Fundamentals 2026 Proctor with actual
exam 100% verified Questions and Correct
Answers with Rationales 2026/2027
A nurse is planning to administer medication to a client who has a Clostridium
difficile infection. Which of the following actions should the nurse plan to take to
prevent the transmission of this infection to others?
Clean hands with an alcohol-based hand rub immediately after removing gloves.
Remove the cover gown in the client's room after providing care. Place the client in a
room with negative-pressure airflow
Wear a mask when administering oral medications to the client. - Answer--Remove
the cover gown in the client's room after providing care.
A nurse is caring for a client who has a prescription for a high-protein diet to
promote wound healing following surgery. The client's religion prohibits eating
meat on particular days. Which of the following actions should the nurse take?
a. encourage the client to eat meat during this time to promote healing
b. advise the client to eat everything on the tray except the meat
c. suggest the client receive high-protein enteral feedings
d. ask the dietitian to recommend alternative food choices for the client -
Answer--ask the dietitian to recommend alternative food choices for the client
A nurse is caring for a client who has prescription for a high-protein diet to promote
wound healing following surgery. The client's religion prohibits eating meat on
particular days. Which of the following actions should the nurse take?
Encourage the client to eat meat during this time to promote healing
Advise the client to eat everything on the tray except the meat
Suggest the client receive high-protein enteral feedings
Ask the dietitian to recommend alternative food choices for the clie - Answer--Ask
the dietitian to recommend alternative food choices for the client
A nurse is collecting data from a client who is 2 days postoperative following a
colostomy. Which of the following findings should the nurse report to the
provider?
a purple-colored stoma
protrusion of the stoma
,a small amount of bleeding from the stoma
intestinal gas in the pouch - Answer--a purple-colored stoma
A nurse is reinforcing teaching with a client about self-administration of
ophthalmic drops. Which of the following instructions should the nurse include?
"You will need to look to the side when you put the drops in your eye."
"You should put the drops directly in the center of your eyeball."
"You should cleanse your eye from the inner to the outer edge prior to putting in
the drops."
"You should avoid pressing on your tear duct after putting the drops in your eye." -
Answer--"You should cleanse your eye from the inner to the outer edge prior to
putting in
the drops."
A nurse is reinforcing teaching about carbohydrate counting with a client who has
a new diagnosis of diabetes mellitus. Which of the following actions should the
nurse take first?
a. use pictures of different food groups to help the client plan a daily menu
b. ask the client what he already knows about meal planning
c. give the client a brochure with sample menus for all meals
d. involve the family in the discussion of the client's meal plan - Answer--ask the
client what he already knows about meal planning
A nurse is assisting with the admission of an adult client to a medical-surgical unit.
Which of the following findings should the nurse identify as an indication that the
client is malnourished?
heart rate 89/min
pink mucous membranes
pale, scaly skin
body mass index 23 - Answer--pale, scaly skin
A nurse is reinforcing teaching about advance directives with a client who has end-
stage renal disease. Which of the following client statements indicates an
understanding of the teaching?
a. "I know that i can change my advance directives if I need to in the future."
b. "My health care proxy will make my health care decisions as soon as I have
signed the power of attorney."
c. "My family can overrule the decisions made by my health care proxy."
d. "Advance directives from one state are valid in any other state." - Answer--"I know
that i can change my advance directives if I need to in the future."
, A nurse is preparing a client for a Romberg test. Which of the following statements
should the nurse make?
"Stand with your feet together and your arms at your sides."
"After I place the tuning fork, tell me when you no longer hear the sound"
"I'm going to stroke the lateral side of the bottom of your foot."
"Touch each fingertip as quickly as possible with your thumb." - Answer--"Stand with
your feet together and your arms at your sides."
A nurse is contributing to the plan of care for a client who is dying. Which of the
following interventions should the nurse recommend to include the client's family in
the plan of care? (Select all that apply.)
keep the family updated about the client's status
Suggest the family members return home at night to allow the client to rest
encourage the family to comb the clients hair
tell the client's family what to expect as the client's death nears
ask the family to encourage the client to eat - Answer--keep the family updated about
the client's status
A nurse is checking a client for a pulse deficit after detecting an irregular heart rate.
Which of the following actions should the nurse take?
count the client's radial and apical pulses simultaneously with another nurse.
calculate the client's pulse for 30 seconds and multiply by 2
assist the client to a side-lying position
auscultate the area of the client's chest over the Erb's point - Answer--count the
client's radial and apical pulses simultaneously with another nurse.
A nurse is reinforcing teaching with a client who is scheduled for a bladder scan.
Which of the following instructions should the nurse include in the teaching?
"You will need to sign a consent form before we begin the procedure." "I will place a
gel pad directly above your pubic area before I place the probe." "You will need to
hold your urine for 1 hour prior to the procedure." "You will receive a contrast dye
through an IV catheter prior to the scan."(email ) -
Answer--"I will place a gel pad directly above your pubic area before I place the
probe."
A charge nurse is reinforcing teaching with a newly licensed nurse who is setting up
a sterile field. Which of the following actions by the newly licensed nurse indicates an
understanding of the teaching?
opening the first flap of a sterile package toward herself
dropping sterile gauze onto the field from a height of 7.5 cm (3 in)
exam 100% verified Questions and Correct
Answers with Rationales 2026/2027
A nurse is planning to administer medication to a client who has a Clostridium
difficile infection. Which of the following actions should the nurse plan to take to
prevent the transmission of this infection to others?
