NUR 283 COMP EXAM COMPREHENSIVE 2026 |
300 STUDY QUESTIONS & VERIFIED ANSWERS |
COMPLETE NURSING COMPREHENSIVE EXAM
REVIEW GUIDE
• This 300-question comprehensive review guide covers all core NUR 283 exam
domains with verified answers, bold correct options, and evidence-based EXPERT
RATIONALE to reinforce your clinical reasoning.
• Study tip: Attempt each question independently before checking the answer and
EXPERT RATIONALE — this active recall method significantly improves retention
and exam performance.
NUR 283 COMPREHENSIVE EXAM — 300 STUDY QUESTIONS WITH VERIFIED
ANSWERS & EXPERT RATIONALE
1. A nurse is preparing to perform hand hygiene before a sterile procedure.
Which action is correct?
A. Use hand sanitizer for at least 10 seconds
B. Wash hands only if visibly soiled
C. Use soap and water for at least 15 seconds, scrubbing all surfaces
D. Rinse hands with cold water only
E. Apply gloves without washing hands first
CORRECT ANSWER: C. Use soap and water for at least 15 seconds,
scrubbing all surfaces
EXPERT RATIONALE: The CDC recommends washing hands with soap and
water for at least 15–20 seconds, covering all surfaces including fingernails and
between fingers, especially before sterile procedures to prevent healthcare-
associated infections.
,2. A nurse is assessing a patient's level of consciousness using the Glasgow
Coma Scale (GCS). Which three components are evaluated?
A. Pupil reaction, motor response, verbal response
B. Eye opening, verbal response, motor response
C. Reflexes, eye opening, pain response
D. Orientation, eye opening, pupil reaction
E. Verbal response, reflexes, grip strength
CORRECT ANSWER: B. Eye opening, verbal response, motor response
EXPERT RATIONALE: The GCS assesses three components: eye opening (1–4),
verbal response (1–5), and motor response (1–6), with a maximum score of 15 and
a minimum of 3, indicating deep coma.
3. Which position is most appropriate for a patient experiencing respiratory
distress?
A. Supine with legs elevated
B. Prone position
C. Fowler's position (45–90 degrees)
D. Trendelenburg position
E. Lateral recumbent position
CORRECT ANSWER: C. Fowler's position (45–90 degrees)
EXPERT RATIONALE: Fowler's position allows maximum chest expansion by
using gravity to lower the diaphragm, improving ventilation and oxygenation in
patients with respiratory distress.
4. A nurse is performing a focused assessment. Which action is performed
FIRST?
,A. Palpate the abdomen
B. Auscultate lung sounds
C. Assess the patient's chief complaint
D. Check vital signs
E. Review the medication administration record
CORRECT ANSWER: C. Assess the patient's chief complaint
EXPERT RATIONALE: A focused assessment begins by identifying the patient's
chief complaint or primary concern. This guides subsequent assessment steps and
ensures that care is directed at the most pressing issue.
5. A nurse is about to administer medication. What is the FIRST right of
medication administration to verify?
A. Right dose
B. Right route
C. Right patient
D. Right time
E. Right medication
CORRECT ANSWER: C. Right patient
EXPERT RATIONALE: The first right of medication administration is verifying the
right patient using at least two identifiers (name and date of birth) to prevent
medication errors and ensure patient safety.
6. Which action by the nurse best prevents pressure injuries in a bedridden
patient?
A. Massaging bony prominences every shift
B. Repositioning the patient every 2 hours
, C. Applying lotion to all skin surfaces once daily
D. Keeping the head of bed elevated at 90 degrees
E. Using a foam pillow under the sacrum
CORRECT ANSWER: B. Repositioning the patient every 2 hours
EXPERT RATIONALE: Repositioning every 2 hours relieves pressure from bony
prominences, restores circulation, and is the primary evidence-based strategy for
preventing pressure injuries in immobile patients.
7. A nurse is documenting in the medical record. Which principle of
documentation is MOST important?
A. Use abbreviations freely to save time
B. Document only positive findings
C. Record information as soon as possible after care is given
D. Document care before it is performed
E. Use correction fluid to fix errors
CORRECT ANSWER: C. Record information as soon as possible after care is
given
EXPERT RATIONALE: Timely documentation ensures accuracy and
completeness of the patient's medical record. Documenting care before it is
performed is unethical and potentially dangerous, and correction fluid should
never be used in medical records.
8. A patient has a nursing diagnosis of "Risk for falls." Which intervention is
priority?
