Q&A | PROCTORED & EXIT EXAM | NGN EDITION 2026
1. A nurse is preparing to insert an indwelling urinary catheter for a female client.
The nurse opens the sterile kit, dons sterile gloves, and then realizes the
lubricant is missing. What should the nurse do?
A. Ask an unlicensed assistive person to get more lubricant
B. Reach for lubricant from a nearby drawer
C. Obtain a new sterile kit and start over
D. Use water as a substitute for lubricant
Correct answer: C
Rationale: Breaking sterility to reach for lubricant contaminates the field. Restarting
with a new kit is the only safe option.
2. A client with heart failure is prescribed furosemide. Which finding indicates the
medication is effective?
A. Weight loss of 2 kg in 24 hours
B. Urine output of 20 mL/hour
C. Blood pressure of 90/60 mm Hg
D. Complaints of dry mouth
Correct answer: A
Rationale: Weight loss indicates effective diuresis and reduction of fluid overload.
Hypotension, low urine output, and dry mouth are adverse effects.
, 3. A nurse is performing a home safety assessment for an older adult. Which
finding requires immediate intervention?
A. Grab bars installed in the shower
B. Nightlights in the hallway
C. A small, unsecured scatter rug in the kitchen
D. Handrails on both sides of the staircase
Correct answer: C
Rationale: Unsecured scatter rugs are a major fall hazard. Grab bars, nightlights, and
handrails are safety features.
4. A client is receiving enteral feedings through a nasogastric tube. The nurse
should place the client in which position during the feeding?
A. Supine
B. Left lateral
C. High‑Fowler’s
D. Trendelenburg
Correct answer: C
Rationale: High‑Fowler’s prevents aspiration and promotes gastric emptying.