NUR 283 – COMPREHENSIVE EXAM
TRANSITION TO REGISTERED NURSING
QUESTIONS AND 100% VERIFIED ANSWERS
WITH RATIONALES GRADED A+
(GALEN COLLEGE OF NURSING)
GUARANTEED PASS ON THE FIRST ATTEMPT
1. A newly licensed RN is caring for four patients. Which task is most appropriate
to delegate to a licensed practical nurse (LPN)?
A. Initial admission assessment
B. Administration of IV push medications
C. Reinforcement of discharge teaching
D. Evaluation of pain response after morphine
Correct Answer: C
Rationale: LPNs may reinforce previously provided teaching. Initial assessments,
IV push medications, and evaluation of patient responses require RN-level
judgment.
2. A nurse observes a colleague documenting vital signs that were not obtained.
What is the nurse’s priority action?
A. Ignore the behavior
B. Report the incident to the nurse manager
C. Confront the colleague publicly
D. Document the concern in the medical record
Correct Answer: B
Rationale: Falsification of documentation is a serious ethical and legal violation
and must be reported through proper channels.
,3. A patient receiving opioids becomes difficult to arouse with a respiratory rate of
8/min. Which action should the nurse take first?
A. Notify the provider
B. Administer naloxone
C. Apply oxygen
D. Perform a pain assessment
Correct Answer: B
Rationale: Naloxone reverses opioid-induced respiratory depression and is the
immediate priority.
4. Which patient should the RN assess first?
A. A patient with a blood glucose of 68 mg/dL
B. A postoperative patient reporting incisional pain
C. A patient with oxygen saturation of 88%
D. A patient requesting assistance to the bathroom
Correct Answer: C
Rationale: Airway and oxygenation take priority over pain, mobility, or mild
hypoglycemia.
5. A nurse administers the wrong dose of medication but the patient is unharmed.
What is the appropriate action?
A. Do nothing since no harm occurred
B. Document only in personal notes
C. Complete an incident report
D. Alter the medication record
Correct Answer: C
Rationale: Medication errors must be reported to improve patient safety and
quality of care.
,6. Which behavior demonstrates effective leadership by an RN?
A. Completing all tasks independently
B. Delegating without follow-up
C. Encouraging team communication
D. Avoiding conflict
Correct Answer: C
Rationale: Effective leaders foster collaboration and open communication.
7. A nurse suspects a patient is experiencing sepsis. Which finding supports this
concern?
A. Bradycardia
B. Hypotension and fever
C. Hypertension
D. Decreased respiratory rate
Correct Answer: B
Rationale: Sepsis commonly presents with hypotension, fever, tachycardia, and
tachypnea.
8. Which situation requires completion of an incident report?
A. Patient dissatisfaction with meals
B. Medication given late
C. Patient fall without injury
D. Family complaint
Correct Answer: C
Rationale: Any fall, even without injury, must be reported to support risk
management.
9. A nurse is caring for a confused older adult at risk for falls. Which intervention
is most appropriate?
A. Apply wrist restraints
B. Place the bed in the lowest position
C. Administer sedatives
D. Keep the room dark
, Correct Answer: B
Rationale: Environmental safety measures reduce fall risk without restricting
patient rights.
10. Which patient statement indicates understanding of discharge instructions after
heart failure education?
A. “I will drink fluids whenever I feel thirsty.”
B. “I will weigh myself daily.”
C. “I will stop taking my diuretics if I feel better.”
D. “I will eat more processed foods.”
Correct Answer: B
Rationale: Daily weights help detect early fluid retention.
11. A nurse is prioritizing care for multiple patients. Which framework is most
appropriate?
A. Maslow’s hierarchy
B. Nursing process
C. ABCs
D. Time management matrix
Correct Answer: C
Rationale: Airway, breathing, and circulation guide urgent prioritization.
12. Which action by a nurse best demonstrates accountability?
A. Delegating tasks to others
B. Reporting an error immediately
C. Asking for help frequently
D. Avoiding complex patients
Correct Answer: B
Rationale: Accountability includes recognizing and reporting errors promptly.
