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“3 | UWORLD NCLEX-PN QUESTIONS &
ANSWERS EXAM 2026 ”LATEST EXAM 2026 –
2027 SOLVED QUESTIONS & ANSWERS
VERIFIED 100% GRADED A+ (LATEST VERSION)
WELL REVISED 100% GUARANTEE PASS
3 | UWorld NCLEX-PN
A nurse is caring for a client who had a transurethral resection of the prostate
and is receiving continuous bladder irrigation by gravity. Which of the
following tasks can the nurse delegate to unlicensed assistive personnel?
Select all that apply.
1. Calculating the difference between irrigant intake and total drainage output
2. Cleaning around the catheter insertion site daily
3. Immediately notifying the nurse if the client reports pain
4. Increasing the irrigation rate when the urine becomes more red than pink
5. Measuring the total volume of output in the drainage collection bag
CORRECT ANSWER: 2, 3, 5
Continuous bladder irrigation is prescribed following surgical transurethral resection
of the prostate and prevents obstruction of urine outflow by removing clotted blood
from the bladder. A 3-way catheter is used to continuously infuse solution into the
bladder by gravity. The catheter drains urine, irrigant solution, and blood into a
collection bag.
The licensed practical nurse (LPN) should consider the five rights of delegation when
delegating to unlicensed assistive personnel (UP):
• Catheter care is a routine, noncomplex task that may safely be delegated to UAP
(Option 2 is correct).
• Any client reports of pain or bladder spasms to UAP should immediately be
conveyed to the PN because these symptoms may indicate obstruction (Option 3 is
correct).
, Page 2 of 56
• Measuring output is routine data measurement. UP should report the volume to the
LPN, who will determine the adequacy of drainage (Option 5 is correct).
(Option 1 is wrong) Clots or kinks may obstruct drainage and cause a smaller
volume of outflow than inflow. The nurse should calculate this difference to
determine the need to reestablish patency using manual irrigation.
(Option 4 is wrong) The irrigation rate should be titrated to maintain light pink outflow
drainage with few clots. UP lack the knowledge and skills necessary to titrate inflow
rate or monitor drainage quality.
The nurse is caring for a 68-year-old client. Here is their history and physical:
https://imgur.com/M5GosAT
Which clinical finding is most concerning for respiratory distress?
1. Decreased breath stounds
2. Distended neck veins
3. Nasal flaring
4. Productive cough
CORRECT ANSWER: 3
Diagram of Chronic Obstructive Pulmonary Disease (COPD):
https://imgur.com/68Ah8Qj
Chronic obstructive pulmonary disease (COPD) is a progressive, irreversible lower
respiratory tract condition characterized by chronic inflammation, airway remodeling,
and reduced expiratory airflow. COPD is associated with air trapping due to alveolar
enlargement and hyperinflation and/or airway obstruction due to inflammation and
increased sputum production. Infection can precipitate an acute exacerbation.
Findings that suggest acute respiratory distress or impending respiratory failure
include nasal flaring, retractions (eg, supraclavicular area), grunting (in children), and
change in body posture (leaning forward). These occur as a compensatory
mechanism to reduce work of breathing. In clients with COPD, signs of respiratory
distress may indicate an acute exacerbation (Option 3 is orrect).
(Option 1 is wrong) Decreased breath sounds are expected in clients with COPD due
to decreased air flow through the bronchioles and alveoli. This finding occurs as
COPD progresses and is not as reliable as nasal flaring to identify acute respiratory
distress.
(Option 2 is wrong) In clients with COPD, lung hyperinflation increases intrathoracic
pressure, resulting in neck vein distension during expiration. This finding occurs as
COPD progresses and is not as reliable as nasal flaring to identify acute respiratory
distress.
(Option 4 is wrong) A productive cough with greenish-yellow sputum is concerning
for infection; it could be due to pneumonia or simple bronchitis (can be viral).
Although this may contribute to respiratory distress, this finding alone does not
indicate respiratory distress.
, Page 3 of 56
The nurse is caring for a 68-year-old client. Here is their history and physical:
https://imgur.com/M5GosAT
The client is diagnosed with an acute exacerbation of chronic obstructive
pulmonary disease. Which of the following assessment findings support this
diagnosis? Select all that apply.
