PROCTORED ACTUAL PAPER 2026
QUESTIONS WITH SOLUTIONS GRADED A+
⩥ What statement indicates a client understands the instructions for a
24-hour urine collection?
Answer: "I flushed what I urinated at 7:00 a.m. and have saved all urine
since."
⩥ Which complementary therapy is contraindicated for a client with
herpes zoster?
Answer: Acupuncture is contraindicated to prevent an open portal on the
skin's surface, which could increase the risk of further infection.
⩥ What is the correct order of actions for transferring a client with right-
sided weakness from bed to chair?
Answer: 1. Ask the client if he can bear weight. 2. Position the chair on
the left side of the bed. 3. Have the client sit and dangle his feet at the
bedside. 4. Use the stand-pivot technique to move the client to the chair.
⩥ What should a nurse do after drawing 1 mL of opioid medication from
a vial?
,Answer: Ask another nurse to observe the medication wastage, as a
second nurse must witness the disposal of any portion of a dose of a
controlled substance.
⩥ How should a nurse set the infusion pump for a heparin infusion of
25,000 units in 250 mL at 800 units/hr?
Answer: Set the infusion pump to 8 mL/hr.
⩥ What is the first step in mixing regular and NPH insulin?
Answer: Inject 5 units of air into the bottle of regular insulin.
⩥ What is the second step in mixing regular and NPH insulin?
Answer: Withdraw the correct dose of NPH insulin from the bottle.
⩥ What is the third step in mixing regular and NPH insulin?
Answer: Inject 10 units of air into the bottle of NPH insulin.
⩥ What is the fourth step in mixing regular and NPH insulin?
Answer: Withdraw the correct dose of regular insulin from the bottle.
⩥ What is the recommended fluid intake for a client who has been
immobile?
,Answer: Fluid intake of 3,000 mL per day is generally adequate unless
contraindicated.
⩥ What is a normal finding for lower-extremity pulse strength?
Answer: A lower-extremity pulse strength of 2+ is considered normal.
⩥ How often should a client have a bowel movement?
Answer: A bowel movement every other day can be considered normal
for some clients.
⩥ What should a nurse monitor for in a client with a history of
immobility?
Answer: Monitor for signs of pressure ulcers, such as erythema on
pressure points.
⩥ What is the purpose of a 24-hour urine collection?
Answer: To assess kidney function and measure substances in the urine
over a full day.
⩥ What is the significance of flushing the first urine in a 24-hour
collection?
Answer: Flushing the first urine ensures that only the urine produced
after the collection starts is measured.
, ⩥ What is a potential risk of acupuncture in clients with skin infections?
Answer: It could create an open portal on the skin's surface, increasing
the risk of further infection.
⩥ What is the role of a second nurse in the disposal of controlled
substances?
Answer: A second nurse must witness the disposal of any portion of a
dose of a controlled substance.
⩥ What is the importance of positioning the chair correctly when
transferring a client?
Answer: Positioning the chair on the correct side facilitates a safer and
more efficient transfer.
⩥ What is the rationale for having a client dangle their feet at the
bedside before transfer?
Answer: It helps the client to adjust and prevent dizziness or falls when
standing.
⩥ What are the key components of patient education for insulin
administration?
Answer: Correct mixing of insulins, understanding the timing of doses,
and recognizing signs of hypoglycemia.