UWorld NCLEX-PN Actual Final Exam Prep
2026-2027 | Most Tested Complex Practice
Questions with Detailed Rationales | Real
Exam Simulation | Verified Answers | Instant
Download
,Block Time Remaining: 00:01:23
TUTOR
Test Id: 80944027
QId: 30520 (921666)
48 of 54
AAA
An unresponsive client is brought to the emergency department after a
party. Friends report that the client drank beer, may have taken some
kind of pills, and then passed out. Blood pressure is 90/62 mm Hg, pulse
is 64/min, and respirations are 8/min. Which priority action is expected
to be taken following the initial assessment?
1. Administer IV naloxone [58%]
2. Administer Ringer's lactate at 125 mL/hr [29%]
3. Collect a urine sample for a urine drug screen [7%]
4. Draw blood for a blood alcohol content test [3%]
Omitted
Correct answer
1
Answered correctly
58% Time: 1 seconds
Updated: 02/11/2017
Explanation:
The characteristic clinical features of opioid intoxication include the
following:
Depressed mental status
Decreased respiratory rate (<12/min) (most notable)
Constricted (miotic) pupils (may not be present in every client)
Decreased/absent bowel sounds
Mild hypotension from histamine release and bradycardia from central
nervous system (CNS) depression may also be present. Concurrent
intake of other CNS depressants (eg, alcohol) can worsen the
respiratory depression.
Naloxone (Narcan) is a potent narcotic antagonist that can reverse
symptoms (respiratory depression, sedation, hypotension) associated
,with suspected opioid overdose without producing any opioid-like
effects. The usual dose is 0.4 mg IV (in non-opioid dependent clients),
typically given via IV push. The therapeutic effect is rapid, within 1-2
minutes, and dosing may be repeated in 2-3 minutes. It is the priority
action to reverse CNS and respiratory depression (Option 1).
(Option 2) IV fluids will be administered, but the priority action is to
address the client's respiratory depression.
(Option 3) A urine sample will be obtained for a urine drug screen and
toxicology tests. It is not necessary to wait for the results before
administering naloxone as delaying care could result in further CNS or
respiratory depression and subsequent death.
(Option 4) Blood for a blood alcohol content test will be drawn, but this
is not the priority action.
Educational objective:
The administration of IV naloxone (Narcan), a potent narcotic
antagonist, is a priority action to reverse depression of the respiratory
and central nervous systems in a client with suspected opioid overdose.
A respiratory rate <12/min is the most notable feature of opioid
overdose.
Block Time Remaining: 00:01:24
TUTOR
Test Id: 80944027
QId: 30606 (921666)
49 of 54
AAA
A client diagnosed with trigeminal neuralgia is given a prescription of
carbamazepine by the health care provider. Which intervention does the
nurse add to this client's care plan?
1. Encourage client to drink cold beverages [1%]
2. Encourage client to eat a high-fiber diet [12%]
3. Encourage client to perform facial massage [17%]
4. Encourage client to report any fever or sore throat [68%]
, Omitted
Correct answer
4
Answered correctly
68% Time: 1 seconds
Updated: 01/13/2017
Explanation:
Trigeminal neuralgia is sudden, sharp pain along the distribution of the
trigeminal nerve. The symptoms are usually unilateral and primarily in the
maxillary and mandibular branches. Clients may experience chronic pain
with periods of less severe pain, or "cluster attacks" of pain between
long periods without pain. Triggers can include washing the face,
chewing food, brushing teeth, yawning, or talking. Pain is severe, intense,
burning, or electric shock-like. The primary intervention for trigeminal
neuralgia is consistent pain control with medications and lifestyle
changes. The drug of choice is carbamazepine. It is a seizure medication
but is highly effective for neuropathic pain. Carbamazepine is associated
with agranulocytosis (leukopenia) and infection risk. Clients should be
advised to report any fever or sore throat.
Behavioral interventions include the following:
Oral care - use a small, soft-bristled toothbrush or a warm mouth wash
Use lukewarm water; avoid beverages or food that are too hot or cold
(Option 1)
Room should be kept at an even and moderate temperature
Avoid rubbing or facial massage. Use cotton pads to wash the face if
necessary.
Have a soft diet with high calorie content; avoid foods that are difficult
to chew. Chew on the unaffected side of the mouth.
(Option 2) A high-fiber diet is not required for a client with trigeminal
neuralgia, and the additional chewing with higher-fiber foods may serve
as a pain trigger.