1. Altered mental status
2. Increased cough frequency
3. Increased sputum production
4. Wheezing
5. Worsening dyspnea
CORRECT ANSWER: 1,2,3,4,5
An exacerbation of chronic obstructive pulmonary disease (COPD) occurs when
symptoms acutely worsen beyond the client's baseline, often triggered by infection.
Manifestations of acute COPD exacerbation include:
• Altered mental status (eg, confusion, decreased level of consciousness) due to
impaired gas exchange and carbon dioxide gas retention (hypoxemia and
hypercapnia) (Option 1 is correct)
• Increased cough frequency as the client tries to clear excess sputum (Option 2 is
correct)
• Increased sputum production or a change in sputum characteristics (eg, color,
consistency), which may indicate infection (Option 3 is correct)
• Wheezing, which occurs as air moves through narrowed airways (Option 4 is
correct)
• Worsening dyspnea due to increased sputum and air trapping in the alveoli (Option
5 is correct)
• Decreased exercise tolerance and fatigue
The nurse is caring for a 68-year-old client. Here is their history and physical:
https://imgur.com/M5GosAT
For each potential prescription, specify whether the prescription is anticipated
or not anticipated for the care of the client.
1. Administer antibiotics
2. Administer corticosteroids
3. Apply oxygen via nasal cannula
4. Provide a cough suppressant as needed
5. Assist with administering an IV fluid bolus
6. Administer a bronchodilator nebulizer treatment
CORRECT ANSWER: 1, 2, 3, 6 are anticipated. 4 and 5 are not anticipated.
Anticipated interventions for a client with an acute exacerbation of chronic
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obstructive pulmonary disease (COPD) include:
• Initiating antibiotics to treat the suspected underlying respiratory infection (eg,
copious, greenish-yellow sputum) that most likely triggered the acute exacerbation
• Administering corticosteroids to reduce airway inflammation and improve ventilation
• Providing supplemental oxygen via nasal cannula to improve hypoxia
• Administering a bronchodilator nebulizer to open the airways. A beta agonist (eg,
albuterol) is often administered with an anticholinergic (eg, ipratropium) for a
synergistic effect.
• Coughing (huff coughing) should be encouraged in clients with COPD to clear
secretions and open the airways. Therefore, a cough suppressant is not anticipated.
• An IV fluid bolus is not anticipated for a client with a COPD exacerbation. Rapid
administration of IV fluid could lead to pulmonary edema and worsening symptoms.
Maintenance fluids, especially if the client has reduced oral intake or excessive
insensible losses (sweating), can be administered.
The nurse is caring for a 68-year-old client. Here is their history and physical:
https://imgur.com/M5GosAT
While ambulating in the hallway with a portable oxygen tank, the client begins
having difficulty breathing. For each potential intervention, specify if the
intervention is indicated or not indicated for the care of the client.
1. Perform percussive therapy
2. Encourage pursed-lip breathing
3. Apply a nonrebreather mask and increase the oxygen flow rate
4. Call the respiratory therapist to administer a breathing treatment
CORRECT ANSWER: 1, 2, 4 are indicated. 3 is not indicated
Interventions that are indicated for shortness of breath in a client with an acute
exacerbation of chronic obstructive pulmonary disease (COPD) include:
• Performing percussive therapy to dislodge and move mucus from the lower to
upper airways for clearance
• Encouraging the client to perform pursed-lip breathing to open the airways, move
trapped air out of the lungs, and reduce dyspnea
• Calling the respiratory therapist to administer a breathing treatment (ie, inhaled
bronchodilator) to open the airways
Supplemental oxygen is a mainstay of therapy for clients with COPD. However,
overcorrecting hypoxemia can suppress the drive to breathe because clients with
COPD typically rely on hypoxemia rather than hypercapnia to stimulate the
respiratory drive due to chronic carbon dioxide gas retention. A nonrebreather mask
delivers a very high fraction of inspired oxygen (FiOz) and is not indicated for a client
“3 | UWORLD NCLEX-PN QUESTIONS &
ANSWERS EXAM 2026 ”LATEST EXAM 2026 –
2027 SOLVED QUESTIONS & ANSWERS
VERIFIED 100% GRADED A+ (LATEST VERSION)
WELL REVISED 100% GUARANTEE PASS
3 | UWorld NCLEX-PN
A nurse is caring for a client who had a transurethral resection of the prostate
and is receiving continuous bladder irrigation by gravity. Which of the
following tasks can the nurse delegate to unlicensed assistive personnel?