Clean hands with an alcohol-based hand rub immediately after removing gloves.
Remove the cover gown in the client's room after providing care. Place the client in a
room with negative-pressure airflow
Wear a mask when administering oral medications to the client. - Answer--Remove
the cover gown in the client's room after providing care.
A nurse is caring for a client who has a prescription for a high-protein diet to
promote wound healing following surgery. The client's religion prohibits eating
meat on particular days. Which of the following actions should the nurse take?
a. encourage the client to eat meat during this time to promote healing
b. advise the client to eat everything on the tray except the meat
c. suggest the client receive high-protein enteral feedings
d. ask the dietitian to recommend alternative food choices for the client -
Answer--ask the dietitian to recommend alternative food choices for the client
A nurse is caring for a client who has prescription for a high-protein diet to promote
wound healing following surgery. The client's religion prohibits eating meat on
particular days. Which of the following actions should the nurse take?
Encourage the client to eat meat during this time to promote healing
Advise the client to eat everything on the tray except the meat
Suggest the client receive high-protein enteral feedings
Ask the dietitian to recommend alternative food choices for the clie - Answer--Ask
the dietitian to recommend alternative food choices for the client
A nurse is collecting data from a client who is 2 days postoperative following a
colostomy. Which of the following findings should the nurse report to the
provider?
a purple-colored stoma
protrusion of the stoma
,a small amount of bleeding from the stoma
intestinal gas in the pouch - Answer--a purple-colored stoma
A nurse is reinforcing teaching with a client about self-administration of
ophthalmic drops. Which of the following instructions should the nurse include?
"You will need to look to the side when you put the drops in your eye."
"You should put the drops directly in the center of your eyeball."
"You should cleanse your eye from the inner to the outer edge prior to putting in
the drops."
"You should avoid pressing on your tear duct after putting the drops in your eye." -
Answer--"You should cleanse your eye from the inner to the outer edge prior to
putting in
the drops."
A nurse is reinforcing teaching about carbohydrate counting with a client who has
a new diagnosis of diabetes mellitus. Which of the following actions should the
nurse take first?
a. use pictures of different food groups to help the client plan a daily menu
b. ask the client what he already knows about meal planning
c. give the client a brochure with sample menus for all meals
d. involve the family in the discussion of the client's meal plan - Answer--ask the
client what he already knows about meal planning
A nurse is assisting with the admission of an adult client to a medical-surgical unit.
Which of the following findings should the nurse identify as an indication that the
client is malnourished?
heart rate 89/min
pink mucous membranes
pale, scaly skin
body mass index 23 - Answer--pale, scaly skin
A nurse is reinforcing teaching about advance directives with a client who has end-
stage renal disease. Which of the following client statements indicates an
understanding of the teaching?
a. "I know that i can change my advance directives if I need to in the future."
b. "My health care proxy will make my health care decisions as soon as I have
signed the power of attorney."
c. "My family can overrule the decisions made by my health care proxy."
d. "Advance directives from one state are valid in any other state." - Answer--"I know
that i can change my advance directives if I need to in the future."
, A nurse is preparing a client for a Romberg test. Which of the following statements
should the nurse make?
"Stand with your feet together and your arms at your sides."
"After I place the tuning fork, tell me when you no longer hear the sound"
"I'm going to stroke the lateral side of the bottom of your foot."
"Touch each fingertip as quickly as possible with your thumb." - Answer--"Stand with
your feet together and your arms at your sides."
A nurse is contributing to the plan of care for a client who is dying. Which of the
following interventions should the nurse recommend to include the client's family in
the plan of care? (Select all that apply.)
keep the family updated about the client's status
Suggest the family members return home at night to allow the client to rest
encourage the family to comb the clients hair
tell the client's family what to expect as the client's death nears
ask the family to encourage the client to eat - Answer--keep the family updated about
the client's status
A nurse is checking a client for a pulse deficit after detecting an irregular heart rate.
Which of the following actions should the nurse take?
count the client's radial and apical pulses simultaneously with another nurse.
calculate the client's pulse for 30 seconds and multiply by 2
assist the client to a side-lying position
auscultate the area of the client's chest over the Erb's point - Answer--count the
client's radial and apical pulses simultaneously with another nurse.
A nurse is reinforcing teaching with a client who is scheduled for a bladder scan.
Which of the following instructions should the nurse include in the teaching?
"You will need to sign a consent form before we begin the procedure." "I will place a
gel pad directly above your pubic area before I place the probe." "You will need to
hold your urine for 1 hour prior to the procedure." "You will receive a contrast dye
through an IV catheter prior to the scan."(email ) -
Answer--"I will place a gel pad directly above your pubic area before I place the
probe."
A charge nurse is reinforcing teaching with a newly licensed nurse who is setting up
a sterile field. Which of the following actions by the newly licensed nurse indicates an
understanding of the teaching?
opening the first flap of a sterile package toward herself
dropping sterile gauze onto the field from a height of 7.5 cm (3 in)
