UWorld NCLEX-RN TEST 2 QUESTIONS AND ANSWERS ALL CORRECT
A nurse coworker is called into work from home to help care for an influx of clients being admitted after
a bus accident. While assisting the coworker prepare for incoming clients, the nurse becomes concerned
that the coworker may be under the influence of an impairing substance. Which action by the nurse is
best?
1.
Ask another coworker to observe the individual to confirm the suspicion
2.
Confront the coworker about the concern and offer emotional support
3.
Speak with the nursing supervisor about the concern
4.
Telephone the appropriate regulatory agency and make a report Correct Answer: 3.
A nurse is administering a rituximab infusion to a client with lymphoma in an oncology clinic. Which
client symptom would be a priority to report to the health care provider?
1.
Dizziness and sudden diarrhea
2.
Nausea and onset of vomiting
3.
New-onset tachypnea and dyspnea
4.
Temperature of 101 F (38.3 C) Correct Answer: 3.
The student nurse plans postmortem care for an Orthodox Jewish client hospitalized for the last week
with heart failure who did not sign consents for any postmortem actions. Which statement by the
student would require further education by the supervising nurse?
1.
"I will allow the family to remain with the client at all times."
2.
"I will call the next of kin before providing any postmortem care."
3.
"I will prepare the client for transfer to the morgue for autopsy."
4.
"I will provide a sheet to be placed over the client's face." Correct Answer: 3.
The nurse is caring for a client with chronic pancreatitis. Which meal should the nurse recommend when
assisting the client in selecting food items from a menu?
1.
Baked tilapia with lemon wedge, sweet potatoes, and green peas
2.
Cream of potato soup and roast beef sandwich on a croissant
3.
Sautéed salmon, macaroni and cheese, string beans, and a biscuit
,4.
Shrimp enchiladas with tomato salsa, rice, cornbread, and refried beans Correct Answer: 1.
The nurse is preparing to change the dressing of a client's subclavian central venous catheter using a
chlorhexidine gluconate (CHG)-impregnated patch and transparent adhesive dressing. Place the
procedural steps in the correct order. All options must be used.
Apply CHG patch over catheter insertion site and cover with a sterile transparent dressing
Cleanse the site with CHG for at least 30 seconds using friction; allow to air dry completely
Discard the clean gloves, perform hand hygiene, and apply sterile gloves
Perform hand hygiene, don face mask, place a mask on the client, and apply clean gloves
Remove old dressing and CHG-impregnated patch; assess insertion site Correct Answer: Perform hand
hygiene, don face mask, place a mask on the client, and apply clean gloves
Remove old dressing and CHG-impregnated patch; assess insertion site
Discard the clean gloves, perform hand hygiene, and apply sterile gloves
Cleanse the site with CHG for at least 30 seconds using friction; allow to air dry completely
Apply CHG patch over catheter insertion site and cover with a sterile transparent dressing
Four clients enter the pediatric emergency department at the same time. Which client should the nurse
see first?
1.
2-week-old with tricuspid atresia who has dusky lips and nailbeds
2.
5-week-old with forceful vomiting after every feeding who is crying
3.
12-month-old who was wheezing at home and is now lethargic with no wheezing
4.
3-year-old with fever who had a brief seizure at home and is asleep Correct Answer: 3.
The unlicensed assistive personnel (UAP) reports being splashed in the eye while emptying urine from
the catheter bag of a client with AIDS. The UAP is afraid of becoming infected with HIV and requests
immediate testing. What is the nurse's priority action?
1.
Direct the UAP to immediately flush the eye with water at the unit's eyewash station
2.
Reassure the UAP that the risk for HIV is low as urine does not transmit the virus
3.
Refer the UAP to the occupational health department for postexposure prophylaxis
4.
Send the UAP to the facility's emergency department for medical evaluation Correct Answer: 1.
, The nurse prepares to administer a client's scheduled prandial regular insulin plus a correctional dose
based on a sliding scale as the client's breakfast tray arrives. The client's fasting blood glucose level is
210 mg/dL (11.7 mmol/L). How many total units of regular insulin should the nurse administer? Click the
exhibit button for additional information. Record your answer using a whole number.
EXHIBIT:
Medication administration record:
Allergies: NKA
Medications:
-Regular insulin: 4 units subcutaneously with each meal (0800, 1200, 1700)
-Regular insulin: per sliding scale, subcutaneously with each meal and before bed
(0800, 1200, 1700, 2100)
Sliding-Scale Blood Glucose Levels:
<150 mg/dL - 0 units
150-199 mg/dL - 3 units
200-249 mg/dL - 6 units
250-299 mg/dL - 9 units
300-349 mg/dL - 12 units
≥350 mg/dL - 15 units; notify HCP Correct Answer: Answer: 10 (units)
The nurse is caring for a client taking escitalopram who reports no improvement of depressive feelings
since starting the medication 2 months ago. What is the best response by the nurse?
1.
"Have you had any recent changes or added stresses in your life?"
2.
"It is too early to notice any difference. Please continue to take the medicine as prescribed."
3.
"Let's talk more about how you have been taking this medication."
4.
"We will talk with your health care provider about changing the prescription." Correct Answer: 3.
The nurse reinforces teaching to the parents of a 12-month-old who has begun weaning from
breastfeeding. Which statement by the parents indicates that teaching has been effective?
1.
"I can allow my child to sleep with a bottle for comfort while weaning."
2.
"I can start substituting breastfeeding sessions with whole cow's milk."
3.
"I should discourage my child from drinking milk to increase solid food intake."
4.
