UWORLD NCLEX RN TEST 1 AND 2 STUDY
GUIDE MODULE ASSESSMENT 2026
ANSWERS AND RATIONALES GRADED A+
⩥ A new nurse is caring for an adolescent transgender client. What
question would be appropriate when assessing the client's gender
identity?
Answer: "How would you describe your gender?"
⩥ The nurse is caring for a client who was just resuscitated following an
out-of-hospital cardiac arrest. The client does not follow commands and
remains comatose. What intervention does the nurse anticipate being
added to the client's plan of care?
Answer: Obtaining equipment and cold fluids for induction of
therapeutic hypothermia.
- Neurologic injury is the most common cause of mortality in clients
who have had cardiac arrest, particularly ventricular fibrillation or
pulseless ventricular tachycardia.
- inducing therapeutic hypothermia in these clients within 6 hours of
arrest and maintaining it for 24 hours has been shown to decrease
mortality rates and improve neurologic outcomes.
⩥ Therapeutic hypothermia.
, Answer: Following a cardiac arrest (particularly ventricular fibrillation
or pulseless ventricular tachycardia), to prevent neurological injury, the
client is cooled to 89.6-93.2 F for 24 hours before rewarming.
-Accomplished by cooling blankets, ice placed in the groin, axillae, and
sides of the neck, and cold IV fluids.
- Nurse must closely assess the cardiac monitor because bradycardia is
common.
- monitor core body temp, blood pressure, and skin for thermal injury.
- MAP to be kept >80 mm Hg
- Apply neuroprotective strategies: elevate HOB to 30 degrees.
⩥ An adult client is admitted with back pain and found to have a
metastatic tumor tumor on the spine. The health care provider (HCP)
explains that the client has few months to live and is likely to become
totally paralyzed below the waist soon. The next day, the client tells the
nurse of wanting to be discharged despite the HCP's recommendation
that the client stay a few more days. Which is the most appropriate
initial response by the nurse?
Answer: "Tell me more about your need to leave the hospital."
⩥ The nurse assesses a client who is receiving methotrexate for
rheumatoid arthritis. Which statement by the client is most concerning?
Answer: "I have small, purple spots all over my skin."
⩥ Methotrexate
GUIDE MODULE ASSESSMENT 2026
ANSWERS AND RATIONALES GRADED A+
⩥ A new nurse is caring for an adolescent transgender client. What
question would be appropriate when assessing the client's gender
identity?
Answer: "How would you describe your gender?"
⩥ The nurse is caring for a client who was just resuscitated following an
out-of-hospital cardiac arrest. The client does not follow commands and
remains comatose. What intervention does the nurse anticipate being
added to the client's plan of care?
Answer: Obtaining equipment and cold fluids for induction of
therapeutic hypothermia.
- Neurologic injury is the most common cause of mortality in clients
who have had cardiac arrest, particularly ventricular fibrillation or
pulseless ventricular tachycardia.
- inducing therapeutic hypothermia in these clients within 6 hours of
arrest and maintaining it for 24 hours has been shown to decrease
mortality rates and improve neurologic outcomes.
⩥ Therapeutic hypothermia.
, Answer: Following a cardiac arrest (particularly ventricular fibrillation
or pulseless ventricular tachycardia), to prevent neurological injury, the
client is cooled to 89.6-93.2 F for 24 hours before rewarming.
-Accomplished by cooling blankets, ice placed in the groin, axillae, and
sides of the neck, and cold IV fluids.
- Nurse must closely assess the cardiac monitor because bradycardia is
common.
- monitor core body temp, blood pressure, and skin for thermal injury.
- MAP to be kept >80 mm Hg
- Apply neuroprotective strategies: elevate HOB to 30 degrees.
⩥ An adult client is admitted with back pain and found to have a
metastatic tumor tumor on the spine. The health care provider (HCP)
explains that the client has few months to live and is likely to become
totally paralyzed below the waist soon. The next day, the client tells the
nurse of wanting to be discharged despite the HCP's recommendation
that the client stay a few more days. Which is the most appropriate
initial response by the nurse?
Answer: "Tell me more about your need to leave the hospital."
⩥ The nurse assesses a client who is receiving methotrexate for
rheumatoid arthritis. Which statement by the client is most concerning?
Answer: "I have small, purple spots all over my skin."
⩥ Methotrexate
