NCLEX RN uworld #08
Hirsutism - Answer is a condition in women that consists of male pattern hair growth on
the face, lower abdomen, chest and back . #72116868 (58)
1 - Answer During assessment of a client who had major abdominal surgery a week
ago, the nurse notes that the incision has dehisced and evisceration has occurred. The
nurse stays with the client while another staff member gets sterile gauze and saline.
How should the nurse POSITION the client while waiting to cover the wound?
#72116868 (59)
1. Low Fowler's position with knees bent
2. Prone to prevent further evisceration
3. Side lying lateral position
4. Supine with head of the bed flat
wound evisceration - Answer is the protrusion of internal organs through the wall of an
incision. #72116868 (59)
1 - Answer A client who is 2 hours post aortic valve replacement is in the intensive care
unit (ICU). The low pressure alarm for the client's radial arterial line sounds. What
ACTION should the nurse take "FIRST"? #72116868 (60)
1. Check for bleeding at tube connection sites
2. Perform a fast flush of the arterial line system
3. Re-level the transducer to the phlebostatic axis
4. Zero and re-balance the monitor and system.
hypotension - Answer A low pressure alarm could signal #72116868 (60)
1,3,4 - Answer The nurse assesses a client with fever and productive cough for the last
10 days. Which findings support the presence of PNEUMONIA. "SELECT ALL THAT
APPLY" #72116868 (61)
1. Coarse crackles
2. Hyperresonance
3. Pleuritic chest pain
4. Shortness of breath
5. Trachea deviating from midline
3 - Answer Which of the following tasks would the charge nurse on a surgical unit
assign to the experienced UNLICENSED ASSISTIVE PERSONNEL (UAP)?
#72116868 (62)
1. Assisting a client in ambulating to the bathroom for the first time following surgery.
2. Explaining why using the incentive spirometer is important to a client with
postoperative pneumonia.
3. Feeding a client with dementia who has a blood sugar of 70 mg/dL
4. Taking vital signs every 15 minutes on a client who was just transferred from the
post-anesthesia recovery unit.
, NCLEX RN uworld #08
3 - Answer A client is admitted to the hospital for chemotherapy complications.
Laboratory results show an absolute neutrophil count of 450 cells/mm. What information
contained in the admission history of this client will need to be "ADDRESSED" during
discharge education?
#72116868 (63)
1. Eat steamed vegetables daily
2. Enjoys eating grilled shrimp weekly
3. Gardens as hobby
4. Takes a bath daily and applies moisturizer
3 - Answer The nurse is educating a client recently diagnosed with anaphylactic allergy
to latex. Which statement made by the client indicates that the client UNDERSTOOD
the condition correctly?
#72116868 (64)
1. "I do not need to worry about my allergy when I am outside of a health care
environment."
2. "I just need to check labels to ensure products do not contain latex and I will be fine."
3. "I should always carry my Epi-pen in case I have difficulty breathing."
4. "I should take better care of myself and eat healthy foods like bananas and
chestnuts."
2 - Answer The nurse in the outpatient procedure unit is caring for a client immediately
post BRONCHOSCOPY Which assessment data indicate that the nurse needs to
contact the health care provider "IMMEDIATELY "?
#72116868 (65)
1. Absence of gag reflex
2. Bright red blood mixed with sputum
3. Headache
4. Respirations 10/min and saturation of 92%
3,5,1,4,2 - Answer A client receiving a first dose of IV cefazolin has developed a diffuse
rash, hypotension and shortness of breath. Place the nurse's subsequent actions in the
correct order. ALL OPTIONS MUST
BE USED. #72116868 (66)
1. Give IM epinephrine and start IV normal saline
2. Monitor vital signs for changes
3. Stop the infusion and call for help
4. Administer diphenhydramine IV
5. Assess airway and place client on oxygen
2 - Answer When a client diagnosed with acute urinary retention is emergently
catheterized, the nurse should initially assess for which "PRIORITY" manifestation that
may occur as a result of the catheterization? #72116868 (67)
1. Dysuria
2. Hypotension
3. Infection
Hirsutism - Answer is a condition in women that consists of male pattern hair growth on
the face, lower abdomen, chest and back . #72116868 (58)
1 - Answer During assessment of a client who had major abdominal surgery a week
ago, the nurse notes that the incision has dehisced and evisceration has occurred. The
nurse stays with the client while another staff member gets sterile gauze and saline.
