ESTUDY
UWORLD NCLEX-RN TEST 2 100% QUESTIONS AND
ANSWERS GRADED A+
1. A nurse suspects that a coworker called in from home to assist after a bus accident
may be impaired by substances. What should the nurse do first?
o A) Ask another coworker to confirm the suspicion
o B) Confront the coworker directly
o C) Report the concern to the nursing supervisor
o D) Contact a regulatory agency
o Answer: C
2. A patient receiving a rituximab infusion for lymphoma shows symptoms. Which
symptom should the nurse report immediately?
o A) Dizziness and diarrhea
o B) Nausea and vomiting
o C) New shortness of breath and fast breathing
o D) Fever of 101°F (38.3°C)
o Answer: C
3. Which statement by a student nurse caring for a deceased Orthodox Jewish patient
indicates a need for more education?
o A) "I will let the family stay with the client."
o B) "I will call the family before providing any postmortem care."
o C) "I will send the client for an autopsy."
o D) "I will cover the client's face with a sheet."
o Answer: C
4. A patient with chronic pancreatitis is choosing a meal. Which option is best?
o A) Baked tilapia with lemon, sweet potatoes, and green peas
o B) Cream of potato soup and roast beef on a croissant
o C) Sautéed salmon, macaroni and cheese, and a biscuit
o D) Shrimp enchiladas with rice and cornbread
o Answer: A
5. Put the steps in the correct order for changing a subclavian central venous
catheter dressing:
o
1. Apply a chlorhexidine patch and cover with a dressing
o
2. Clean with chlorhexidine for 30 seconds and let dry
o
3. Remove clean gloves, wash hands, and wear sterile gloves
o
4. Wash hands, put on a face mask, and clean gloves
o
5. Remove the old dressing and inspect the site
o Correct Order: 4, 5, 3, 2, 1
6. Which child should be seen first in the emergency department?
,ESTUDY
o A) 2-week-old with blue lips and nails
o B) 5-week-old vomiting after every feed
o C) 12-month-old who was wheezing and is now lethargic
o D) 3-year-old with fever and recent seizure
o Answer: C
7. A UAP was splashed in the eye while emptying a catheter bag of an HIV-positive
client. What is the first action?
o A) Flush the eye with water immediately
o B) Reassure them about low risk from urine exposure
o C) Send them for HIV testing
o D) Direct them to the emergency room
o Answer: A
8. A client has a fasting blood glucose of 210 mg/dL. How many units of regular
insulin should be given if 4 units are scheduled and sliding scale indicates 6 units?
o Answer: 10 units
9. A client on escitalopram reports no improvement after 2 months. What should the
nurse say?
o A) "Has there been any added stress recently?"
o B) "It is too early to notice a difference."
o C) "Let's discuss how you have been taking your medication."
o D) "We will consider changing the prescription."
o Answer: C
10. Parents of a 12-month-old are weaning from breastfeeding. Which statement
shows understanding?
A) "I can let my child sleep with a bottle."
B) "I will replace breastfeeding with whole cow's milk."
C) "I will limit milk to increase solid food intake."
D) "I will stop breastfeeding immediately."
Answer: B
11. A nurse discusses a hospital bed for a client with Huntington's disease. The spouse
gets upset. What should the nurse say?
A) "It will make caregiving easier."
B) "Are you not ready for this change?"
C) "What about the bed concerns you?"
D) "We can discuss this another time."
Answer: C
12. Which of these actions violates client confidentiality? (Select all that apply)
A) Family informs nurse about client's non-adherence to medication
B) Nurse reviews a shooting victim's health records out of curiosity
C) Nurse leaves report sheet in a public area
D) Telling a UAP to avoid a client's room due to toxoplasmosis
E) Telling a client their roommate will return after dialysis
Answer: B, C, E
13. A nurse screens for skin cancer. Which finding is most concerning?
, ESTUDY
A) Blue and black irregular spot on the hand
B) Pink bump with ulceration on the ear
C) Silvery scales on a pink patch on the neck
D) Red, scaly patch on the forehead
Answer: A
14. Which client should the nurse see first after receiving a shift report?
A) Hip surgery client with itchy incision
B) Client on IV fluids reporting swollen legs and cough
C) Angry client waiting for discharge
D) Client on potassium IV with a level of 5.0 mEq/L
Answer: B
15. A patient with cranial nerve II damage needs what type of care?
A) Soft diet
B) Raised head of bed
C) Written instructions
D) Verbal explanations
Answer: D
Question 1: A nurse suspects a coworker may be under the influence of drugs after being
called to help with an emergency. What is the best action for the nurse to take?
1. Ask another coworker to observe the individual.
2. Confront the coworker and offer support.
3. Speak with the nursing supervisor about the concern.
4. Report directly to the regulatory agency.
Answer: 3
Question 2: A client receiving rituximab for lymphoma reports symptoms. Which symptom
should the nurse report first to the health care provider?
1. Dizziness and diarrhea
2. Nausea and vomiting
3. New onset of rapid breathing and difficulty breathing
4. Fever of 101°F (38.3°C)
Answer: 3
Question 3: A student nurse is preparing postmortem care for an Orthodox Jewish client
without signed consents. Which statement requires correction by the supervising nurse?
1. "I will allow the family to be with the client at all times."
2. "I will call the next of kin before starting postmortem care."
3. "I will prepare the client for an autopsy transfer."
4. "I will place a sheet over the client's face."
Answer: 3
Question 4: A nurse is advising a client with chronic pancreatitis on meal choices. Which meal
is most appropriate?
