LEVEL 1 PROCTORED EXAM
QUESTIONS AND DETAILED ANSWERS
WITH RATIONALE 2024
A nurse is submitting a dietary request for a client who devoutly
follows Mormon dietary practices. The nurse should ask the client
if they would like which of the following foods or beverages
excluded from meals?
A. Bacon
B. Coffee
C. Shrimp
D. Milk Correct Answer B. Coffee
A nurse is assessing a client who has a rash on their hands and
forearms after working in a garden. The nurse should identify that
which of the following findings indicates contact dermatitis?
A. Pustules in a scatter pattern across the erythematous area
B. Elevations of the skin with darkened areas and irregular
borders
C. Well-defined margins of the erythematous area
D. Straight, black, threadlike lesions Correct Answer C. Well-
defined margins of the erythematous area
A home health nurse is teaching a client about fire extinguishers.
Which of the following instructions should the nurse include in the
teaching?
A. Store a fire extinguisher next to the kitchen stove.
B. Call the fire department before using a fire extinguisher.
,C. Use a class A extinguisher to put out an electrical fire.
D. Aim the hose of the fire extinguisher toward the top of the
flames. Correct Answer B. Call the fire department before using a
fire extinguisher.
A nurse is performing a fall risk assessment for a client. Which of
the following findings should the nurse identify as a fall risk?
A. The client uses a raised toilet seat.
B. The client takes a flaxseed supplement.
C. The client looks at the ground while walking.
D. The client has a history of urinary frequency. Correct Answer
D. The client has a history of urinary frequency.
A client who has a history of urinary frequency is at risk for a fall
due to frequently getting out of bed at night to go to the bathroom.
The nurse should place a commode next to the client's bed to
reduce the risk for injury
A nurse is assessing a 10-month-old infant who has a urinary
tract infection (UTI). which of the following findings should the
nurse expect?
A. Decreased appetite
B. Generalized rash
C. Decreased respiratory rate
D. Constipation Correct Answer A. Decreased appetite
Manifestations of a UTI in an infant include poor feeding,
irritability, fever, and vomiting
A nurse is preparing to administer acetaminophen drops 60 mg
PO to an infant who has a fever. The amount available is
160mg/5 mL. How many mL should the nurse administer? (Round
,the answer to the nearest tenth. Use a leading zero if it applies.
Do not use a training zero.) Correct Answer 1.9mL
A nurse is teaching a client to self-administer 8 units of NPH
insulin and 2 units of regular insulin in the same syringe. Which of
the following client statements indicates an understanding of the
teaching?
A. "I'll draw up regular insulin into the syringe before the NPH
insulin."
B. "I'll inject air into the regular insulin vial before the NPH vial."
C. "I'll inject 10 units of air into the regular insulin vial."
D. "I'll inject 10 units of air into the NPH insulin vial." Correct
Answer A. "I'll draw up regular insulin into the syringe before the
NPH insulin."
A nurse on a mental health unit is planning an in-service for a
newly hired staff about the use of restraints. Which of the
following information should the nurse include?
A. Document a client's condition every 15 min while in restraints.
B. Request a prescription for PRN restraints for a client who has a
history of violence.
C. Restrain a client as a consequence of not following rules on
the unit.
D. Limit the time an adult client is in restraints to 5 hr. Correct
Answer A. Document a client's condition every 15 min while in
restraints.
A nurse is a part of an informatics committee to improve safety
with medications administration. Which of the following
recommendations should the nurse make to decrease the risk of
errors at the bedside?
, A. Disable Internet access from computers used for medication
administration.
B. Use an electronic medication administration record for
documentation.
C. Create a computer-specific password that staff share for each
computer on the unit.
D. Ask providers to handwrite prescriptions that are then scanned
into the computer. Correct Answer B. Use an electronic
medication administration record for documentation.
A nurse is discussing informed consent with a group of newly
licensed nurses. Which of the following actions is the
responsibility of the nurses when obtaining informed consent?
A. Answer a client's questions about the risks of a procedure.
B. Provide information about alternative treatment options.
C. Explain the steps of the medical procedure documented on the
consent form.
D. Verify that the client voluntarily gave consent for the procedure.
Correct Answer D. Verify that the client voluntarily gave consent
for the procedure
A nurse is teaching a client who has a new diagnosis of
obstructive sleep apnea. Which of the following statements should
the nurse include?
A. "Obstructive sleep apnea occurs when you stop breathing for
at least 10 seconds."
B. "Obstructive sleep apnea is caused by a dysfunction in the
brain."
C. "Obstructive sleep apnea increases your risk for developing
diabetes mellitus."
D. "Obstructive sleep apnea causes excessive episodes of deep
sleep." Correct Answer A. "Obstructive sleep apnea occurs when
you stop breathing for at least 10 seconds."