NCLEX RN uworld #09 QUESTIONS AND ANSWERS ALL CORRECT
The nurse should assess the client with _______________ activity first. This client is at increased risk for
injury, aspiration, and airway obstruction.
#71941465 (10) Correct Answer: seizure
The nurse is admitting a client with heart failure related fluid overload. Which ACTION should the nurse
complete "FIRST"? #71941465 (11)
1. Administer oxygen
2. Assess the client's breath sounds
3. Initiate cardiac monitoring
4. Insert a peripheral IV catheter. Correct Answer: 2
A young adult with obesity comes to the free clinic for a 2 week post antibiotic follow-up visit for a
superficial abdominal skin abscess. The client has a history of major depressive disorder and was
hospitalized twice in the past 6 months for ATTEMPTED SUICIDE. The client now reports
feeling"EMOTIONALLY UPSET, alone and a the end of my rope." due to difficulty finding a job and
inability to qualify for medical insurance. The client is currently prescribed fluoxetine but has not been
able to follow up with the prescribing health care provider (HCP). What is the "PRIORITY" nursing
diagnosis (ND) at this time? #71941465 (12)
1. Hopelessness
2. Ineffective coping
3. Risk for infection
4. Risk for suicide Correct Answer: 4
The nurse at the radiological imaging center is admitting a client for an MRI of the right knee. Which
information obtained by the nurse should be reported IMMEDIATELY to the prescribing health care
provider? #71941465 (13)
1. The client ate a full breakfast that morning
, 2. The client has an implantable cardioverter defibrillator.
3. The client is allergic to providone-iodine
4. The client took all prescribed cardiac medications before arriving. Correct Answer: 2
In the emergency department, a pediatric client is placed on mechanical ventilation by means of an
endotracheal tube. Several hours later, the nurse enters the room and finds the client in respiratory
distress. It is "MOST IMPORTANT" for the nurse to take which of these actions? #71941465 (14)
1. Assess the client for intercostal retractions
2. Assess the client's blood pressure in both arms
3. Auscultate the client's lung sounds
4. Observe the color of the client's fingernails beds. Correct Answer: 3
A client is suspected of having GRAVE'S DISEASE (hyperthyroidism). Which signs and / or symptoms are
EXPECTED to be present in this client. "SELECT ALL THAT APPLY" #71941465 (15)
1. Anxiety
2. Bradycardia
3. Dry skin
4. Heart palpitation
5. Protrusion of the eyeballs
6. Weight gain Correct Answer: 1,4,5
refers to a sustained hyperfunctioning of the thyroid gland due to an increase in thyroid hormones (T3
and T4), It causes symptoms with a high metabolic rate, including weight loss, heart palpitations, heat
intolerance, anxiety , hand tremors and insomnia. #71941465 (15) Correct Answer: Hyperthyroidism
The nurse receives notification from the telemetry room that a client appears to be in ventricular
fibrillation (VF). The nurse immediately goes to the client's room and finds the client unresponsive and
pulseless. Place the intervention in the "APPRO-
The nurse should assess the client with _______________ activity first. This client is at increased risk for
injury, aspiration, and airway obstruction.
#71941465 (10) Correct Answer: seizure
The nurse is admitting a client with heart failure related fluid overload. Which ACTION should the nurse
complete "FIRST"? #71941465 (11)
1. Administer oxygen
2. Assess the client's breath sounds
3. Initiate cardiac monitoring
4. Insert a peripheral IV catheter. Correct Answer: 2
A young adult with obesity comes to the free clinic for a 2 week post antibiotic follow-up visit for a
superficial abdominal skin abscess. The client has a history of major depressive disorder and was
hospitalized twice in the past 6 months for ATTEMPTED SUICIDE. The client now reports
feeling"EMOTIONALLY UPSET, alone and a the end of my rope." due to difficulty finding a job and
inability to qualify for medical insurance. The client is currently prescribed fluoxetine but has not been
able to follow up with the prescribing health care provider (HCP). What is the "PRIORITY" nursing
diagnosis (ND) at this time? #71941465 (12)
1. Hopelessness
2. Ineffective coping
3. Risk for infection
4. Risk for suicide Correct Answer: 4
The nurse at the radiological imaging center is admitting a client for an MRI of the right knee. Which
information obtained by the nurse should be reported IMMEDIATELY to the prescribing health care
provider? #71941465 (13)
1. The client ate a full breakfast that morning
, 2. The client has an implantable cardioverter defibrillator.
3. The client is allergic to providone-iodine
4. The client took all prescribed cardiac medications before arriving. Correct Answer: 2
In the emergency department, a pediatric client is placed on mechanical ventilation by means of an
endotracheal tube. Several hours later, the nurse enters the room and finds the client in respiratory
distress. It is "MOST IMPORTANT" for the nurse to take which of these actions? #71941465 (14)
1. Assess the client for intercostal retractions
2. Assess the client's blood pressure in both arms
3. Auscultate the client's lung sounds
4. Observe the color of the client's fingernails beds. Correct Answer: 3
A client is suspected of having GRAVE'S DISEASE (hyperthyroidism). Which signs and / or symptoms are
EXPECTED to be present in this client. "SELECT ALL THAT APPLY" #71941465 (15)
1. Anxiety
2. Bradycardia
3. Dry skin
4. Heart palpitation
5. Protrusion of the eyeballs
6. Weight gain Correct Answer: 1,4,5
refers to a sustained hyperfunctioning of the thyroid gland due to an increase in thyroid hormones (T3
and T4), It causes symptoms with a high metabolic rate, including weight loss, heart palpitations, heat
intolerance, anxiety , hand tremors and insomnia. #71941465 (15) Correct Answer: Hyperthyroidism
The nurse receives notification from the telemetry room that a client appears to be in ventricular
fibrillation (VF). The nurse immediately goes to the client's room and finds the client unresponsive and
pulseless. Place the intervention in the "APPRO-
