UWORLD NCLEX RN TEST 1 AND 2
CERTIFICATION PREP WORKBOOK 2026
QUESTIONS WITH SOLUTIONS GRADED A+
⩥ A housekeeping employee tells the staff nurse of having a headache
and asks for acetaminophen. How should the nurse respond?
Answer: Refer employee to the employee health provider.
⩥ The school nurse assesses an 8-year-old with a history of asthma. The
nurse notes mild wheezing and coughing. Which action should the nurse
perform first?
Answer: Assess the client's peak expiratory flow.
⩥ A client comes to the community mental health clinic seeking
treatment for severe anxiety associated with a recent job promotion that
requires a 30-minute commute via train. The nurse recognizes that this
client most likely suffers from which psychological disorder?
Answer: Agoraphobia
⩥ A client who is diagnosed with breast cancer asks the nurse, "Am I
going to die?" Which statement by the nurse promotes a therapeutic
relationship?
Answer: "People with cancer experience fear of dying; tell me about
your concerns."
,⩥ The nurse is reinforcing education to the caregivers of a 9-year-old
client diagnosed with scarlet fever. The client has a history of type 1
diabetes mellitus. Which statement by the caregivers indicates that
further teaching is needed?
Answer: "We will not administer insulin if our child is unable to eat."
⩥ A client is diagnosed with right-sided Bell's palsy. What instructions
should the nurse give this client for care at home? Select all that apply.
Answer: 1. Apply a patch to the right eye at night.
3. Chew on the left side.
4. Maintain meticulous oral hygiene.
- Bell's palsy is an inflammation of the cranial nerve VII (facial) that
causes motor and sensory alterations. Clients are usually managed as
outpatients, with corticosteroids to reduce inflammation, and taught
eye/oral care. In Bell's palsy, the eyelids do not close properly. This may
result in eye dryness and risk of corneal abrasions. However, weakness
of teh lower eyelid may cause excessive tearing due to overflow in some
clients. Facial muscle weakness results in poor chewing and food
retention.
⩥ The spouse brings a client to the emergency department due to erratic
behavior and expressions of despair. The emergency department is
extremely busy with many clients. When the triage nurse asks if the
client feels suicidal now, the client shrugs the shoulders. What initial
action should the triage nurse take?
, Answer: Place the client in an inside hallway with one-on-one
observation.
⩥ The orthopedic health care provider instructs a client with a fractured
femur, who has been non-weight bearing for the past 5 weeks, to
progress to full weight bearing on the right leg. which advanced crutch
gait that most closely resembles normal walking should the office nurse
teach the client?
Answer: 4-point gait
- there are 5 crutch gaits: 2-, 3-, 4-point, swing-to, and swing-through
⩥ `A nurse administers an intramuscular (IM) injection using the Z-track
method technique. Place the steps in chronological order. All options
must be used.
Answer: 4. Pull the skin 1-1 1/2" (2.5-3.5 cm) laterally and away from
the injection site.
3. Hold the skin taut with non-dominant hand and insert needle at a 90-
degree angle.
2. Inject medication slowly with dominant hand while maintaining
traction
6. Wait 10 seconds after injecting the medication and withdraw the
needle.
Release the hold on the skin, allowing the layers to slide back to their
original position.
1. Apply gentle pressure at the injection site but do not massage.
CERTIFICATION PREP WORKBOOK 2026
QUESTIONS WITH SOLUTIONS GRADED A+
⩥ A housekeeping employee tells the staff nurse of having a headache
and asks for acetaminophen. How should the nurse respond?
Answer: Refer employee to the employee health provider.
⩥ The school nurse assesses an 8-year-old with a history of asthma. The
nurse notes mild wheezing and coughing. Which action should the nurse
perform first?
Answer: Assess the client's peak expiratory flow.
⩥ A client comes to the community mental health clinic seeking
treatment for severe anxiety associated with a recent job promotion that
requires a 30-minute commute via train. The nurse recognizes that this
client most likely suffers from which psychological disorder?
Answer: Agoraphobia
⩥ A client who is diagnosed with breast cancer asks the nurse, "Am I
going to die?" Which statement by the nurse promotes a therapeutic
relationship?
Answer: "People with cancer experience fear of dying; tell me about
your concerns."
,⩥ The nurse is reinforcing education to the caregivers of a 9-year-old
client diagnosed with scarlet fever. The client has a history of type 1
diabetes mellitus. Which statement by the caregivers indicates that
further teaching is needed?
Answer: "We will not administer insulin if our child is unable to eat."
⩥ A client is diagnosed with right-sided Bell's palsy. What instructions
should the nurse give this client for care at home? Select all that apply.
Answer: 1. Apply a patch to the right eye at night.
3. Chew on the left side.
4. Maintain meticulous oral hygiene.
- Bell's palsy is an inflammation of the cranial nerve VII (facial) that
causes motor and sensory alterations. Clients are usually managed as
outpatients, with corticosteroids to reduce inflammation, and taught
eye/oral care. In Bell's palsy, the eyelids do not close properly. This may
result in eye dryness and risk of corneal abrasions. However, weakness
of teh lower eyelid may cause excessive tearing due to overflow in some
clients. Facial muscle weakness results in poor chewing and food
retention.
⩥ The spouse brings a client to the emergency department due to erratic
behavior and expressions of despair. The emergency department is
extremely busy with many clients. When the triage nurse asks if the
client feels suicidal now, the client shrugs the shoulders. What initial
action should the triage nurse take?
, Answer: Place the client in an inside hallway with one-on-one
observation.
⩥ The orthopedic health care provider instructs a client with a fractured
femur, who has been non-weight bearing for the past 5 weeks, to
progress to full weight bearing on the right leg. which advanced crutch
gait that most closely resembles normal walking should the office nurse
teach the client?
Answer: 4-point gait
- there are 5 crutch gaits: 2-, 3-, 4-point, swing-to, and swing-through
⩥ `A nurse administers an intramuscular (IM) injection using the Z-track
method technique. Place the steps in chronological order. All options
must be used.
Answer: 4. Pull the skin 1-1 1/2" (2.5-3.5 cm) laterally and away from
the injection site.
3. Hold the skin taut with non-dominant hand and insert needle at a 90-
degree angle.
2. Inject medication slowly with dominant hand while maintaining
traction
6. Wait 10 seconds after injecting the medication and withdraw the
needle.
Release the hold on the skin, allowing the layers to slide back to their
original position.
1. Apply gentle pressure at the injection site but do not massage.
