NUR 283 Comp Exam 1 Galen College Latest Update 2026
| Exam Prep | High-Yield Review Guide
1. What is the recommended action for a nurse when a patient with paranoid
schizophrenia is exhibiting aggressive behavior?
Attempting to calm the client down
Obtaining increased supervision for the client
Leaving the client alone
Calling for security
2. What is the primary purpose of self-breast examinations as taught to clients
by nurses?
To enhance breast sensitivity.
To improve overall breast size.
To detect any changes or abnormalities in breast tissue.
To prevent menstrual discomfort.
3. Why is it important to use a moist dressing for an evisceration rather than a
dry one?
A dry dressing allows for better airflow to the wound.
A dry dressing is more effective in preventing infection.
A moist dressing helps to keep the exposed organs hydrated and
reduces the risk of tissue damage.
A moist dressing is easier to apply than a dry one.
,4. Which clinic client would be most important for the nurse to call the health
provider about first?
Patient who needs to have a refill of their levothyroxine medication
called into the pharmacy.
Patient with hyperthyroidism who has new onset of fever with a
temperature reading of 101.5 F (38.6 C).
Patient with type II diabetes mellitus who reports blood sugars of
220-275 mg/dL (12.2 mmol/L - 15.3 mmol/L) in the past week.
Patient diagnosed with Addison disease taking a new prescription of
corticosteroids and reporting changes in mood.
5. A nurse is providing health teaching to a client about the proper use of a
cane during ambulation. The nurse could include which of the following
instructions about the correct use of a cane?
Patient moves the stronger leg forward to the cane
Patient moves the cane forward about 4 inches to the strong side
Patient holds the cane on the strong side of the body
Patient leans on the cane to provide support to the weaker side
6. A charge nurse is planning to admit several clients to the medical unit. Which
of the following clients should the nurse assign to a private room?
A client who is neutropenic
A client who had a total hip arthroplasty
A client who is HIV positive
A client who has a fever of unknown origin
,7. If a client reports finding a lump during a self-breast examination, what
should be the nurse's immediate response?
Instruct the client to monitor the lump for changes over the next year.
Advise the client to schedule an appointment with a healthcare
provider for further evaluation.
Reassure the client that lumps are normal and do not require further
action.
Suggest the client perform the examination more frequently.
8. Which client should be seen first in a community health clinic?
A 16 y.o. coming in with a parent stating they have a history of
asthma and is wheezing and short of breath.
23 y.o. complaining of a rash after being on Penicillin for two days.
A woman with her child stating the child has a temperature of 101
degrees since this morning.
A 43 y.o. client complaining of a bloody nose that started about 30
minutes ago and has slowed down, but still shows some blood when
blowing his nose.
9. Why is it important for a patient to rinse their mouth after using
beclomethasone?
To improve the taste of the medication.
To prevent oral thrush and irritation from the medication.
To enhance the absorption of the medication.
To reduce the risk of systemic side effects.
, 10. Describe the importance of wearing a lead shield when caring for a client
with a sealed radiation implant.
Wearing a lead shield prevents the spread of airborne diseases.
Wearing a lead shield is required for all patient interactions.
Wearing a lead shield protects the nurse from radiation exposure.
Wearing a lead shield is necessary for infection control.
11. If the nurse discovers that the 57-year-old client with Graves' disease has
developed a fever of 102.5, what should the nurse do next?
Notify the primary health care provider immediately.
Administer antipyretics and monitor the client.
Schedule a follow-up appointment for next week.
Provide reassurance and discharge the client.
12. Why is it important for a client taking ciprofloxacin to report tendon pain?
Tendon pain is a common side effect that does not require attention.
Tendon pain may indicate a risk of tendon rupture, which is a
serious side effect of the medication.
Tendon pain suggests the medication is ineffective.
Tendon pain is unrelated to ciprofloxacin use.
13. Describe how to determine the correct volume of ampicillin suspension to
administer to the toddler based on the prescribed dosage.
The volume is determined by the toddler's weight alone.
