PROCTORED EXAM ACTUAL EXAM
COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES – JUST RELEASED
1. A nurse is preparing to administer an IM injection to
an adult client who has a BMI of 30. Which of the
following needle lengths is appropriate to administer
the injection in the ventrogluteal muscle - ANSWER
✓ 1 1/2 INCH
2. A nurse is providing education about a new
prescription for nitroglycerin (NitroQuick) to a client
who is diagnosed with angina. Which statement
indicates a need for further teaching? - ANSWER ✓
"im lucky i have a prescription plan that allows me to
buy pills in bulk"-Shelf life 8-10 months, instruct to
date the bottle when first opened.
,3. A nurse is caring for a client who is in the immediate
postoperative period following a tracheotomy. Which
of the following is the nurse's priority action? -
ANSWER ✓ Maintaining a patent airway
4. A nurse is collecting data on four clients. Which of
the following finding is the most urgent? - ANSWER
✓ Warmth and pain in the calf.
5. A nurse is caring for a client who is having difficulty
breathing. Which of the following actions should the
nurse take first? - ANSWER ✓ Place the client in the
orthopneic position.
6. A nurse is collecting data on four clients. Which of
following is the highest priority finding by the nurse?
- ANSWER ✓ Diarrhea
7. A nurse is reviewing the lab results for four clients.
The client with which of the following values
requires immediate intervention? - ANSWER ✓
Platelets 95,000 mm3
,8. A nurse is assisting with the admission of a client
who has decreased circulation in the left leg. Which
of the following is the first action the nurse should
take? - ANSWER ✓ Check the leg for warmth and
edema.
9. A nurse in a rehabilitation facility has received report
on four clients. Which of the following should the
nurse evaluate first? - ANSWER ✓ A client who had
abdominal surgery 10 days ago and reports feeling
his incision pop
10. A nurse is reinforcing discharge teaching to a
new mother regarding sudden infant death syndrome
(SIDS). Which of the following is the highest priority
to include in the instructions? - ANSWER ✓ Place
the infant in a supine position when sleeping.
11. A newly hired nurse is reviewing the facility's
emergency preparedness plan. Based on a review of
the four triage categories, the nurse should provide
priority care to clients who are which of the
, following categories during a disaster? - ANSWER ✓
Immediate
12. A nurse is preparing to administer oral
medications to a client who has unilateral weakness
following a cerebrovascular accident (CVA). Which
of the following should be the priority action of the
nurse? - ANSWER ✓ Have the client position the
head with the chin down while swallowing.
13. A nurse is caring for a client who has a serum
potassium level of 3.1 mEq/L. Which of the
following actions should the nurse take first? -
ANSWER ✓ Obtain an ECG.
14. A nurse in an urgent care clinic is caring for a
client who has bronchitis with thick pulmonary
secretions. The client's oxygen saturation level is
90% on room air. Which of the following actions
should the nurse take first? - ANSWER ✓ Assist
client to cough effectively.