ANTI PROCTORED 2022/2023
ANSWERED
A nurse is caring for an infant who has a prescription for continuous pulse oximetry. The
following is an appropriate action for the nurse to take?
a) Placed infant under radiant warmer Move the probe site every 3 hours
b) Heat the skin one minute prior to placing the
program d) Placed a sensor on the index finger
A nurse in a mental health facility receives a change of shift report on for clients. Which of the
following clients should the nurse plan to assess first?
a) Client placed in restraints to the aggressive behavior
b) A new limited client pleasures history of 4.5 kg weight loss in the past two months
c) Client is receiving a PRN dose of health heard all two hours ago for increased anxiety
d) Applied he'll be receiving his first ECT treatment today
A nurse working at the clinic is teaching a group of clients who are pregnant on the use of
nonpharmacological pain management. Which of the following statements by the nurse is an
appropriate description of the use of hypnosis during labor?
a) Hypnosis focuses on the biofeedback as a relaxation technique
b) Hypnosis promotes increased control of her pain perception during contractions
c) Hypnosis uses therapeutic touch to reduce anxiety
d) Hypnosis provides instruction to minimize pain
A nurse in a County Jail health clinic is leading group therapy session. A client who was
incarcerated for theft is addressing the group. Which of the following is an example of reaction
formation? (rxn formation is when you use opposite feelings; ex: being super nice to someone
you dislike)
a) I steal things because it's the only way I can keep my mind off my bad marriage
b) I can't believe I was accused of something I didn't do
c) I don't want talk about my feelings right now. We will talk more next time
d) I think that people just you're just lazy and should earn money honestly
A nurse is obtaining the medical history of a client who has a new prescription for isosorbide
monotitrate. Which of the following should the nurse identify as a contraindication to
medication?
a) Glaucoma
b) Hypertension
ANTI PROCTORED 2022/2023
ANSWERED
, ANTI PROCTORED 2022/2023
ANSWERED
c) Polycythemia
d) Migraine headaches
The nurses is caring for a client recovering from an acute myocardial infarction. Which
following intervention should the nurse include in the point of care?
a) Draw a troponin level every four hours
b) Performance EKG every 12 hours
c) Plant oxygen tent fell over minutes via rebreather mask Obtain a cardiac rehabilitation consult
A Nurses caring for client who has breast cancer and has been covering receiving chemotherapy.
Which of the following laboratory values should nurse report to provider?
a) WBC 3,000/mm3
b) Hemoglobin 14 g/dl
c) Platelet 250,000/mm3
d) aPTT 30 seconds
Home health nurse is carefully planned for Alzheimer's disease. To the following action should
the nurse include in the plan of care
a) Place a daily calendar in the kitchen
b) Replace button clothing with zippered
items c) Replace the carpet with hardwood
floors
d) Create variation in daily routine
Nurse is performing change of shift assessments on 4 clients. Which of the following findings
should the nurse report to provider first?
a) The client was cystic fibrosis and has a thick productive clock and reports thirst
b) Client who has gastroenteritis and is lethargic and confused
c) The Client has diabetes mellitus has morning fasting Legal cost of 185 mg over deal
d) The client was sick of signing it reports pain 15 minutes after receiving oral analgesic
A nurse is caring for a client was in the second trimester of pregnancy and asks how to treat
constipation. Which of the following statements by the nurse is appropriate?
a) Decrease taking vitamins and supplements to every other day
b) Eat 15 g of fiber per day
c) Consume 48 ounces of water each day (need at least 64 oz)
d) Drink hot water with lemon juice each morning when you wake up
ANTI PROCTORED 2022/2023
ANSWERED
, ANTI PROCTORED 2022/2023
ANSWERED
A nurse is caring for a client who is preparing his advance directives. Which is the following
statements by the client indicates an understanding of advanced directives? select all that apply
a) I can't change my instructions once a minute
b) My doctor will need to approve my advance directives
c) I need an attorney to witness my signature on the advance
directives d) I have the right to refuse treatment
e) My health care proxy can make medical decisions for me
A nurse is caring for a client who is at 32 weeks gestation and has a history of cardiac disease.
