UWORLD NCLEX RN TEST 1 AND 2 FINAL
PAPER 2026 FULL QUESTIONS AND
ANSWERS VERIFIED SOLUTIONS GRADED
A+
⩥ On an electrocardiogram (ECG),
Answer: the P wave represents atrial depolarization and the QRS
complex represents ventricular depolarization. The ECG of a client with
a single-chamber atrial pacemaker should display a pacemaker spike
before the P wave.
⩥ occurs when a blood clot becomes lodged in a vein. Clinical
manifestations include unilateral edema, localized pain, tenderness to
touch, warmth, and erythema.
Answer: Deep venous thrombosis
⩥ is a life-threatening complication of pericarditis that develops when
fluid accumulates within the layers of the pericardium. Clinical
manifestations include tachycardia, muffled heart tones, jugular venous
distension, and pulsus paradoxus.
Answer: Explanation
Cardiac tamponade
,⩥ Clients with pericardial effusion should be
Answer: monitored and assessed closely for the development of cardiac
tamponade. Signs and symptoms of tamponade include muffled or
distant heart tones, hypotension, narrowed pulse pressure, jugular
venous distension, and pulsus
⩥ indicate turbulent blood flow across diseased or malformed cardiac
valves. They are often described as musical, blowing, or swooshing
sounds that occur between normal heart sounds. They may be
auscultated at the aortic, pulmonic, tricuspid, or mitral areas.
Answer: Murmurs
⩥ Clients taking estrogen therapy are at an increased risk for
Answer: hypercoagulability and thromboembolic complications. Signs
or symptoms of deep venous thrombosis (eg, leg swelling, redness, pain)
should be reported to the health care provider immediately.
⩥ The nurse needs to monitor groin puncture sites, peripheral pulses,
urine output, and kidney function in the client who has had minimally
invasive endovascular repair of an abdominal aneurysm.
Answer: Endovascular abdominal aortic aneurysm repair i
⩥ increases the risk of tissue necrosis and limb loss. Management
focuses on improving blood flow and circulation to the extremities
through lifestyle changes and medications.
,Answer: Peripheral artery disease
⩥ on ECG is characterized by an irregular rhythm with fibrillatory
waves instead of P waves. Treatment includes rate control and
anticoagulation.
Answer: Atrial fibrillation
⩥ is a sympathomimetic inotropic agent that increases heart rate, blood
pressure, cardiac output, and urine output. Vital signs should be
monitored closely in these clients as a higher dose can result in
dangerous tachycardia and tachyarrhythmias.
Answer: Dopamine
⩥ Clinical manifestations of hypovolemic shock
Answer: are associated with inadequate perfusion and include urine
output <0.5 mL/kg/hr, changes in mental status, hypotension, and
tachycardia.
⩥ The nurse should carefully monitor renal status in a client who has
had abdominal aortic aneurysm repair.
Answer: BUN, creatinine, and urine output should be assessed. Urine
output of at least 30 mL/hr is expected.
⩥ When administering furosemide, it is important to closely monitor
, Answer: the client's vital signs, serum electrolytes (potassium), and
kidney function tests (blood urea nitrogen, creatinine) prior to
administration to prevent side effects such as hypokalemia, hypotension,
and kidney injury.
⩥ The steps for using an automated external defibrillator (AED) are as
follows:
Answer: turn on the defibrillator, place the pads on the client's chest,
continue chest compressions until the AED is ready to analyze the
rhythm, charge the defibrillator, ensure staff members are all clear,
deliver the shock, then resume compressions immediately.
⩥ Fluid volume deficit
Answer: is commonly caused by vomiting and diarrhea; treatment
includes IV fluid resuscitation. Signs of adequate rehydration include
capillary refill time <2 seconds, adequate urine output (>30 mL/hr), and
normal urine specific gravity (1.005-1.030). Narrowed pulse pressure
occurs with hypovolemic shock, and orthostatic hypotension is
indicative of ongoing fluid volume deficit.
⩥ cardiogenic shock
Answer: Clients with cardiomyopathy may develop cardiogenic shock
due to the heart's inability to circulate blood effectively, causing reduced
cardiac output. Treatment of cardiogenic shock includes supplemental
oxygen, an ECG, cardiac enzyme testing, and interventions to reduce
cardiac workload.
