NCLEX RN uworld #06 QUESTIONS AND ANSWERS A GRADED
The labor and delivery (L&D) nurse is floated to a medical-surgical floor for a shift. Which client is MOST
APPROPRIATE for the charge nurse to assign to the L&D nurse? #72116868 (14)
1. Child with an occluded arteriovenous fistula receiving IV heparin infusion.
2. Client with cirrhosis and ascites who requires bedside paracentesis.
3. Client with diabetes who is one day postoperative below-the-knee amputation.
4. Client with pyelonephritis who is febrile and receiving IV antibiotics Correct Answer: 4
frequently care for pregnant woman with urinary tract infections and would be familiar with the
management of a client with pyelonephritis. #72116868 (14) Correct Answer: labor and delivery (L&D)
A client is admitted with SICKLE CELL CRISIS has a hemoglobin level of 9 g/dL. The client reports severe
pain in the back and leg joints. The nurse would anticipate which of the following ?"SELECT ALL THAT
APPLY " #72116868 (15)
1. Folic acid supplements
2. Folic high in Iron
3. Ice packs to painful joints
4. Intravenous hydration
5. Intravenous morphine Correct Answer: 1,4,5
treatment are narcotic analgesia, aggressive hydration, oxygenation and folic acid, not iron
supplementation. Correct Answer: sickle cell crisis
reduces the viscosity of the blood and prevent sickling. Ice pack should not be applied to swollen joints.
#72116868(15) Correct Answer: Hydration
The nurse is performing a physical examination on a 10 year old client with abdominal discomfort.
Which actions would be APPROPRIATE during the examination? "SELECT ALL THAT APPLY"
#72116868 ( 16)
1. Ask the accompany parent to rate and describe the client's pain.
2. Ask the client to describe the the chief symptom.
3. Conduct a head-to-toe assessment in the same manner as an adult assessment
4. Explain the outcome of the examination to the parent without the child present
5. Honor the client's request to be examined without a parent consent. Correct Answer: 2,3,5
The client screams at the nurse, "you are all incompetent here , I have been waiting for 2 hours"How
should the nurse respond "INITIALLY"?
1. "I know you are upset, but I will have to call security if you continue to scream." #72116868 (17)
2. "I see that you are upset. Let's focus on how I can help you."
3. "I want you to know that the health care providers (HCP) are all well-qualified professionals."
4. "It is frustrating to wait so long, and I am sorry for the delay." Correct Answer: 4
, The school nurse creates a cafeteria menu for a newly enrolled child with CELIAC DISEASE. Which
lunches would be APPROPRIATE for this child? "SELECT ALL THAT APPLY" #72116868 (18)
1. Beef barley soup with mixed vegetables and French bread.
2. Grilled chicken, baked potato, and strawberry yogurt.
3. Mexican corn tacos with ground beef and cheese
4. Peanut butter and jelly on rice cakes with an oatmeal cookie
5. Rice needles with chicken and broccoli Correct Answer: 2,3,5
is an autoimmne disorder in which an individual cannot tolerate gluten, a protein found in barley, rye,
oats and wheat (BROW). Rice, corn and potatoes are allowed in the diet and can be used as grain
substitutes. #72116868 (18) Correct Answer: Celiac disease
The mother of a 6 year old child with CYSTIC FIBROSIS (CF) has received instruction on the use of
pancreatic enzymes. Which statement made by the mother indicates a "NEED FOR FURTHER TEACHING"
#72116868 (19)
1. "I need to monitor the total amount of this medication that I give to my child everyday."
2. "I should give this medication with or just before my child has a meal or snack."
3. "It is okay for my child to chew this medication."
4. "It is okay to open the capsule and sprinkle the medicine on a tablespoon of applesauce." Correct
Answer: 3
are used to aid the absorption of carbohydrates, fats and proteins in a child with CF. They are taken with
or just before every meal ( not as needed) , should be swallowed whole or sprinkled on an acidic food
and should not be crushed or chewed. They should not be taken with milk. Excessive intake could result
in fibrosing colonopathy. #72116868 (19) Correct Answer: Pancreatic enzyme supplements
A nurse cares for a frail, elderly client with osteoporosis in a nursing home. Which interventions are
APPROPRIATE to include in the client's care plan to help prevent a hip fracture? "SELECT ALL THAT
APPLY" #72116868 (20)
1. Calcium supplement
2. Encourage bed rest
3. Use of full bed rails during the night
4. Vitamin D supplements
5. Weight-bearing exercises. Correct Answer: 1,4,5
related fall is the most common cause of hip fracture in the elderly. #72116868 (20) Correct Answer:
osteoporosis
Intervention to reduce the risk of ___and ____ fracture include bisphosphonate medication, calcium and
vitamin D supplements, mobility and weight bearing exercise, smoking cessation and avoiding excessive
use of alcohol #72116868 (20) Correct Answer: fall and hip
A nurse auscultates a loud cardiac murmur on a newborn with suspected trisomy 21 (Down syndrome).
