NUR 282 Advanced Clinical / Transition Nursing Exam 9 2026 |Galen
College
1. A nurse is delegating tasks to a Licensed Practical Nurse (LPN). Which task is
most appropriate for the LPN to perform?
A. Developing a plan of care for a new admission
B. Administering an intravenous bolus of a high-risk medication
C. Evaluating the effectiveness of a complex teaching plan
D. Performing a focused physical assessment on a stable patient
Answer: D
Rationale: LPNs can perform focused assessments on stable patients. Developing care
plans, administering high-risk IV bolus meds, and evaluating complex outcomes are the
responsibility of the RN.
2. A nurse is caring for four patients. Which patient should the nurse assess
first?
A. A patient with a pulse oximetry of 91% on room air
B. A patient requesting pain medication for chronic back pain
C. A patient with a blood glucose of 145 mg/dL
D. A patient reporting chest pain radiating to the jaw
Answer: D
Rationale: Chest pain radiating to the jaw suggests a myocardial infarction, which is a life-
threatening emergency (ABC priority).
,3. Which ethical principle is the nurse demonstrating when advocating for a
patient’s right to refuse a recommended treatment?
A. Justice
B. Beneficence
C. Autonomy
D. Fidelity
Answer: C
Rationale: Autonomy refers to the patient’s right to make their own decisions regarding
their healthcare.
4. A nurse manager is using a democratic leadership style. Which action best
reflects this style?
A. Making all unit decisions independently without staff input
B. Allowing staff to do whatever they want with no direction
C. Issuing orders and expecting immediate compliance
D. Seeking input from staff members before making a policy change
Answer: D
Rationale: Democratic leadership involves collaboration and seeking input from the team
before making decisions.
5. What is the nurse’s primary role during the informed consent process?
A. Explaining the risks and benefits of the procedure
B. Witnessing the patient’s signature on the consent form
C. Deciding if the patient should undergo the procedure
D. Obtaining the medical history for the surgeon
Answer: B
Rationale: The nurse’s role is to witness the signature and ensure the patient is competent;
the provider is responsible for explaining the procedure.
, 6. A nurse is involved in a conflict with a coworker and decides to use
collaboration. What does this entail?
A. One party giving up their goals to satisfy the other
B. Both parties working together to find a mutually satisfying solution
C. Ignoring the conflict until it goes away
D. One party using power to win the argument
Answer: B
Rationale: Collaboration is a win-win approach where both parties work toward a
common goal.
7. Which mechanical ventilator alarm should the nurse prioritize as an
indication of a disconnected circuit?
A. High pressure alarm
B. Apnea alarm
C. Low battery alarm
D. Low pressure alarm
Answer: D
Rationale: Low pressure alarms are typically triggered by a leak or a disconnection in the
ventilator circuit.
8. A patient in the emergent phase of a major burn injury is at greatest risk for
which type of shock?
A. Hypovolemic shock
B. Cardiogenic shock
C. Septic shock
D. Neurogenic shock
Answer: A
Rationale: Massive fluid shifts and capillary leak in the emergent phase of a burn lead to
hypovolemic shock.
College
1. A nurse is delegating tasks to a Licensed Practical Nurse (LPN). Which task is
most appropriate for the LPN to perform?
A. Developing a plan of care for a new admission
B. Administering an intravenous bolus of a high-risk medication
C. Evaluating the effectiveness of a complex teaching plan
D. Performing a focused physical assessment on a stable patient
Answer: D
Rationale: LPNs can perform focused assessments on stable patients. Developing care
plans, administering high-risk IV bolus meds, and evaluating complex outcomes are the
responsibility of the RN.
2. A nurse is caring for four patients. Which patient should the nurse assess
first?
A. A patient with a pulse oximetry of 91% on room air
B. A patient requesting pain medication for chronic back pain
C. A patient with a blood glucose of 145 mg/dL
D. A patient reporting chest pain radiating to the jaw
Answer: D
Rationale: Chest pain radiating to the jaw suggests a myocardial infarction, which is a life-
threatening emergency (ABC priority).
,3. Which ethical principle is the nurse demonstrating when advocating for a
patient’s right to refuse a recommended treatment?
A. Justice
B. Beneficence
C. Autonomy
D. Fidelity
Answer: C
Rationale: Autonomy refers to the patient’s right to make their own decisions regarding
their healthcare.
4. A nurse manager is using a democratic leadership style. Which action best
reflects this style?
A. Making all unit decisions independently without staff input
B. Allowing staff to do whatever they want with no direction
C. Issuing orders and expecting immediate compliance
D. Seeking input from staff members before making a policy change
Answer: D
Rationale: Democratic leadership involves collaboration and seeking input from the team
before making decisions.
5. What is the nurse’s primary role during the informed consent process?
A. Explaining the risks and benefits of the procedure
B. Witnessing the patient’s signature on the consent form
C. Deciding if the patient should undergo the procedure
D. Obtaining the medical history for the surgeon
Answer: B
Rationale: The nurse’s role is to witness the signature and ensure the patient is competent;
the provider is responsible for explaining the procedure.
, 6. A nurse is involved in a conflict with a coworker and decides to use
collaboration. What does this entail?
A. One party giving up their goals to satisfy the other
B. Both parties working together to find a mutually satisfying solution
C. Ignoring the conflict until it goes away
D. One party using power to win the argument
Answer: B
Rationale: Collaboration is a win-win approach where both parties work toward a
common goal.
7. Which mechanical ventilator alarm should the nurse prioritize as an
indication of a disconnected circuit?
A. High pressure alarm
B. Apnea alarm
C. Low battery alarm
D. Low pressure alarm
Answer: D
Rationale: Low pressure alarms are typically triggered by a leak or a disconnection in the
ventilator circuit.
8. A patient in the emergent phase of a major burn injury is at greatest risk for
which type of shock?
A. Hypovolemic shock
B. Cardiogenic shock
C. Septic shock
D. Neurogenic shock
Answer: A
Rationale: Massive fluid shifts and capillary leak in the emergent phase of a burn lead to
hypovolemic shock.