Select all that apply.
1. Calculating the difference between irrigant intake and total drainage output
2. Cleaning around the catheter insertion site daily
3. Immediately notifying the nurse if the client reports pain
4. Increasing the irrigation rate when the urine becomes more red than pink
5. Measuring the total volume of output in the drainage collection bag
CORRECT ANSWER: 2, 3, 5
Continuous bladder irrigation is prescribed following surgical transurethral resection
of the prostate and prevents obstruction of urine outflow by removing clotted blood
from the bladder. A 3-way catheter is used to continuously infuse solution into the
bladder by gravity. The catheter drains urine, irrigant solution, and blood into a
collection bag.
The licensed practical nurse (LPN) should consider the five rights of delegation when
delegating to unlicensed assistive personnel (UP):
• Catheter care is a routine, noncomplex task that may safely be delegated to UAP
(Option 2 is correct).
• Any client reports of pain or bladder spasms to UAP should immediately be
conveyed to the PN because these symptoms may indicate obstruction (Option 3 is
correct).
, Page 2 of 56
• Measuring output is routine data measurement. UP should report the volume to the
LPN, who will determine the adequacy of drainage (Option 5 is correct).
(Option 1 is wrong) Clots or kinks may obstruct drainage and cause a smaller
volume of outflow than inflow. The nurse should calculate this difference to
determine the need to reestablish patency using manual irrigation.
(Option 4 is wrong) The irrigation rate should be titrated to maintain light pink outflow
drainage with few clots. UP lack the knowledge and skills necessary to titrate inflow
rate or monitor drainage quality.
The nurse is caring for a 68-year-old client. Here is their history and physical:
https://imgur.com/M5GosAT
Which clinical finding is most concerning for respiratory distress?
1. Decreased breath stounds
2. Distended neck veins
3. Nasal flaring
4. Productive cough
CORRECT ANSWER: 3
Diagram of Chronic Obstructive Pulmonary Disease (COPD):
https://imgur.com/68Ah8Qj
Chronic obstructive pulmonary disease (COPD) is a progressive, irreversible lower
respiratory tract condition characterized by chronic inflammation, airway remodeling,
and reduced expiratory airflow. COPD is associated with air trapping due to alveolar
enlargement and hyperinflation and/or airway obstruction due to inflammation and
increased sputum production. Infection can precipitate an acute exacerbation.
Findings that suggest acute respiratory distress or impending respiratory failure
include nasal flaring, retractions (eg, supraclavicular area), grunting (in children), and
change in body posture (leaning forward). These occur as a compensatory
mechanism to reduce work of breathing. In clients with COPD, signs of respiratory
distress may indicate an acute exacerbation (Option 3 is orrect).
(Option 1 is wrong) Decreased breath sounds are expected in clients with COPD due
to decreased air flow through the bronchioles and alveoli. This finding occurs as
COPD progresses and is not as reliable as nasal flaring to identify acute respiratory
distress.
(Option 2 is wrong) In clients with COPD, lung hyperinflation increases intrathoracic
pressure, resulting in neck vein distension during expiration. This finding occurs as
COPD progresses and is not as reliable as nasal flaring to identify acute respiratory
distress.
(Option 4 is wrong) A productive cough with greenish-yellow sputum is concerning
for infection; it could be due to pneumonia or simple bronchitis (can be viral).
Although this may contribute to respiratory distress, this finding alone does not
indicate respiratory distress.
, Page 3 of 56
The nurse is caring for a 68-year-old client. Here is their history and physical:
https://imgur.com/M5GosAT
The client is diagnosed with an acute exacerbation of chronic obstructive
pulmonary disease. Which of the following assessment findings support this
diagnosis? Select all that apply.
