NCLEX - uWorld Test 1 Questions With 100% Correct Answers | Verified
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1. A nurse is performing Cardiac arrests require prompt use of an automated external defibrilla-
cardiopulmonary resus- tor (AED), if available, because evidence shows that early defibrillation is
citation (CPR) on an associated with increased cardiopulmonary resuscitation (CPR) success.
adult at a swim- An AED is a portable device that administers an electric shock to attempt
ming pool. A bystander restoration of normal cardiac electrical activity during cardiac arrest
brings the automat- when used with other resuscitative measures (eg, chest compressions,
ed external defibrilla- medication).
tor (AED). The nurse To maximize the ettectiveness of shock(s) administered by an AED and
notes that the victim increase safety to those providing aid, the client's chests should be dry,
is wet and wearing free of residue, and cleaned of any barriers to conduction (eg, chest
a transdermal medica- hair, transdermal patches) (Option 4).
tion patch on the up- (Option 1) When the AED announces that it is ready for rhythm analysis,
per right chest. Which compressions are paused and rescuers are to remain clear of the client.
action is appropriate? The AED will then dictate if a shock is needed, or if CPR should be
resumed.
(Option 2) The AED should be turned on and AED pads applied as soon
1. Continue compres- as it is available; its use should not be delayed.
sions while the AED an- (Option 3) AED pads should not be placed over medication patches
alyzes the client's heart because this interferes with conduction and can burn the skin and
rhythm would not be ettective if placed on the opposite side. The transdermal
patch should be removed and any residue wiped away before placing
2. Do not use the AED
the appropriate pad on the right side of the chest.
and continue CPR until
Educational objective:An automated external defibrillator (AED) is used
paramedics arrive
as soon as possible for improved cardiopulmonary resuscitation out-
3. Place the AED pad on comes. Transdermal patches should be removed, and the chest wiped
the opposite side of the to promote AED pad adherence and prevent burns.
transdermal patch
4. Remove the transder-
mal patch and wipe the
, NCLEX - uWorld Test 1 Questions With 100% Correct Answers | Verified
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chest before applying
AED pads
2. While the nurse is trans- Chest tubes are inserted into the pleural cavity to facilitate drainage of
porting a client to a new air (pneumothorax), blood (hemothorax), or other fluids. Chest tubes
unit, the client's chest are sutured in place, but dislodgement can occur. If this happens,
tube drainage system a sterile occlusive dressing (eg, petrolatum gauze) must immediately
falls off the bed and be placed over the insertion site until the health care provider can
the tube becomes dis- assess the client and insert a new chest tube. If such dressings are not
lodged from the chest immediately available, the nurse should cover the insertion site with
wall. What is the nurse's something clean and occlusive (eg, gloved hand) to prevent air from
priority action? entering the pleural cavity (Option 4).
(Option 1) The nurse should cover the site and assess the client prior to
1) Activate the hospi- activating the emergency response system.
tal emergency response (Option 2) It may be necessary to provide supplemental oxygen if a
system chest tube is accidentally dislodged. This intervention would be done
2) Apply supplemen- after the site is occluded.
tal oxygen and quick- (Option 3) After the chest tube insertion site is covered, the client should
ly transport to the new be reassessed. The nurse should not delay covering the chest tube site
unit as pneumothorax or tension pneumothorax may occur quickly.
3) Check the client's res- Educational objective:Chest tubes are inserted into the pleural cavity to
piratory pattern and ef- drain air (pneumothorax), blood (hemothorax), or other fluids. If the
fort and oxygen satura- tube is accidentally dislodged, a sterile occlusive dressing is placed over
tion the site. If such dressings are not immediately available, a clean gloved
4) Firmly cover the in- hand can be placed over the site to prevent air entry into the pleural
sertion site with the space. After dressing the site, the nurse should reassess the client and
palm of a clean. gloved notify the health care provider immediately.
hand.
