NUR 283 EXAM PRACTICE REVIEW |QUESTIONS AND ANSWERS | 2026
UPDATE | VERIFIED A+ SOLUTIONS - GALEN COLLEGE OF NURSING.
1. First client to assess
Correct answer: Client prepping for colonoscopy whose BP dropped from
128/74 to 106/60
Rationale: A falling blood pressure can signal fluid volume deficit or
hemodynamic instability and takes priority over expected postop drainage, pain, or
post-meal hyperglycemia.
2. First task for UAP
Correct answer: Turn and reposition the client last turned 2 hours ago
Rationale: Repositioning is appropriate for UAP and is time-sensitive for skin
protection. The nurse should handle unstable clients and infection-control
decisions.
3. Pediatric client to see first
Correct answer: Infant with pertussis receiving oxygen
Rationale: Airway and breathing come first. An infant with pertussis on oxygen is
at highest risk for respiratory compromise.
4. Statement needing follow-up about fiscal responsibility
Correct answer: “Involving the family in client care activities is an example of
fiscal responsibility.”
https://www.stuvia.com/user/mboffin
, Rationale: Family involvement may support care, but fiscal responsibility is more
directly tied to safe practice, efficiency, and evidence-based care.
5. Teaching action needing intervention
Correct answer: Using a family member to interpret instructions
Rationale: Medical teaching should use a qualified interpreter to protect accuracy,
confidentiality, and informed understanding.
6. Labor finding to report first
Correct answer: New late decelerations
Rationale: Late decelerations suggest uteroplacental insufficiency and possible
fetal hypoxia.
7. Action showing correct care
Correct answer: Using a 23-gauge, 1-inch needle for a deltoid IM injection
Rationale: That size is appropriate for many adult deltoid IM injections. The other
options contain incorrect infection-control, timing, or ostomy-teaching details.
8. Outpatient client PHCP should see first
Correct answer: 45-year-old with pleurisy and worsening shortness of breath
Rationale: Worsening breathing can indicate acute respiratory compromise and has
highest priority.
9. Client to see first
Correct answer: Client with internal radiation whose partner has been at
https://www.stuvia.com/user/mboffin
UPDATE | VERIFIED A+ SOLUTIONS - GALEN COLLEGE OF NURSING.
1. First client to assess
Correct answer: Client prepping for colonoscopy whose BP dropped from
128/74 to 106/60
Rationale: A falling blood pressure can signal fluid volume deficit or
hemodynamic instability and takes priority over expected postop drainage, pain, or
post-meal hyperglycemia.
2. First task for UAP
Correct answer: Turn and reposition the client last turned 2 hours ago
Rationale: Repositioning is appropriate for UAP and is time-sensitive for skin
protection. The nurse should handle unstable clients and infection-control
decisions.
3. Pediatric client to see first
Correct answer: Infant with pertussis receiving oxygen
Rationale: Airway and breathing come first. An infant with pertussis on oxygen is
at highest risk for respiratory compromise.
4. Statement needing follow-up about fiscal responsibility
Correct answer: “Involving the family in client care activities is an example of
fiscal responsibility.”
https://www.stuvia.com/user/mboffin
, Rationale: Family involvement may support care, but fiscal responsibility is more
directly tied to safe practice, efficiency, and evidence-based care.
5. Teaching action needing intervention
Correct answer: Using a family member to interpret instructions
Rationale: Medical teaching should use a qualified interpreter to protect accuracy,
confidentiality, and informed understanding.
6. Labor finding to report first
Correct answer: New late decelerations
Rationale: Late decelerations suggest uteroplacental insufficiency and possible
fetal hypoxia.
7. Action showing correct care
Correct answer: Using a 23-gauge, 1-inch needle for a deltoid IM injection
Rationale: That size is appropriate for many adult deltoid IM injections. The other
options contain incorrect infection-control, timing, or ostomy-teaching details.
8. Outpatient client PHCP should see first
Correct answer: 45-year-old with pleurisy and worsening shortness of breath
Rationale: Worsening breathing can indicate acute respiratory compromise and has
highest priority.
9. Client to see first
Correct answer: Client with internal radiation whose partner has been at
https://www.stuvia.com/user/mboffin
