NUR 283/ NUR283
Comprehensive Mock Exam V2
– (New 2026/ 2027 Update)
Transition to Registered
Nursing Practice| Questions &
Answers | Grade A| 100%
Correct (Verified Solutions)-
Galen
1. 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
Rationale: The ABC (Airway, Breathing, Circulation) framework dictates
that airway is the priority. Difficulty swallowing after an ERCP indicates
risk of a depressed gag reflex and potential aspiration, requiring
immediate bedside assessment .
,2. The 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:
A. COPD and is on 2 L/min oxygen with SpO₂ of 93%
B. Type 2 diabetes with a blood glucose of 220 mg/dL before dinner
C. A stage II pressure injury needing a dressing change
D. Acute pancreatitis and is reporting the development of pain on deep
inspiration
Rationale: Pain on deep inspiration in acute pancreatitis may indicate
pleural effusion, atelectasis, or worsening inflammation that could
progress to ARDS or respiratory failure. Acute changes require immediate
assessment .
3. 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. 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
Rationale: Infants with pertussis are at high risk for apnea and severe
respiratory compromise. Any child on supplemental oxygen with a
respiratory diagnosis is a higher priority than stable conditions. Early
recognition and intervention are essential in pediatric safety .
,4. The nurse working on a medical-surgical unit has been made aware
of the following client situations. The nurse should first plan to assess
the client who:
A. Is scheduled for discharge later today and needs final medication
teaching
B. Is receiving preparation for a colonoscopy and whose BP was 128/74
mm Hg and is now 106/60 mm Hg
C. Had a knee arthroscopy yesterday and reports pain at 4/10
D. Is NPO for an abdominal ultrasound this morning
Rationale: A drop in blood pressure may indicate hypovolemia from bowel
prep or other hemodynamic instability and can quickly progress to shock
if not addressed. Recognizing unstable trends and prioritizing potentially
unstable clients is critical in the transition-to-RN role .
5. The emergency department receives four clients simultaneously.
Which client should the triage nurse see FIRST?
A. A client with chest pain radiating to the left arm, diaphoretic
B. A client with a simple arm laceration and controlled bleeding
C. A client with a closed tibia fracture and intact pulses
D. A client with minor abrasions and mild anxiety
Rationale: Chest pain radiating to the left arm with diaphoresis is highly
suspicious for acute myocardial infarction. This client is unstable and
requires immediate assessment, ECG, and intervention. This follows the
emergent/urgent/non-urgent triage system .
, 6. 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
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 .
7. The nurse has been made aware of the following client situations.
The nurse should first plan to see the client who has:
A. COPD and is on 2 L/min oxygen with an SpO₂ of 93%
B. Type 2 diabetes with a glucose of 220 mg/dL before dinner
C. A stage II pressure injury needing a dressing change
D. Cervical cancer, is receiving internal radiation therapy, and whose
partner has been visiting at the bedside for the past 2 hours
Rationale: Visitors to clients with internal radiation must be limited in
time (usually 30 minutes/day) and distance (6 feet). The partner has been
at the bedside for 2 hours, exceeding safety limits. The nurse must assess
and enforce radiation safety precautions immediately to prevent
unnecessary radiation exposure .
Comprehensive Mock Exam V2
– (New 2026/ 2027 Update)
Transition to Registered
Nursing Practice| Questions &
Answers | Grade A| 100%
Correct (Verified Solutions)-
Galen
1. 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
Rationale: The ABC (Airway, Breathing, Circulation) framework dictates
that airway is the priority. Difficulty swallowing after an ERCP indicates
risk of a depressed gag reflex and potential aspiration, requiring
immediate bedside assessment .
,2. The 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:
A. COPD and is on 2 L/min oxygen with SpO₂ of 93%
B. Type 2 diabetes with a blood glucose of 220 mg/dL before dinner
C. A stage II pressure injury needing a dressing change
D. Acute pancreatitis and is reporting the development of pain on deep
inspiration
Rationale: Pain on deep inspiration in acute pancreatitis may indicate
pleural effusion, atelectasis, or worsening inflammation that could
progress to ARDS or respiratory failure. Acute changes require immediate
assessment .
3. 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. 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
Rationale: Infants with pertussis are at high risk for apnea and severe
respiratory compromise. Any child on supplemental oxygen with a
respiratory diagnosis is a higher priority than stable conditions. Early
recognition and intervention are essential in pediatric safety .
,4. The nurse working on a medical-surgical unit has been made aware
of the following client situations. The nurse should first plan to assess
the client who:
A. Is scheduled for discharge later today and needs final medication
teaching
B. Is receiving preparation for a colonoscopy and whose BP was 128/74
mm Hg and is now 106/60 mm Hg
C. Had a knee arthroscopy yesterday and reports pain at 4/10
D. Is NPO for an abdominal ultrasound this morning
Rationale: A drop in blood pressure may indicate hypovolemia from bowel
prep or other hemodynamic instability and can quickly progress to shock
if not addressed. Recognizing unstable trends and prioritizing potentially
unstable clients is critical in the transition-to-RN role .
5. The emergency department receives four clients simultaneously.
Which client should the triage nurse see FIRST?
A. A client with chest pain radiating to the left arm, diaphoretic
B. A client with a simple arm laceration and controlled bleeding
C. A client with a closed tibia fracture and intact pulses
D. A client with minor abrasions and mild anxiety
Rationale: Chest pain radiating to the left arm with diaphoresis is highly
suspicious for acute myocardial infarction. This client is unstable and
requires immediate assessment, ECG, and intervention. This follows the
emergent/urgent/non-urgent triage system .
, 6. 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
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 .
7. The nurse has been made aware of the following client situations.
The nurse should first plan to see the client who has:
A. COPD and is on 2 L/min oxygen with an SpO₂ of 93%
B. Type 2 diabetes with a glucose of 220 mg/dL before dinner
C. A stage II pressure injury needing a dressing change
D. Cervical cancer, is receiving internal radiation therapy, and whose
partner has been visiting at the bedside for the past 2 hours
Rationale: Visitors to clients with internal radiation must be limited in
time (usually 30 minutes/day) and distance (6 feet). The partner has been
at the bedside for 2 hours, exceeding safety limits. The nurse must assess
and enforce radiation safety precautions immediately to prevent
unnecessary radiation exposure .
