NUR 283 COMPREHENSIVE EXAM 1
45+ (Latest 2026 Edition) 100% Verified Q&A + Answer Key Solutions
100% Guarantee Pass
📋 DOCUMENT OVERVIEW 47 Qs
This document, "NUR 283 Comprehensive Exam 1," covers various nursing topics, including medication
administration through central lines, client mobility, post-procedure care for ERCP, neonatal assessment,
acute pancreatitis, cystic fibrosis management, delegation of care, post-surgical ambulation, and
management of patients with liver disease and ascites. The document contains 47 questions with
correct answers and detailed explanations, providing a comprehensive review of these nursing concepts.
It can be used by students for studying, reviewing, and understanding key concepts to prepare for
exams, with the provided rationales serving as valuable learning tools for reinforcing knowledge and
developing critical thinking skills.
✓ Verified Answers ✓ Exam Ready ✓ Study Guide
Trusted by thousands of students and professionals worldwide
EXAM QUESTIONS
QUESTION 1
A nurse is caring for a client with a central line for total parenteral nutrition. What route should be
used for administering medications to this client?
A) Peripheral IV line
B) Oral route
C) Central line
D) Topical application
CORRECT ANSWER
C) Central line
RATIONALE: Administering medications through a central line is the most appropriate route for clients requiring total
parenteral nutrition, as it allows for precise delivery directly into the bloodstream. Peripheral IV lines and oral routes are
not suitable for this client, and topical application would not ensure adequate medication absorption.
QUESTION 2
Trusted by thousands of students and professionals worldwide Page 1 of 19
, A client arrives at the emergency department with recent paracentesis and needs to get out of bed for
the first time after the procedure. The charge nurse will need to follow up on the delegation of which
task to unlicensed personnel?
A) Assisting the client with walking to the restroom
B) Helping the client to elevate the legs on pillows
C) Turning the client every 2 hours to prevent pressure ulcers
D) Administering the client's prescribed pain medication
CORRECT ANSWER
A) Assisting the client with walking to the restroom
RATIONALE: Following paracentesis, clients are at risk for complications such as hypotension, infection, or bleeding.
The first time the client gets out of bed poses a risk for hypotension, so the charge nurse should follow up on the
delegation of tasks to ensure the client's safety and stability.
QUESTION 3
The nurse is assessing a patient who has undergone an endoscopic retrograde
cholangiopancreatography (ERCP) 30 minutes ago. The patient reports difficulty swallowing and
appears anxious. Which patient would the nurse plan to see first?
A) A patient who is experiencing nausea and vomiting after surgery
B) A patient with difficulty swallowing after ERCP
C) A patient with a history of chronic obstructive pulmonary disease (COPD) requiring nebulizer
therapy
D) A patient with a wound dressing change scheduled for later in the shift
CORRECT ANSWER
B) A patient with difficulty swallowing after ERCP
RATIONALE: The patient who underwent ERCP and is experiencing difficulty swallowing requires immediate assessment
to ensure airway patency and address any potential complications. The nurse should prioritize this patient to prevent
potential respiratory compromise.
QUESTION 4
A patient has a prescription for a newborn with tachycardia, indicated by a heart rate of 95 BPM at 4
hours old. Which of the following clients should the nurse initially assess?
A) A 1-day-old infant with a heart rate of 125 BPM and normal apgar scores
B) A 2-day-old infant with a heart rate of 90 BPM and respiratory distress
C) A 4-hour-old neonate with a heart rate of 95 BPM and poor skin turgor
D) A 6-hour-old infant with a heart rate of 120 BPM and normal feeding patterns
CORRECT ANSWER
C) A 4-hour-old neonate with a heart rate of 95 BPM and poor skin turgor
Trusted by thousands of students and professionals worldwide Page 2 of 19
, RATIONALE: The nurse should initially assess the newborn with a heart rate of 95 BPM, as it falls below the normal
range of 120-140 BPM. This indicates potential tachycardia, which requires immediate assessment and intervention.
