NUR 283 Comp Exam 1: advanced medical-
surgical concepts (2026/2027) Expert
Strategies, Review of (50) Key Practice
Questions and Verified Detailed Answers; for
Guaranteed Success - Galen
This NUR 283 Comp Exam 1 is a 50-question
comprehensive assessment testing advanced medical-surgical
concepts, priority nursing interventions, and pharmacology. The
exam evaluates critical thinking and clinical judgment in high-
acuity scenarios, such as prioritizing care for emergency room
admissions, managing fluid resuscitation for burn patients,
interpreting therapeutic lab values, and determining pediatric
vital sign abnormalities.
It is a study resource designed to help nursing students review
key concepts for a comprehensive exam. It covers essential
topics such as medication administration (e.g., insulin
absorption), pediatric assessments (e.g., developmental
milestones in infants), and risk factors for conditions like peptic
ulcers (e.g., NSAID use, H. pylori). The material emphasizes
clinical judgment, patient safety, and evidence-based practice.
While the snippets suggest content on diabetes management,
gastrointestinal health, and infant development, the full set
likely includes additional areas like pharmacology, maternal-
child health, and medical-surgical nursing. This tool supports
active recall and efficient exam preparation.
Quiz_________________?
,Medications should be given through what? -
Answer
Central line
Quiz_________________?
The nurse working on a medical surgical unit is delegating tasks to unlicensed
personnel. Which of the following delegated task would REQUIRE FOLLOW UP
by the charge nurse? -
Answer
A. Assisting a client who had a paracentesis 2 hours ago to get out of bed for the
first time.
Rationale - anytime a client is doing something for the first time the RN needs to
do it
Quiz_________________?
The nurse is prioritizing patient care after a change of shift report. The nurse
should first plan to see the patient who: -
Answer
B. Had an endoscopic retrograde cholangiopancreatography 30 minutes ago and is
reporting difficulty swallowing Rationale - Difficulty swallowing - ABC's!
Quiz_________________?
, The nurse working on the mom/baby unit has become aware of the following
client situations. Which of the following clients should the nurse INITIALLY
assess? -
Answer
C. a neonate who is 4 hours old, whose resting HR is 95 BPM.
Rationale - Normal HR for a newborn is 120-140 BPM - 95 is a LOW BPM
Quiz_________________?
A nurse working on a medical surgical unit has just received a handoff report on
the following clients. The nurse should FIRST plan to assess the client who has: -
Answer
D. Acute pancreatitis and is reporting the development of pain on deep
inspiration
Rationale - "acute" if not caught early, will possible burst and patient will become
septic
Quiz_________________?
The nurse working on a pediatric unit is caring for the following children who
have been admitted in the past 12 hours. It would be a priority goal for the nurse
to initiate an interdisciplinary conference for the child who: -
Answer
A. 5 yr old with diagnosed cystic fibrosis at birth and has been hospitalized 4
times in the past 2 months
Rationale - This is conferencing everyone!!! PT, dietary, spiritual guidance,
everyone should be conferenced for this patient. This question is asking - WHO /
WHICH child is requiring the MOST help and resources???
surgical concepts (2026/2027) Expert
Strategies, Review of (50) Key Practice
Questions and Verified Detailed Answers; for
Guaranteed Success - Galen
This NUR 283 Comp Exam 1 is a 50-question
comprehensive assessment testing advanced medical-surgical
concepts, priority nursing interventions, and pharmacology. The
exam evaluates critical thinking and clinical judgment in high-
acuity scenarios, such as prioritizing care for emergency room
admissions, managing fluid resuscitation for burn patients,
interpreting therapeutic lab values, and determining pediatric
vital sign abnormalities.
It is a study resource designed to help nursing students review
key concepts for a comprehensive exam. It covers essential
topics such as medication administration (e.g., insulin
absorption), pediatric assessments (e.g., developmental
milestones in infants), and risk factors for conditions like peptic
ulcers (e.g., NSAID use, H. pylori). The material emphasizes
clinical judgment, patient safety, and evidence-based practice.
While the snippets suggest content on diabetes management,
gastrointestinal health, and infant development, the full set
likely includes additional areas like pharmacology, maternal-
child health, and medical-surgical nursing. This tool supports
active recall and efficient exam preparation.
Quiz_________________?
,Medications should be given through what? -
Answer
Central line
Quiz_________________?
The nurse working on a medical surgical unit is delegating tasks to unlicensed
personnel. Which of the following delegated task would REQUIRE FOLLOW UP
by the charge nurse? -
Answer
A. Assisting a client who had a paracentesis 2 hours ago to get out of bed for the
first time.
Rationale - anytime a client is doing something for the first time the RN needs to
do it
Quiz_________________?
The nurse is prioritizing patient care after a change of shift report. The nurse
should first plan to see the patient who: -
Answer
B. Had an endoscopic retrograde cholangiopancreatography 30 minutes ago and is
reporting difficulty swallowing Rationale - Difficulty swallowing - ABC's!
Quiz_________________?
, The nurse working on the mom/baby unit has become aware of the following
client situations. Which of the following clients should the nurse INITIALLY
assess? -
Answer
C. a neonate who is 4 hours old, whose resting HR is 95 BPM.
Rationale - Normal HR for a newborn is 120-140 BPM - 95 is a LOW BPM
Quiz_________________?
A nurse working on a medical surgical unit has just received a handoff report on
the following clients. The nurse should FIRST plan to assess the client who has: -
Answer
D. Acute pancreatitis and is reporting the development of pain on deep
inspiration
Rationale - "acute" if not caught early, will possible burst and patient will become
septic
Quiz_________________?
The nurse working on a pediatric unit is caring for the following children who
have been admitted in the past 12 hours. It would be a priority goal for the nurse
to initiate an interdisciplinary conference for the child who: -
Answer
A. 5 yr old with diagnosed cystic fibrosis at birth and has been hospitalized 4
times in the past 2 months
Rationale - This is conferencing everyone!!! PT, dietary, spiritual guidance,
everyone should be conferenced for this patient. This question is asking - WHO /
WHICH child is requiring the MOST help and resources???