3. The charge nurse is re- When making room assignments, it is important to remember that a
sponsible for making client with an active or suspected infection should not be paired with
, NCLEX - uWorld Test 1 Questions With 100% Correct Answers | Verified
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room assignments for a client who has a fresh surgical wound or is immunocompromised. A
multiple clients. Which client having an asthma exacerbation does not have an infection and
pair of client assign- is not at risk for spreading infection to a client who had recent bowel
ments to a shared room resection surgery (Option 3).
is appropriate? (Option 1) A client with uncontained or excessive excretions, drainage,
or secretions (eg, profuse diarrhea, draining wounds) is more likely
1) Client with blood loss to spread infection, if present, and therefore should be assigned to a
anemia and client with private room.
intractable diarrhea (Option 2) The client who has chemotherapy-induced nausea and vom-
2) Client with gas- iting is likely immunocompromised secondary to the chemotherapy and
troenteritis and client is therefore vulnerable to infection from a client with gastroenteritis.
with chemotherapy-in- (Option 4) A client who has a fresh surgical wound has an increased
duced nausea and vom- risk of infection and should not be paired with a client with an active
iting influenza infection, which is transmitted through the droplet route.
3) Client who had a bow- Educational objective:When preparing room assignments, the nurse
el resection 1 day ago should not place a client who has a fresh surgical wound or is immuno-
and client with asthma compromised in a room with a client who has an active or suspected
exacerbation infection.
4) Client who had a to-
tal hip arthroplasty and
client with influenza
4. The nurse in the car- A client who undergoes percutaneous coronary intervention (PCI) and
diac intensive care unit intracoronary stent placement using the femoral approach is at in-
receives report on 4 creased risk for retroperitoneal hemorrhage. Administration of an-
clients. Which client tithrombotic drugs before, during, and after PCI can exacerbate poten-
should the nurse assess tially life-threatening bleeding from the femoral artery.
first? Hypotension, back pain, flank ecchymosis (eg, Grey Turner sign),
hematoma formation, and diminished distal pulses can be early signs
1) Client who is re- of bleeding into the retroperitoneal space and require immediate in-
ceiving IV antibiotics tervention (eg, notify health care provider, serial complete blood count,
, NCLEX - uWorld Test 1 Questions With 100% Correct Answers | Verified
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for infective endocardi- CT scan of the abdomen) (Option 2).
tis with a temperature (Option 1) Infective endocarditis is often associated with cardiac valve
of 101.5 F (38.6 C) disease and requires long-term antibiotic therapy (4-6 weeks). Charac-
2) Client who under- teristic manifestations include fever, myalgia, chills, joint pain, anorexia,
went coronary artery and petechiae.
stent placement via (Option 3) Some clients notice swelling in the leg used for donor
femoral approach 3 venous graft (interruption of blood flow). Elevating the leg and wearing
hours ago and is report- compression stockings can help decrease symptoms.
ing severe back pain (Option 4) During heart transplantation, the donor heart is cut ott
3) Client who under- from the autonomic nervous system (denervated), altering the heart
went coronary bypass rate during rest and exercise after the procedure. The heart rate of
graft surgery 3 days ago the transplanted heart is expected to be at the high end of normal or
and has swelling in the tachycardic (eg, 90-110/min).
leg used for the donor Educational objective:Percutaneous coronary intervention via the
graft femoral approach places the client at increased risk for retroperitoneal
4) Client who under- hemorrhage, which can be exacerbated by antithrombotic drugs. Back
went heart transplanta- pain, hypotension, flank ecchymosis (eg, Grey Turner sign), hematoma
tion 2 months ago with formation, and diminished distal pulses can be early signs of bleeding
sustained sinus tachy- into the retroperitoneal space and require immediate intervention.
cardia of 110/min at
rest.
