PROCTORED EXAM Q & A
1. A nurse is providing discharge teaching to the guardians of a toddler who had
lower leg cast applied 24 hr ago. The nurse should instruct the guardians to
report which of the following finding to the provider?
Capillary refill time less than 2 seconds
Restricted ability to move the toes
Swelling of the casted foot when the leg is dependent Pedal pulse
+3 bilateral
2. A nurse in an emergency department is auscultating the lungs of an adolescent
who is experiencing dyspnea. The nurse should identify the sound as which of the
following?
Wheezes
Crackles
Pleural friction rub
Rhonchi
3. A nurse is caring for a preschooler who has congestive heart failure. The nurse
observes wide QRS complexes and peaked T waves on the cardiac monitor.
Which of the following prescriptions should the nurse clarify with the provider?
Furosemide
Captopril
Regular insulin
Potassium chloride
, 4. A nurse is planning an educational program for school-age children and their
parents about bicycle safety. Which of the following information should the
nurse plan to include?
The child should be able to stand on the balls of their feet when sitting on the
bike.
The child should ride their bike 2 feet to the side of other bike riders.
The child should wear dark-colored clothing with a fluorescent stripe when
riding at night.
The child should ride the bike facing traffic when it is necessary to ride in
the street.
5. A nurse is an emergency department is caring for a school-age child who
has epiglottitis. Which of the following actions should the nurse take?
Obtain a throat culture from the child.
Monitor the child's oxygen saturation.
Put a warm mist humidifier in the child's room. Place the
child in the supine position
6. A nurse in an emergency department is caring for a school-age child who has
sustained a minor superficial burn from fireworks on their forearm. Which of
the following actions should the nurse take?
Administer the tetanus toxoid vaccine if more than 1 year since the prior dose.