UWORLD NCLEX-RN TEST 2 100% QUESTIONS AND
ANSWERS GRADED A+
1. A nurse suspects that a coworker called in from home to assist after a bus accident
may be impaired by substances. What should the nurse do first?
o A) Ask another coworker to confirm the suspicion
o B) Confront the coworker directly
o C) Report the concern to the nursing supervisor
o D) Contact a regulatory agency
o Answer: C
2. A patient receiving a rituximab infusion for lymphoma shows symptoms. Which
symptom should the nurse report immediately?
o A) Dizziness and diarrhea
o B) Nausea and vomiting
o C) New shortness of breath and fast breathing
o D) Fever of 101°F (38.3°C)
o Answer: C
3. Which statement by a student nurse caring for a deceased Orthodox Jewish patient
indicates a need for more education?
o A) "I will let the family stay with the client."
o B) "I will call the family before providing any postmortem care."
o C) "I will send the client for an autopsy."
o D) "I will cover the client's face with a sheet."
o Answer: C
4. A patient with chronic pancreatitis is choosing a meal. Which option is best?
o A) Baked tilapia with lemon, sweet potatoes, and green peas
o B) Cream of potato soup and roast beef on a croissant
o C) Sautéed salmon, macaroni and cheese, and a biscuit
o D) Shrimp enchiladas with rice and cornbread
o Answer: A
5. Put the steps in the correct order for changing a subclavian central venous
catheter dressing:
o
1. Apply a chlorhexidine patch and cover with a dressing
o
2. Clean with chlorhexidine for 30 seconds and let dry
o
3. Remove clean gloves, wash hands, and wear sterile gloves
o
4. Wash hands, put on a face mask, and clean gloves
o
5. Remove the old dressing and inspect the site
o Correct Order: 4, 5, 3, 2, 1
6. Which child should be seen first in the emergency department?
,ESTUDY
o A) 2-week-old with blue lips and nails
o B) 5-week-old vomiting after every feed
o C) 12-month-old who was wheezing and is now lethargic
o D) 3-year-old with fever and recent seizure
o Answer: C
7. A UAP was splashed in the eye while emptying a catheter bag of an HIV-positive
client. What is the first action?
o A) Flush the eye with water immediately
o B) Reassure them about low risk from urine exposure
o C) Send them for HIV testing
o D) Direct them to the emergency room
o Answer: A
8. A client has a fasting blood glucose of 210 mg/dL. How many units of regular
insulin should be given if 4 units are scheduled and sliding scale indicates 6 units?
o Answer: 10 units
9. A client on escitalopram reports no improvement after 2 months. What should the
nurse say?
o A) "Has there been any added stress recently?"
o B) "It is too early to notice a difference."
o C) "Let's discuss how you have been taking your medication."
o D) "We will consider changing the prescription."
o Answer: C
10. Parents of a 12-month-old are weaning from breastfeeding. Which statement
shows understanding?
A) "I can let my child sleep with a bottle."
B) "I will replace breastfeeding with whole cow's milk."
C) "I will limit milk to increase solid food intake."
D) "I will stop breastfeeding immediately."
Answer: B
11. A nurse discusses a hospital bed for a client with Huntington's disease. The spouse
gets upset. What should the nurse say?
A) "It will make caregiving easier."
B) "Are you not ready for this change?"
C) "What about the bed concerns you?"
D) "We can discuss this another time."
Answer: C
12. Which of these actions violates client confidentiality? (Select all that apply)
A) Family informs nurse about client's non-adherence to medication
B) Nurse reviews a shooting victim's health records out of curiosity
C) Nurse leaves report sheet in a public area
D) Telling a UAP to avoid a client's room due to toxoplasmosis
E) Telling a client their roommate will return after dialysis
Answer: B, C, E
13. A nurse screens for skin cancer. Which finding is most concerning?
, ESTUDY
A) Blue and black irregular spot on the hand
B) Pink bump with ulceration on the ear
C) Silvery scales on a pink patch on the neck
D) Red, scaly patch on the forehead
Answer: A
14. Which client should the nurse see first after receiving a shift report?
A) Hip surgery client with itchy incision
B) Client on IV fluids reporting swollen legs and cough
C) Angry client waiting for discharge
D) Client on potassium IV with a level of 5.0 mEq/L
Answer: B
15. A patient with cranial nerve II damage needs what type of care?
A) Soft diet
B) Raised head of bed
C) Written instructions
D) Verbal explanations
Answer: D
Question 1: A nurse suspects a coworker may be under the influence of drugs after being
called to help with an emergency. What is the best action for the nurse to take?
1. Ask another coworker to observe the individual.
2. Confront the coworker and offer support.
3. Speak with the nursing supervisor about the concern.
4. Report directly to the regulatory agency.
Answer: 3
Question 2: A client receiving rituximab for lymphoma reports symptoms. Which symptom
should the nurse report first to the health care provider?
1. Dizziness and diarrhea
2. Nausea and vomiting
3. New onset of rapid breathing and difficulty breathing
4. Fever of 101°F (38.3°C)
Answer: 3
Question 3: A student nurse is preparing postmortem care for an Orthodox Jewish client
without signed consents. Which statement requires correction by the supervising nurse?
1. "I will allow the family to be with the client at all times."
2. "I will call the next of kin before starting postmortem care."
3. "I will prepare the client for an autopsy transfer."
4. "I will place a sheet over the client's face."
Answer: 3
Question 4: A nurse is advising a client with chronic pancreatitis on meal choices. Which meal
is most appropriate?
