Proctored Actual Exam A 2026 Edition with Updated High-
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A nurse is assessing a group of clients for indications of role changes. The nurse should
identify that which of the following clients is at risk for experiencing a role change?
SELECTED ANSWER 👀 A client who has multiple sclerosis and is experiencing
progressive difficulty ambulating.
A nurse is providing follow-up care for a client who sustained a compound fracture 3 weeks
ago. The nurse should recognize that an unexpected finding for which of the following
laboratory values is a manifestation of osteomyelitis and should be reported to the provider?
SELECTED ANSWER 👀 Sedimentation rate
A nurse is caring for a client who is postoperative. Complete the diagram by dragging from
the choices below to specify what condition the client is most likely experiencing, two
actions the nurse should take to address that condition, and two parameters the nurse
should monitor to assess the client's progress. SELECTED ANSWER 👀 - Hypovolemia
- Initiate fluid challenge and insert a large-gauge IV.
- Monitor blood pressure and urine output.
The nurse should insert a large-gauge IV and initiate a fluid challenge because the client is
most likely experiencing hypovolemia as evidenced by the client's restlessness,
tachycardia, hypotension, decreased pulses, cool extremities, and decreased urine output.
The nurse should monitor the client's urine output and blood pressure to evaluate the
effectiveness of treatment.
,A nurse is providing teaching to a client who has stage II cervical cancer and is scheduled
for brachytherapy. Which of the following instructions should the nurse include? SELECTED
ANSWER 👀 "You will need to stay still in the bed during each treatment session."
A nurse is caring for a client who is receiving dialysis treatment. For each potential nursing
intervention, click to specify if the intervention is indicated or not indicated. SELECTED
ANSWER 👀 Indicated:
- Place the client in Trendelenburg position.
- Notify the provider immediately.
- Administer a 0.9% sodium chloride 200 mL IV bolus.
- Apply oxygen at 2 L/min via nasal cannula.
Not Indicated:
- Obtain the client's blood glucose level.
- Perform a 12-lead ECG.
A nurse is assessing a client who has had a suspected stroke. The nurse should place the
priority on which of the following findings? SELECTED ANSWER 👀 Dysphagia
A nurse is caring for a client who is 12 hr postoperative following a total hip arthroplasty.
Which of the following actions should the nurse take? SELECTED ANSWER 👀 Place a
pillow between the client's legs.
A nurse is providing teaching to a client who takes ginkgo biloba as an herbal supplement.
Which of the following statements should the nurse make? SELECTED ANSWER 👀
"Ginkgo biloba can cause an increased risk for bleeding."
, A nurse is providing preoperative teaching for a client who is scheduled for an open
cholecystectomy. Which of the following actions should the nurse take? SELECTED
ANSWER 👀 Demonstrate ways to deep breathe and cough.
A nurse is assessing a client who has advanced lung cancer and is receiving palliative care.
The client has just undergone thoracentesis. The nurse should expect a reduction in which
of the following common manifestations of advanced cancer? SELECTED ANSWER 👀
Dyspnea
A nurse is assessing a client while suctioning the client's tracheostomy tube. Which of the
following findings should indicate to the nurse the client is experiencing hypoxia?
SELECTED ANSWER 👀 The client's heart rate increases.
A nurse in the emergency department is caring for a client. Drag 1 condition and 1 client
finding to fill in each blank in the following sentence. SELECTED ANSWER 👀 The client
is experiencing manifestations of PANCREATITIS as evidenced by the AMYLASE AND
LIPASE.
A nurse is assessing a client who is postoperative following a thyroidectomy. Which of the
following findings is the nurse's priority? SELECTED ANSWER 👀 Temperature 38.9° C
(102° F)
A nurse is caring for a client who has anorexia, low-grade fever, night sweats, and a
productive cough. Which of the following actions should the nurse take first? SELECTED
ANSWER 👀 Initiate airborne precautions.
A nurse is caring for a client who is postoperative following abdominal surgery. A nurse is
caring for a client who is postoperative. Which of the following actions should the nurse
take? Select all that apply. SELECTED ANSWER 👀 - Instruct the client to splint the
abdomen with a pillow for coughing.