5. The nurse is review- Bone healing depends on multiple factors, including nutrition, ade-
ing the medical histo- quate circulation, and age. A client with peripheral arterial disease has
ry of a client who has decreased perfusion to the extremities due to atherosclerotic changes
sustained a right tib- in the arteries. Without adequate perfusion, the bone is not supplied
ia/fibula fracture from with the oxygen and nutrients required for healing (Option 4).
a fall. The nurse iden- (Option 1) A BMI of 25-29.9 kg/m2 indicates that the client is over-
tifies which finding as weight. A sedentary lifestyle often leads to elevated BMI and also cor-
most likely to hinder relates with decreased bone density, which places the client at risk for
healing? fractures. However, neither sedentary lifestyle nor elevated BMI directly
Latest Update
1. A nurse is performing Cardiac arrests require prompt use of an automated external defibrilla-
cardiopulmonary resus- tor (AED), if available, because evidence shows that early defibrillation is
citation (CPR) on an associated with increased cardiopulmonary resuscitation (CPR) success.
adult at a swim- An AED is a portable device that administers an electric shock to attempt
ming pool. A bystander restoration of normal cardiac electrical activity during cardiac arrest
brings the automat- when used with other resuscitative measures (eg, chest compressions,
ed external defibrilla- medication).
tor (AED). The nurse To maximize the ettectiveness of shock(s) administered by an AED and
notes that the victim increase safety to those providing aid, the client's chests should be dry,
is wet and wearing free of residue, and cleaned of any barriers to conduction (eg, chest
a transdermal medica- hair, transdermal patches) (Option 4).
tion patch on the up- (Option 1) When the AED announces that it is ready for rhythm analysis,
per right chest. Which compressions are paused and rescuers are to remain clear of the client.
action is appropriate? The AED will then dictate if a shock is needed, or if CPR should be
resumed.
(Option 2) The AED should be turned on and AED pads applied as soon
1. Continue compres- as it is available; its use should not be delayed.
sions while the AED an- (Option 3) AED pads should not be placed over medication patches
alyzes the client's heart because this interferes with conduction and can burn the skin and
rhythm would not be ettective if placed on the opposite side. The transdermal
patch should be removed and any residue wiped away before placing
2. Do not use the AED
the appropriate pad on the right side of the chest.
and continue CPR until
Educational objective:An automated external defibrillator (AED) is used
paramedics arrive
as soon as possible for improved cardiopulmonary resuscitation out-
3. Place the AED pad on comes. Transdermal patches should be removed, and the chest wiped
the opposite side of the to promote AED pad adherence and prevent burns.
transdermal patch
4. Remove the transder-
mal patch and wipe the
, NCLEX - uWorld Test 1 Questions With 100% Correct Answers | Verified
Latest Update
chest before applying
AED pads
2. While the nurse is trans- Chest tubes are inserted into the pleural cavity to facilitate drainage of
porting a client to a new air (pneumothorax), blood (hemothorax), or other fluids. Chest tubes
unit, the client's chest are sutured in place, but dislodgement can occur. If this happens,
tube drainage system a sterile occlusive dressing (eg, petrolatum gauze) must immediately
falls off the bed and be placed over the insertion site until the health care provider can
the tube becomes dis- assess the client and insert a new chest tube. If such dressings are not
lodged from the chest immediately available, the nurse should cover the insertion site with
wall. What is the nurse's something clean and occlusive (eg, gloved hand) to prevent air from
priority action? entering the pleural cavity (Option 4).
(Option 1) The nurse should cover the site and assess the client prior to
1) Activate the hospi- activating the emergency response system.
tal emergency response (Option 2) It may be necessary to provide supplemental oxygen if a
system chest tube is accidentally dislodged. This intervention would be done
2) Apply supplemen- after the site is occluded.
tal oxygen and quick- (Option 3) After the chest tube insertion site is covered, the client should
ly transport to the new be reassessed. The nurse should not delay covering the chest tube site
unit as pneumothorax or tension pneumothorax may occur quickly.