"I will stop breastfeeding completely to expedite the weaning process." Correct Answer: 2.
A nurse coworker is called into work from home to help care for an influx of clients being admitted after
a bus accident. While assisting the coworker prepare for incoming clients, the nurse becomes concerned
that the coworker may be under the influence of an impairing substance. Which action by the nurse is
best?
1.
Ask another coworker to observe the individual to confirm the suspicion
2.
Confront the coworker about the concern and offer emotional support
3.
Speak with the nursing supervisor about the concern
4.
Telephone the appropriate regulatory agency and make a report Correct Answer: 3.
A nurse is administering a rituximab infusion to a client with lymphoma in an oncology clinic. Which
client symptom would be a priority to report to the health care provider?
1.
Dizziness and sudden diarrhea
2.
Nausea and onset of vomiting
3.
New-onset tachypnea and dyspnea
4.
Temperature of 101 F (38.3 C) Correct Answer: 3.
The student nurse plans postmortem care for an Orthodox Jewish client hospitalized for the last week
with heart failure who did not sign consents for any postmortem actions. Which statement by the
student would require further education by the supervising nurse?
1.
"I will allow the family to remain with the client at all times."
2.
"I will call the next of kin before providing any postmortem care."
3.
"I will prepare the client for transfer to the morgue for autopsy."
4.
"I will provide a sheet to be placed over the client's face." Correct Answer: 3.
The nurse is caring for a client with chronic pancreatitis. Which meal should the nurse recommend when
assisting the client in selecting food items from a menu?
1.
Baked tilapia with lemon wedge, sweet potatoes, and green peas
2.
Cream of potato soup and roast beef sandwich on a croissant
3.
Sautéed salmon, macaroni and cheese, string beans, and a biscuit
,4.
Shrimp enchiladas with tomato salsa, rice, cornbread, and refried beans Correct Answer: 1.
The nurse is preparing to change the dressing of a client's subclavian central venous catheter using a
chlorhexidine gluconate (CHG)-impregnated patch and transparent adhesive dressing. Place the
procedural steps in the correct order. All options must be used.
Apply CHG patch over catheter insertion site and cover with a sterile transparent dressing
Cleanse the site with CHG for at least 30 seconds using friction; allow to air dry completely
Discard the clean gloves, perform hand hygiene, and apply sterile gloves
Perform hand hygiene, don face mask, place a mask on the client, and apply clean gloves
Remove old dressing and CHG-impregnated patch; assess insertion site Correct Answer: Perform hand
hygiene, don face mask, place a mask on the client, and apply clean gloves
Remove old dressing and CHG-impregnated patch; assess insertion site
Discard the clean gloves, perform hand hygiene, and apply sterile gloves
Cleanse the site with CHG for at least 30 seconds using friction; allow to air dry completely
Apply CHG patch over catheter insertion site and cover with a sterile transparent dressing
Four clients enter the pediatric emergency department at the same time. Which client should the nurse
see first?
1.
2-week-old with tricuspid atresia who has dusky lips and nailbeds
2.
5-week-old with forceful vomiting after every feeding who is crying
3.
12-month-old who was wheezing at home and is now lethargic with no wheezing
4.
3-year-old with fever who had a brief seizure at home and is asleep Correct Answer: 3.
The unlicensed assistive personnel (UAP) reports being splashed in the eye while emptying urine from
the catheter bag of a client with AIDS. The UAP is afraid of becoming infected with HIV and requests
immediate testing. What is the nurse's priority action?
1.
Direct the UAP to immediately flush the eye with water at the unit's eyewash station
2.
Reassure the UAP that the risk for HIV is low as urine does not transmit the virus
3.
Refer the UAP to the occupational health department for postexposure prophylaxis
4.
Send the UAP to the facility's emergency department for medical evaluation Correct Answer: 1.
, The nurse prepares to administer a client's scheduled prandial regular insulin plus a correctional dose
based on a sliding scale as the client's breakfast tray arrives. The client's fasting blood glucose level is
210 mg/dL (11.7 mmol/L). How many total units of regular insulin should the nurse administer? Click the
exhibit button for additional information. Record your answer using a whole number.
EXHIBIT:
Medication administration record:
Allergies: NKA
Medications:
-Regular insulin: 4 units subcutaneously with each meal (0800, 1200, 1700)
-Regular insulin: per sliding scale, subcutaneously with each meal and before bed
(0800, 1200, 1700, 2100)
Sliding-Scale Blood Glucose Levels:
<150 mg/dL - 0 units
150-199 mg/dL - 3 units
200-249 mg/dL - 6 units
250-299 mg/dL - 9 units
300-349 mg/dL - 12 units
≥350 mg/dL - 15 units; notify HCP Correct Answer: Answer: 10 (units)
The nurse is caring for a client taking escitalopram who reports no improvement of depressive feelings
since starting the medication 2 months ago. What is the best response by the nurse?
1.
"Have you had any recent changes or added stresses in your life?"
2.
"It is too early to notice any difference. Please continue to take the medicine as prescribed."
3.
"Let's talk more about how you have been taking this medication."
4.
"We will talk with your health care provider about changing the prescription." Correct Answer: 3.
The nurse reinforces teaching to the parents of a 12-month-old who has begun weaning from
breastfeeding. Which statement by the parents indicates that teaching has been effective?
1.
"I can allow my child to sleep with a bottle for comfort while weaning."
2.
"I can start substituting breastfeeding sessions with whole cow's milk."
3.
"I should discourage my child from drinking milk to increase solid food intake."
4.
"I will stop breastfeeding completely to expedite the weaning process." Correct Answer: 2.
