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
Course: Transition to Registered Nursing Practice
Institution: Galen College of Nursing
Latest Update: 2025/2026
NUR 283 COMP 1 EXAM
Questions from Comprehensive Exam 1
Q1. Prioritization (Pediatric)
The nurse working on a pediatric unit has received the hand-off report.
Which client should the nurse plan to see first?
A. A toddler with bronchiolitis on room air and mild wheezing.
B. The infant who has a diagnosis of pertussis and is 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.
,,,answer,,,: B.
Rationale: Infants with pertussis are at high risk for apnea and severe
respiratory compromise. Any child on supplemental O2 with a
respiratory diagnosis is a higher priority than stable conditions .
Q2. Delegation (UAP)
The nurse has received the hand-off report and is assigning tasks to
unlicensed assistive personnel (UAP). Which task should the nurse
instruct the UAP to perform first?
A. Assist a client post–hip replacement with first ambulation.
B. Obtain a capillary blood glucose on a client who had a hypoglycemic
episode 30 minutes ago and received dextrose IV.
C. Change linens for a client who was incontinent of urine.
D. Take vital signs on a client scheduled for an afternoon surgery.
,,,answer,,,: B.
Rationale: Rechecking the blood glucose after treatment of
hypoglycemia is time-sensitive and determines if the treatment was
effective. This delegated task is urgent and stable .
Q3. Maternal-Child (Fetal Monitoring)
The nurse in labor and delivery is caring for a client whose membranes
just spontaneously ruptured. Which finding is a priority to report to the
provider?
A. Early decelerations.
B. Variable decelerations.
C. New appearance of late decelerations.
D. Fetal heart rate accelerations.
,,,,answer,,,: C.
Rationale: Late decelerations indicate uteroplacental insufficiency and
potential fetal compromise; new onset requires prompt intervention.
(VEAL CHOP: Late decels = Placental insufficiency) .
Q4. Medical-Surgical (Burn Care)
The nurse is caring for a male client who has full-thickness burns to 50%
of the lower body. It is a priority to notify the provider if the client has a:
A. Temperature (T) of 99.2° F (37.3° C).
B. Temperature (T) of 100.4° F (38° C).
C. Temperature (T) of 104.2° F (40.1° C).
D. Temperature (T) of 97.7° F (36.5° C).
,,,answer,,,: C.
Rationale: A very high fever in a major burn client suggests sepsis or
severe infection—life-threatening complications requiring immediate
notification .
Q5. Priority (Ambulatory)
The nurse in an outpatient clinic should immediately remove which
client from the waiting room?
A. A client with a sprained ankle and 4/10 pain.
B. A client with a fever of 101.8° F reporting headache, vomiting, and
sensitivity to light.
C. A client with myasthenia gravis, ptosis, and a nasal-sounding voice.
D. A client with mild seasonal allergies.
,,,answer,,,: B.
Rationale: Fever, headache, vomiting, and photophobia are classic signs
of meningitis, which is both emergent and highly infectious. This client
needs immediate isolation .
, Q6. Delegation (LPN)
An RN is assigning tasks to an LPN. Which task is appropriate to
delegate to the LPN?
A. Assess a newly admitted client with chest pain.
B. Administer oral medications to a stable client.
C. Complete the admission history and physical.
D. Teach a client about insulin self-administration.
,,,answer,,,: B.
Rationale: LPNs can administer oral medications to stable clients.
Assessment, teaching, and admission histories require the RN .
Q7. Critical Care (Post-Procedure)
A nurse is prioritizing care after a change-of-shift report. The nurse
should first see the patient who:
A. Is scheduled for discharge and needs medication teaching.
B. Had an 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.
,,,answer,,,: B.
Rationale: Difficulty swallowing after an ERCP could indicate a
complication such as esophageal perforation or airway compromise.
This airway issue takes priority .
Q8. Legal/Ethical (DNR)
A client with a DNR order goes into cardiac arrest. The family demands
that the nurse start CPR. Which action should the nurse take?