Which of the following positions should the nurse place the client to best promote optimal
cardiac output?
a) The chest
b) Standing
c) Supine
d) Left lateral
A nurse is caring for a group of clients. Which of the following clients should the nurse assign to
an AP?
a) Client who has chronic obstructive pulmonary disease and needs guidance on
incentive spirometry
b) Client who has awoken following a bronchoscopy and requests a drink
c) Client who had a myocardial infarction 3 days ago reports chest discomfort
d) Client who had a cerebrovascular accident two days ago and needs help toileting
Nurse providing discharge teaching to the client who has schizophrenia and is starting therapy
with clozapine. Which of the following is the highest priority for the client to report to the
provider?
a) Constipation
b) blurred vision
c) Fever
d) Dry Mouth
A nurse observes an AP providing care to a child who is in skeletal traction. Which of the
following action requires intervention?
a) Providing a high protein snack
b) Assisting the child to reposition
c) Placing weights as a child's bed
d) Massaging pressure points-causes skin breakdown
ANTI PROCTORED 2022/2023
ANSWERED
, ANTI PROCTORED 2022/2023
ANSWERED
A nurse is planning to delegate to an AP the fasting blood glucose testing for a client who has
diabetes mellitus. Which of the following action should the nurse take?
a) Determine if the AP is qualified to perform the test.
b) Help the AP performed the blood glucose test
c) Assign the AP to ask the client is taking his diabetic medication today
d) Have AP check the medical record for prior blood glucose test results
A nurse is assessing client brought to the hospital psychiatric emergency services by a law
enforcement officer. The client has disorganized, incoherent speech with loose associations and
religious content. You should recognize the signs and symptoms as being consistent with which
of the following?
a) Alzheimer's disease
b) Schizophrenia
c) Substance intoxication
d) Depression
A nurse is caring for a child who has infectious mononucleosis.. Which of the following findings
are associated with this diagnosis? Select all that apply
a) splenomegaly
b) Koplik spots (this is associated with
measles) c) Malaise
d) Vertigo
e) Sore throat
Nurse is performing dressing change for client was a sacral wound using negative pressure
wound therapy. Which The following actions should the nurse take first?
a) Apply skin preparation to wound edges.
b) Normal saline
c) Don sterile gloves
d) Determine pain level
A nurses caring for client recovery from the bowel surgery who has nasogastric tube connected
to low intermittent suction. Which the following assessment findings should indicate to the nurse
that the NG tube may not be functioning properly?
a) Drainage fluid is greenish-yellow
b) aspirate pH of 3
c) Abdominal rigidity
ANTI PROCTORED 2022/2023
ANSWERED
ANSWERED
A nurse is caring for an infant who has a prescription for continuous pulse oximetry. The
following is an appropriate action for the nurse to take?
a) Placed infant under radiant warmer Move the probe site every 3 hours
b) Heat the skin one minute prior to placing the
program d) Placed a sensor on the index finger
A nurse in a mental health facility receives a change of shift report on for clients. Which of the
following clients should the nurse plan to assess first?
a) Client placed in restraints to the aggressive behavior
b) A new limited client pleasures history of 4.5 kg weight loss in the past two months
c) Client is receiving a PRN dose of health heard all two hours ago for increased anxiety
d) Applied he'll be receiving his first ECT treatment today
A nurse working at the clinic is teaching a group of clients who are pregnant on the use of
nonpharmacological pain management. Which of the following statements by the nurse is an
appropriate description of the use of hypnosis during labor?
a) Hypnosis focuses on the biofeedback as a relaxation technique
b) Hypnosis promotes increased control of her pain perception during contractions
c) Hypnosis uses therapeutic touch to reduce anxiety
d) Hypnosis provides instruction to minimize pain
A nurse in a County Jail health clinic is leading group therapy session. A client who was
incarcerated for theft is addressing the group. Which of the following is an example of reaction
formation? (rxn formation is when you use opposite feelings; ex: being super nice to someone
you dislike)
a) I steal things because it's the only way I can keep my mind off my bad marriage
b) I can't believe I was accused of something I didn't do
c) I don't want talk about my feelings right now. We will talk more next time
d) I think that people just you're just lazy and should earn money honestly
A nurse is obtaining the medical history of a client who has a new prescription for isosorbide
monotitrate. Which of the following should the nurse identify as a contraindication to
medication?
a) Glaucoma
b) Hypertension
ANTI PROCTORED 2022/2023
ANSWERED
, ANTI PROCTORED 2022/2023
ANSWERED
c) Polycythemia
d) Migraine headaches
The nurses is caring for a client recovering from an acute myocardial infarction. Which
following intervention should the nurse include in the point of care?
a) Draw a troponin level every four hours
b) Performance EKG every 12 hours
c) Plant oxygen tent fell over minutes via rebreather mask Obtain a cardiac rehabilitation consult
A Nurses caring for client who has breast cancer and has been covering receiving chemotherapy.
