PROCTORED EXAM WITH NGN ] ACTUAL
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES
2026 Q&A
morris mwai
[COMPANY NAME] [Company address]
,Ques on 1
A nurse is preparing to administer a medica on to a client. Which ac on is most important for
preven ng a medica on error?
A. Verify the client's room number
B. Compare the medica on label with the MAR
C. Ask another nurse to administer the medica on
D. Document the medica on before administering it
Correct Answer: B
Ra onale: Comparing the medica on label with the medica on administra on record helps
verify that the correct medica on is being administered. Medica on safety requires verifica on
of the medica on, dose, route, me, and client.
Ques on 2
A nurse is administering medica ons to a client who states, "This pill looks different from what I
normally take." What should the nurse do?
A. Administer the medica on because it is listed on the MAR
B. Ask the client to take the medica on a er breakfast
C. Hold the medica on and verify the prescrip on
D. Crush the medica on and mix it with food
Correct Answer: C
Ra onale: The nurse should inves gate any discrepancy before administra on. The medica on
should not be given un l its iden ty and prescrip on are verified.
Ques on 3
A client is prescribed a medica on with a narrow therapeu c index. Which laboratory value is
most important to monitor?
A. Serum drug concentra on
B. Hemoglobin
C. Platelet count
D. Blood glucose
Correct Answer: A
,Ra onale: Medica ons with a narrow therapeu c index have a small difference between
therapeu c and toxic concentra ons. Monitoring serum drug levels helps prevent toxicity.
Ques on 4
A nurse is teaching a client about an adverse effect. Which statement best describes an adverse
drug effect?
A. An expected therapeu c response
B. An unintended and poten ally harmful response
C. A medica on's mechanism of ac on
D. A client's refusal to take medica on
Correct Answer: B
Ra onale: An adverse drug effect is an unintended, poten ally harmful response to a
medica on.
Ques on 5
A client develops wheezing, facial swelling, and hypotension shortly a er receiving a
medica on. Which condi on should the nurse suspect?
A. Therapeu c effect
B. Anaphylaxis
C. Tolerance
D. Idiosyncra c response
Correct Answer: B
Ra onale: Wheezing, facial swelling, and hypotension are classic manifesta ons of anaphylaxis
and require immediate interven on.
Ques on 6
Which medica on-related informa on should a nurse obtain first when admi ng a client?
A. Preferred pharmacy
B. Complete medica on history
, C. Favorite medica on
D. Previous medica on cost
Correct Answer: B
Ra onale: A complete medica on history iden fies prescribed medica ons, over-the-counter
drugs, supplements, allergies, and poten al interac ons.
Ques on 7
A client reports taking an herbal supplement in addi on to prescrip on medica ons. What is
the nurse's priority ac on?
A. Tell the client to discon nue all medica ons
B. Document the supplement and assess for interac ons
C. Tell the client herbal products are harmless
D. Ask the client to replace the supplement with a vitamin
Correct Answer: B
Ra onale: Herbal products can interact with prescrip on medica ons. The nurse should
document the supplement and evaluate poten al interac ons.
Ques on 8
Which route generally produces the fastest systemic medica on effect?
A. Oral
B. Subcutaneous
C. Intravenous
D. Transdermal
Correct Answer: C
Ra onale: Intravenous medica ons enter the bloodstream directly and therefore generally have
the fastest onset of systemic ac on.
Ques on 9
A nurse is preparing a medica on that has been stored improperly. What should the nurse do?