PROCTORED FINAL EXAM QUESTIONS AND CORRECT
ANSWER WITH EXPLANATION LATEST 2025-2026
1. A nurse is caring for a client experiencing respiratory distress. Which action should the
nurse take first?
A. Encourage fluids
B. Assess oxygen saturation
C. Offer food
D. Assist with ambulation
Answer: B
Rationale: Assessment of oxygenation status is the priority in respiratory distress.
2. Which intervention is most effective for preventing infection transmission?
A. Wearing gloves only
B. Hand hygiene
C. Isolation precautions only
D. Antibiotic use
Answer: B
Rationale: Proper hand hygiene is the most effective infection prevention measure.
3. What is the normal adult heart rate range?
A. 40–50 bpm
B. 50–60 bpm
C. 60–100 bpm
D. 110–140 bpm
Answer: C
Rationale: Normal adult pulse rate is 60–100 beats per minute.
,4. Which client should the nurse assess first?
A. Client requesting pain medication
B. Client with chest pain and diaphoresis
C. Client waiting for discharge instructions
D. Client requesting water
Answer: B
Rationale: Chest pain with diaphoresis may indicate myocardial infarction and requires
immediate intervention.
5. Which position is best for a client experiencing dyspnea?
A. Supine
B. Sims’
C. High Fowler’s
D. Trendelenburg
Answer: C
Rationale: High Fowler’s position maximizes lung expansion.
6. Which assessment finding suggests hypoglycemia?
A. Fruity breath odor
B. Increased thirst
C. Sweating and tremors
D. Warm dry skin
Answer: C
Rationale: Sweating and tremors are common signs of low blood glucose.
7. Which action is priority during a seizure?
A. Insert object into mouth
B. Restrain the client
C. Protect the client from injury
D. Offer oral fluids
, Answer: C
Rationale: Preventing injury is the priority during seizure activity.
8. Which finding indicates 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 should the nurse use during CPR assessment in an adult?
A. Radial
B. Pedal
C. Carotid
D. Brachial
Answer: C
Rationale: The carotid pulse is recommended for CPR assessment in adults.
10. Which action demonstrates correct sterile technique?
A. Reaching over sterile field
B. Holding sterile items below waist level
C. Keeping sterile field dry
D. Touching sterile items with bare hands
Answer: C
Rationale: Moisture contaminates sterile fields.
11. Which finding suggests infection?
A. Bradycardia
B. Fever and redness