NUR 283 COMP 1, 2 & 3 EXAMS (GALEN)
TEST BANK| NUR283 TRANSITION TO
REGISTERED NURSING V1, V2 AND V3
EXAM REVIEWS WITH COMPLETE
ACTUAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS.
*Q1. 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 a knee arthroscopy yesterday and reports pain at 4/10.
C) Had an endoscopic retrograde cholangiopancreatography (ERCP) 30
minutes ago and is reporting difficulty swallowing.
D) Is NPO for an abdominal ultrasound this morning.
**Correct Answer: C**
**Rationale:** The ABC framework prioritizes **airway** compromise
above all else. After an ERCP, the gag reflex may be absent, putting the
patient at risk for aspiration. Difficulty swallowing suggests the airway
might be compromised, requiring immediate bedside assessment .
,---
**Q2. The 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) COPD and is on 2 L/min oxygen with SpO₂ of 93%.
C) Type 2 diabetes with a blood glucose of 220 mg/dL before dinner.
D) A stage II pressure injury needing a dressing change.
**Correct Answer: A**
**Rationale:** Pain on deep inspiration in acute pancreatitis may
indicate pleural effusion or worsening inflammation, which could
progress to Acute Respiratory Distress Syndrome (ARDS). This acute
change in **breathing** requires immediate assessment. The COPD
patient with SpO₂ of 93% is stable, and the other options are non-
urgent .
---
**Q3. The triage nurse in the emergency department is assessing four
clients. Which client should the nurse see FIRST?**
A) A client with chest pain radiating to the left arm and diaphoresis.
,B) A client with a simple laceration of the finger.
C) A client requesting a prescription refill for hypertension medication.
D) A client with a non-productive cough for 2 weeks.
**Correct Answer: A**
**Rationale:** Chest pain radiating to the left arm with diaphoresis is
classic for acute myocardial infarction (heart attack), representing a
**circulation** priority. This is immediately life-threatening and
requires emergency intervention. The other clients have stable or non-
urgent conditions .
---
**Q4. The nurse is assessing a client in the emergency department.
Which finding requires immediate intervention?**
A) Blood pressure 150/90 mm Hg.
B) Heart rate 100 bpm.
C) Respiratory rate 32 breaths per minute with use of accessory
muscles.
D) Temperature 99.8°F (37.7°C).
**Correct Answer: C**
, **Rationale:** Tachypnea (RR 32) with accessory muscle use indicates
**respiratory distress** (breathing problem). This is a priority finding
requiring immediate intervention. The other vital signs are not
immediately life-threatening .
---
**Q5. The nurse working on a pediatric unit has received the handoff
report. Which client should the nurse plan to see first?**
A) A toddler with bronchiolitis on room air with mild wheezing.
B) An infant with pertussis receiving oxygen via nasal cannula.
C) A preschooler with otitis media awaiting discharge.
D) A school-age child with a simple fracture in a cast.
**Correct Answer: B**
**Rationale:** Infants with pertussis are at high risk for **apnea**
(stopping breathing) and severe respiratory compromise. Any child on
supplemental oxygen with a respiratory diagnosis is a higher priority
than stable conditions .
---
TEST BANK| NUR283 TRANSITION TO
REGISTERED NURSING V1, V2 AND V3
EXAM REVIEWS WITH COMPLETE
ACTUAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS.
*Q1. 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 a knee arthroscopy yesterday and reports pain at 4/10.
C) Had an endoscopic retrograde cholangiopancreatography (ERCP) 30
minutes ago and is reporting difficulty swallowing.
D) Is NPO for an abdominal ultrasound this morning.
**Correct Answer: C**
**Rationale:** The ABC framework prioritizes **airway** compromise
above all else. After an ERCP, the gag reflex may be absent, putting the
patient at risk for aspiration. Difficulty swallowing suggests the airway
might be compromised, requiring immediate bedside assessment .
,---
**Q2. The 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) COPD and is on 2 L/min oxygen with SpO₂ of 93%.
C) Type 2 diabetes with a blood glucose of 220 mg/dL before dinner.
D) A stage II pressure injury needing a dressing change.
**Correct Answer: A**
**Rationale:** Pain on deep inspiration in acute pancreatitis may
indicate pleural effusion or worsening inflammation, which could
progress to Acute Respiratory Distress Syndrome (ARDS). This acute
change in **breathing** requires immediate assessment. The COPD
patient with SpO₂ of 93% is stable, and the other options are non-
urgent .
---
**Q3. The triage nurse in the emergency department is assessing four
clients. Which client should the nurse see FIRST?**
A) A client with chest pain radiating to the left arm and diaphoresis.
,B) A client with a simple laceration of the finger.
C) A client requesting a prescription refill for hypertension medication.
D) A client with a non-productive cough for 2 weeks.
**Correct Answer: A**
**Rationale:** Chest pain radiating to the left arm with diaphoresis is
classic for acute myocardial infarction (heart attack), representing a
**circulation** priority. This is immediately life-threatening and
requires emergency intervention. The other clients have stable or non-
urgent conditions .
---
**Q4. The nurse is assessing a client in the emergency department.
Which finding requires immediate intervention?**
A) Blood pressure 150/90 mm Hg.
B) Heart rate 100 bpm.
C) Respiratory rate 32 breaths per minute with use of accessory
muscles.
D) Temperature 99.8°F (37.7°C).
**Correct Answer: C**
, **Rationale:** Tachypnea (RR 32) with accessory muscle use indicates
**respiratory distress** (breathing problem). This is a priority finding
requiring immediate intervention. The other vital signs are not
immediately life-threatening .
---
**Q5. The nurse working on a pediatric unit has received the handoff
report. Which client should the nurse plan to see first?**
A) A toddler with bronchiolitis on room air with mild wheezing.
B) An infant with pertussis receiving oxygen via nasal cannula.
C) A preschooler with otitis media awaiting discharge.
D) A school-age child with a simple fracture in a cast.
**Correct Answer: B**
**Rationale:** Infants with pertussis are at high risk for **apnea**
(stopping breathing) and severe respiratory compromise. Any child on
supplemental oxygen with a respiratory diagnosis is a higher priority
than stable conditions .
---
