UWORLD NCLEX-RN COMPREHENSIVE EXAM UPDATED
QUESTIONS AND SOLUTIONS RATED A+
✔✔The nurse is reviewing health history information for a client who is being seen for a
routine physical examination. Which of the following clinical findings indicate that the
client is at risk for latex allergy?
1.
Had an etonogestrel implant inserted 9 months ago for birth control
2.
Is allergic to shellfish, which cause throat swelling and rash
3.
Reports a positive family history of spina bifida
4.
Sought care 1 year ago for vaginitis after using a condom - ✔✔4.
✔✔The new nurse, caring for a 3-month-old client who is sedated in the intensive care
unit following surgery, needs to prevent skin breakdown. Which action performed by the
new nurse would cause the charge nurse to intervene?
1.
Applying barrier cream when changing the diaper
2.
Changing the pulse oximetry site
3.
Elevating the head of the bed 30 degrees
4.
Placing a donut pillow under the head - ✔✔4.
✔✔The nurse is caring for a client 1 hour after receiving the first electroconvulsive
therapy treatment for severe major depressive disorder. The client reports a headache,
is disoriented to place, and cannot recall the spouse's name. What is the appropriate
nursing action?
1.
Call the spouse to ask about memory problems prior to admission
2.
Complete a full neurological examination and stroke assessment
3.
Document the findings in the client's medical record
4.
Request a prescription for a CT scan of the head - ✔✔3.
✔✔A nurse is caring for a client with a long leg cast applied to treat a tibial fracture.
Which interventions can be delegated to unlicensed assistive personnel? Select all that
apply.
1.
Alert the nurse of client reports of a tingling sensation
,2.
Assist client in performing range-of-motion exercises
3.
Check the pulse distal to the cast
4.
Elevate the casted limb above heart level
5.
Monitor skin integrity around the cast - ✔✔1, 2, 4
✔✔The clinic nurse evaluates the ongoing treatment plan for a client with major
depressive disorder. Which of the following client statements indicate a positive
response to treatment? Select all that apply.
1.
"I am trying to force myself to eat more, but I have still lost 5 pounds."
2.
"I have been getting about 13 hours of sleep at night, and I still feel tired."
3.
"I joined a book club with some of the parents from my kids' school."
4.
"Physical intimacy doesn't interest me like it used to, but my spouse is patient."
5.
"This haircut and color are very different, but I think I like the new look." - ✔✔3, 5
✔✔A client comes to the emergency department after being bitten by a bat. The nurse
observes 2 small, nondraining puncture wounds resembling pinpricks on the fingertip.
Which action should the nurse implement first?
1.
Administer an intramuscular injection of human rabies vaccine
2.
Administer an intramuscular tetanus toxoid vaccine if client not immunized within 5
years
3.
Inject human rabies immunoglobulin into the proximal wound area
4.
Scrub the wound with povidone-iodine solution or soap and water - ✔✔4.
✔✔The nurse conducts telephone screenings with several clients who are scheduled for
CT scan of the abdomen with oral contrast. The nurse should notify the health care
provider about which client before the CT scan is performed?
1.
Client in remission from breast cancer who has abdominal pain
2.
Client who had a total hip arthroplasty with a titanium implant
3.
Client with a history of heart disease and an implanted pacemaker
4.
, Client with a history of stroke who has dysphagia and is drooling - ✔✔4.
✔✔The nurse completes a follow-up assessment on a client with sickle cell crisis who
has just received a blood transfusion. The nurse notifies the health care provider and
receives the following new prescriptions. Which prescription is the priority for the nurse
to administer? Click on the exhibit button for additional information.
Exhibit
The client reports pain "all over" and rates the pain as 9 on a scale of 0-10. The client
reports anxiety and is short of breath when walking to the bathroom. The client is also
scratching the arms and reports itching. Auscultation of the client's lungs reveals
crackles in the bilateral lower lobes. Notified the health care provider, prescriptions
received.
1.
Diphenhydramine 25 mg IV every 8 hours, PRN for itching
2.
Furosemide 20 mg IV once, now
3.
Lorazepam 1 mg IV once, now
4.
Morphine 2-4 mg IV every 4 hours, PRN for pain - ✔✔2.
✔✔A nurse assists a student nurse in formulating a care plan for a nonverbal hospice
client who demonstrates restlessness and facial grimacing during repositioning. Which
statements by the student nurse indicate a correct understanding of the goals of end-of-
life care? Select all that apply.
1.
"I can observe the client's agitation as an indicator of the client's pain level."
2.
"I should ask the family to leave the client alone if the client becomes restless."
3.
"I should continue to explain interventions I am performing even though the client is
unresponsive."
4.
"I will ask the family if they would like to hold the client's hand while I administer pain
medication."
5.
"Managing pain rather than treating disease is the priority goal for this client." - ✔✔1, 3,
4, 5
✔✔The clinic nurse instructs a female client on how to collect a clean-catch urine
specimen for culture and sensitivity. Which of the following client statements indicate
that teaching has been effective? Select all that apply.
1.
