Trad Exam Practice for Proctor Exam
A nurse is teaching a client about carbon monoxide poisoning. Which of the following statements should
the nurse identify as an indication that the client needs further instruction?
- "A high concentration of carbon monoxide can cause death."
- "I can detect the presence of carbon monoxide by a metallic odor."
- "I should purchase a carbon monoxide detector for my home."
- "Breathing in carbon monoxide can cause headaches and nausea."
"I can detect the presence of carbon monoxide by a metallic odor."
A nurse is assessing a client who had left femoral cardiac angiography. Identify where the nurse will
palpate to assess the most distal pulse on the affected side. (Selectable areas, or "Hot Spots," are
outlines in the artwork below. Select only the outlined area that corresponds to your answer.)
Left pedal pulse:
The most distal pulse refers to the pulse that is at the farthest point on the affected extremity. The
dorsalis pedis pulse on the anterior foot is the most distal pulse below the femoral artery. Because the
client had left-sided angiography, the correct answer will be the left pedal pulse.
A rehabilitation nurse is caring for a client who has had a spinal cord injury that resulted in paraplegia.
After a week on the unit, the nurse notes that the client is withdrawn and increasingly resistant to
rehabilitative efforts by the staff. Which of the following actions should the nurse take?
- Inform the client that privileges are related to participation in therapy.
- Limit visiting hours until the client begins to participate in therapy.
- Allow the client to control the timing and frequency of the therapy.
- Establish a plan of care with the client that sets attainable goals.
Establish a plan of care with the client that sets attainable goals.
,A nurse is monitoring a client who was admitted with a severe burn injury and is receiving IV fluid
resuscitation therapy. The nurse should identify a decrease in which of the which of the following
findings as an indication of adequate fluid replacement?
- BP
- Heart rate
- Urine output
- Weight
Heart rate
A nurse is caring for a client who has urinary incontinence. Which of the following actions should the
nurse implement to prevent the development of skin breakdown?
- Apply a moisture barrier ointment to the client's skin.
- Clean the client's skin and perineum with hot water after each episode of incontinence.
- Check the client's skin every 8 hr for signs of breakdown.
- Request a prescription for the insertion of an indwelling urinary catheter.
Apply a moisture barrier ointment to the client's skin.
A nurse is teaching a class of older adults about the expected physiologic changes of aging. Which of the
following changes should the nurse include in the discussion? (Select all that apply.)
- More difficulty seeing due to a greater sensitivity to glare
- Decreased cough reflex
- Decreased bladder capacity
- Decreased systolic blood pressure
- Dehydration of intervertebral discs
More difficulty due to a greater sensitivity to glare,
Decreased cough reflex,
Decreased bladder capacity,
Dehydration of intervertebral discs is correct
, A nurse is assessing a client who is 2 days postoperative and auscultates bilateral breath sounds, but
absent breath sounds in the bases. The nurse should suspect which of the following postoperative
complications?
- Atelectasis
- Pneumonia
- Pulmonary embolism
- Arterial thrombus
Atelectasis
Atelectasis is an incomplete alveolar expansion or collapse. Breath sounds are dull or absent over areas
of alveolar collapse.
A nurse is working with a team of nursing personnel within a facility. Which of the following are
necessary task performance roles that members of the group or the leader must perform? (Select all
that apply.)
- Self-confessor
- Coordinator
- Evaluator
- Energizer
- Dominator
Coordinator,
Evaluator,
Energizer
A nurse is reviewing the EKG strip of a client who has prolonged vomiting. Which of the following
abnormalities on the client's EKG should the nurse interpret as a sign of hypokalemia?
- Abnormally prominent U wave
A nurse is teaching a client about carbon monoxide poisoning. Which of the following statements should
the nurse identify as an indication that the client needs further instruction?
- "A high concentration of carbon monoxide can cause death."
- "I can detect the presence of carbon monoxide by a metallic odor."
- "I should purchase a carbon monoxide detector for my home."
- "Breathing in carbon monoxide can cause headaches and nausea."
"I can detect the presence of carbon monoxide by a metallic odor."
A nurse is assessing a client who had left femoral cardiac angiography. Identify where the nurse will
palpate to assess the most distal pulse on the affected side. (Selectable areas, or "Hot Spots," are
outlines in the artwork below. Select only the outlined area that corresponds to your answer.)
Left pedal pulse:
The most distal pulse refers to the pulse that is at the farthest point on the affected extremity. The
dorsalis pedis pulse on the anterior foot is the most distal pulse below the femoral artery. Because the
client had left-sided angiography, the correct answer will be the left pedal pulse.
A rehabilitation nurse is caring for a client who has had a spinal cord injury that resulted in paraplegia.
After a week on the unit, the nurse notes that the client is withdrawn and increasingly resistant to
rehabilitative efforts by the staff. Which of the following actions should the nurse take?
- Inform the client that privileges are related to participation in therapy.
- Limit visiting hours until the client begins to participate in therapy.
- Allow the client to control the timing and frequency of the therapy.
- Establish a plan of care with the client that sets attainable goals.
Establish a plan of care with the client that sets attainable goals.
,A nurse is monitoring a client who was admitted with a severe burn injury and is receiving IV fluid
resuscitation therapy. The nurse should identify a decrease in which of the which of the following
findings as an indication of adequate fluid replacement?
- BP
- Heart rate
- Urine output
- Weight
Heart rate
A nurse is caring for a client who has urinary incontinence. Which of the following actions should the
nurse implement to prevent the development of skin breakdown?
- Apply a moisture barrier ointment to the client's skin.
- Clean the client's skin and perineum with hot water after each episode of incontinence.
- Check the client's skin every 8 hr for signs of breakdown.
- Request a prescription for the insertion of an indwelling urinary catheter.
Apply a moisture barrier ointment to the client's skin.
A nurse is teaching a class of older adults about the expected physiologic changes of aging. Which of the
following changes should the nurse include in the discussion? (Select all that apply.)
- More difficulty seeing due to a greater sensitivity to glare
- Decreased cough reflex
- Decreased bladder capacity
- Decreased systolic blood pressure
- Dehydration of intervertebral discs
More difficulty due to a greater sensitivity to glare,
Decreased cough reflex,
Decreased bladder capacity,
Dehydration of intervertebral discs is correct
, A nurse is assessing a client who is 2 days postoperative and auscultates bilateral breath sounds, but
absent breath sounds in the bases. The nurse should suspect which of the following postoperative
complications?
- Atelectasis
- Pneumonia
- Pulmonary embolism
- Arterial thrombus
Atelectasis
Atelectasis is an incomplete alveolar expansion or collapse. Breath sounds are dull or absent over areas
of alveolar collapse.
A nurse is working with a team of nursing personnel within a facility. Which of the following are
necessary task performance roles that members of the group or the leader must perform? (Select all
that apply.)
- Self-confessor
- Coordinator
- Evaluator
- Energizer
- Dominator
Coordinator,
Evaluator,
Energizer
A nurse is reviewing the EKG strip of a client who has prolonged vomiting. Which of the following
abnormalities on the client's EKG should the nurse interpret as a sign of hypokalemia?
- Abnormally prominent U wave
