Page 1 of 155
SCFHS Prometric Exam Preparation Exam
Actual Exam 2026/2027 – Complete Exam-
Style
Question 1
Scenario: A nurse is caring for a postoperative patient who
received general anesthesia. The patient is drowsy but
arousable, with a respiratory rate of 10 breaths/min and
oxygen saturation of 89% on room air. What is the priority
nursing action?
A) Administer a narcotic antagonist
B) Position the patient in a supine position with a pillow
C) Apply supplemental oxygen and stimulate the patient to
breathe deeply
D) Notify the anesthesiologist immediately
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Answer: C
Rationale: Post-anesthesia respiratory depression is common. The
nurse should first administer oxygen (to correct hypoxemia) and
stimulate the patient (deep breathing, reposition). If this fails,
then notify the provider. Narcotic antagonists are used only if
opioid overdose is suspected.
Question 2
A nurse is preparing to administer digoxin to a patient with heart
failure. The patient’s apical pulse is 52 beats/min. Which action
should the nurse take?
A) Administer the digoxin as ordered because the pulse is within
the normal range
B) Withhold the digoxin and recheck the pulse in 30 minutes
C) Withhold the digoxin and notify the healthcare provider
D) Administer atropine to increase the heart rate
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Answer: C
Rationale: Digoxin is withheld if the apical pulse is below 60
beats/min (or per facility policy). The provider should be notified
for further orders. Rechecking without withholding may lead to
drug accumulation and toxicity.
Question 3
Scenario: A patient with type 2 diabetes mellitus is prescribed
metformin. The patient is scheduled for a contrast-enhanced CT
scan. What is the most important instruction for the nurse to give?
A) “Take your metformin as usual before the scan.”
B) “Stop metformin 48 hours before and 48 hours after the scan,
and drink plenty of fluids.”
C) “Double your metformin dose after the scan to clear the
contrast.”
D) “Take metformin only if your blood glucose is high.”
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Answer: B
Rationale: Metformin can cause lactic acidosis when combined
with iodinated contrast. It should be withheld for 48 hours before
and after the procedure, and hydration should be encouraged.
Renal function should be monitored.
Question 4
A nurse is assessing a patient who is receiving a blood
transfusion. Fifteen minutes after the start, the patient reports low
back pain and chills. What is the priority action?
A) Slow the transfusion rate
B) Stop the transfusion and infuse normal saline
C) Administer acetaminophen as prescribed
D) Notify the blood bank
Answer: B
SCFHS Prometric Exam Preparation Exam
Actual Exam 2026/2027 – Complete Exam-
Style
Question 1
Scenario: A nurse is caring for a postoperative patient who
received general anesthesia. The patient is drowsy but
arousable, with a respiratory rate of 10 breaths/min and
oxygen saturation of 89% on room air. What is the priority
nursing action?
A) Administer a narcotic antagonist
B) Position the patient in a supine position with a pillow
C) Apply supplemental oxygen and stimulate the patient to
breathe deeply
D) Notify the anesthesiologist immediately
,Page 2 of 155
Answer: C
Rationale: Post-anesthesia respiratory depression is common. The
nurse should first administer oxygen (to correct hypoxemia) and
stimulate the patient (deep breathing, reposition). If this fails,
then notify the provider. Narcotic antagonists are used only if
opioid overdose is suspected.
Question 2
A nurse is preparing to administer digoxin to a patient with heart
failure. The patient’s apical pulse is 52 beats/min. Which action
should the nurse take?
A) Administer the digoxin as ordered because the pulse is within
the normal range
B) Withhold the digoxin and recheck the pulse in 30 minutes
C) Withhold the digoxin and notify the healthcare provider
D) Administer atropine to increase the heart rate
,Page 3 of 155
Answer: C
Rationale: Digoxin is withheld if the apical pulse is below 60
beats/min (or per facility policy). The provider should be notified
for further orders. Rechecking without withholding may lead to
drug accumulation and toxicity.
Question 3
Scenario: A patient with type 2 diabetes mellitus is prescribed
metformin. The patient is scheduled for a contrast-enhanced CT
scan. What is the most important instruction for the nurse to give?
A) “Take your metformin as usual before the scan.”
B) “Stop metformin 48 hours before and 48 hours after the scan,
and drink plenty of fluids.”
C) “Double your metformin dose after the scan to clear the
contrast.”
D) “Take metformin only if your blood glucose is high.”
, Page 4 of 155
Answer: B
Rationale: Metformin can cause lactic acidosis when combined
with iodinated contrast. It should be withheld for 48 hours before
and after the procedure, and hydration should be encouraged.
Renal function should be monitored.
Question 4
A nurse is assessing a patient who is receiving a blood
transfusion. Fifteen minutes after the start, the patient reports low
back pain and chills. What is the priority action?
A) Slow the transfusion rate
B) Stop the transfusion and infuse normal saline
C) Administer acetaminophen as prescribed
D) Notify the blood bank
Answer: B
