NCLEX UWorld QUESTIONS AND ANSWERS
ALL CORRECT
Course
NCLEX UWorld
1. A nurse is caring for a client post-thyroidectomy. Which finding requires immediate
intervention?
A. Hoarseness when speaking
B. Sore throat
C. Difficulty swallowing water
D. Stridor and respiratory distress
✅ Answer: D
Rationale: Stridor suggests airway obstruction from laryngeal nerve damage or hematoma—this
is a medical emergency.
2. A nurse is teaching a client with a new prescription for warfarin. Which client statement
indicates a need for further teaching?
A. “I will use an electric razor when shaving.”
B. “I can eat green leafy vegetables freely.”
C. “I will let my dentist know I take warfarin.”
D. “I will have my blood levels checked regularly.”
✅ Answer: B
Rationale: Consistent intake of vitamin K (green leafy vegetables) is important. Sudden
increases reduce warfarin effectiveness.
3. A client with diabetes is found unconscious. What is the nurse’s priority action?
A. Administer 50% dextrose IV
B. Start oxygen therapy
C. Call the rapid response team
D. Recheck blood glucose
✅ Answer: A
Rationale: In an unconscious hypoglycemic client, give IV dextrose immediately; checking
glucose delays treatment.
4. A nurse is caring for a client with Cushing syndrome. Which finding requires priority
action?
,A. Glucose level of 150 mg/dL
B. Purple abdominal striae
C. Sudden onset of confusion
D. Moon-shaped face
✅ Answer: C
Rationale: Confusion could indicate infection or hypertensive crisis, both of which are
dangerous in Cushing syndrome due to immunosuppression and fluid retention.
5. A client newly diagnosed with schizophrenia is started on risperidone. What is the most
important side effect to monitor?
A. Weight gain
B. Constipation
C. Extrapyramidal symptoms
D. Sedation
✅ Answer: C
Rationale: Antipsychotics like risperidone can cause extrapyramidal symptoms (EPS) such as
tremors or rigidity—these may become permanent if untreated.
6. A nurse prepares to administer digoxin to a client. Which finding requires the nurse to
hold the dose?
A. Potassium 3.4 mEq/L
B. Heart rate 64 bpm
C. Respiratory rate 20
D. BP 100/70
✅ Answer: A
Rationale: Low potassium increases digoxin toxicity risk. Normal range is 3.5–5.0 mEq/L. Hold
and report to provider.
7. A nurse is caring for a client 1 day post-op abdominal surgery. Which finding is most
concerning?
A. Pain score of 7/10
B. 20 mL serosanguineous drainage
C. Firm, distended abdomen
D. Mild redness at incision site
✅ Answer: C
Rationale: A distended, firm abdomen may indicate internal bleeding or bowel obstruction—
requires immediate assessment.
, 8. A nurse teaches a client with heart failure about daily weight monitoring. Which
statement shows proper understanding?
A. “I will weigh myself before bed each night.”
B. “I’ll weigh myself after I shower.”
C. “I’ll weigh myself at the same time each morning.”
D. “I only need to weigh myself once a week.”
✅ Answer: C
Rationale: Consistent daily morning weights, before eating, best monitor fluid retention in heart
failure.
9. A client is prescribed enoxaparin for DVT prophylaxis. Which instruction is correct?
A. “I’ll massage the injection site after administration.”
B. “I’ll inject the medication into my thigh muscle.”
C. “I’ll report any unusual bruising.”
D. “I’ll aspirate before injecting.”
✅ Answer: C
Rationale: Enoxaparin is a low-molecular-weight heparin; bleeding is a major side effect.
Clients must report bruising or bleeding.
10. Which newborn finding requires immediate action?
A. Caput succedaneum
B. Respiratory rate of 68/min
C. Nasal flaring and grunting
D. Acrocyanosis
✅ Answer: C
Rationale: Nasal flaring and grunting are signs of respiratory distress—requires urgent
evaluation/intervention.
11. A nurse is caring for a client who has developed acute renal failure. Which lab result
should the nurse prioritize?
A. Blood urea nitrogen (BUN) of 30 mg/dL
B. Potassium level of 5.8 mEq/L
C. Hemoglobin of 12 g/dL
D. Sodium level of 135 mEq/L
✅ Answer: B
ALL CORRECT
Course
NCLEX UWorld
1. A nurse is caring for a client post-thyroidectomy. Which finding requires immediate
intervention?
