NCLEX - uWorld Test 1 Exam 2025/2026 | Actual Complete
Real Exam Questions and Correct Answers| Verified
Answers | Already Graded A+ / ASSURED /Newest
Exam | Just Released
A nurse is preparing to administer a unit of packed red blood
cells to a client with hemoglobin of 7 g/dL (70 g/L). The unit
secretary retrieved the blood 25 minutes ago. When entering
the client's room, the nurse notes that the client's IV is not
patent and is unsuccessful at inserting the new IV. What should
the nurse do next?
1. Have another nurse attempt to restart the IV (23%)
2.Notify the health care provider of the delay (3%)
3.Place the blood in the unit refrigerator (8%)
4.Return the blood to the blood bank (64%) - ANSWER-Blood
products should not be left at room temperature for >30
minutes before a transfusion is started. Leaving blood out at
room temperature for a prolonged period increases the
likelihood of bacterial growth. If the start of the transfusion is
,delayed, the blood should be returned to the blood bank, where
it can be refrigerated at a precise temperature (Option 4).
(Option 1) It is reasonable for the nurse or another nurse to
attempt to restart the IV. However, this takes time, so the blood
should be returned to the blood bank first.
(Option 2) If the client has symptoms related to the low
hemoglobin level (<11.7 g/dL [117 g/L] in female and <13.2 g/dL
[132 g/L] in male clients), such as low blood pressure, the
health care provider should be notified. This would occur after
the blood is sent back to the blood bank and attempts to restart
the IV have occurred.
(Option 3) Blood products should not be placed in the unit
refrigerator as the temperature cannot be precisely regulated.
Educational objective:Blood products should not be left at
room temperature for more than 30 minutes before the
transfusion is begun. If the transfusion is delayed, the blood
needs to be returned to the blood bank.
An elderly client with chronic kidney disease is admitted with
urosepsis. Based on the admitting diagnosis and laboratory
results, which prescriptions would the nurse question? Select
all that apply. Click on the exhibit button for additional
information.
1.
,Administer IV antibiotic medications
2.Continue home dose of valsartan
3.Initiate continuous cardiac telemetry
4.Obtain blood and urine cultures
5.Obtain CT scan of abdomen with contrast - ANSWER-
Urosepsis is a type of bloodstream infection that originates
from the urinary tract. The initial treatment of sepsis focuses on
the management or prevention of septic shock, mainly by
administering boluses of isotonic IV fluids (fluid resuscitation)
and IV broadspectrum antibiotics (Option 1). Blood and urine
cultures are obtained, ideally before the first dose of antibiotics
(Option 4). Continuous vital sign and cardiac telemetry
monitoring are initiated as hyperkalemia and sepsis cause
cardiovascular disturbances (eg, dysrhythmias and
hypotension, respectively) (Option 3).
(Option 2) Chronic kidney disease impairs the excretion of
excess potassium and can potentiate hyperkalemia, which can
lead to life-threatening arrhythmias (eg, ventricular fibrillation).
ACE inhibitors (eg, lisinopril, ramipril) or angiotensin II receptor
blockers (eg, valsartan, losartan, irbesartan) can be used to
, manage hypertension secondary to renal disease; however,
these drugs can worsen hyperkalemia.
(Option 5) Clients with chronic kidney disease and elevated
creatinine are unable to excrete the iodinated contrast
administered for CT scans. Toxic effects from the contrast can
occur; therefore, this prescription should be clarified before the
scan.
Educational objective:A uroseptic client with chronic kidney
disease and hyperkalemia should be treated with IV isotonic
fluid boluses and IV broadspectrum antibiotics. Blood and
urine cultures should be obtained. The nurse would question
the administration of iodinated contrast to a client with
significant kidney disease. ACE inhibitors and angiotensin II
receptor blockers should be avoided in clients with
hyperkalemia.
The nurse is planning care for a client with bipolar disorder
and acute mania
who is being admitted involuntarily after attempting to run
across a five-lane
highway. Which intervention is the priority to include in
the care plan?
