NCLEX UWORLD EXAM LA CERTIFICATION
EVALUATION EXAMS 2026 SOLVED
QUESTIONS WITH FULL SOLUTION
◉ A housekeeping employee tells the staff nurse of having a
headache and asks for acetaminophen. How should the nurse
respond?
Answer: Refer employee to the employee health provider.
◉ The school nurse assesses an 8-year-old with a history of asthma.
The nurse notes mild wheezing and coughing. Which action should
the nurse perform first?
Answer: Assess the client's peak expiratory flow.
◉ A client comes to the community mental health clinic seeking
treatment for severe anxiety associated with a recent job promotion
that requires a 30-minute commute via train. The nurse recognizes
that this client most likely suffers from which psychological
disorder?
Answer: Agoraphobia
◉ A client who is diagnosed with breast cancer asks the nurse, "Am I
going to die?" Which statement by the nurse promotes a therapeutic
relationship?
,Answer: "People with cancer experience fear of dying; tell me about
your concerns."
◉ The nurse is reinforcing education to the caregivers of a 9-year-
old client diagnosed with scarlet fever. The client has a history of
type 1 diabetes mellitus. Which statement by the caregivers
indicates that further teaching is needed?
Answer: "We will not administer insulin if our child is unable to eat."
◉ A client is diagnosed with right-sided Bell's palsy. What
instructions should the nurse give this client for care at home? Select
all that apply.
Answer: 1. Apply a patch to the right eye at night.
3. Chew on the left side.
4. Maintain meticulous oral hygiene.
- Bell's palsy is an inflammation of the cranial nerve VII (facial) that
causes motor and sensory alterations. Clients are usually managed
as outpatients, with corticosteroids to reduce inflammation, and
taught eye/oral care. In Bell's palsy, the eyelids do not close properly.
This may result in eye dryness and risk of corneal abrasions.
However, weakness of teh lower eyelid may cause excessive tearing
due to overflow in some clients. Facial muscle weakness results in
poor chewing and food retention.
, ◉ The spouse brings a client to the emergency department due to
erratic behavior and expressions of despair. The emergency
department is extremely busy with many clients. When the triage
nurse asks if the client feels suicidal now, the client shrugs the
shoulders. What initial action should the triage nurse take?
Answer: Place the client in an inside hallway with one-on-one
observation.
◉ The orthopedic health care provider instructs a client with a
fractured femur, who has been non-weight bearing for the past 5
weeks, to progress to full weight bearing on the right leg. which
advanced crutch gait that most closely resembles normal walking
should the office nurse teach the client?
Answer: 4-point gait
- there are 5 crutch gaits: 2-, 3-, 4-point, swing-to, and swing-
through
◉ `A nurse administers an intramuscular (IM) injection using the Z-
track method technique. Place the steps in chronological order. All
options must be used.
Answer: 4. Pull the skin 1-1 1/2" (2.5-3.5 cm) laterally and away
from the injection site.
3. Hold the skin taut with non-dominant hand and insert needle at a
90-degree angle.
2. Inject medication slowly with dominant hand while maintaining
traction
EVALUATION EXAMS 2026 SOLVED
QUESTIONS WITH FULL SOLUTION
◉ A housekeeping employee tells the staff nurse of having a
headache and asks for acetaminophen. How should the nurse
respond?
Answer: Refer employee to the employee health provider.
◉ The school nurse assesses an 8-year-old with a history of asthma.
The nurse notes mild wheezing and coughing. Which action should
the nurse perform first?
Answer: Assess the client's peak expiratory flow.
◉ A client comes to the community mental health clinic seeking
treatment for severe anxiety associated with a recent job promotion
that requires a 30-minute commute via train. The nurse recognizes
that this client most likely suffers from which psychological
disorder?
Answer: Agoraphobia
◉ A client who is diagnosed with breast cancer asks the nurse, "Am I
going to die?" Which statement by the nurse promotes a therapeutic
relationship?
,Answer: "People with cancer experience fear of dying; tell me about
your concerns."
◉ The nurse is reinforcing education to the caregivers of a 9-year-
old client diagnosed with scarlet fever. The client has a history of
type 1 diabetes mellitus. Which statement by the caregivers
indicates that further teaching is needed?
Answer: "We will not administer insulin if our child is unable to eat."
◉ A client is diagnosed with right-sided Bell's palsy. What
instructions should the nurse give this client for care at home? Select
all that apply.
Answer: 1. Apply a patch to the right eye at night.
3. Chew on the left side.
4. Maintain meticulous oral hygiene.
- Bell's palsy is an inflammation of the cranial nerve VII (facial) that
causes motor and sensory alterations. Clients are usually managed
as outpatients, with corticosteroids to reduce inflammation, and
taught eye/oral care. In Bell's palsy, the eyelids do not close properly.
This may result in eye dryness and risk of corneal abrasions.
However, weakness of teh lower eyelid may cause excessive tearing
due to overflow in some clients. Facial muscle weakness results in
poor chewing and food retention.
, ◉ The spouse brings a client to the emergency department due to
erratic behavior and expressions of despair. The emergency
department is extremely busy with many clients. When the triage
nurse asks if the client feels suicidal now, the client shrugs the
shoulders. What initial action should the triage nurse take?
Answer: Place the client in an inside hallway with one-on-one
observation.
◉ The orthopedic health care provider instructs a client with a
fractured femur, who has been non-weight bearing for the past 5
weeks, to progress to full weight bearing on the right leg. which
advanced crutch gait that most closely resembles normal walking
should the office nurse teach the client?
Answer: 4-point gait
- there are 5 crutch gaits: 2-, 3-, 4-point, swing-to, and swing-
through
◉ `A nurse administers an intramuscular (IM) injection using the Z-
track method technique. Place the steps in chronological order. All
options must be used.
Answer: 4. Pull the skin 1-1 1/2" (2.5-3.5 cm) laterally and away
from the injection site.
3. Hold the skin taut with non-dominant hand and insert needle at a
90-degree angle.
2. Inject medication slowly with dominant hand while maintaining
traction
