GALEN COLLEGE OF NURSING – TRANSITION TO
REGISTERED NURSING PRACTICE (NUR 283) EXAM (2026) |
COMPLETE QUESTIONS, ANSWERS & RATIONALES
Who should the nurse assess first? – Answer ☑️Client receiving a blood transfusion
reporting low back pain
Naegle’s Rule – Answer ☑️-3 months, +7days
Treatment of magnesium sulfate toxicity – Answer ☑️Calcium gluconate IV
Non-English speaking client in ED what action should the nurse take? –
Answer ☑️Determine what language the client speaks and get an interpreter
A client had a new diagnosis of dysphagia what food should be included when initiating
feeding? – Answer ☑️Oatmeal
A client with Type 1 diabetes would experience what sign or symptom with hypoglycemia? –
Answer ☑️Diaphoresis
A client is receiving TPN what assessment finding requires immediate intervention? –
Answer ☑️Weight increase of two kg/day
The nurse administers metoclopramide to a client prior to chemo, what med should be
administered next – Answer ☑️Diphenhydramine
Who should the nurse asses first at shift change? – Answer ☑️A client with a hip
arthroplasty reporting pain and erythema to calf
, Client is 16 weeks gestation and has a new prescription for ferrous sulfate, what education
is important? – Answer ☑️Take iron with fluids, avoid caffeine like coffee and tea
Client with esophageal cancer is receiving radiation therapy, what instructions are
important? – Answer ☑️Wear clothing over the area of the radiation treatment
7 month old infant with severe dehydration, treatment is effective if – Answer ☑️Client
has a flat anterior fontanel
Uterus is boggy and 2cm above umbilicus, what action should the nurse take first? –
Answer ☑️Massage the fundus
Adolescent with chronic renal failure what should be included in the plan of care? –
Answer ☑️Restrict protein intake
What condition is contraindicated in the use of atorvastatin? – Answer ☑️Hepatitis C
Client D/C instructions with furosemide, further teaching is needed if – Answer ☑️The
client limits their intake of fish
Risk factor for developing a UTI (female) – Answer ☑️Using perfumed toilet paper
2.5 mL of IM med to adult where can the nurse safely inject? – Answer ☑️Ventrogluteal
Contraindication for MMR vaccine in child? – Answer ☑️Recent blood transfusion
REGISTERED NURSING PRACTICE (NUR 283) EXAM (2026) |
COMPLETE QUESTIONS, ANSWERS & RATIONALES
Who should the nurse assess first? – Answer ☑️Client receiving a blood transfusion
reporting low back pain
Naegle’s Rule – Answer ☑️-3 months, +7days
Treatment of magnesium sulfate toxicity – Answer ☑️Calcium gluconate IV
Non-English speaking client in ED what action should the nurse take? –
Answer ☑️Determine what language the client speaks and get an interpreter
A client had a new diagnosis of dysphagia what food should be included when initiating
feeding? – Answer ☑️Oatmeal
A client with Type 1 diabetes would experience what sign or symptom with hypoglycemia? –
Answer ☑️Diaphoresis
A client is receiving TPN what assessment finding requires immediate intervention? –
Answer ☑️Weight increase of two kg/day
The nurse administers metoclopramide to a client prior to chemo, what med should be
administered next – Answer ☑️Diphenhydramine
Who should the nurse asses first at shift change? – Answer ☑️A client with a hip
arthroplasty reporting pain and erythema to calf
, Client is 16 weeks gestation and has a new prescription for ferrous sulfate, what education
is important? – Answer ☑️Take iron with fluids, avoid caffeine like coffee and tea
Client with esophageal cancer is receiving radiation therapy, what instructions are
important? – Answer ☑️Wear clothing over the area of the radiation treatment
7 month old infant with severe dehydration, treatment is effective if – Answer ☑️Client
has a flat anterior fontanel
Uterus is boggy and 2cm above umbilicus, what action should the nurse take first? –
Answer ☑️Massage the fundus
Adolescent with chronic renal failure what should be included in the plan of care? –
Answer ☑️Restrict protein intake
What condition is contraindicated in the use of atorvastatin? – Answer ☑️Hepatitis C
Client D/C instructions with furosemide, further teaching is needed if – Answer ☑️The
client limits their intake of fish
Risk factor for developing a UTI (female) – Answer ☑️Using perfumed toilet paper
2.5 mL of IM med to adult where can the nurse safely inject? – Answer ☑️Ventrogluteal
Contraindication for MMR vaccine in child? – Answer ☑️Recent blood transfusion