A genetic screen and an echocardiogram are scheduled that day. The neonate's vital signs are shown in
the exhibit. What would be an APPROPRIATE action for the nurse to complete "NEXT"? #72116868 (21)
The labor and delivery (L&D) nurse is floated to a medical-surgical floor for a shift. Which client is MOST
APPROPRIATE for the charge nurse to assign to the L&D nurse? #72116868 (14)
1. Child with an occluded arteriovenous fistula receiving IV heparin infusion.
2. Client with cirrhosis and ascites who requires bedside paracentesis.
3. Client with diabetes who is one day postoperative below-the-knee amputation.
4. Client with pyelonephritis who is febrile and receiving IV antibiotics Correct Answer: 4
frequently care for pregnant woman with urinary tract infections and would be familiar with the
management of a client with pyelonephritis. #72116868 (14) Correct Answer: labor and delivery (L&D)
A client is admitted with SICKLE CELL CRISIS has a hemoglobin level of 9 g/dL. The client reports severe
pain in the back and leg joints. The nurse would anticipate which of the following ?"SELECT ALL THAT
APPLY " #72116868 (15)
1. Folic acid supplements
2. Folic high in Iron
3. Ice packs to painful joints
4. Intravenous hydration
5. Intravenous morphine Correct Answer: 1,4,5
treatment are narcotic analgesia, aggressive hydration, oxygenation and folic acid, not iron
supplementation. Correct Answer: sickle cell crisis
reduces the viscosity of the blood and prevent sickling. Ice pack should not be applied to swollen joints.
#72116868(15) Correct Answer: Hydration
The nurse is performing a physical examination on a 10 year old client with abdominal discomfort.
Which actions would be APPROPRIATE during the examination? "SELECT ALL THAT APPLY"
#72116868 ( 16)
1. Ask the accompany parent to rate and describe the client's pain.
2. Ask the client to describe the the chief symptom.
3. Conduct a head-to-toe assessment in the same manner as an adult assessment
4. Explain the outcome of the examination to the parent without the child present
5. Honor the client's request to be examined without a parent consent. Correct Answer: 2,3,5
The client screams at the nurse, "you are all incompetent here , I have been waiting for 2 hours"How
should the nurse respond "INITIALLY"?
1. "I know you are upset, but I will have to call security if you continue to scream." #72116868 (17)
2. "I see that you are upset. Let's focus on how I can help you."
3. "I want you to know that the health care providers (HCP) are all well-qualified professionals."
4. "It is frustrating to wait so long, and I am sorry for the delay." Correct Answer: 4
, The school nurse creates a cafeteria menu for a newly enrolled child with CELIAC DISEASE. Which
lunches would be APPROPRIATE for this child? "SELECT ALL THAT APPLY" #72116868 (18)
1. Beef barley soup with mixed vegetables and French bread.
2. Grilled chicken, baked potato, and strawberry yogurt.
3. Mexican corn tacos with ground beef and cheese
4. Peanut butter and jelly on rice cakes with an oatmeal cookie
5. Rice needles with chicken and broccoli Correct Answer: 2,3,5
is an autoimmne disorder in which an individual cannot tolerate gluten, a protein found in barley, rye,
oats and wheat (BROW). Rice, corn and potatoes are allowed in the diet and can be used as grain
substitutes. #72116868 (18) Correct Answer: Celiac disease
The mother of a 6 year old child with CYSTIC FIBROSIS (CF) has received instruction on the use of
pancreatic enzymes. Which statement made by the mother indicates a "NEED FOR FURTHER TEACHING"
#72116868 (19)
1. "I need to monitor the total amount of this medication that I give to my child everyday."
2. "I should give this medication with or just before my child has a meal or snack."
3. "It is okay for my child to chew this medication."
4. "It is okay to open the capsule and sprinkle the medicine on a tablespoon of applesauce." Correct
Answer: 3
are used to aid the absorption of carbohydrates, fats and proteins in a child with CF. They are taken with
or just before every meal ( not as needed) , should be swallowed whole or sprinkled on an acidic food
and should not be crushed or chewed. They should not be taken with milk. Excessive intake could result
in fibrosing colonopathy. #72116868 (19) Correct Answer: Pancreatic enzyme supplements
A nurse cares for a frail, elderly client with osteoporosis in a nursing home. Which interventions are
APPROPRIATE to include in the client's care plan to help prevent a hip fracture? "SELECT ALL THAT
APPLY" #72116868 (20)
1. Calcium supplement
2. Encourage bed rest
3. Use of full bed rails during the night
4. Vitamin D supplements
5. Weight-bearing exercises. Correct Answer: 1,4,5
related fall is the most common cause of hip fracture in the elderly. #72116868 (20) Correct Answer:
osteoporosis
Intervention to reduce the risk of ___and ____ fracture include bisphosphonate medication, calcium and
vitamin D supplements, mobility and weight bearing exercise, smoking cessation and avoiding excessive
use of alcohol #72116868 (20) Correct Answer: fall and hip
A nurse auscultates a loud cardiac murmur on a newborn with suspected trisomy 21 (Down syndrome).
A genetic screen and an echocardiogram are scheduled that day. The neonate's vital signs are shown in
the exhibit. What would be an APPROPRIATE action for the nurse to complete "NEXT"? #72116868 (21)
