PROCTORED EXAM 4QUESTIONS AND CORRECT
ANSWER WITH EXPLANATION LATEST 2025-2026
1. A nurse is caring for a client with difficulty breathing. What is the priority action?
A. Offer fluids
B. Assess oxygen saturation
C. Obtain diet history
D. Encourage ambulation
Answer: B
Rationale: Oxygenation status must be assessed immediately in respiratory distress.
2. Which action best prevents healthcare-associated infections?
A. Wearing gloves only
B. Hand hygiene
C. Using antibiotics
D. Double gloving
Answer: B
Rationale: Hand hygiene is the most effective infection prevention method.
3. What is the normal adult pulse rate?
A. 40–50 bpm
B. 50–60 bpm
C. 60–100 bpm
D. 110–140 bpm
Answer: C
Rationale: The normal adult pulse is 60–100 beats per minute.
4. Which patient should the nurse assess first?
,A. Client requesting pain medication
B. Client with oxygen saturation of 82%
C. Client waiting for discharge papers
D. Client asking for water
Answer: B
Rationale: Low oxygen saturation indicates impaired oxygenation and is priority.
5. A nurse should use which position for a client with dyspnea?
A. Supine
B. Sims’
C. High Fowler’s
D. Trendelenburg
Answer: C
Rationale: High Fowler’s position improves lung expansion.
6. Which finding indicates hypoglycemia?
A. Dry skin
B. Sweating and shakiness
C. Increased thirst
D. Fruity breath odor
Answer: B
Rationale: Sweating and shakiness are common symptoms of low blood glucose.
7. What is the priority during a seizure?
A. Insert tongue blade
B. Restrain the client
C. Protect from injury
D. Give fluids
Answer: C
Rationale: Preventing injury is the priority during seizures.
, 8. Which finding suggests dehydration?
A. Edema
B. Moist mucous membranes
C. Poor skin turgor
D. Bounding pulse
Answer: C
Rationale: Poor skin turgor is a sign of fluid volume deficit.
9. Which pulse site is best during CPR for an adult?
A. Radial
B. Pedal
C. Carotid
D. Brachial
Answer: C
Rationale: The carotid pulse is easiest to palpate during emergencies.
10. Which action demonstrates proper sterile technique?
A. Reaching across sterile field
B. Holding sterile objects below waist
C. Keeping sterile field dry
D. Touching sterile field with bare hands
Answer: C
Rationale: Moisture contaminates sterile fields.
11. A nurse should identify which as a sign of infection?
A. Bradycardia
B. Fever and redness
C. Cool pale skin
D. Clear drainage
Answer: B
Rationale: Fever and redness are common infection indicators.