NUR 283 COMP 1, 2 & 3 EXAMS (GALEN) NEWEST
2026 TEST BANK| NUR283 TRANSITION TO
REGISTERED NURSING V1, V2 AND V3 EXAM REVIEWS
WITH COMPLETE ACTUAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY GRADED A+
(MOST RECENT!!)
1. The nurse working on a medical-surgical unit is delegating
tasks to unlicensed assistive personnel (UAP). Which of the
following delegated tasks would REQUIRE FOLLOW-UP by the
charge nurse?
A. Assisting a client who had a paracentesis 2 hours ago to get
out of bed for the first time
B. Obtaining a capillary blood glucose on a client who had a
hypoglycemic episode 30 minutes ago
C. Changing linens for a client who was incontinent of urine
D. Taking vital signs on a client scheduled for an afternoon
surgery
Answer: A. Assisting a client who had a paracentesis 2 hours
ago to get out of bed for the first time
1
,Rationale: Anytime a client is doing something for the first time
(e.g., first ambulation post-procedure), the RN must perform the
task. Delegating an initial assessment or first-time activity to a
UAP requires follow-up because the RN needs to evaluate the
client's response and stability. UAPs cannot perform initial
assessments or first ambulation .
2. The nurse is prioritizing patient care after a change-of-shift
report. The nurse should first plan to see the patient who:
A. Is scheduled for discharge later today and needs final
medication teaching
B. Had an endoscopic retrograde cholangiopancreatography
(ERCP) 30 minutes ago and is reporting difficulty swallowing
C. Had a knee arthroscopy yesterday and reports pain at 4/10
D. Is NPO for an abdominal ultrasound this morning
Answer: B. Had an ERCP 30 minutes ago and is reporting
difficulty swallowing
Rationale: Difficulty swallowing after an ERCP could indicate a
complication such as esophageal perforation, bleeding, or
airway compromise. This airway issue takes priority according to
2
,the ABCs (Airway, Breathing, Circulation). The nurse must assess
this client first to prevent respiratory compromise .
3. The nurse working on the mother-baby unit has become
aware of the following client situations. Which of the
following clients should the nurse INITIALLY assess?
A. A neonate who is 2 hours old with a heart rate of 160 BPM
B. A neonate who is 4 hours old whose resting heart rate is 95
BPM
C. A postpartum mother who is requesting pain medication
D. A postpartum mother who needs assistance with breastfeeding
Answer: B. A neonate who is 4 hours old whose resting heart
rate is 95 BPM
Rationale: Normal heart rate for a newborn is 120-140 BPM
(up to 160 when crying). A heart rate of 95 BPM is bradycardic
and may indicate distress, infection, or hypothermia. This neonate
requires immediate assessment. The other options are stable or
non-urgent .
3
, 4. A nurse working on a medical-surgical unit has just
received a handoff report. The nurse should FIRST plan to
assess the client who has:
A. Acute pancreatitis and is reporting the development of pain
on deep inspiration
B. Diabetes mellitus with a blood glucose of 180 mg/dL
C. Chronic obstructive pulmonary disease (COPD) with SpO₂ of
92% on 2 L oxygen
D. A stage II pressure injury needing a dressing change
Answer: A. Acute pancreatitis and is reporting the
development of pain on deep inspiration
Rationale: Pain on deep inspiration in a client with acute
pancreatitis could indicate pleuritis, pneumonia, or pancreatic
complications such as a pseudocyst or pleural effusion. This
finding warrants immediate assessment. "Acute" conditions can
deteriorate quickly if not addressed .
5. The nurse working on a pediatric unit is caring for the
following children who have been admitted in the past 12
4
2026 TEST BANK| NUR283 TRANSITION TO
REGISTERED NURSING V1, V2 AND V3 EXAM REVIEWS
WITH COMPLETE ACTUAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY GRADED A+
(MOST RECENT!!)
1. The nurse working on a medical-surgical unit is delegating
tasks to unlicensed assistive personnel (UAP). Which of the
following delegated tasks would REQUIRE FOLLOW-UP by the
charge nurse?
A. Assisting a client who had a paracentesis 2 hours ago to get
out of bed for the first time
B. Obtaining a capillary blood glucose on a client who had a
hypoglycemic episode 30 minutes ago
C. Changing linens for a client who was incontinent of urine
D. Taking vital signs on a client scheduled for an afternoon
surgery
Answer: A. Assisting a client who had a paracentesis 2 hours
ago to get out of bed for the first time
1
,Rationale: Anytime a client is doing something for the first time
(e.g., first ambulation post-procedure), the RN must perform the
task. Delegating an initial assessment or first-time activity to a
UAP requires follow-up because the RN needs to evaluate the
client's response and stability. UAPs cannot perform initial
assessments or first ambulation .
2. The nurse is prioritizing patient care after a change-of-shift
report. The nurse should first plan to see the patient who:
A. Is scheduled for discharge later today and needs final
medication teaching
B. Had an endoscopic retrograde cholangiopancreatography
(ERCP) 30 minutes ago and is reporting difficulty swallowing
C. Had a knee arthroscopy yesterday and reports pain at 4/10
D. Is NPO for an abdominal ultrasound this morning
Answer: B. Had an ERCP 30 minutes ago and is reporting
difficulty swallowing
Rationale: Difficulty swallowing after an ERCP could indicate a
complication such as esophageal perforation, bleeding, or
airway compromise. This airway issue takes priority according to
2
,the ABCs (Airway, Breathing, Circulation). The nurse must assess
this client first to prevent respiratory compromise .
3. The nurse working on the mother-baby unit has become
aware of the following client situations. Which of the
following clients should the nurse INITIALLY assess?
A. A neonate who is 2 hours old with a heart rate of 160 BPM
B. A neonate who is 4 hours old whose resting heart rate is 95
BPM
C. A postpartum mother who is requesting pain medication
D. A postpartum mother who needs assistance with breastfeeding
Answer: B. A neonate who is 4 hours old whose resting heart
rate is 95 BPM
Rationale: Normal heart rate for a newborn is 120-140 BPM
(up to 160 when crying). A heart rate of 95 BPM is bradycardic
and may indicate distress, infection, or hypothermia. This neonate
requires immediate assessment. The other options are stable or
non-urgent .
3
, 4. A nurse working on a medical-surgical unit has just
received a handoff report. The nurse should FIRST plan to
assess the client who has:
A. Acute pancreatitis and is reporting the development of pain
on deep inspiration
B. Diabetes mellitus with a blood glucose of 180 mg/dL
C. Chronic obstructive pulmonary disease (COPD) with SpO₂ of
92% on 2 L oxygen
D. A stage II pressure injury needing a dressing change
Answer: A. Acute pancreatitis and is reporting the
development of pain on deep inspiration
Rationale: Pain on deep inspiration in a client with acute
pancreatitis could indicate pleuritis, pneumonia, or pancreatic
complications such as a pseudocyst or pleural effusion. This
finding warrants immediate assessment. "Acute" conditions can
deteriorate quickly if not addressed .
5. The nurse working on a pediatric unit is caring for the
following children who have been admitted in the past 12
4