PAPER 2026 FULL QUESTIONS AND
ANSWERS VERIFIED SOLUTIONS GRADED
A+
⩥ On an electrocardiogram (ECG),
Answer: the P wave represents atrial depolarization and the QRS
complex represents ventricular depolarization. The ECG of a client with
a single-chamber atrial pacemaker should display a pacemaker spike
before the P wave.
⩥ occurs when a blood clot becomes lodged in a vein. Clinical
manifestations include unilateral edema, localized pain, tenderness to
touch, warmth, and erythema.
Answer: Deep venous thrombosis
⩥ is a life-threatening complication of pericarditis that develops when
fluid accumulates within the layers of the pericardium. Clinical
manifestations include tachycardia, muffled heart tones, jugular venous
distension, and pulsus paradoxus.
Answer: Explanation
Cardiac tamponade
,⩥ Clients with pericardial effusion should be
Answer: monitored and assessed closely for the development of cardiac
tamponade. Signs and symptoms of tamponade include muffled or
distant heart tones, hypotension, narrowed pulse pressure, jugular
venous distension, and pulsus
⩥ indicate turbulent blood flow across diseased or malformed cardiac
valves. They are often described as musical, blowing, or swooshing
sounds that occur between normal heart sounds. They may be
auscultated at the aortic, pulmonic, tricuspid, or mitral areas.
Answer: Murmurs
⩥ Clients taking estrogen therapy are at an increased risk for
Answer: hypercoagulability and thromboembolic complications. Signs
or symptoms of deep venous thrombosis (eg, leg swelling, redness, pain)
should be reported to the health care provider immediately.
⩥ The nurse needs to monitor groin puncture sites, peripheral pulses,
urine output, and kidney function in the client who has had minimally
invasive endovascular repair of an abdominal aneurysm.
Answer: Endovascular abdominal aortic aneurysm repair i
⩥ increases the risk of tissue necrosis and limb loss. Management
focuses on improving blood flow and circulation to the extremities
through lifestyle changes and medications.
,Answer: Peripheral artery disease
⩥ on ECG is characterized by an irregular rhythm with fibrillatory
waves instead of P waves. Treatment includes rate control and
anticoagulation.
Answer: Atrial fibrillation
⩥ is a sympathomimetic inotropic agent that increases heart rate, blood
pressure, cardiac output, and urine output. Vital signs should be
monitored closely in these clients as a higher dose can result in
dangerous tachycardia and tachyarrhythmias.
Answer: Dopamine
⩥ Clinical manifestations of hypovolemic shock
Answer: are associated with inadequate perfusion and include urine
output <0.5 mL/kg/hr, changes in mental status, hypotension, and
tachycardia.
⩥ The nurse should carefully monitor renal status in a client who has
had abdominal aortic aneurysm repair.
Answer: BUN, creatinine, and urine output should be assessed. Urine
output of at least 30 mL/hr is expected.
⩥ When administering furosemide, it is important to closely monitor
, Answer: the client's vital signs, serum electrolytes (potassium), and
kidney function tests (blood urea nitrogen, creatinine) prior to
administration to prevent side effects such as hypokalemia, hypotension,
and kidney injury.
⩥ The steps for using an automated external defibrillator (AED) are as
follows:
Answer: turn on the defibrillator, place the pads on the client's chest,
continue chest compressions until the AED is ready to analyze the
rhythm, charge the defibrillator, ensure staff members are all clear,
deliver the shock, then resume compressions immediately.
⩥ Fluid volume deficit
Answer: is commonly caused by vomiting and diarrhea; treatment
includes IV fluid resuscitation. Signs of adequate rehydration include
capillary refill time <2 seconds, adequate urine output (>30 mL/hr), and
normal urine specific gravity (1.005-1.030). Narrowed pulse pressure
occurs with hypovolemic shock, and orthostatic hypotension is
indicative of ongoing fluid volume deficit.
⩥ cardiogenic shock
Answer: Clients with cardiomyopathy may develop cardiogenic shock
due to the heart's inability to circulate blood effectively, causing reduced
cardiac output. Treatment of cardiogenic shock includes supplemental
oxygen, an ECG, cardiac enzyme testing, and interventions to reduce
cardiac workload.
