UTAH NCLEX-RN TEST BANK – QUESTIONS AND ANSWERS | VERIFIED AND WELL
DETAILED ANSWERS | PLUS RATIONALES | GUARANTEED PASS | LATEST EXAM
UPDATE
Core Domains
• Management of Care
• Safety and Infection Control
• Health Promotion and Maintenance
• Psychosocial Integrity
• Basic Care and Comfort
• Pharmacological and Parenteral Therapies
• Reduction of Risk Potential
• Physiological Adaptation
Introduction
This comprehensive assessment is designed to simulate the rigors of the NCLEX-RN
examination, specifically tailored for candidates seeking licensure within the state of Utah.
The primary purpose of this test bank is to evaluate the clinical judgment, safety-
mindedness, and critical thinking skills required of an entry-level registered nurse. The
examination utilizes a multiple-choice and scenario-based structure to assess
,foundational knowledge and its application in diverse healthcare settings. Candidates will
be challenged on their ability to make sound clinical decisions, prioritize patient needs,
and adhere to regulatory standards. Emphasis is placed on real-world application,
ensuring that practitioners are prepared for the complexities of modern nursing practice.
SECTION ONE: QUESTIONS 1–100
1. A nurse is caring for a client who is 24 hours postoperative following an abdominal
surgery. Which of the following findings is the most sensitive indicator of altered
renal perfusion?
A. Elevated blood urea nitrogen (BUN)
B. Decreased urine output
C. Increased serum creatinine
D. Presence of sediment in the urine
🟢 B. Decreased urine output
🔴 Explanation: Urine output is the most immediate and sensitive indicator of renal
perfusion and cardiac output in the acute postoperative period; a drop below 30 mL/hr
warrants immediate assessment.
2. A nurse is preparing to administer digoxin to a client with heart failure. Which of the
following actions should the nurse take first?
,A. Check the client’s blood pressure
B. Monitor the client’s respiratory rate
C. Assess the apical pulse for one full minute
D. Review the client’s most recent potassium level
🟢 C. Assess the apical pulse for one full minute
🔴 Explanation: Digoxin decreases the heart rate; therefore, the apical pulse must be
verified for 60 seconds, and the medication held if the rate is below the specified
parameter (usually 60 bpm).
3. A client with a history of deep vein thrombosis (DVT) is prescribed warfarin. Which of
the following laboratory values should the nurse monitor to evaluate the
effectiveness of the therapy?
A. Partial thromboplastin time (PTT)
B. International Normalized Ratio (INR)
C. Bleeding time
D. Platelet count
🟢 B. International Normalized Ratio (INR)
🔴 Explanation: The INR is the standard laboratory test used to monitor the therapeutic
effect of warfarin and ensure the client remains within the target range for anticoagulation.
, 4. A nurse in the emergency department is caring for a client who has a sucking chest
wound. Which of the following dressings should the nurse apply to the site?
A. A sterile gauze dressing taped on four sides
B. A dry, non-adherent dressing
C. An occlusive dressing taped on three sides
D. A transparent film dressing
🟢 C. An occlusive dressing taped on three sides
🔴 Explanation: Taping an occlusive dressing on three sides creates a one-way valve that
allows air to escape the pleural space during exhalation but prevents air from entering
during inhalation, preventing a tension pneumothorax.
5. A nurse is teaching a client who has a new prescription for sublingual nitroglycerin.
Which of the following instructions should the nurse include?
A. Swallow the tablet with a full glass of water
B. Take a second dose if pain is not relieved in 5 minutes
C. Discard the tablets if they cause a tingling sensation under the tongue
D. Store the medication in a clear plastic container for easy viewing
🟢 B. Take a second dose if pain is not relieved in 5 minutes
DETAILED ANSWERS | PLUS RATIONALES | GUARANTEED PASS | LATEST EXAM
UPDATE
Core Domains
• Management of Care
• Safety and Infection Control
• Health Promotion and Maintenance
• Psychosocial Integrity
• Basic Care and Comfort
• Pharmacological and Parenteral Therapies
• Reduction of Risk Potential
• Physiological Adaptation
Introduction
This comprehensive assessment is designed to simulate the rigors of the NCLEX-RN
examination, specifically tailored for candidates seeking licensure within the state of Utah.
The primary purpose of this test bank is to evaluate the clinical judgment, safety-
mindedness, and critical thinking skills required of an entry-level registered nurse. The
examination utilizes a multiple-choice and scenario-based structure to assess
,foundational knowledge and its application in diverse healthcare settings. Candidates will
be challenged on their ability to make sound clinical decisions, prioritize patient needs,
and adhere to regulatory standards. Emphasis is placed on real-world application,
ensuring that practitioners are prepared for the complexities of modern nursing practice.
SECTION ONE: QUESTIONS 1–100
1. A nurse is caring for a client who is 24 hours postoperative following an abdominal
surgery. Which of the following findings is the most sensitive indicator of altered
renal perfusion?
A. Elevated blood urea nitrogen (BUN)
B. Decreased urine output
C. Increased serum creatinine
D. Presence of sediment in the urine
🟢 B. Decreased urine output
🔴 Explanation: Urine output is the most immediate and sensitive indicator of renal
perfusion and cardiac output in the acute postoperative period; a drop below 30 mL/hr
warrants immediate assessment.
2. A nurse is preparing to administer digoxin to a client with heart failure. Which of the
following actions should the nurse take first?
,A. Check the client’s blood pressure
B. Monitor the client’s respiratory rate
C. Assess the apical pulse for one full minute
D. Review the client’s most recent potassium level
🟢 C. Assess the apical pulse for one full minute
🔴 Explanation: Digoxin decreases the heart rate; therefore, the apical pulse must be
verified for 60 seconds, and the medication held if the rate is below the specified
parameter (usually 60 bpm).
3. A client with a history of deep vein thrombosis (DVT) is prescribed warfarin. Which of
the following laboratory values should the nurse monitor to evaluate the
effectiveness of the therapy?
A. Partial thromboplastin time (PTT)
B. International Normalized Ratio (INR)
C. Bleeding time
D. Platelet count
🟢 B. International Normalized Ratio (INR)
🔴 Explanation: The INR is the standard laboratory test used to monitor the therapeutic
effect of warfarin and ensure the client remains within the target range for anticoagulation.
, 4. A nurse in the emergency department is caring for a client who has a sucking chest
wound. Which of the following dressings should the nurse apply to the site?
A. A sterile gauze dressing taped on four sides
B. A dry, non-adherent dressing
C. An occlusive dressing taped on three sides
D. A transparent film dressing
🟢 C. An occlusive dressing taped on three sides
🔴 Explanation: Taping an occlusive dressing on three sides creates a one-way valve that
allows air to escape the pleural space during exhalation but prevents air from entering
during inhalation, preventing a tension pneumothorax.
5. A nurse is teaching a client who has a new prescription for sublingual nitroglycerin.
Which of the following instructions should the nurse include?
A. Swallow the tablet with a full glass of water
B. Take a second dose if pain is not relieved in 5 minutes
C. Discard the tablets if they cause a tingling sensation under the tongue
D. Store the medication in a clear plastic container for easy viewing
🟢 B. Take a second dose if pain is not relieved in 5 minutes