The volume is fixed regardless of the dosage prescribed.
| Exam Prep | High-Yield Review Guide
1. What is the recommended action for a nurse when a patient with paranoid
schizophrenia is exhibiting aggressive behavior?
Attempting to calm the client down
Obtaining increased supervision for the client
Leaving the client alone
Calling for security
2. What is the primary purpose of self-breast examinations as taught to clients
by nurses?
To enhance breast sensitivity.
To improve overall breast size.
To detect any changes or abnormalities in breast tissue.
To prevent menstrual discomfort.
3. Why is it important to use a moist dressing for an evisceration rather than a
dry one?
A dry dressing allows for better airflow to the wound.
A dry dressing is more effective in preventing infection.
A moist dressing helps to keep the exposed organs hydrated and
reduces the risk of tissue damage.
A moist dressing is easier to apply than a dry one.
,4. Which clinic client would be most important for the nurse to call the health
provider about first?
Patient who needs to have a refill of their levothyroxine medication
called into the pharmacy.
Patient with hyperthyroidism who has new onset of fever with a
temperature reading of 101.5 F (38.6 C).
Patient with type II diabetes mellitus who reports blood sugars of
220-275 mg/dL (12.2 mmol/L - 15.3 mmol/L) in the past week.
Patient diagnosed with Addison disease taking a new prescription of
corticosteroids and reporting changes in mood.
5. A nurse is providing health teaching to a client about the proper use of a
cane during ambulation. The nurse could include which of the following
instructions about the correct use of a cane?
Patient moves the stronger leg forward to the cane
Patient moves the cane forward about 4 inches to the strong side
Patient holds the cane on the strong side of the body
Patient leans on the cane to provide support to the weaker side
6. A charge nurse is planning to admit several clients to the medical unit. Which
of the following clients should the nurse assign to a private room?
A client who is neutropenic
A client who had a total hip arthroplasty
A client who is HIV positive
A client who has a fever of unknown origin
,7. If a client reports finding a lump during a self-breast examination, what
should be the nurse's immediate response?
Instruct the client to monitor the lump for changes over the next year.
Advise the client to schedule an appointment with a healthcare
provider for further evaluation.
Reassure the client that lumps are normal and do not require further
action.
Suggest the client perform the examination more frequently.
8. Which client should be seen first in a community health clinic?
A 16 y.o. coming in with a parent stating they have a history of
asthma and is wheezing and short of breath.
23 y.o. complaining of a rash after being on Penicillin for two days.
A woman with her child stating the child has a temperature of 101
degrees since this morning.
A 43 y.o. client complaining of a bloody nose that started about 30
minutes ago and has slowed down, but still shows some blood when
blowing his nose.
9. Why is it important for a patient to rinse their mouth after using
beclomethasone?
To improve the taste of the medication.
To prevent oral thrush and irritation from the medication.
To enhance the absorption of the medication.
To reduce the risk of systemic side effects.
, 10. Describe the importance of wearing a lead shield when caring for a client
with a sealed radiation implant.
Wearing a lead shield prevents the spread of airborne diseases.
Wearing a lead shield is required for all patient interactions.
Wearing a lead shield protects the nurse from radiation exposure.
Wearing a lead shield is necessary for infection control.
11. If the nurse discovers that the 57-year-old client with Graves' disease has
developed a fever of 102.5, what should the nurse do next?
Notify the primary health care provider immediately.
Administer antipyretics and monitor the client.
Schedule a follow-up appointment for next week.
Provide reassurance and discharge the client.
12. Why is it important for a client taking ciprofloxacin to report tendon pain?
Tendon pain is a common side effect that does not require attention.
Tendon pain may indicate a risk of tendon rupture, which is a
serious side effect of the medication.
Tendon pain suggests the medication is ineffective.
Tendon pain is unrelated to ciprofloxacin use.
13. Describe how to determine the correct volume of ampicillin suspension to
administer to the toddler based on the prescribed dosage.
The volume is determined by the toddler's weight alone.
The volume is fixed regardless of the dosage prescribed.