1. Assist the client with dressing by giving instructions one at a
time (4%)
Real Exam Questions and Correct Answers| Verified
Answers | Already Graded A+ / ASSURED /Newest
Exam | Just Released
A nurse is preparing to administer a unit of packed red blood
cells to a client with hemoglobin of 7 g/dL (70 g/L). The unit
secretary retrieved the blood 25 minutes ago. When entering
the client's room, the nurse notes that the client's IV is not
patent and is unsuccessful at inserting the new IV. What should
the nurse do next?
1. Have another nurse attempt to restart the IV (23%)
2.Notify the health care provider of the delay (3%)
3.Place the blood in the unit refrigerator (8%)
4.Return the blood to the blood bank (64%) - ANSWER-Blood
products should not be left at room temperature for >30
minutes before a transfusion is started. Leaving blood out at
room temperature for a prolonged period increases the
likelihood of bacterial growth. If the start of the transfusion is
,delayed, the blood should be returned to the blood bank, where
it can be refrigerated at a precise temperature (Option 4).
(Option 1) It is reasonable for the nurse or another nurse to
attempt to restart the IV. However, this takes time, so the blood
should be returned to the blood bank first.
(Option 2) If the client has symptoms related to the low
hemoglobin level (<11.7 g/dL [117 g/L] in female and <13.2 g/dL
[132 g/L] in male clients), such as low blood pressure, the
health care provider should be notified. This would occur after
the blood is sent back to the blood bank and attempts to restart
the IV have occurred.
(Option 3) Blood products should not be placed in the unit
refrigerator as the temperature cannot be precisely regulated.
Educational objective:Blood products should not be left at
room temperature for more than 30 minutes before the
transfusion is begun. If the transfusion is delayed, the blood
needs to be returned to the blood bank.
An elderly client with chronic kidney disease is admitted with
urosepsis. Based on the admitting diagnosis and laboratory
results, which prescriptions would the nurse question? Select
all that apply. Click on the exhibit button for additional
information.
1.
,Administer IV antibiotic medications
2.Continue home dose of valsartan
3.Initiate continuous cardiac telemetry
4.Obtain blood and urine cultures
5.Obtain CT scan of abdomen with contrast - ANSWER-
Urosepsis is a type of bloodstream infection that originates
from the urinary tract. The initial treatment of sepsis focuses on
the management or prevention of septic shock, mainly by
administering boluses of isotonic IV fluids (fluid resuscitation)
and IV broadspectrum antibiotics (Option 1). Blood and urine
cultures are obtained, ideally before the first dose of antibiotics
(Option 4). Continuous vital sign and cardiac telemetry
monitoring are initiated as hyperkalemia and sepsis cause
cardiovascular disturbances (eg, dysrhythmias and
hypotension, respectively) (Option 3).
(Option 2) Chronic kidney disease impairs the excretion of
excess potassium and can potentiate hyperkalemia, which can
lead to life-threatening arrhythmias (eg, ventricular fibrillation).
ACE inhibitors (eg, lisinopril, ramipril) or angiotensin II receptor
blockers (eg, valsartan, losartan, irbesartan) can be used to
, manage hypertension secondary to renal disease; however,
these drugs can worsen hyperkalemia.
(Option 5) Clients with chronic kidney disease and elevated
creatinine are unable to excrete the iodinated contrast
administered for CT scans. Toxic effects from the contrast can
occur; therefore, this prescription should be clarified before the
scan.
Educational objective:A uroseptic client with chronic kidney
disease and hyperkalemia should be treated with IV isotonic
fluid boluses and IV broadspectrum antibiotics. Blood and
urine cultures should be obtained. The nurse would question
the administration of iodinated contrast to a client with
significant kidney disease. ACE inhibitors and angiotensin II
receptor blockers should be avoided in clients with
hyperkalemia.
The nurse is planning care for a client with bipolar disorder
and acute mania
who is being admitted involuntarily after attempting to run
across a five-lane
highway. Which intervention is the priority to include in
the care plan?
1. Assist the client with dressing by giving instructions one at a
time (4%)
