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COMP 283 Final Exam 2026 (220 Questions) – Nursing Fundamentals, Critical Care, Pharmacology & Med-Surg Complete Q&A

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This document contains approximately 220 comprehensive exam questions with expert-verified answers for the COMP 283 Final Exam 2026 . The material extensively covers core nursing fundamentals including delegation to UAP and LPN roles, ADPIE nursing process, therapeutic communication techniques, interdisciplinary collaboration, legal and ethical principles (assault, battery, false imprisonment, advance directives, defamation), restraints protocol, infection control precautions (standard, contact, droplet, airborne), PPE donning and doffing order, and reportable diseases. The content provides in-depth coverage of adult medical-surgical nursing topics including GI disorders (PUD, cirrhosis stages, portal hypertension, esophageal varices, pancreatitis, Crohn’s disease, ulcerative colitis, diverticulitis), NG tube insertion and care, tube feed priorities, hepatic encephalopathy, elevated ammonia management, GI bleeding protocols, dumping syndrome, GERD, colostomy care, and colonoscopy preparation. Cardiovascular topics include dysrhythmias (A-fib, V-fib, PVCs), pacemaker precautions, cardiac catheterization priorities, heart valve auscultation landmarks, nitroglycerin administration, cardiogenic and hypovolemic shock management, DIC emergency care, and blood transfusion protocols. Respiratory and critical care concepts are thoroughly reviewed, including ventilator alarms, chest tube management, respiratory acidosis and alkalosis, metabolic imbalances, pulmonary assessment findings, Guillain-Barré syndrome, tracheostomy care, and prioritization of airway emergencies. Endocrine disorders such as Addison’s disease, Cushing’s syndrome, SIADH, diabetes insipidus, Graves disease, and diabetic emergencies are clearly outlined with hallmark signs and crisis management steps. Hematologic conditions (anemia types, hemophilia A, sickle cell anemia, thalassemia, leukocytosis, thrombocytosis, pancytopenia) and medication management (warfarin, propofol, midazolam, fentanyl, kayexalate) are also detailed. Maternal-child nursing topics include lochia stages, Rhogam timing, fetal heart rate interpretation (VEAL CHOP), SROM expectations, circumcision and umbilical cord care, pediatric vital signs, PKU screening, VP shunt positioning, and car seat safety. Emergency prioritization frameworks (stable vs unstable, emergent vs urgent vs non-urgent), fire safety protocols (RACE, PASS), Parkland formula for burns, and transplant rejection indicators are included to reinforce clinical decision-making and prioritization strategies. The document aligns closely with comprehensive nursing curriculum standards and major nursing textbooks such as Lewis’s Medical-Surgical Nursing and ATI/NCLEX-RN review frameworks. It is highly relevant for courses in Medical-Surgical Nursing, Critical Care Nursing, Maternal-Child Nursing, Pharmacology for Nurses, Pathophysiology, and Comprehensive Nursing Exit Exams. This resource is ideal for nursing students preparing for cumulative finals, exit exams, competency testing, or NCLEX-style review. Keywords: nursing fundamentals exam, delegation to UAP and LPN, ADPIE nursing process, infection control precautions, PPE donning and doffing, GI disorders nursing, cirrhosis stages, dysrhythmia management, shock types nursing, ventilator alarms, chest tube management, endocrine crisis management, SIADH vs diabetes insipidus, hematology disorders nursing, blood transfusion protocol, pediatric nursing care, maternal postpartum care, VEAL CHOP interpretation, nursing prioritization framework, NCLEX style review, comprehensive nursing final exam

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Comp 283
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Comp 283 Final Exam 2026
Expert Verified | Ace the Test



Deligation to UAP - 🧠ANSWER ✔✔Transfer a duty.


they can get V/S, after RN has gotten initial set.

ambulate as long as pt has been cleared for weight bearing status.

re-ENFORCE education that RN has taught

assist with ADL's

CPR

,document I&O's

glucose check, finger stick, per facility protocol

12 lead EKG, per facility protocol

turn & reposition


Delegation to LPN - 🧠ANSWER ✔✔med administration, enteral feedings,

urinary Cath insertion, suctioning, tracheostomy care, reinforcement of pt

education


RN job duties remember neumonic - 🧠ANSWER ✔✔ADPIE


A-assessment

D-diagnosis

P-planning

I-implementation

E-evaluation


NG tube placement - 🧠ANSWER ✔✔pH paper.


xray is GOLD STANDARD to confirm proper placement, monitor NG output

(color and amt), monitor nasal skin around tube, monitor tubing for kinks &

,"plugs", continue to assess BS's and abdominal girth, pain, **aspirate

contents & irrigate the tube w/ 30 mL of NS q 4 hrs or as ordered by hcp


NG assessment - 🧠ANSWER ✔✔1st turn OFF suction


verify placement

can irrigate with sterile saline

SCD's on (high risk for clots and pneumonia)

turn & reposition


Peptic Ulcer Disease - 🧠ANSWER ✔✔A break or ulceration in the

protective mucosal lining of the lower esophagus, stomach, or duodenum

coffee ground emesis (old blood)

NPO, NG tube

triple therapy 2 antibiotics and 1 PPI

could have an active bleed

H. pylori


early stage cirrhosis - 🧠ANSWER ✔✔enlarged liver


jaundice


3
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, GI disturbances

weight loss

increase protein


late stage cirrhosis - 🧠ANSWER ✔✔liver becomes smaller and nodular


splenomegaly

ascites, distended abdominal veins, increased pressure in portal system

bleeding tendancies, decreased vitamin K and prothrombin, anemia

esophageal varices, internal hemorrhoids

dyspenia (from ascites and anemia)

pruritis from dry skin

clay colored stools; no bile in stool

tea colored urine; bile in urine


End stage cirrhosis - 🧠ANSWER ✔✔hepatic encephalopathy/coma


portal hypertension - 🧠ANSWER ✔✔A potential complication of chronic

alcoholism resulting in liver damage and obstruction of venous blood flow

through the liver. The rising blood pressure in the veins between the

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