NUR 283 Exam: (Latest 2026/2027 Update) Frequently Tested Questions | Med-
Surg, Pharmacology, Emergency, Psychiatric, Pediatrics | Grade A | 100%
Correct (Verified Answers) – Nursing Program
Comprehensive Review: High-Yield NCLEX-Style Questions with Rationales for Exam Success
Subject: Medical-Surgical Nursing / Pharmacology / Emergency / Psychiatric / Pediatrics
Source: NUR 283 Exam - Frequently Tested Questions Bank
Format: Q&A Guide with Clinical Rationale & Evidence-Based Practice
Question 1
The nurse working in the ED has received the following prescriptions for a newly admitted
client. Which prescriptions should the nurse implement FIRST?
Answer:Initiate IV sodium and potassium for a client admitted with diarrhea and dehydration who has a
serum POTASSIUM level of 2.9.
CORRECT ANSWER
Potassium
RATIONALE
• Serum potassium of 2.9 mEq/L is critically low (severe hypokalemia).
• Hypokalemia can cause cardiac arrhythmias, muscle weakness, and respiratory arrest.
,Question 2
A nurse is caring for a male client who has a deep partial thickness and a full thickness burn
to 45% of the lower body. It would be a PRIORITY for the nurse to notify the provider if the
client has:
Answer: A URINARY output of 45 mL over the past two hours.
CORRECT ANSWER
Urinary
RATIONALE
• Normal urine output is 30 mL/hr; 45 mL over 2 hours = 22.5 mL/hr (oliguria).
• In burn patients, oliguria indicates hypovolemia or acute kidney injury.
Question 3
The nurse is assessing clients at the scene of a mass casualty disaster and is prioritizing care
based on the disaster triage tag system. Which client should be transported to the health care
facility FIRST?
Answer: The client who has multiple compound fractures and is reporting CHEST pain
CORRECT ANSWER
Chest
RATIONALE
• Chest pain may indicate myocardial contusion, pneumothorax, or hemothorax.
• Disaster triage: immediate (red tag) = life-threatening but survivable.
, Question 4
The charge nurse in the ED is reviewing the care provided for recently admitted clients.
Which reflects implementation of an accepted standard of care?
Answer: Placing the client who has suspected Haemophilus influenza on DROPLET precautions
CORRECT ANSWER
Droplet
RATIONALE
• Haemophilus influenzae spreads via respiratory droplets; requires droplet precautions.
• Private room or cohort; maintain 3 feet separation.
Question 5
The nurse is working on a crisis hotline speaking with a client who states "I just took an
entire bottle of amitriptyline." Which response should the nurse INITIALLY make to the
client?
Answer: I'm glad you called, and I want to send an AMBULANCE to help you.
CORRECT ANSWER
Ambulance
RATIONALE
• Amitriptyline (tricyclic antidepressant) overdose is life-threatening (cardiotoxicity, seizures).
• Immediate emergency medical services activation is priority.
Surg, Pharmacology, Emergency, Psychiatric, Pediatrics | Grade A | 100%
Correct (Verified Answers) – Nursing Program
Comprehensive Review: High-Yield NCLEX-Style Questions with Rationales for Exam Success
Subject: Medical-Surgical Nursing / Pharmacology / Emergency / Psychiatric / Pediatrics
Source: NUR 283 Exam - Frequently Tested Questions Bank
Format: Q&A Guide with Clinical Rationale & Evidence-Based Practice
Question 1
The nurse working in the ED has received the following prescriptions for a newly admitted
client. Which prescriptions should the nurse implement FIRST?
Answer:Initiate IV sodium and potassium for a client admitted with diarrhea and dehydration who has a
serum POTASSIUM level of 2.9.
CORRECT ANSWER
Potassium
RATIONALE
• Serum potassium of 2.9 mEq/L is critically low (severe hypokalemia).
• Hypokalemia can cause cardiac arrhythmias, muscle weakness, and respiratory arrest.
,Question 2
A nurse is caring for a male client who has a deep partial thickness and a full thickness burn
to 45% of the lower body. It would be a PRIORITY for the nurse to notify the provider if the
client has:
Answer: A URINARY output of 45 mL over the past two hours.
CORRECT ANSWER
Urinary
RATIONALE
• Normal urine output is 30 mL/hr; 45 mL over 2 hours = 22.5 mL/hr (oliguria).
• In burn patients, oliguria indicates hypovolemia or acute kidney injury.
Question 3
The nurse is assessing clients at the scene of a mass casualty disaster and is prioritizing care
based on the disaster triage tag system. Which client should be transported to the health care
facility FIRST?
Answer: The client who has multiple compound fractures and is reporting CHEST pain
CORRECT ANSWER
Chest
RATIONALE
• Chest pain may indicate myocardial contusion, pneumothorax, or hemothorax.
• Disaster triage: immediate (red tag) = life-threatening but survivable.
, Question 4
The charge nurse in the ED is reviewing the care provided for recently admitted clients.
Which reflects implementation of an accepted standard of care?
Answer: Placing the client who has suspected Haemophilus influenza on DROPLET precautions
CORRECT ANSWER
Droplet
RATIONALE
• Haemophilus influenzae spreads via respiratory droplets; requires droplet precautions.
• Private room or cohort; maintain 3 feet separation.
Question 5
The nurse is working on a crisis hotline speaking with a client who states "I just took an
entire bottle of amitriptyline." Which response should the nurse INITIALLY make to the
client?
Answer: I'm glad you called, and I want to send an AMBULANCE to help you.
CORRECT ANSWER
Ambulance
RATIONALE
• Amitriptyline (tricyclic antidepressant) overdose is life-threatening (cardiotoxicity, seizures).
• Immediate emergency medical services activation is priority.