"l will be very careful not to touch the inside or rim of the container."
2.
QUESTIONS AND SOLUTIONS RATED A+
✔✔The nurse is reviewing health history information for a client who is being seen for a
routine physical examination. Which of the following clinical findings indicate that the
client is at risk for latex allergy?
1.
Had an etonogestrel implant inserted 9 months ago for birth control
2.
Is allergic to shellfish, which cause throat swelling and rash
3.
Reports a positive family history of spina bifida
4.
Sought care 1 year ago for vaginitis after using a condom - ✔✔4.
✔✔The new nurse, caring for a 3-month-old client who is sedated in the intensive care
unit following surgery, needs to prevent skin breakdown. Which action performed by the
new nurse would cause the charge nurse to intervene?
1.
Applying barrier cream when changing the diaper
2.
Changing the pulse oximetry site
3.
Elevating the head of the bed 30 degrees
4.
Placing a donut pillow under the head - ✔✔4.
✔✔The nurse is caring for a client 1 hour after receiving the first electroconvulsive
therapy treatment for severe major depressive disorder. The client reports a headache,
is disoriented to place, and cannot recall the spouse's name. What is the appropriate
nursing action?
1.
Call the spouse to ask about memory problems prior to admission
2.
Complete a full neurological examination and stroke assessment
3.
Document the findings in the client's medical record
4.
Request a prescription for a CT scan of the head - ✔✔3.
✔✔A nurse is caring for a client with a long leg cast applied to treat a tibial fracture.
Which interventions can be delegated to unlicensed assistive personnel? Select all that
apply.
1.
Alert the nurse of client reports of a tingling sensation
,2.
Assist client in performing range-of-motion exercises
3.
Check the pulse distal to the cast
4.
Elevate the casted limb above heart level
5.
Monitor skin integrity around the cast - ✔✔1, 2, 4
✔✔The clinic nurse evaluates the ongoing treatment plan for a client with major
depressive disorder. Which of the following client statements indicate a positive
response to treatment? Select all that apply.
1.
"I am trying to force myself to eat more, but I have still lost 5 pounds."
2.
"I have been getting about 13 hours of sleep at night, and I still feel tired."
3.
"I joined a book club with some of the parents from my kids' school."
4.
"Physical intimacy doesn't interest me like it used to, but my spouse is patient."
5.
"This haircut and color are very different, but I think I like the new look." - ✔✔3, 5
✔✔A client comes to the emergency department after being bitten by a bat. The nurse
observes 2 small, nondraining puncture wounds resembling pinpricks on the fingertip.
Which action should the nurse implement first?
1.
Administer an intramuscular injection of human rabies vaccine
2.
Administer an intramuscular tetanus toxoid vaccine if client not immunized within 5
years
3.
Inject human rabies immunoglobulin into the proximal wound area
4.
Scrub the wound with povidone-iodine solution or soap and water - ✔✔4.
✔✔The nurse conducts telephone screenings with several clients who are scheduled for
CT scan of the abdomen with oral contrast. The nurse should notify the health care
provider about which client before the CT scan is performed?
1.
Client in remission from breast cancer who has abdominal pain
2.
Client who had a total hip arthroplasty with a titanium implant
3.
Client with a history of heart disease and an implanted pacemaker
4.
, Client with a history of stroke who has dysphagia and is drooling - ✔✔4.
✔✔The nurse completes a follow-up assessment on a client with sickle cell crisis who
has just received a blood transfusion. The nurse notifies the health care provider and
receives the following new prescriptions. Which prescription is the priority for the nurse
to administer? Click on the exhibit button for additional information.
Exhibit
The client reports pain "all over" and rates the pain as 9 on a scale of 0-10. The client
reports anxiety and is short of breath when walking to the bathroom. The client is also
scratching the arms and reports itching. Auscultation of the client's lungs reveals
crackles in the bilateral lower lobes. Notified the health care provider, prescriptions
received.
1.
Diphenhydramine 25 mg IV every 8 hours, PRN for itching
2.
Furosemide 20 mg IV once, now
3.
Lorazepam 1 mg IV once, now
4.
Morphine 2-4 mg IV every 4 hours, PRN for pain - ✔✔2.
✔✔A nurse assists a student nurse in formulating a care plan for a nonverbal hospice
client who demonstrates restlessness and facial grimacing during repositioning. Which
statements by the student nurse indicate a correct understanding of the goals of end-of-
life care? Select all that apply.
1.
"I can observe the client's agitation as an indicator of the client's pain level."
2.
"I should ask the family to leave the client alone if the client becomes restless."
3.
"I should continue to explain interventions I am performing even though the client is
unresponsive."
4.
"I will ask the family if they would like to hold the client's hand while I administer pain
medication."
5.
"Managing pain rather than treating disease is the priority goal for this client." - ✔✔1, 3,
4, 5
✔✔The clinic nurse instructs a female client on how to collect a clean-catch urine
specimen for culture and sensitivity. Which of the following client statements indicate
that teaching has been effective? Select all that apply.
1.
"l will be very careful not to touch the inside or rim of the container."
2.