Options A and D present normal or even elevated heart rates, making them incorrect choices. Option B presents a
respiratory distress unrelated to tachycardia, making it a distractor.
QUESTION 5
The nurse receives report on four clients, including a client with acute pancreatitis who has been
experiencing pain on deep inspiration. Which client should the nurse prioritize for further
assessment?
A) The client with a new medication order for pain management
B) The client with a history of chronic obstructive pulmonary disease (COPD)
C) The client with a surgical wound that requires daily dressing changes
D) The client who is reporting severe abdominal pain on deep inspiration
CORRECT ANSWER
D) The client who is reporting severe abdominal pain on deep inspiration
RATIONALE: The client with acute pancreatitis and severe abdominal pain on deep inspiration is at risk for
complications, such as pancreatic rupture and sepsis, if not addressed promptly. This client requires immediate
assessment to determine the best course of action and prevent potential complications.
QUESTION 6
A client reports admission to the pediatric intensive care unit with a history of recurrent
hospitalizations for exacerbations of cystic fibrosis. The nurse anticipates an interdisciplinary
conference to prioritize the client's care and resources. Which client would benefit most from this
conference?
A) A 2-year-old undergoing surgery for congenital heart disease
B) A 12-year-old with a diagnosis of bronchiolitis
C) A 5-year-old with diagnosed cystic fibrosis at birth and multiple hospitalizations in the past 2
months
D) A 6-month-old with a diagnosis of respiratory distress syndrome
CORRECT ANSWER
C) A 5-year-old with diagnosed cystic fibrosis at birth and multiple hospitalizations in the past 2 months
RATIONALE: This client with cystic fibrosis and multiple hospitalizations requires a comprehensive care plan involving
multiple disciplines, making an interdisciplinary conference a priority.
QUESTION 7
A nurse observes a client's lab results showing a serum potassium level of 3.0 after being admitted for
severe diarrhea and dehydration. Which priority action should the nurse take initially?
A) Obtain a complete blood count.
Trusted by thousands of students and professionals worldwide Page 3 of 19
45+ (Latest 2026 Edition) 100% Verified Q&A + Answer Key Solutions
100% Guarantee Pass
📋 DOCUMENT OVERVIEW 47 Qs
This document, "NUR 283 Comprehensive Exam 1," covers various nursing topics, including medication
administration through central lines, client mobility, post-procedure care for ERCP, neonatal assessment,
acute pancreatitis, cystic fibrosis management, delegation of care, post-surgical ambulation, and
management of patients with liver disease and ascites. The document contains 47 questions with
correct answers and detailed explanations, providing a comprehensive review of these nursing concepts.
It can be used by students for studying, reviewing, and understanding key concepts to prepare for
exams, with the provided rationales serving as valuable learning tools for reinforcing knowledge and
developing critical thinking skills.
✓ Verified Answers ✓ Exam Ready ✓ Study Guide
Trusted by thousands of students and professionals worldwide
EXAM QUESTIONS
QUESTION 1
A nurse is caring for a client with a central line for total parenteral nutrition. What route should be
used for administering medications to this client?
A) Peripheral IV line
B) Oral route
C) Central line
D) Topical application
CORRECT ANSWER
C) Central line
RATIONALE: Administering medications through a central line is the most appropriate route for clients requiring total
parenteral nutrition, as it allows for precise delivery directly into the bloodstream. Peripheral IV lines and oral routes are
not suitable for this client, and topical application would not ensure adequate medication absorption.
QUESTION 2
Trusted by thousands of students and professionals worldwide Page 1 of 19
, A client arrives at the emergency department with recent paracentesis and needs to get out of bed for
the first time after the procedure. The charge nurse will need to follow up on the delegation of which
task to unlicensed personnel?
A) Assisting the client with walking to the restroom
B) Helping the client to elevate the legs on pillows
C) Turning the client every 2 hours to prevent pressure ulcers
D) Administering the client's prescribed pain medication
CORRECT ANSWER
A) Assisting the client with walking to the restroom
RATIONALE: Following paracentesis, clients are at risk for complications such as hypotension, infection, or bleeding.
