Galen College of Nursing NUR 283 Exam 3 & 2: (Latest 2026/2027 Update) Key
Practice Questions & Rationales | Med-Surg, Pharmacology, Emergency,
Pediatrics | Grade A | 100% Correct (Verified Answers)
Comprehensive Review: High-Yield NCLEX-Style Questions with Evidence-Based Rationales for Exam
Success
Subject: Medical-Surgical Nursing / Pharmacology / Emergency / Pediatrics / Psychiatric
Source: Galen College of Nursing NUR 283 Exam 3 & 2 Blueprint
Format: Q&A Guide with Clinical Rationale & Evidence-Based Practice
Question 1
Which client condition should the nurse prioritize 24 hours postoperative?
Answer: The client who reports an increased pain level of 8 on a scale of 0 to 10 after receiving an
opioid analgesic.
CORRECT ANSWER
The client who reports an increased pain level of 8 after receiving an opioid analgesic
RATIONALE
• Pain of 8/10 despite opioid analgesia indicates possible complication (bleeding, infection, nerve
compression).
• Requires immediate reassessment and provider notification.
, Question 2
What is an example of malpractice in nursing?
Answer:
A client who is competent refuses an antidepressant medication. The nurse dissolves the
medication in food and administers it to the client without the client's knowledge.
CORRECT ANSWER
Dissolving antidepressant medication in food of a competent client who refuses without
knowledge
RATIONALE
• Malpractice = professional negligence causing harm. Covert administration violates patient
autonomy and informed consent.
• Competent patients have the right to refuse treatment.
Question 3
Which client should the nurse follow up with regarding pyridostigmine?
Answer: The client receiving pyridostigmine who reports nausea and congested cough.
CORRECT ANSWER
The client receiving pyridostigmine who reports nausea and congested cough
RATIONALE
• Pyridostigmine (Mestinon) is for myasthenia gravis; nausea and cough may indicate cholinergic
crisis (overdose).
• Also monitor for muscle weakness, respiratory distress, or bradycardia.
Practice Questions & Rationales | Med-Surg, Pharmacology, Emergency,
Pediatrics | Grade A | 100% Correct (Verified Answers)
Comprehensive Review: High-Yield NCLEX-Style Questions with Evidence-Based Rationales for Exam
Success
Subject: Medical-Surgical Nursing / Pharmacology / Emergency / Pediatrics / Psychiatric
Source: Galen College of Nursing NUR 283 Exam 3 & 2 Blueprint
Format: Q&A Guide with Clinical Rationale & Evidence-Based Practice
Question 1
Which client condition should the nurse prioritize 24 hours postoperative?
Answer: The client who reports an increased pain level of 8 on a scale of 0 to 10 after receiving an
opioid analgesic.
CORRECT ANSWER
The client who reports an increased pain level of 8 after receiving an opioid analgesic
RATIONALE
• Pain of 8/10 despite opioid analgesia indicates possible complication (bleeding, infection, nerve
compression).
• Requires immediate reassessment and provider notification.
, Question 2
What is an example of malpractice in nursing?
Answer:
A client who is competent refuses an antidepressant medication. The nurse dissolves the
medication in food and administers it to the client without the client's knowledge.
CORRECT ANSWER
Dissolving antidepressant medication in food of a competent client who refuses without
knowledge
RATIONALE
• Malpractice = professional negligence causing harm. Covert administration violates patient
autonomy and informed consent.
• Competent patients have the right to refuse treatment.
Question 3
Which client should the nurse follow up with regarding pyridostigmine?
Answer: The client receiving pyridostigmine who reports nausea and congested cough.
CORRECT ANSWER
The client receiving pyridostigmine who reports nausea and congested cough
RATIONALE
• Pyridostigmine (Mestinon) is for myasthenia gravis; nausea and cough may indicate cholinergic
crisis (overdose).
• Also monitor for muscle weakness, respiratory distress, or bradycardia.
