NCLEX RN Uworld || Possible Questions Accurately Answered.
The student nurse and the registered nurse are caring for a mechanically ventilated client with an
acute lung injury. Which statement by the student nurse indicates a need for further education?
correct answers "I will perform endotracheal suctioning routinely after oral care."
- Suctioning is performed based on clinical findings such as adventitious breath sounds, elevated
peak airway pressure, coughing, or signs of acute respiratory distress. Frequent suctioning
increases the risk of tracheal and bronchial trauma, bleeding, and hypoxia.
While turning a client the nurse observes that the client's radiation implant has dislodged and is
now lying on the linens. Which action by the nurse is appropriate? correct answers Use long-
handled forceps to secure the implants in a lead container.
What is the priority when caring for a 6-month-old diagnosed with atopic dermatitis? correct
answers Prevention of scratching.
The postoperative client on hydromorphone becomes hypoxic, and naloxone is administered per
protocol. What is most important for the nurse to consider in the follow-up care of this client?
correct answers Client's respiratory status 60 minutes later.
The nurse on the mental health unit received report on 4 clients. Which client should the nurse
see first? correct answers Client diagnosed with post-traumatic stress disorder who reports an
anxiety level of 8/10 and is pacing the room
The nurse administers correct answers Give the client breakfast within 15 minutes
- rapid-acting insulin with an onset of 10-15 minutes; it is important that the client eat within 15
minutes of administration to prevent an insulin-related hypoglycemic reaction
A nurse on a pediatric unit is reviewing interventions for a toddler with a practical nurse who
will be caring for this child. Which of the following are appropriate activities to minimize the
effect of hospitalization on a toddler? Select all that apply. correct answers 1. Integrate preferred
snack foods in the day's routine.
, 2. Plan quiet play prior to usual nap time.
5. Provide 1 or 2 options when choosing toys.
A client in active labor who received an epidural 20 minutes ago reports feeling nauseated and
lightheaded. Which action should the nurse perform first? correct answers Obtain blood pressure.
A nurse on the antepartum unit is caring for a pregnant client at 30 weeks gestation who was
admitted with reports of vaginal bleeding. A diagnosis of placenta previa was confirmed by
ultrasounds. What should the nurse tell the client to anticipate? Select all that apply. correct
answers 1. Additional ultrasound around 36 weeks gestation.
3. Discharge home if bleeding stops and fetal status is reassuring.
4. Scheduled cesarean birth before onset of labor.
The inpatient hospice nurse is caring for a Muslim client newly admitted with terminal cancer.
Which of the following interventions would the nurse anticipate for this client? Select all that
apply. correct answers 1. Arrange for health care workers of the same sex to provide care for the
client.
2. Coordinate with the registered dietician to provide halal meals.
3. Reposition the immobile client to face the city of Mecca during daily prayer times.
5. Upon death, provide the family with supplies for postmortem care.
A nurse manager on a pediatric oncology unit is leading a discussion about personal coping
strategies that nurses can use to remain effective when caring for dying children. What should be
included in the discussion? correct answers Attending a child's memorial service can be helpful.
The nurse in the pediatric clinic is triaging telephone messages. The nurse should call the parent
of which child first? correct answers 7-year-old 5 days post tonsillectomy who wants to return to
soccer practice today.
The student nurse and the registered nurse are caring for a mechanically ventilated client with an
acute lung injury. Which statement by the student nurse indicates a need for further education?
correct answers "I will perform endotracheal suctioning routinely after oral care."
- Suctioning is performed based on clinical findings such as adventitious breath sounds, elevated
peak airway pressure, coughing, or signs of acute respiratory distress. Frequent suctioning
increases the risk of tracheal and bronchial trauma, bleeding, and hypoxia.
While turning a client the nurse observes that the client's radiation implant has dislodged and is
now lying on the linens. Which action by the nurse is appropriate? correct answers Use long-
handled forceps to secure the implants in a lead container.
What is the priority when caring for a 6-month-old diagnosed with atopic dermatitis? correct
answers Prevention of scratching.
The postoperative client on hydromorphone becomes hypoxic, and naloxone is administered per
protocol. What is most important for the nurse to consider in the follow-up care of this client?
correct answers Client's respiratory status 60 minutes later.
The nurse on the mental health unit received report on 4 clients. Which client should the nurse
see first? correct answers Client diagnosed with post-traumatic stress disorder who reports an
anxiety level of 8/10 and is pacing the room
The nurse administers correct answers Give the client breakfast within 15 minutes
- rapid-acting insulin with an onset of 10-15 minutes; it is important that the client eat within 15
minutes of administration to prevent an insulin-related hypoglycemic reaction
A nurse on a pediatric unit is reviewing interventions for a toddler with a practical nurse who
will be caring for this child. Which of the following are appropriate activities to minimize the
effect of hospitalization on a toddler? Select all that apply. correct answers 1. Integrate preferred
snack foods in the day's routine.
, 2. Plan quiet play prior to usual nap time.
5. Provide 1 or 2 options when choosing toys.
A client in active labor who received an epidural 20 minutes ago reports feeling nauseated and
lightheaded. Which action should the nurse perform first? correct answers Obtain blood pressure.
A nurse on the antepartum unit is caring for a pregnant client at 30 weeks gestation who was
admitted with reports of vaginal bleeding. A diagnosis of placenta previa was confirmed by
ultrasounds. What should the nurse tell the client to anticipate? Select all that apply. correct
answers 1. Additional ultrasound around 36 weeks gestation.
3. Discharge home if bleeding stops and fetal status is reassuring.
4. Scheduled cesarean birth before onset of labor.
The inpatient hospice nurse is caring for a Muslim client newly admitted with terminal cancer.
Which of the following interventions would the nurse anticipate for this client? Select all that
apply. correct answers 1. Arrange for health care workers of the same sex to provide care for the
client.
2. Coordinate with the registered dietician to provide halal meals.
3. Reposition the immobile client to face the city of Mecca during daily prayer times.
5. Upon death, provide the family with supplies for postmortem care.
A nurse manager on a pediatric oncology unit is leading a discussion about personal coping
strategies that nurses can use to remain effective when caring for dying children. What should be
included in the discussion? correct answers Attending a child's memorial service can be helpful.
The nurse in the pediatric clinic is triaging telephone messages. The nurse should call the parent
of which child first? correct answers 7-year-old 5 days post tonsillectomy who wants to return to
soccer practice today.