A. Hoarseness when speaking
B. Sore throat
C. Difficulty swallowing water
D. Stridor and respiratory distress
✅ Answer: D
Rationale: Stridor suggests airway obstruction from laryngeal nerve damage or hematoma—this
is a medical emergency.
2. A nurse is teaching a client with a new prescription for warfarin. Which client statement
indicates a need for further teaching?
A. “I will use an electric razor when shaving.”
B. “I can eat green leafy vegetables freely.”
C. “I will let my dentist know I take warfarin.”
D. “I will have my blood levels checked regularly.”
✅ Answer: B
Rationale: Consistent intake of vitamin K (green leafy vegetables) is important. Sudden
increases reduce warfarin effectiveness.
3. A client with diabetes is found unconscious. What is the nurse’s priority action?
A. Administer 50% dextrose IV
B. Start oxygen therapy
C. Call the rapid response team
D. Recheck blood glucose
✅ Answer: A
Rationale: In an unconscious hypoglycemic client, give IV dextrose immediately; checking
glucose delays treatment.
4. A nurse is caring for a client with Cushing syndrome. Which finding requires priority
action?
,A. Glucose level of 150 mg/dL
B. Purple abdominal striae
C. Sudden onset of confusion
D. Moon-shaped face
✅ Answer: C
Rationale: Confusion could indicate infection or hypertensive crisis, both of which are
dangerous in Cushing syndrome due to immunosuppression and fluid retention.
5. A client newly diagnosed with schizophrenia is started on risperidone. What is the most
important side effect to monitor?
A. Weight gain
B. Constipation
C. Extrapyramidal symptoms
D. Sedation
✅ Answer: C
Rationale: Antipsychotics like risperidone can cause extrapyramidal symptoms (EPS) such as
tremors or rigidity—these may become permanent if untreated.
6. A nurse prepares to administer digoxin to a client. Which finding requires the nurse to
hold the dose?
A. Potassium 3.4 mEq/L
B. Heart rate 64 bpm
C. Respiratory rate 20
D. BP 100/70
✅ Answer: A
Rationale: Low potassium increases digoxin toxicity risk. Normal range is 3.5–5.0 mEq/L. Hold
and report to provider.
7. A nurse is caring for a client 1 day post-op abdominal surgery. Which finding is most
concerning?
A. Pain score of 7/10
B. 20 mL serosanguineous drainage
C. Firm, distended abdomen
D. Mild redness at incision site
✅ Answer: C
Rationale: A distended, firm abdomen may indicate internal bleeding or bowel obstruction—
requires immediate assessment.
, 8. A nurse teaches a client with heart failure about daily weight monitoring. Which
statement shows proper understanding?
A. “I will weigh myself before bed each night.”
B. “I’ll weigh myself after I shower.”
C. “I’ll weigh myself at the same time each morning.”
D. “I only need to weigh myself once a week.”
✅ Answer: C
Rationale: Consistent daily morning weights, before eating, best monitor fluid retention in heart
failure.
9. A client is prescribed enoxaparin for DVT prophylaxis. Which instruction is correct?
A. “I’ll massage the injection site after administration.”
B. “I’ll inject the medication into my thigh muscle.”
C. “I’ll report any unusual bruising.”
D. “I’ll aspirate before injecting.”
✅ Answer: C
Rationale: Enoxaparin is a low-molecular-weight heparin; bleeding is a major side effect.
Clients must report bruising or bleeding.
10. Which newborn finding requires immediate action?
A. Caput succedaneum
B. Respiratory rate of 68/min
C. Nasal flaring and grunting
D. Acrocyanosis
✅ Answer: C
Rationale: Nasal flaring and grunting are signs of respiratory distress—requires urgent
evaluation/intervention.
11. A nurse is caring for a client who has developed acute renal failure. Which lab result
should the nurse prioritize?
A. Blood urea nitrogen (BUN) of 30 mg/dL
B. Potassium level of 5.8 mEq/L
C. Hemoglobin of 12 g/dL
D. Sodium level of 135 mEq/L
✅ Answer: B