(Option 3) Clients with trigeminal neuralgia are encouraged not to
2026-2027 | Most Tested Complex Practice
Questions with Detailed Rationales | Real
Exam Simulation | Verified Answers | Instant
Download
,Block Time Remaining: 00:01:23
TUTOR
Test Id: 80944027
QId: 30520 (921666)
48 of 54
AAA
An unresponsive client is brought to the emergency department after a
party. Friends report that the client drank beer, may have taken some
kind of pills, and then passed out. Blood pressure is 90/62 mm Hg, pulse
is 64/min, and respirations are 8/min. Which priority action is expected
to be taken following the initial assessment?
1. Administer IV naloxone [58%]
2. Administer Ringer's lactate at 125 mL/hr [29%]
3. Collect a urine sample for a urine drug screen [7%]
4. Draw blood for a blood alcohol content test [3%]
Omitted
Correct answer
1
Answered correctly
58% Time: 1 seconds
Updated: 02/11/2017
Explanation:
The characteristic clinical features of opioid intoxication include the
following:
Depressed mental status
Decreased respiratory rate (<12/min) (most notable)
Constricted (miotic) pupils (may not be present in every client)
Decreased/absent bowel sounds
Mild hypotension from histamine release and bradycardia from central
nervous system (CNS) depression may also be present. Concurrent
intake of other CNS depressants (eg, alcohol) can worsen the
respiratory depression.
Naloxone (Narcan) is a potent narcotic antagonist that can reverse
symptoms (respiratory depression, sedation, hypotension) associated
,with suspected opioid overdose without producing any opioid-like
effects. The usual dose is 0.4 mg IV (in non-opioid dependent clients),
typically given via IV push. The therapeutic effect is rapid, within 1-2
minutes, and dosing may be repeated in 2-3 minutes. It is the priority
action to reverse CNS and respiratory depression (Option 1).
(Option 2) IV fluids will be administered, but the priority action is to
address the client's respiratory depression.
(Option 3) A urine sample will be obtained for a urine drug screen and
toxicology tests. It is not necessary to wait for the results before
administering naloxone as delaying care could result in further CNS or
respiratory depression and subsequent death.
(Option 4) Blood for a blood alcohol content test will be drawn, but this
is not the priority action.
Educational objective:
The administration of IV naloxone (Narcan), a potent narcotic
antagonist, is a priority action to reverse depression of the respiratory
and central nervous systems in a client with suspected opioid overdose.
A respiratory rate <12/min is the most notable feature of opioid
overdose.
Block Time Remaining: 00:01:24
TUTOR
Test Id: 80944027
QId: 30606 (921666)
49 of 54
AAA
A client diagnosed with trigeminal neuralgia is given a prescription of
carbamazepine by the health care provider. Which intervention does the
nurse add to this client's care plan?
1. Encourage client to drink cold beverages [1%]
2. Encourage client to eat a high-fiber diet [12%]
3. Encourage client to perform facial massage [17%]
4. Encourage client to report any fever or sore throat [68%]
, Omitted
Correct answer
4
Answered correctly
68% Time: 1 seconds
Updated: 01/13/2017
Explanation:
Trigeminal neuralgia is sudden, sharp pain along the distribution of the
trigeminal nerve. The symptoms are usually unilateral and primarily in the
maxillary and mandibular branches. Clients may experience chronic pain
with periods of less severe pain, or "cluster attacks" of pain between
long periods without pain. Triggers can include washing the face,
chewing food, brushing teeth, yawning, or talking. Pain is severe, intense,
burning, or electric shock-like. The primary intervention for trigeminal
neuralgia is consistent pain control with medications and lifestyle
changes. The drug of choice is carbamazepine. It is a seizure medication
but is highly effective for neuropathic pain. Carbamazepine is associated
with agranulocytosis (leukopenia) and infection risk. Clients should be
advised to report any fever or sore throat.
Behavioral interventions include the following:
Oral care - use a small, soft-bristled toothbrush or a warm mouth wash
Use lukewarm water; avoid beverages or food that are too hot or cold
(Option 1)
Room should be kept at an even and moderate temperature
Avoid rubbing or facial massage. Use cotton pads to wash the face if
necessary.
Have a soft diet with high calorie content; avoid foods that are difficult
to chew. Chew on the unaffected side of the mouth.
(Option 2) A high-fiber diet is not required for a client with trigeminal
neuralgia, and the additional chewing with higher-fiber foods may serve
as a pain trigger.
(Option 3) Clients with trigeminal neuralgia are encouraged not to
