Proctored Exam with NGN
Final Exam
2026–2027 || Real Exam Questions
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Grade A+
, A nurse is caring for a client who is postoperative Click to highlight the assessment findings below that the nurse should report to
following abdominal surgery. the provider. To deselect a finding, click on the finding again.
Exhibit 1 **Urinary output**
Nurses' Notes 1100:Client received from PACU; initial **Reported pain level**
vital signs recorded. Client drowsy but responds to **Vital signs**
verbal stimuli. Client is oriented to person, place, and Neurological assessment is incorrect. The client is oriented to person, place,
time. Client can move all extremities. Hypoactive bowel and time. They are able to move all extremities and have no obvious indication
sounds. Abdominal dressing intact with drainage noted of neurological compromise.
and marked. Indwelling urinary catheter in place and Incisional drainage is incorrect. While the initial assessment indicated drainage
draining yellow urine. Infusing lactated Ringer's at 100 on the dressing, there has been no further drainage since that time. A small
mL/hr to the right forearm. Client positioned for amount of drainage following abdominal surgery is an expected finding and
comfort, side rails raised x 2, call light in the client's does not need to be reported to the provider unless drainage continues or
reach.1115:Provider prescriptions reviewed.1200:Upon increases over time.
waking, client reports nausea and rates pain as a 6 on a Urinary output is correct. A client who has an indwelling urinary catheter should
scale of 0 to 10. Abdominal dressing intact, no further produce at least 30 to 50 mL/hr of urine. The client's output is less than the
drainage noted. expected volume. The nurse should assess the catheter's placement and
potential for blockage due to their reduced urine output. This finding should be
reported to the provider.
Reported pain level is correct. The client's pain has not been relieved with the
administration of morphine. According to the client's report, their pain level is
increasing. This finding should be reported to the provider.
Gastrointestinal assessment is incorrect. While nausea and hypoactive bowel
sounds were initially noted, the client reports relief after the administration of
metoclopramide.
Vital signs is correct. The client's heart rate and respiratory rate have increased,
and their blood pressure and oxygen saturation levels have decreased. These
findings should be reported to the provider.
A nurse is caring for a client who reports difficulty "Maintain a consistent time to wake up each day."
falling asleep. Which of the following recommendations
should the nurse make? Explanation: The client should maintain a consistent time for waking up and
going to sleep. This helps to establish an internal sense of sleep and waking on
a daily basis and helps to maintain it over time. This will help promote sleep for
the client.
A nurse is caring for a client who has diarrhea due to Wear a gown when caring for the client.
shigella. Which of the following precautions should the
nurse implement for this client? Explanation: The nurse should implement contact precautions for a client who
has shigella to prevent the transmission of the bacteria. The nurse should wear
a gown when providing care for a client who requires contact precautions due
to the risk of contact with bodily fluids and contaminated surfaces.
A nurse is assessing a client who reports increased pain "Is your pain sharp or dull?"
following physical therapy. Which of the following
questions should the nurse ask when assessing the Explanation: Asking the client whether the pain is sharp, dull, crushing,
quality of the client's pain? throbbing, aching, burning, electric-like, or shooting helps determine the
quality of the pain.