TRANSITION TO REGISTERED NURSING
QUESTIONS AND 100% VERIFIED ANSWERS
WITH RATIONALES GRADED A+
(GALEN COLLEGE OF NURSING)
GUARANTEED PASS ON THE FIRST ATTEMPT
1. A newly licensed RN is caring for four patients. Which task is most appropriate
to delegate to a licensed practical nurse (LPN)?
A. Initial admission assessment
B. Administration of IV push medications
C. Reinforcement of discharge teaching
D. Evaluation of pain response after morphine
Correct Answer: C
Rationale: LPNs may reinforce previously provided teaching. Initial assessments,
IV push medications, and evaluation of patient responses require RN-level
judgment.
2. A nurse observes a colleague documenting vital signs that were not obtained.
What is the nurse’s priority action?
A. Ignore the behavior
B. Report the incident to the nurse manager
C. Confront the colleague publicly
D. Document the concern in the medical record
Correct Answer: B
Rationale: Falsification of documentation is a serious ethical and legal violation
and must be reported through proper channels.
,3. A patient receiving opioids becomes difficult to arouse with a respiratory rate of
8/min. Which action should the nurse take first?
A. Notify the provider
B. Administer naloxone
C. Apply oxygen
D. Perform a pain assessment
Correct Answer: B
Rationale: Naloxone reverses opioid-induced respiratory depression and is the
immediate priority.
4. Which patient should the RN assess first?
A. A patient with a blood glucose of 68 mg/dL
B. A postoperative patient reporting incisional pain
C. A patient with oxygen saturation of 88%
D. A patient requesting assistance to the bathroom
Correct Answer: C
Rationale: Airway and oxygenation take priority over pain, mobility, or mild
hypoglycemia.
5. A nurse administers the wrong dose of medication but the patient is unharmed.
What is the appropriate action?
A. Do nothing since no harm occurred
B. Document only in personal notes
C. Complete an incident report
D. Alter the medication record
Correct Answer: C
Rationale: Medication errors must be reported to improve patient safety and
quality of care.
,6. Which behavior demonstrates effective leadership by an RN?
A. Completing all tasks independently
B. Delegating without follow-up
C. Encouraging team communication
D. Avoiding conflict
Correct Answer: C
Rationale: Effective leaders foster collaboration and open communication.
7. A nurse suspects a patient is experiencing sepsis. Which finding supports this
concern?
A. Bradycardia
B. Hypotension and fever
C. Hypertension
D. Decreased respiratory rate
Correct Answer: B
Rationale: Sepsis commonly presents with hypotension, fever, tachycardia, and
tachypnea.
8. Which situation requires completion of an incident report?
A. Patient dissatisfaction with meals
B. Medication given late
C. Patient fall without injury
D. Family complaint
Correct Answer: C
Rationale: Any fall, even without injury, must be reported to support risk
management.
9. A nurse is caring for a confused older adult at risk for falls. Which intervention
is most appropriate?
A. Apply wrist restraints
B. Place the bed in the lowest position
C. Administer sedatives
D. Keep the room dark
, Correct Answer: B
Rationale: Environmental safety measures reduce fall risk without restricting
patient rights.
10. Which patient statement indicates understanding of discharge instructions after
heart failure education?
A. “I will drink fluids whenever I feel thirsty.”
B. “I will weigh myself daily.”
C. “I will stop taking my diuretics if I feel better.”
D. “I will eat more processed foods.”
Correct Answer: B
Rationale: Daily weights help detect early fluid retention.
11. A nurse is prioritizing care for multiple patients. Which framework is most
appropriate?
A. Maslow’s hierarchy
B. Nursing process
C. ABCs
D. Time management matrix
Correct Answer: C
Rationale: Airway, breathing, and circulation guide urgent prioritization.
12. Which action by a nurse best demonstrates accountability?
A. Delegating tasks to others
B. Reporting an error immediately
C. Asking for help frequently
D. Avoiding complex patients
Correct Answer: B
Rationale: Accountability includes recognizing and reporting errors promptly.
