UWorld NCLEX-RN TEST 2 EXAM UPGRADED VERIFIED ,WITH DETAILED ANSWERS

1. A nurse coworker is called into work from home 3. to help care for an influx of clients being ad- mitted 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 con- cern 4. Telephone the appropriate regulatory agency and make a report 2. A nurse is administering a rituximab infusion to 3. a client with lymphoma in an oncology clinic. Which client symptom would be a priority to re- port 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) 3. The student nurse plans postmortem care for an 3. Orthodox Jewish client hospitalized for the last week with heart failure who did not sign con- sents for any postmortem actions. Which state- ment by the student would require further edu- cation 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." 4. The nurse is caring for a client with chronic pan- 1. creatitis. Which meal should the nurse recom- mend 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, corn- bread, and refried beans 5. The nurse is preparing to change the dressing of a client's subclavian central venous catheter using a chlorhexidine gluconate (CHG)-impreg- nated 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 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 Cleanse the site with CHG for at least 30 seconds gloves using friction; allow to air dry completely Cleanse the site with CHG for at Discard the clean gloves, perform hand hygiene, least 30 seconds using friction; al- 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 6. Four clients enter the pediatric emergency de- partment at the same time. Which client should low to air dry completely Apply CHG patch over catheter in- sertion site and cover with a sterile transparent dressing 3. 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 7. The unlicensed assistive personnel (UAP) reports 1. 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 depart- ment for postexposure prophylaxis