UWorld NCLEX-RN QBank Exam 2026
Questions and Answers 100% Pass
Guaranteed
The nurse finds a client on the floor in the client's room. Based on the
documentation shown in the exhibit, the nurse made an incorrect entry in the
client's medical record at what time?
1
Found client lying on floor next to bed. Client states, "I fell out of bed while
reaching for my eyeglasses and hit my head on the bedside table." Client is alert
and oriented to time, place, person, and situation. Denies pain, dizziness, or nausea.
No visible injuries. Assisted back to bed. Neurological vital signs within normal
limits (see assessment flow sheet). Client instructed to use call bell for assistance.
Will continue to monitor.__________RN
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,2
Health care provider (HCP) notified of fall. Prescribed CT of head
STAT.___________RN
3
No change in neurologic status. Client to CT via gurney. Report filed per
policy.__________RN
4
Client returned from CT. No change in neurologic status. Reinforced use of call
bell, and - Correct answer-3
Explanation: All incidents, accidents, or occurrences that cause actual or potential
harm to a client, employee, or visitor must be reported. The person who witnesses
an unusual occurrence or event must file an incident report in the institution's
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,computer documentation system using an electronic form. Alternately, a paper
form may be completed and filed. The purposes of the report are to inform risk
management of the occurrence, allowing them to consider changes that might
prevent similar incidents, and to notify administration of a potential litigation
claim.
The nurse should not document that an incident report was filed, or refer to the
incident report in the medical record.
Which clinical manifestations would the nurse identify with severe anorexia
nervosa? Select all that apply.
1. Amenorrhea
2. Fluid and electrolyte imbalances
3. Heat intolerance
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, 4. Presence of lanugo
5. Refusal to exercise
6. Weight loss of 25% below normal weight - Correct answer-1,2,4,6
Explanation: Anorexia nervosa is an eating disorder common among adolescents
and young adults. Clinical manifestations of anorexia nervosa include:
1. Fear of weight gain - clients resort to self-induced vomiting, extensive dieting,
and intense exercise resulting in excessive weight loss (<85% expected weight).
Clients who self-induce vomiting may experience enlargement of the salivary
glands and erosion of tooth enamel.
2. Fluid and electrolyte imbalance - excessive vomiting can cause hypokalemia and
metabolic alkalosis
©COPYRIGHT 2025, ALL RIGHTS RESERVE 4
Questions and Answers 100% Pass
Guaranteed
The nurse finds a client on the floor in the client's room. Based on the
documentation shown in the exhibit, the nurse made an incorrect entry in the
client's medical record at what time?
1
Found client lying on floor next to bed. Client states, "I fell out of bed while
reaching for my eyeglasses and hit my head on the bedside table." Client is alert
and oriented to time, place, person, and situation. Denies pain, dizziness, or nausea.
No visible injuries. Assisted back to bed. Neurological vital signs within normal
limits (see assessment flow sheet). Client instructed to use call bell for assistance.
Will continue to monitor.__________RN
©COPYRIGHT 2025, ALL RIGHTS RESERVE 1
,2
Health care provider (HCP) notified of fall. Prescribed CT of head
STAT.___________RN
3
No change in neurologic status. Client to CT via gurney. Report filed per
policy.__________RN
4
Client returned from CT. No change in neurologic status. Reinforced use of call
bell, and - Correct answer-3
Explanation: All incidents, accidents, or occurrences that cause actual or potential
harm to a client, employee, or visitor must be reported. The person who witnesses
an unusual occurrence or event must file an incident report in the institution's
©COPYRIGHT 2025, ALL RIGHTS RESERVE 2
,computer documentation system using an electronic form. Alternately, a paper
form may be completed and filed. The purposes of the report are to inform risk
management of the occurrence, allowing them to consider changes that might
prevent similar incidents, and to notify administration of a potential litigation
claim.
The nurse should not document that an incident report was filed, or refer to the
incident report in the medical record.
Which clinical manifestations would the nurse identify with severe anorexia
nervosa? Select all that apply.
1. Amenorrhea
2. Fluid and electrolyte imbalances
3. Heat intolerance
©COPYRIGHT 2025, ALL RIGHTS RESERVE 3
, 4. Presence of lanugo
5. Refusal to exercise
6. Weight loss of 25% below normal weight - Correct answer-1,2,4,6
Explanation: Anorexia nervosa is an eating disorder common among adolescents
and young adults. Clinical manifestations of anorexia nervosa include:
1. Fear of weight gain - clients resort to self-induced vomiting, extensive dieting,
and intense exercise resulting in excessive weight loss (<85% expected weight).
Clients who self-induce vomiting may experience enlargement of the salivary
glands and erosion of tooth enamel.
2. Fluid and electrolyte imbalance - excessive vomiting can cause hypokalemia and
metabolic alkalosis
©COPYRIGHT 2025, ALL RIGHTS RESERVE 4
