NUR 283/ NUR283
Comprehensive Mock Exam V1
– (New 2026/ 2027 Update)
Transition to Registered
Nursing Practice| Questions &
Answers | Grade A| 100%
Correct (Verified Solutions)-
Galen
1. The nurse is caring for a client with a tension pneumothorax.
Which finding requires IMMEDIATE intervention?
A. Tracheal deviation to the unaffected side
B. Respiratory rate of 24 breaths per minute
C. Oxygen saturation of 91% on 2 L nasal cannula
D. Client report of chest pain rated 6/10
,,,answer,,,,: A. Tracheal deviation to the unaffected side
Rationale: Tracheal deviation is a late sign of tension pneumothorax
indicating mediastinal shift and impending cardiovascular collapse.
This is a medical emergency requiring immediate needle
decompression or chest tube insertion.
,2. The nurse is caring for a client who had an ERCP 30 minutes ago.
The client reports difficulty swallowing. What is the priority action?
A. Administer prescribed antiemetic
B. Assess the client's gag reflex
C. Offer sips of water
D. Position the client supine
,,,answer,,,,: B. Assess the client's gag reflex
Rationale: After ERCP, the throat is anesthetized. Difficulty
swallowing indicates a depressed gag reflex, placing the client at
risk for aspiration. The nurse must assess the gag reflex before
allowing any oral intake.
3. The nurse is caring for a client receiving a blood transfusion. The
client reports low back pain and chills. What is the priority action?
A. Stop the transfusion
B. Slow the infusion rate
C. Notify the healthcare provider
D. Administer acetaminophen
,,,answer,,,,: A. Stop the transfusion
Rationale: Low back pain and chills are classic signs of an acute
hemolytic transfusion reaction. The priority is to stop the
transfusion immediately to prevent further reaction. After stopping,
,the nurse would disconnect the tubing, notify the provider, and send
the blood bag to the lab.
4. The nurse is caring for a client who has a tracheostomy. Which
finding requires IMMEDIATE intervention?
A. Small amount of bloody secretions
B. Client requesting suctioning every 4 hours
C. Respiratory rate of 28 breaths per minute
D. Thick, yellow secretions extending from the stoma
,,,answer,,,,: D. Thick, yellow secretions extending from the stoma
Rationale: Thick, yellow secretions can indicate infection and may
obstruct the airway. While a respiratory rate of 28 is elevated, the
presence of thick secretions poses an imminent risk of complete
airway obstruction and requires immediate suctioning and
assessment.
5. The nurse is caring for a client with a deep forearm laceration.
What is the priority action?
A. Clean the wound with sterile saline
B. Apply pressure to control bleeding
C. Assess range of motion
D. Apply a tourniquet
,,,answer,,,,: B. Apply pressure to control bleeding
, Rationale: The priority action for a client with a deep laceration is to
apply pressure to control bleeding and prevent further blood loss.
Direct pressure is the first-line intervention for bleeding control.
6. The nurse is assessing a client who is 15 minutes post-op from
abdominal surgery. Which finding is MOST concerning?
A. Blood pressure 110/70 mm Hg
B. Oxygen saturation 92% on 2 L nasal cannula
C. Heart rate 88 bpm
D. Temperature 36.8°C (98.2°F)
,,,answer,,,,: B. Oxygen saturation 92% on 2 L nasal cannula
Rationale: An SpO₂ of 92% on supplemental oxygen indicates
inadequate oxygenation. While not critically low, it requires
assessment and possibly increased oxygen or respiratory support.
The other vital signs are within normal limits.
7. The nurse is working on a medical-surgical unit and receives
report on four clients. Which client should the nurse assess FIRST?
A. A client with chest pain radiating to the left arm who is
diaphoretic
B. A client with a superficial laceration on the forearm
C. A client with a temperature of 100.2°F reporting sore throat
D. A client requesting a prescription refill for an inhaler
Comprehensive Mock Exam V1
– (New 2026/ 2027 Update)
Transition to Registered
Nursing Practice| Questions &
Answers | Grade A| 100%
Correct (Verified Solutions)-
Galen
1. The nurse is caring for a client with a tension pneumothorax.
Which finding requires IMMEDIATE intervention?
A. Tracheal deviation to the unaffected side
B. Respiratory rate of 24 breaths per minute
C. Oxygen saturation of 91% on 2 L nasal cannula
D. Client report of chest pain rated 6/10
,,,answer,,,,: A. Tracheal deviation to the unaffected side
Rationale: Tracheal deviation is a late sign of tension pneumothorax
indicating mediastinal shift and impending cardiovascular collapse.
This is a medical emergency requiring immediate needle
decompression or chest tube insertion.
,2. The nurse is caring for a client who had an ERCP 30 minutes ago.
The client reports difficulty swallowing. What is the priority action?
A. Administer prescribed antiemetic
B. Assess the client's gag reflex
C. Offer sips of water
D. Position the client supine
,,,answer,,,,: B. Assess the client's gag reflex
Rationale: After ERCP, the throat is anesthetized. Difficulty
swallowing indicates a depressed gag reflex, placing the client at
risk for aspiration. The nurse must assess the gag reflex before
allowing any oral intake.
3. The nurse is caring for a client receiving a blood transfusion. The
client reports low back pain and chills. What is the priority action?
A. Stop the transfusion
B. Slow the infusion rate
C. Notify the healthcare provider
D. Administer acetaminophen
,,,answer,,,,: A. Stop the transfusion
Rationale: Low back pain and chills are classic signs of an acute
hemolytic transfusion reaction. The priority is to stop the
transfusion immediately to prevent further reaction. After stopping,
,the nurse would disconnect the tubing, notify the provider, and send
the blood bag to the lab.
4. The nurse is caring for a client who has a tracheostomy. Which
finding requires IMMEDIATE intervention?
A. Small amount of bloody secretions
B. Client requesting suctioning every 4 hours
C. Respiratory rate of 28 breaths per minute
D. Thick, yellow secretions extending from the stoma
,,,answer,,,,: D. Thick, yellow secretions extending from the stoma
Rationale: Thick, yellow secretions can indicate infection and may
obstruct the airway. While a respiratory rate of 28 is elevated, the
presence of thick secretions poses an imminent risk of complete
airway obstruction and requires immediate suctioning and
assessment.
5. The nurse is caring for a client with a deep forearm laceration.
What is the priority action?
A. Clean the wound with sterile saline
B. Apply pressure to control bleeding
C. Assess range of motion
D. Apply a tourniquet
,,,answer,,,,: B. Apply pressure to control bleeding
, Rationale: The priority action for a client with a deep laceration is to
apply pressure to control bleeding and prevent further blood loss.
Direct pressure is the first-line intervention for bleeding control.
6. The nurse is assessing a client who is 15 minutes post-op from
abdominal surgery. Which finding is MOST concerning?
A. Blood pressure 110/70 mm Hg
B. Oxygen saturation 92% on 2 L nasal cannula
C. Heart rate 88 bpm
D. Temperature 36.8°C (98.2°F)
,,,answer,,,,: B. Oxygen saturation 92% on 2 L nasal cannula
Rationale: An SpO₂ of 92% on supplemental oxygen indicates
inadequate oxygenation. While not critically low, it requires
assessment and possibly increased oxygen or respiratory support.
The other vital signs are within normal limits.
7. The nurse is working on a medical-surgical unit and receives
report on four clients. Which client should the nurse assess FIRST?
A. A client with chest pain radiating to the left arm who is
diaphoretic
B. A client with a superficial laceration on the forearm
C. A client with a temperature of 100.2°F reporting sore throat
D. A client requesting a prescription refill for an inhaler
