PROCTORED REVIEW SCRIPT 2026 FULL
ANSWERS GRADED A+
⩥ What hand hygiene method should be used for a client with
tuberculosis?
Answer: Use antimicrobial sanitizer.
⩥ What is the first action a nurse should take when finding a client on
the bathroom floor?
Answer: Check the client for injuries.
⩥ What type of role-performing stress is indicated by a caregiver feeling
overwhelmed with responsibilities?
Answer: Role overload.
⩥ What is the priority assessment for a nurse administering IV fluids to
an older adult?
Answer: Auscultate lung sounds to monitor for fluid-volume excess.
⩥ What sound indicates a narrowed arterial lumen during a peripheral
vascular assessment?
,Answer: Audible vascular sound associated with turbulent blood flow
(arterial bruit).
⩥ What assessment finding should a nurse expect in a client with
vomiting and diarrhea for 3 days?
Answer: Rapid heart rate.
⩥ What should a nurse do to prevent aspiration in a client receiving
enteral feedings?
Answer: Keep the head of the bed elevated at least 30°.
⩥ What is the significance of auscultating lung sounds in an older adult
receiving IV fluids?
Answer: To monitor for fluid-volume excess, which can cause
complications.
⩥ What is the expected finding in urine specific gravity for a client who
has been vomiting and has diarrhea?
Answer: Urine specific gravity is expected to be elevated, indicating
dehydration.
⩥ What is the role of the nurse when a partner expresses frustration
about caregiving responsibilities?
Answer: Identify the stress as role overload.
,⩥ What should a nurse do after assessing a client for injuries on the
bathroom floor?
Answer: Move hazardous objects away from the client.
⩥ What is the purpose of rinsing the feeding bag with water between
feedings?
Answer: To maintain hygiene and prevent contamination.
⩥ What does a distended jugular vein indicate during a vascular
assessment?
Answer: It may indicate fluid overload or heart failure.
⩥ What is the recommended action for a nurse when a client has a
surgical mask on during tuberculosis care?
Answer: Ensure the nurse also wears a mask to prevent transmission.
⩥ What is the first step in the nursing process when responding to a call
light?
Answer: Assess the situation and check the client for injuries.
⩥ What is the priority intervention for a nurse when caring for a client
with an NG tube?
Answer: Prevent aspiration by keeping the head of the bed elevated.
, ⩥ What should a nurse monitor for when administering IV fluids to
prevent complications?
Answer: Monitor lung sounds for signs of fluid-volume excess.
⩥ What indicates impaired ventricular contraction during a vascular
assessment?
Answer: Asynchronous closure of the aortic and pulmonic valves.
⩥ What is the significance of a rapid heart rate in a client with vomiting
and diarrhea?
Answer: It may indicate dehydration or electrolyte imbalance.
⩥ What is the blood pressure reading mentioned in the notes?
Answer: 144/82 mm Hg
⩥ What condition does tachycardia indicate in a client with vomiting
and diarrhea for 3 days?
Answer: Fluid-volume deficit.
⩥ Which statement indicates a client with terminal liver cancer is
experiencing spiritual distress?
Answer: "What could I have done to deserve this illness?"