Page 1 of 170
Prometric Exam Preparation Exam Actual
Exam 2026/2027 – Complete Exam-Style
Questions with Detailed Rationales |
100% Verified | Pass Guaranteed
Question 1
Scenario: A 68-year-old male with a history of hypertension and
type 2 diabetes presents with sudden onset of right-sided
weakness and slurred speech. His last known well time was 2
hours ago. Vital signs: BP 180/100, HR 98, RR 20, O2 saturation
96% on room air. What is the priority action?
A) Administer aspirin 325 mg orally
B) Obtain a non-contrast head CT scan
C) Start an IV infusion of 0.9% normal saline
D) Give alteplase (tPA) immediately
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Answer: B
Rationale: For acute ischemic stroke within 3-4.5 hours of onset,
the first step is rapid neuroimaging (non-contrast CT) to rule out
hemorrhage. tPA is given only after CT confirms no bleed. Aspirin
is contraindicated if tPA is planned. IV fluids may be started but
not before CT.
Question 2
A nurse is caring for a patient receiving a blood transfusion.
Fifteen minutes after the start, the patient reports low back pain
and chills. What is the priority action?
A) Stop the transfusion and infuse normal saline
B) Slow the transfusion rate
C) Administer acetaminophen as ordered
D) Notify the blood bank
,Page 3 of 170
Answer: A
Rationale: Low back pain and chills indicate a possible acute
hemolytic transfusion reaction. The transfusion must be stopped
immediately, and the IV line kept open with normal saline. The
provider and blood bank are notified after stopping.
Question 3
Scenario: A patient with heart failure is receiving furosemide 40
mg IV push. Which laboratory value should the nurse check
before administration?
A) Serum sodium
B) Serum potassium
C) Serum creatinine
D) Serum calcium
Answer: B
, Page 4 of 170
Rationale: Furosemide is a loop diuretic that causes potassium
wasting. Hypokalemia increases the risk of cardiac dysrhythmias.
The nurse should check potassium level before administration.
Question 4
A patient with chronic obstructive pulmonary disease (COPD) has
an oxygen saturation of 88% on 2 L/min nasal cannula. The
nurse increases the flow to 3 L/min. Fifteen minutes later, the
patient is lethargic and has a respiratory rate of 8 breaths/min.
What is the most likely cause?
A) Oxygen-induced hypoventilation due to loss of hypoxic drive
B) Carbon dioxide narcosis
C) Allergic reaction to nasal cannula
D) Pulmonary embolism
Answer: A
Prometric Exam Preparation Exam Actual
Exam 2026/2027 – Complete Exam-Style
Questions with Detailed Rationales |
100% Verified | Pass Guaranteed
Question 1
Scenario: A 68-year-old male with a history of hypertension and
type 2 diabetes presents with sudden onset of right-sided
weakness and slurred speech. His last known well time was 2
hours ago. Vital signs: BP 180/100, HR 98, RR 20, O2 saturation
96% on room air. What is the priority action?
A) Administer aspirin 325 mg orally
B) Obtain a non-contrast head CT scan
C) Start an IV infusion of 0.9% normal saline
D) Give alteplase (tPA) immediately
,Page 2 of 170
Answer: B
Rationale: For acute ischemic stroke within 3-4.5 hours of onset,
the first step is rapid neuroimaging (non-contrast CT) to rule out
hemorrhage. tPA is given only after CT confirms no bleed. Aspirin
is contraindicated if tPA is planned. IV fluids may be started but
not before CT.
Question 2
A nurse is caring for a patient receiving a blood transfusion.
Fifteen minutes after the start, the patient reports low back pain
and chills. What is the priority action?
A) Stop the transfusion and infuse normal saline
B) Slow the transfusion rate
C) Administer acetaminophen as ordered
D) Notify the blood bank
,Page 3 of 170
Answer: A
Rationale: Low back pain and chills indicate a possible acute
hemolytic transfusion reaction. The transfusion must be stopped
immediately, and the IV line kept open with normal saline. The
provider and blood bank are notified after stopping.
Question 3
Scenario: A patient with heart failure is receiving furosemide 40
mg IV push. Which laboratory value should the nurse check
before administration?
A) Serum sodium
B) Serum potassium
C) Serum creatinine
D) Serum calcium
Answer: B
, Page 4 of 170
Rationale: Furosemide is a loop diuretic that causes potassium
wasting. Hypokalemia increases the risk of cardiac dysrhythmias.
The nurse should check potassium level before administration.
Question 4
A patient with chronic obstructive pulmonary disease (COPD) has
an oxygen saturation of 88% on 2 L/min nasal cannula. The
nurse increases the flow to 3 L/min. Fifteen minutes later, the
patient is lethargic and has a respiratory rate of 8 breaths/min.
What is the most likely cause?
A) Oxygen-induced hypoventilation due to loss of hypoxic drive
B) Carbon dioxide narcosis
C) Allergic reaction to nasal cannula
D) Pulmonary embolism
Answer: A