How should the nurse POSITION the client while waiting to cover the wound?
#72116868 (59)
1. Low Fowler's position with knees bent
2. Prone to prevent further evisceration
3. Side lying lateral position
4. Supine with head of the bed flat
wound evisceration - Answer is the protrusion of internal organs through the wall of an
incision. #72116868 (59)
1 - Answer A client who is 2 hours post aortic valve replacement is in the intensive care
unit (ICU). The low pressure alarm for the client's radial arterial line sounds. What
ACTION should the nurse take "FIRST"? #72116868 (60)
1. Check for bleeding at tube connection sites
2. Perform a fast flush of the arterial line system
3. Re-level the transducer to the phlebostatic axis
4. Zero and re-balance the monitor and system.
hypotension - Answer A low pressure alarm could signal #72116868 (60)
1,3,4 - Answer The nurse assesses a client with fever and productive cough for the last
10 days. Which findings support the presence of PNEUMONIA. "SELECT ALL THAT
APPLY" #72116868 (61)
1. Coarse crackles
2. Hyperresonance
3. Pleuritic chest pain
4. Shortness of breath
5. Trachea deviating from midline
3 - Answer Which of the following tasks would the charge nurse on a surgical unit
assign to the experienced UNLICENSED ASSISTIVE PERSONNEL (UAP)?
#72116868 (62)
1. Assisting a client in ambulating to the bathroom for the first time following surgery.
2. Explaining why using the incentive spirometer is important to a client with
postoperative pneumonia.
3. Feeding a client with dementia who has a blood sugar of 70 mg/dL
4. Taking vital signs every 15 minutes on a client who was just transferred from the
post-anesthesia recovery unit.
, NCLEX RN uworld #08
3 - Answer A client is admitted to the hospital for chemotherapy complications.
Laboratory results show an absolute neutrophil count of 450 cells/mm. What information
contained in the admission history of this client will need to be "ADDRESSED" during
discharge education?
#72116868 (63)
1. Eat steamed vegetables daily
2. Enjoys eating grilled shrimp weekly
3. Gardens as hobby
4. Takes a bath daily and applies moisturizer
3 - Answer The nurse is educating a client recently diagnosed with anaphylactic allergy
to latex. Which statement made by the client indicates that the client UNDERSTOOD
the condition correctly?
#72116868 (64)
1. "I do not need to worry about my allergy when I am outside of a health care
environment."
2. "I just need to check labels to ensure products do not contain latex and I will be fine."
3. "I should always carry my Epi-pen in case I have difficulty breathing."
4. "I should take better care of myself and eat healthy foods like bananas and
chestnuts."
2 - Answer The nurse in the outpatient procedure unit is caring for a client immediately
post BRONCHOSCOPY Which assessment data indicate that the nurse needs to
contact the health care provider "IMMEDIATELY "?
#72116868 (65)
1. Absence of gag reflex
2. Bright red blood mixed with sputum
3. Headache
4. Respirations 10/min and saturation of 92%
3,5,1,4,2 - Answer A client receiving a first dose of IV cefazolin has developed a diffuse
rash, hypotension and shortness of breath. Place the nurse's subsequent actions in the
correct order. ALL OPTIONS MUST
BE USED. #72116868 (66)
1. Give IM epinephrine and start IV normal saline
2. Monitor vital signs for changes
3. Stop the infusion and call for help
4. Administer diphenhydramine IV
5. Assess airway and place client on oxygen
2 - Answer When a client diagnosed with acute urinary retention is emergently
catheterized, the nurse should initially assess for which "PRIORITY" manifestation that
may occur as a result of the catheterization? #72116868 (67)
1. Dysuria
2. Hypotension
3. Infection