A. Start CPR because the family is the legal surrogate.
B. Respect the DNR order and not initiate CPR.
C. Call the provider for clarification.
D. Start CPR until the provider arrives.
(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
Course: Transition to Registered Nursing Practice
Institution: Galen College of Nursing
Latest Update: 2025/2026
NUR 283 COMP 1 EXAM
Questions from Comprehensive Exam 1
Q1. Prioritization (Pediatric)
The nurse working on a pediatric unit has received the hand-off report.
Which client should the nurse plan to see first?
A. A toddler with bronchiolitis on room air and mild wheezing.
B. The infant who has a diagnosis of pertussis and is 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.
,,,answer,,,: B.
Rationale: Infants with pertussis are at high risk for apnea and severe
respiratory compromise. Any child on supplemental O2 with a
respiratory diagnosis is a higher priority than stable conditions .
Q2. Delegation (UAP)
The nurse has received the hand-off report and is assigning tasks to
unlicensed assistive personnel (UAP). Which task should the nurse
instruct the UAP to perform first?
A. Assist a client post–hip replacement with first ambulation.
B. Obtain a capillary blood glucose on a client who had a hypoglycemic
episode 30 minutes ago and received dextrose IV.
C. Change linens for a client who was incontinent of urine.
D. Take vital signs on a client scheduled for an afternoon surgery.
,,,answer,,,: B.
Rationale: Rechecking the blood glucose after treatment of
hypoglycemia is time-sensitive and determines if the treatment was
effective. This delegated task is urgent and stable .
Q3. Maternal-Child (Fetal Monitoring)
The nurse in labor and delivery is caring for a client whose membranes
just spontaneously ruptured. Which finding is a priority to report to the
provider?
A. Early decelerations.
B. Variable decelerations.
C. New appearance of late decelerations.
D. Fetal heart rate accelerations.
,,,,answer,,,: C.
Rationale: Late decelerations indicate uteroplacental insufficiency and
potential fetal compromise; new onset requires prompt intervention.
(VEAL CHOP: Late decels = Placental insufficiency) .
Q4. Medical-Surgical (Burn Care)
The nurse is caring for a male client who has full-thickness burns to 50%
of the lower body. It is a priority to notify the provider if the client has a:
A. Temperature (T) of 99.2° F (37.3° C).
B. Temperature (T) of 100.4° F (38° C).
C. Temperature (T) of 104.2° F (40.1° C).
D. Temperature (T) of 97.7° F (36.5° C).
,,,answer,,,: C.
Rationale: A very high fever in a major burn client suggests sepsis or
severe infection—life-threatening complications requiring immediate
notification .
Q5. Priority (Ambulatory)
The nurse in an outpatient clinic should immediately remove which
client from the waiting room?
A. A client with a sprained ankle and 4/10 pain.
B. A client with a fever of 101.8° F reporting headache, vomiting, and
sensitivity to light.
C. A client with myasthenia gravis, ptosis, and a nasal-sounding voice.
D. A client with mild seasonal allergies.
,,,answer,,,: B.
Rationale: Fever, headache, vomiting, and photophobia are classic signs
of meningitis, which is both emergent and highly infectious. This client
needs immediate isolation .
, Q6. Delegation (LPN)
An RN is assigning tasks to an LPN. Which task is appropriate to
delegate to the LPN?
A. Assess a newly admitted client with chest pain.
B. Administer oral medications to a stable client.
C. Complete the admission history and physical.
D. Teach a client about insulin self-administration.
,,,answer,,,: B.
Rationale: LPNs can administer oral medications to stable clients.
Assessment, teaching, and admission histories require the RN .
Q7. Critical Care (Post-Procedure)
A nurse is prioritizing care after a change-of-shift report. The nurse
should first see the patient who:
A. Is scheduled for discharge and needs medication teaching.
B. Had an 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.
,,,answer,,,: B.
Rationale: Difficulty swallowing after an ERCP could indicate a
complication such as esophageal perforation or airway compromise.
This airway issue takes priority .
Q8. Legal/Ethical (DNR)
A client with a DNR order goes into cardiac arrest. The family demands
that the nurse start CPR. Which action should the nurse take?
A. Start CPR because the family is the legal surrogate.
B. Respect the DNR order and not initiate CPR.
C. Call the provider for clarification.
D. Start CPR until the provider arrives.
