NUR 283 Comp 3 Exam Transition to RN Practice
(2026/2027) PDF | Nursing | Galen College
Q1. The charge nurse is assigning staff to patients on a
medical-surgical unit. Which patient should be assigned to
the LPN?
A. A patient with newly diagnosed diabetic ketoacidosis
on an insulin drip.
B. A patient with pneumonia who is hemodynamically
stable and requires scheduled IV antibiotics.
C. A patient post-cardiac arrest requiring frequent
neurological assessments.
D. A patient with an epidural catheter for post-op pain
management.
Correct Answer: B
Rationale: LPNs can care for stable patients with
predictable outcomes and perform tasks like
administering IV antibiotics to stable patients. Unstable
patients, those requiring frequent assessments, or those
1
,with complex titratable drips (insulin, epidurals) require
an RN .
Q2. An RN delegates a UAP to obtain vital signs on a
patient who is 24 hours post-liver biopsy. Which
instruction by the RN is most appropriate?
A. "Take the blood pressure, and I will assess the patient
myself afterward."
B. "Get the vitals and let me know what they are when
you're done."
C. "Take the vitals; if they are abnormal, retake them in
15 minutes."
D. "You do not need to take vitals on that patient; I will
do it myself."
Correct Answer: D
Rationale: A patient post-liver biopsy has a high risk of
bleeding. The RN must perform the first set of post-
procedure vital signs to establish a baseline and assess
2
,for complications like hypovolemic shock. UAPs can take
subsequent vital signs once the patient is stable .
Q3. A nurse manager is implementing a new evidence-
based protocol for fall prevention. Which leadership
style is most effective for achieving staff buy-in and long-
term success?
A. Autocratic – Mandating the change immediately.
B. Laissez-faire – Allowing staff to choose if they want to
follow it.
C. Transformational – Inspiring staff with a shared vision
of improved patient safety.
D. Bureaucratic – Following the policy because it is a new
rule.
Correct Answer: C
Rationale: Transformational leadership involves inspiring
and motivating staff to embrace a shared vision, which
leads to greater ownership of and adherence to practice
changes .
3
, Q4. The nurse observes a UAP applying restraints to a
confused patient who is pulling at their IV line without an
order. Which action should the nurse take FIRST?
A. Report the UAP to the state board of nursing.
B. Remove the restraints immediately and assess the
patient.
C. Sign off on the UAP's actions as a "verbal order" from
the nurse.
D. Ignore the situation to avoid conflict with the UAP.
Correct Answer: B
Rationale: A UAP cannot apply restraints independently;
this requires an RN assessment and a provider's order.
The nurse must prioritize patient safety by removing the
restraints immediately. This is also a form of false
imprisonment .
Q5. When delegating tasks to a float RN from a post-
partum unit who is assigned to the medical-surgical unit
for the day, the charge nurse should:
4
(2026/2027) PDF | Nursing | Galen College
Q1. The charge nurse is assigning staff to patients on a
medical-surgical unit. Which patient should be assigned to
the LPN?
A. A patient with newly diagnosed diabetic ketoacidosis
on an insulin drip.
B. A patient with pneumonia who is hemodynamically
stable and requires scheduled IV antibiotics.
C. A patient post-cardiac arrest requiring frequent
neurological assessments.
D. A patient with an epidural catheter for post-op pain
management.
Correct Answer: B
Rationale: LPNs can care for stable patients with
predictable outcomes and perform tasks like
administering IV antibiotics to stable patients. Unstable
patients, those requiring frequent assessments, or those
1
,with complex titratable drips (insulin, epidurals) require
an RN .
Q2. An RN delegates a UAP to obtain vital signs on a
patient who is 24 hours post-liver biopsy. Which
instruction by the RN is most appropriate?
A. "Take the blood pressure, and I will assess the patient
myself afterward."
B. "Get the vitals and let me know what they are when
you're done."
C. "Take the vitals; if they are abnormal, retake them in
15 minutes."
D. "You do not need to take vitals on that patient; I will
do it myself."
Correct Answer: D
Rationale: A patient post-liver biopsy has a high risk of
bleeding. The RN must perform the first set of post-
procedure vital signs to establish a baseline and assess
2
,for complications like hypovolemic shock. UAPs can take
subsequent vital signs once the patient is stable .
Q3. A nurse manager is implementing a new evidence-
based protocol for fall prevention. Which leadership
style is most effective for achieving staff buy-in and long-
term success?
A. Autocratic – Mandating the change immediately.
B. Laissez-faire – Allowing staff to choose if they want to
follow it.
C. Transformational – Inspiring staff with a shared vision
of improved patient safety.
D. Bureaucratic – Following the policy because it is a new
rule.
Correct Answer: C
Rationale: Transformational leadership involves inspiring
and motivating staff to embrace a shared vision, which
leads to greater ownership of and adherence to practice
changes .
3
, Q4. The nurse observes a UAP applying restraints to a
confused patient who is pulling at their IV line without an
order. Which action should the nurse take FIRST?
A. Report the UAP to the state board of nursing.
B. Remove the restraints immediately and assess the
patient.
C. Sign off on the UAP's actions as a "verbal order" from
the nurse.
D. Ignore the situation to avoid conflict with the UAP.
Correct Answer: B
Rationale: A UAP cannot apply restraints independently;
this requires an RN assessment and a provider's order.
The nurse must prioritize patient safety by removing the
restraints immediately. This is also a form of false
imprisonment .
Q5. When delegating tasks to a float RN from a post-
partum unit who is assigned to the medical-surgical unit
for the day, the charge nurse should:
4