A. Apply bilateral soft restraints
B. Keep all four side rails raised at all times
300 STUDY QUESTIONS & VERIFIED ANSWERS |
COMPLETE NURSING COMPREHENSIVE EXAM
REVIEW GUIDE
• This 300-question comprehensive review guide covers all core NUR 283 exam
domains with verified answers, bold correct options, and evidence-based EXPERT
RATIONALE to reinforce your clinical reasoning.
• Study tip: Attempt each question independently before checking the answer and
EXPERT RATIONALE — this active recall method significantly improves retention
and exam performance.
NUR 283 COMPREHENSIVE EXAM — 300 STUDY QUESTIONS WITH VERIFIED
ANSWERS & EXPERT RATIONALE
1. A nurse is preparing to perform hand hygiene before a sterile procedure.
Which action is correct?
A. Use hand sanitizer for at least 10 seconds
B. Wash hands only if visibly soiled
C. Use soap and water for at least 15 seconds, scrubbing all surfaces
D. Rinse hands with cold water only
E. Apply gloves without washing hands first
CORRECT ANSWER: C. Use soap and water for at least 15 seconds,
scrubbing all surfaces
EXPERT RATIONALE: The CDC recommends washing hands with soap and
water for at least 15–20 seconds, covering all surfaces including fingernails and
between fingers, especially before sterile procedures to prevent healthcare-
associated infections.
,2. A nurse is assessing a patient's level of consciousness using the Glasgow
Coma Scale (GCS). Which three components are evaluated?
A. Pupil reaction, motor response, verbal response
B. Eye opening, verbal response, motor response
C. Reflexes, eye opening, pain response
D. Orientation, eye opening, pupil reaction
E. Verbal response, reflexes, grip strength
CORRECT ANSWER: B. Eye opening, verbal response, motor response
EXPERT RATIONALE: The GCS assesses three components: eye opening (1–4),
verbal response (1–5), and motor response (1–6), with a maximum score of 15 and
a minimum of 3, indicating deep coma.
3. Which position is most appropriate for a patient experiencing respiratory
distress?
A. Supine with legs elevated
B. Prone position
C. Fowler's position (45–90 degrees)
D. Trendelenburg position
E. Lateral recumbent position
CORRECT ANSWER: C. Fowler's position (45–90 degrees)
EXPERT RATIONALE: Fowler's position allows maximum chest expansion by
using gravity to lower the diaphragm, improving ventilation and oxygenation in
patients with respiratory distress.
4. A nurse is performing a focused assessment. Which action is performed
FIRST?
,A. Palpate the abdomen
B. Auscultate lung sounds
C. Assess the patient's chief complaint
D. Check vital signs
E. Review the medication administration record
CORRECT ANSWER: C. Assess the patient's chief complaint
EXPERT RATIONALE: A focused assessment begins by identifying the patient's
chief complaint or primary concern. This guides subsequent assessment steps and
ensures that care is directed at the most pressing issue.
5. A nurse is about to administer medication. What is the FIRST right of
medication administration to verify?
A. Right dose
B. Right route
C. Right patient
D. Right time
E. Right medication
CORRECT ANSWER: C. Right patient
EXPERT RATIONALE: The first right of medication administration is verifying the
right patient using at least two identifiers (name and date of birth) to prevent
medication errors and ensure patient safety.
6. Which action by the nurse best prevents pressure injuries in a bedridden
patient?
A. Massaging bony prominences every shift
B. Repositioning the patient every 2 hours
, C. Applying lotion to all skin surfaces once daily
D. Keeping the head of bed elevated at 90 degrees
E. Using a foam pillow under the sacrum
CORRECT ANSWER: B. Repositioning the patient every 2 hours
EXPERT RATIONALE: Repositioning every 2 hours relieves pressure from bony
prominences, restores circulation, and is the primary evidence-based strategy for
preventing pressure injuries in immobile patients.
7. A nurse is documenting in the medical record. Which principle of
documentation is MOST important?
A. Use abbreviations freely to save time
B. Document only positive findings
C. Record information as soon as possible after care is given
D. Document care before it is performed
E. Use correction fluid to fix errors
CORRECT ANSWER: C. Record information as soon as possible after care is
given
EXPERT RATIONALE: Timely documentation ensures accuracy and
completeness of the patient's medical record. Documenting care before it is
performed is unethical and potentially dangerous, and correction fluid should
never be used in medical records.
8. A patient has a nursing diagnosis of "Risk for falls." Which intervention is
priority?
A. Apply bilateral soft restraints
B. Keep all four side rails raised at all times