1. Altered mental status
2. Increased cough frequency
3. Increased sputum production
4. Wheezing
5. Worsening dyspnea
CORRECT ANSWER: 1,2,3,4,5
An exacerbation of chronic obstructive pulmonary disease (COPD) occurs when
symptoms acutely worsen beyond the client's baseline, often triggered by infection.
Manifestations of acute COPD exacerbation include:
• Altered mental status (eg, confusion, decreased level of consciousness) due to
impaired gas exchange and carbon dioxide gas retention (hypoxemia and
hypercapnia) (Option 1 is correct)
• Increased cough frequency as the client tries to clear excess sputum (Option 2 is
correct)
• Increased sputum production or a change in sputum characteristics (eg, color,
consistency), which may indicate infection (Option 3 is correct)
• Wheezing, which occurs as air moves through narrowed airways (Option 4 is
correct)
• Worsening dyspnea due to increased sputum and air trapping in the alveoli (Option
5 is correct)
• Decreased exercise tolerance and fatigue
The nurse is caring for a 68-year-old client. Here is their history and physical:
https://imgur.com/M5GosAT
For each potential prescription, specify whether the prescription is anticipated
or not anticipated for the care of the client.
1. Administer antibiotics
2. Administer corticosteroids
3. Apply oxygen via nasal cannula
4. Provide a cough suppressant as needed
5. Assist with administering an IV fluid bolus
6. Administer a bronchodilator nebulizer treatment
CORRECT ANSWER: 1, 2, 3, 6 are anticipated. 4 and 5 are not anticipated.
Anticipated interventions for a client with an acute exacerbation of chronic
, Page 4 of 56
obstructive pulmonary disease (COPD) include:
• Initiating antibiotics to treat the suspected underlying respiratory infection (eg,
copious, greenish-yellow sputum) that most likely triggered the acute exacerbation
• Administering corticosteroids to reduce airway inflammation and improve ventilation
• Providing supplemental oxygen via nasal cannula to improve hypoxia
• Administering a bronchodilator nebulizer to open the airways. A beta agonist (eg,
albuterol) is often administered with an anticholinergic (eg, ipratropium) for a
synergistic effect.
• Coughing (huff coughing) should be encouraged in clients with COPD to clear
secretions and open the airways. Therefore, a cough suppressant is not anticipated.
• An IV fluid bolus is not anticipated for a client with a COPD exacerbation. Rapid
administration of IV fluid could lead to pulmonary edema and worsening symptoms.
Maintenance fluids, especially if the client has reduced oral intake or excessive
insensible losses (sweating), can be administered.
The nurse is caring for a 68-year-old client. Here is their history and physical:
https://imgur.com/M5GosAT
While ambulating in the hallway with a portable oxygen tank, the client begins
having difficulty breathing. For each potential intervention, specify if the
intervention is indicated or not indicated for the care of the client.
1. Perform percussive therapy
2. Encourage pursed-lip breathing
3. Apply a nonrebreather mask and increase the oxygen flow rate
4. Call the respiratory therapist to administer a breathing treatment
CORRECT ANSWER: 1, 2, 4 are indicated. 3 is not indicated
Interventions that are indicated for shortness of breath in a client with an acute
exacerbation of chronic obstructive pulmonary disease (COPD) include:
• Performing percussive therapy to dislodge and move mucus from the lower to
upper airways for clearance
• Encouraging the client to perform pursed-lip breathing to open the airways, move
trapped air out of the lungs, and reduce dyspnea
• Calling the respiratory therapist to administer a breathing treatment (ie, inhaled
bronchodilator) to open the airways
Supplemental oxygen is a mainstay of therapy for clients with COPD. However,
overcorrecting hypoxemia can suppress the drive to breathe because clients with
COPD typically rely on hypoxemia rather than hypercapnia to stimulate the
respiratory drive due to chronic carbon dioxide gas retention. A nonrebreather mask
delivers a very high fraction of inspired oxygen (FiOz) and is not indicated for a client
