NUR 283 COMP 1 B QUESTIONS & CORRECT
ANSWERS LATEST 2026
Question 1 The nurse working on a medical-surgical unit has been made aware of
the following client situations. The nurse should first plan to assess the client who:
• has diabetes mellitus (type 2) and had a premeal blood glucose of 85 mg/dL
and now has a postmeal blood glucose of 220 mg/dL.
• is 24 hours postoperative from abdominal surgery and has wound drainage
that has changed from sanguineous to serosanguineous over the past 2 hours.
• is receiving preparation for a colonoscopy and whose blood pressure
(BP) was 128/74 mm Hg at the last reading and is now 106/60 mm Hg.
• has acute pancreatitis and reports an unchanged pain level of 7 (on a scale of
0 to 10) 30 minutes after receiving a prescribed oral pain medication.
Question 2 The nurse has received the hand-off report and is assigning tasks to
unlicensed assistive personnel (UAP). Which of the following tasks should the
nurse instruct the UAP to perform first?
• Obtain a sputum specimen from a client who has suspected pulmonary
tuberculosis (TB).
• Obtain a capillary blood glucose on a client who had a hypoglycemic
episode 30 minutes ago and received dextrose IV.
• Turn and reposition a client who was last turned 2 hours ago.
, • Deliver a lunch tray to a client who is returning from radiology and has been
NPO since breakfast.
Question 3 The nurse working on a pediatric unit has received the hand-off report
and is reviewing client data and orders. Which of the following clients should the
nurse plan to see first?
• The infant who has a diagnosis of pertussis and is receiving oxygen via
nasal cannula.
• The adolescent who was admitted with sickle cell crisis and is being
discharged home.
• The toddler who has bilateral arm casts and needs to be fed their breakfast.
• The school-aged child who has diabetes mellitus (type 1) and requires blood
glucose monitoring.
Question 4 A newly hired nurse is discussing health care economics and fiscal
responsibility with the nurse preceptor. Which of the following statements about
fiscally responsible practice by the newly hired nurse requires follow-up?
• "Involving the family in client care activities is an example of fiscal
responsibility."
• "Engaging in safe clinical practice to avoid personal injuries is an example
of fiscal responsibility."
• "Completing assigned nursing care during scheduled hours is a way to
demonstrate fiscal responsibility."
• "Following best practice guidelines based on evidence demonstrates fiscal
responsibility."
, Question 5 The nurse preceptor is observing a newly hired nurse teach a client
who has pelvic inflammatory disease about self-care. The client does not speak
English. Which of the following actions by the newly hired nurse requires
intervention by the nurse preceptor?
• Contacting the charge nurse to obtain assistance from a facility-approved
interpreter.
• Providing written instructions to the client in their primary language.
• Utilizing a facility-approved telephone interpretation service to conduct the
teaching.
• Having a family member who speaks both English and the client's
language interpret the instructions.
Question 6 The nurse working in the labor and delivery (L&D) unit is caring for a
client in labor whose membranes just spontaneously ruptured. Which of the
following findings is a priority for the nurse to report to the primary health care
provider (PHCP)?
• Contractions lasting 60 seconds.
• New appearance of late decelerations.
• A maternal temperature (T) of 99.5° F.
• 4 contractions in a 10-minute period.
Question 7 The nurse preceptor is observing a newly hired nurse care for assigned
clients. Which of the following actions by the newly hired nurse indicates correct
care?
ANSWERS LATEST 2026
Question 1 The nurse working on a medical-surgical unit has been made aware of
the following client situations. The nurse should first plan to assess the client who:
• has diabetes mellitus (type 2) and had a premeal blood glucose of 85 mg/dL
and now has a postmeal blood glucose of 220 mg/dL.
• is 24 hours postoperative from abdominal surgery and has wound drainage
that has changed from sanguineous to serosanguineous over the past 2 hours.
• is receiving preparation for a colonoscopy and whose blood pressure
(BP) was 128/74 mm Hg at the last reading and is now 106/60 mm Hg.
• has acute pancreatitis and reports an unchanged pain level of 7 (on a scale of
0 to 10) 30 minutes after receiving a prescribed oral pain medication.
Question 2 The nurse has received the hand-off report and is assigning tasks to
unlicensed assistive personnel (UAP). Which of the following tasks should the
nurse instruct the UAP to perform first?
• Obtain a sputum specimen from a client who has suspected pulmonary
tuberculosis (TB).
• Obtain a capillary blood glucose on a client who had a hypoglycemic
episode 30 minutes ago and received dextrose IV.
• Turn and reposition a client who was last turned 2 hours ago.
, • Deliver a lunch tray to a client who is returning from radiology and has been
NPO since breakfast.
Question 3 The nurse working on a pediatric unit has received the hand-off report
and is reviewing client data and orders. Which of the following clients should the
nurse plan to see first?
• The infant who has a diagnosis of pertussis and is receiving oxygen via
nasal cannula.
• The adolescent who was admitted with sickle cell crisis and is being
discharged home.
• The toddler who has bilateral arm casts and needs to be fed their breakfast.
• The school-aged child who has diabetes mellitus (type 1) and requires blood
glucose monitoring.
Question 4 A newly hired nurse is discussing health care economics and fiscal
responsibility with the nurse preceptor. Which of the following statements about
fiscally responsible practice by the newly hired nurse requires follow-up?
• "Involving the family in client care activities is an example of fiscal
responsibility."
• "Engaging in safe clinical practice to avoid personal injuries is an example
of fiscal responsibility."
• "Completing assigned nursing care during scheduled hours is a way to
demonstrate fiscal responsibility."
• "Following best practice guidelines based on evidence demonstrates fiscal
responsibility."
, Question 5 The nurse preceptor is observing a newly hired nurse teach a client
who has pelvic inflammatory disease about self-care. The client does not speak
English. Which of the following actions by the newly hired nurse requires
intervention by the nurse preceptor?
• Contacting the charge nurse to obtain assistance from a facility-approved
interpreter.
• Providing written instructions to the client in their primary language.
• Utilizing a facility-approved telephone interpretation service to conduct the
teaching.
• Having a family member who speaks both English and the client's
language interpret the instructions.
Question 6 The nurse working in the labor and delivery (L&D) unit is caring for a
client in labor whose membranes just spontaneously ruptured. Which of the
following findings is a priority for the nurse to report to the primary health care
provider (PHCP)?
• Contractions lasting 60 seconds.
• New appearance of late decelerations.
• A maternal temperature (T) of 99.5° F.
• 4 contractions in a 10-minute period.
Question 7 The nurse preceptor is observing a newly hired nurse care for assigned
clients. Which of the following actions by the newly hired nurse indicates correct
care?