Health Proctored Exam
.A newly admitted client who has major depressive disorder states to the nurse, "I'm a
failure, I can't even cope with the little things anymore." Which of the following responses
should the nurse provide?
A) "What happened in your life to make you feel like such a failure?"
B) "It sounds as if you are feeling pretty overwhelmed right now"
C) "Do you feel like you don't deserve to feel good about yourself?"
D) "I know you feel like that now, but you'll feel differently when you get better" - ANSWER-
C) "Do you feel like you don't deserve to feel good about yourself?"
.A newly licensed nurse is preparing to administer medications to a client. The nurse notes
that the provider has prescribed a medication that is unfamiliar to him. Which of the
following actions should the nurse take?
A) Consult the medication reference book available on the unit
B) Ask a more experienced nurse for information about the medication
C) Call the clients provider and verify the prescription
D) Ask the client if she takes this medication at home - ANSWER-A) Consult the medication
reference book available on the unit
.A nurse has received a prescription for dextran to administer to a client. The nurse should
recognize that dextran belongs in which of the following functional classifications
A) Skeletal muscle relaxants
B) Beta-adrenergic blockers
,C) Broad-spectrum anti-infective agents
D) Plasma volume expanders - ANSWER-D) Plasma volume expanders
.A nurse in a providers office is assessing a client who has heart failure. The client has gained
weight since her last, and her an,les are edematous. Which of the following findings is
another clinical manifestation of fluid volume excess
A) Sunken eyeball
B) Hypotension
C) Poor skin turgor
D) Bounding pulse - ANSWER-D) Bounding pulse
.A nurse in an oncology clinic is assessing a client who is undergoing treatment for ovarian
cancer. Which of the following statements by the client indicates she is experiencing
psychological distress?
A) "My parents are retired, and they have come to help with our children
B) "I am going to ask my husband to go to counseling with me"
C) "I keep having nightmares about my upcoming surgery"
D) "My girlfriends bought me a nice wig" - ANSWER-C) "I keep having night,ares about my
upcoming surgery"
.A nurse is a rehabilitation facility is observing an assistive personal (AP) help a client transfer
from a bed to a wheelchair. Which of the following actions indicates to the nurse that the AP
understands how to perform this task
A) Locking the brakes on the bed and the wheelchair before moving the client
B) Lowering the footplates of the wheelchair before the transfer
C) Placing the wheelchair perpendicular to the bed
D) Placing the wheelchair on the clients weaker side prior to the transfer - ANSWER-A)
Locking the brakes on the bed and the wheelchair before moving the client
, .A nurse is administering an IM injection to a 5-month-old infant. Which of the following
injection sites should the nurse use?
A) Deltoid
B) Ventrogluteal
C) Vastus lateralis
D) Dorsogluteal - ANSWER-C) Vastus lateralis
.A nurse is admitting a client who has decreased circulation in his left leg. Which of the
following actions should the nurse take first?
A) Evaluate pedal pulses
B) Obtain a medical history
C) Measure vital signs
D) Assess for leg pain - ANSWER-A) Evaluate pedal pulses
.A nurse is admitting a client who will undergo a craniotomy. During the planning phase of
the nursing process, which of the following actions should the nurse take?
A) Establish client outcomes
B) Collect information about past health problems
C) Determine whether the client has met specific goals
D) Identify the clients specific health problem - ANSWER-A) Establish client outcomes
.A nurse is assessing a client who has a sudden onset of severe back pain of unknown origin.
Which of the following questions should the nurse ask to encourage discussion with the
client?
A) "Does the medication you're taking relieve the pain?"
B) "Can you point to where the pain is the worst?"
C) "What do you think caused the onset of your pain?"
D) "Changing positions makes your pain worse, right?" - ANSWER-C) "What do you think
caused the onset of your pain?"