The first time the client gets out of bed poses a risk for hypotension, so the charge nurse should follow up on the
delegation of tasks to ensure the client's safety and stability.
QUESTION 3
The nurse is assessing a patient who has undergone an endoscopic retrograde
cholangiopancreatography (ERCP) 30 minutes ago. The patient reports difficulty swallowing and
appears anxious. Which patient would the nurse plan to see first?
A) A patient who is experiencing nausea and vomiting after surgery
B) A patient with difficulty swallowing after ERCP
C) A patient with a history of chronic obstructive pulmonary disease (COPD) requiring nebulizer
therapy
D) A patient with a wound dressing change scheduled for later in the shift
CORRECT ANSWER
B) A patient with difficulty swallowing after ERCP
RATIONALE: The patient who underwent ERCP and is experiencing difficulty swallowing requires immediate assessment
to ensure airway patency and address any potential complications. The nurse should prioritize this patient to prevent
potential respiratory compromise.
QUESTION 4
A patient has a prescription for a newborn with tachycardia, indicated by a heart rate of 95 BPM at 4
hours old. Which of the following clients should the nurse initially assess?
A) A 1-day-old infant with a heart rate of 125 BPM and normal apgar scores
B) A 2-day-old infant with a heart rate of 90 BPM and respiratory distress
C) A 4-hour-old neonate with a heart rate of 95 BPM and poor skin turgor
D) A 6-hour-old infant with a heart rate of 120 BPM and normal feeding patterns
CORRECT ANSWER
C) A 4-hour-old neonate with a heart rate of 95 BPM and poor skin turgor
Trusted by thousands of students and professionals worldwide Page 2 of 19
, RATIONALE: The nurse should initially assess the newborn with a heart rate of 95 BPM, as it falls below the normal
range of 120-140 BPM. This indicates potential tachycardia, which requires immediate assessment and intervention.
Options A and D present normal or even elevated heart rates, making them incorrect choices. Option B presents a
respiratory distress unrelated to tachycardia, making it a distractor.
QUESTION 5
The nurse receives report on four clients, including a client with acute pancreatitis who has been
experiencing pain on deep inspiration. Which client should the nurse prioritize for further
assessment?
A) The client with a new medication order for pain management
B) The client with a history of chronic obstructive pulmonary disease (COPD)
C) The client with a surgical wound that requires daily dressing changes
D) The client who is reporting severe abdominal pain on deep inspiration
CORRECT ANSWER
D) The client who is reporting severe abdominal pain on deep inspiration
RATIONALE: The client with acute pancreatitis and severe abdominal pain on deep inspiration is at risk for
complications, such as pancreatic rupture and sepsis, if not addressed promptly. This client requires immediate
assessment to determine the best course of action and prevent potential complications.
QUESTION 6
A client reports admission to the pediatric intensive care unit with a history of recurrent
hospitalizations for exacerbations of cystic fibrosis. The nurse anticipates an interdisciplinary
conference to prioritize the client's care and resources. Which client would benefit most from this
conference?
A) A 2-year-old undergoing surgery for congenital heart disease
B) A 12-year-old with a diagnosis of bronchiolitis
C) A 5-year-old with diagnosed cystic fibrosis at birth and multiple hospitalizations in the past 2
months
D) A 6-month-old with a diagnosis of respiratory distress syndrome
CORRECT ANSWER
C) A 5-year-old with diagnosed cystic fibrosis at birth and multiple hospitalizations in the past 2 months
RATIONALE: This client with cystic fibrosis and multiple hospitalizations requires a comprehensive care plan involving
multiple disciplines, making an interdisciplinary conference a priority.
QUESTION 7
A nurse observes a client's lab results showing a serum potassium level of 3.0 after being admitted for
severe diarrhea and dehydration. Which priority action should the nurse take initially?
A) Obtain a complete blood count.
Trusted by thousands of students and professionals worldwide Page 3 of 19