Which of the following laboratory values should nurse report to provider?
a) WBC 3,000/mm3
b) Hemoglobin 14 g/dl
c) Platelet 250,000/mm3
d) aPTT 30 seconds
Home health nurse is carefully planned for Alzheimer's disease. To the following action should
the nurse include in the plan of care
a) Place a daily calendar in the kitchen
b) Replace button clothing with zippered
items c) Replace the carpet with hardwood
floors
d) Create variation in daily routine
Nurse is performing change of shift assessments on 4 clients. Which of the following findings
should the nurse report to provider first?
a) The client was cystic fibrosis and has a thick productive clock and reports thirst
b) Client who has gastroenteritis and is lethargic and confused
c) The Client has diabetes mellitus has morning fasting Legal cost of 185 mg over deal
d) The client was sick of signing it reports pain 15 minutes after receiving oral analgesic
A nurse is caring for a client was in the second trimester of pregnancy and asks how to treat
constipation. Which of the following statements by the nurse is appropriate?
a) Decrease taking vitamins and supplements to every other day
b) Eat 15 g of fiber per day
c) Consume 48 ounces of water each day (need at least 64 oz)
d) Drink hot water with lemon juice each morning when you wake up
ANTI PROCTORED 2022/2023
ANSWERED
, ANTI PROCTORED 2022/2023
ANSWERED
A nurse is caring for a client who is preparing his advance directives. Which is the following
statements by the client indicates an understanding of advanced directives? select all that apply
a) I can't change my instructions once a minute
b) My doctor will need to approve my advance directives
c) I need an attorney to witness my signature on the advance
directives d) I have the right to refuse treatment
e) My health care proxy can make medical decisions for me
A nurse is caring for a client who is at 32 weeks gestation and has a history of cardiac disease.
Which of the following positions should the nurse place the client to best promote optimal
cardiac output?
a) The chest
b) Standing
c) Supine
d) Left lateral
A nurse is caring for a group of clients. Which of the following clients should the nurse assign to
an AP?
a) Client who has chronic obstructive pulmonary disease and needs guidance on
incentive spirometry
b) Client who has awoken following a bronchoscopy and requests a drink
c) Client who had a myocardial infarction 3 days ago reports chest discomfort
d) Client who had a cerebrovascular accident two days ago and needs help toileting
Nurse providing discharge teaching to the client who has schizophrenia and is starting therapy
with clozapine. Which of the following is the highest priority for the client to report to the
provider?
a) Constipation
b) blurred vision
c) Fever
d) Dry Mouth
A nurse observes an AP providing care to a child who is in skeletal traction. Which of the
following action requires intervention?
a) Providing a high protein snack
b) Assisting the child to reposition
c) Placing weights as a child's bed
d) Massaging pressure points-causes skin breakdown
ANTI PROCTORED 2022/2023
ANSWERED
, ANTI PROCTORED 2022/2023
ANSWERED
A nurse is planning to delegate to an AP the fasting blood glucose testing for a client who has
diabetes mellitus. Which of the following action should the nurse take?
a) Determine if the AP is qualified to perform the test.
b) Help the AP performed the blood glucose test
c) Assign the AP to ask the client is taking his diabetic medication today
d) Have AP check the medical record for prior blood glucose test results
A nurse is assessing client brought to the hospital psychiatric emergency services by a law
enforcement officer. The client has disorganized, incoherent speech with loose associations and
religious content. You should recognize the signs and symptoms as being consistent with which
of the following?
a) Alzheimer's disease
b) Schizophrenia
c) Substance intoxication
d) Depression
A nurse is caring for a child who has infectious mononucleosis.. Which of the following findings
are associated with this diagnosis? Select all that apply
a) splenomegaly
b) Koplik spots (this is associated with
measles) c) Malaise
d) Vertigo
e) Sore throat
Nurse is performing dressing change for client was a sacral wound using negative pressure
wound therapy. Which The following actions should the nurse take first?
a) Apply skin preparation to wound edges.
b) Normal saline
c) Don sterile gloves
d) Determine pain level
A nurses caring for client recovery from the bowel surgery who has nasogastric tube connected
to low intermittent suction. Which the following assessment findings should indicate to the nurse
that the NG tube may not be functioning properly?
a) Drainage fluid is greenish-yellow
b) aspirate pH of 3
c) Abdominal rigidity
ANTI PROCTORED 2022/2023
ANSWERED
