PROCTORED PRACTICE TEST 2026
UPDATED QUESTIONS AND CORRECT
ANSWERS GRADED A+
⩥ NGN
Client admitted to medical-surgical unit from PACU. Client reports
incisional pain as 2 on a scale of 0 to 10. Client appears restless and
frequently asks for water. Bilateral lower extremities cool with +1 pedal
pulses. Urine output is 40 mL for the past 2 hr. Moderate amount of
bright red drainage noted on surgical incision dressing..
Answer: Insert a large-gauge IV.
Initiate a fluid challenge.
Hypovolemia
Urine output
Blood pressure
⩥ A nurse is caring for a client who has a potassium level of 3 mEq/L.
Which of the following assessment findings should the nurse expect?.
Answer: Hypoactive Bowel Sounds
,⩥ NGN
0900:
Client presents with abdominal pain in the upper left quadrant for the
past 2 days. States pain became worse this morning and is radiating to
the back. Rates pain as 8 on a scale of 0 to 10.
Hypoactive bowel sounds; reports nausea, no vomiting; client is passing
flatus.
Febrile, oriented to person, place, and time.
Tachypnea with diminished breath sounds.
Sinus tachycardia.
Client voids 300 mL of clear, amber urine.
0930:
Client vomited 100 mL brown liquid..
Answer: The client is experiencing manifestations of
pancreatitis
as evidenced by the
amylase and lipase
.
⩥ 0530:
Client is awake and alert.
Arteriovenous fistula (AVF) to right forearm with thrill palpated and
auscultated for bruit. Lung sounds clear upon auscultation; client denies
,shortness of breath. No peripheral edema noted; capillary refill is less
than 3 seconds; +2 bilateral pedal and radial pulses.
AVF access prepared and cannulated twice with no difficulty. Lines are
taped and secured; treatment is initiated.0600:
Client is reading a book. Access is visible, and lines are secure. Client
reports no discomfort or pain.0630:
Client reports feeling warm, nauseated, and lightheaded; appears restless
and slightly confused..
Answer: Perform a 12-lead ECG is not indicated.
Place the client in Trendelenburg position is indicated.
Administer a 0.9% sodium chloride 200 mL IV bolus is indicated.
Apply oxygen at 2 L/min via nasal cannula is indicated
Notify the provider immediately is indicated
Obtain the client's blood glucose level is not indicated.
⩥ 1800:
Emergency medical team removed client's shirt at the scene and initiated
18-gauge IV therapy in the right antecubital space.
, Client has full-thickness burns over the upper half of the chest and both
forearms; partial-thickness burns are present on the client's face and
neck.
Sinus tachycardia, pulses to brachial extremities palpable. 1+ edema to
upper extremities.
Respirations even, labored with scattered rhonchi. Soot noted to the
client's mouth and nose. Oxygen 40% via face tent applied.
Hypoactive bowel sounds.
16 French indwelling urinary catheter inserted with return of 250 mL of
yellow urine.
Lactated Ringer's infusing to right antecubital. Provider preparing to
insert right femoral central line catheter.
1830:
Client's voice is becoming hoarse and reports difficulty swallowing.
Wheezes present to upper lobes bilaterally. Provider notified. Client
positioned upright, oxygen via face tent. Blood collected.
Answer: During the emergent phase of burn care, the client is at risk for
developing
hypovolemia
and
respiratory failure
.
⩥ A nurse is teaching a class about client rights. Which of the following
instructions should the nurse include?.