creating a flow diagram
Rationale: CQI begins with analyzing the process that led to the error. A flow diagram
maps each step, helping the team identify system and process issues before implementing
solutions like education or double-checks .
, Question 5
The nurse has attended a conference on informed consent. It indicates a correct
understanding of the conference if the nurse states that informed consent:
A. May be obtained verbally if the client is anxious
B. Can be waived, per facility policy, for urgent medical or surgical treatment if the client
is unconscious
C. Can be signed by a family member without client agreement
D. Is only required for surgical procedures
Answer: B. Can be waived, per facility policy, for urgent medical or surgical
treatment if the client is unconscious
Rationale: Informed consent can be waived in emergency situations when the client is
unconscious and immediate treatment is needed to prevent harm or death. This is an
exception to the general rule requiring explicit client consent .
Question 6
A nurse working on a medical-surgical unit has just received a handoff report. The nurse
should FIRST plan to assess the client who has:
A. Acute pancreatitis and is reporting the development of pain on deep inspiration
B. Diabetes mellitus with a blood glucose of 180 mg/dL
C. Chronic obstructive pulmonary disease (COPD) with SpO₂ of 92% on 2 L oxygen