3) Check the client's res- Educational objective:Chest tubes are inserted into the pleural cavity to
piratory pattern and ef- drain air (pneumothorax), blood (hemothorax), or other fluids. If the
fort and oxygen satura- tube is accidentally dislodged, a sterile occlusive dressing is placed over
tion the site. If such dressings are not immediately available, a clean gloved
4) Firmly cover the in- hand can be placed over the site to prevent air entry into the pleural
sertion site with the space. After dressing the site, the nurse should reassess the client and
palm of a clean. gloved notify the health care provider immediately.
hand.
3. The charge nurse is re- When making room assignments, it is important to remember that a
sponsible for making client with an active or suspected infection should not be paired with
, NCLEX - uWorld Test 1 Questions With 100% Correct Answers | Verified
Latest Update
room assignments for a client who has a fresh surgical wound or is immunocompromised. A
multiple clients. Which client having an asthma exacerbation does not have an infection and
pair of client assign- is not at risk for spreading infection to a client who had recent bowel
ments to a shared room resection surgery (Option 3).
is appropriate? (Option 1) A client with uncontained or excessive excretions, drainage,
or secretions (eg, profuse diarrhea, draining wounds) is more likely
1) Client with blood loss to spread infection, if present, and therefore should be assigned to a
anemia and client with private room.
intractable diarrhea (Option 2) The client who has chemotherapy-induced nausea and vom-
2) Client with gas- iting is likely immunocompromised secondary to the chemotherapy and
troenteritis and client is therefore vulnerable to infection from a client with gastroenteritis.
with chemotherapy-in- (Option 4) A client who has a fresh surgical wound has an increased
duced nausea and vom- risk of infection and should not be paired with a client with an active
iting influenza infection, which is transmitted through the droplet route.
3) Client who had a bow- Educational objective:When preparing room assignments, the nurse
el resection 1 day ago should not place a client who has a fresh surgical wound or is immuno-
and client with asthma compromised in a room with a client who has an active or suspected
exacerbation infection.
4) Client who had a to-
tal hip arthroplasty and
client with influenza
4. The nurse in the car- A client who undergoes percutaneous coronary intervention (PCI) and
diac intensive care unit intracoronary stent placement using the femoral approach is at in-
receives report on 4 creased risk for retroperitoneal hemorrhage. Administration of an-
clients. Which client tithrombotic drugs before, during, and after PCI can exacerbate poten-
should the nurse assess tially life-threatening bleeding from the femoral artery.
first? Hypotension, back pain, flank ecchymosis (eg, Grey Turner sign),
hematoma formation, and diminished distal pulses can be early signs
1) Client who is re- of bleeding into the retroperitoneal space and require immediate in-
ceiving IV antibiotics tervention (eg, notify health care provider, serial complete blood count,
, NCLEX - uWorld Test 1 Questions With 100% Correct Answers | Verified
Latest Update
for infective endocardi- CT scan of the abdomen) (Option 2).
tis with a temperature (Option 1) Infective endocarditis is often associated with cardiac valve
of 101.5 F (38.6 C) disease and requires long-term antibiotic therapy (4-6 weeks). Charac-
2) Client who under- teristic manifestations include fever, myalgia, chills, joint pain, anorexia,
went coronary artery and petechiae.
stent placement via (Option 3) Some clients notice swelling in the leg used for donor
femoral approach 3 venous graft (interruption of blood flow). Elevating the leg and wearing
hours ago and is report- compression stockings can help decrease symptoms.
ing severe back pain (Option 4) During heart transplantation, the donor heart is cut ott
3) Client who under- from the autonomic nervous system (denervated), altering the heart
went coronary bypass rate during rest and exercise after the procedure. The heart rate of
graft surgery 3 days ago the transplanted heart is expected to be at the high end of normal or
and has swelling in the tachycardic (eg, 90-110/min).
leg used for the donor Educational objective:Percutaneous coronary intervention via the
graft femoral approach places the client at increased risk for retroperitoneal
4) Client who under- hemorrhage, which can be exacerbated by antithrombotic drugs. Back
went heart transplanta- pain, hypotension, flank ecchymosis (eg, Grey Turner sign), hematoma
tion 2 months ago with formation, and diminished distal pulses can be early signs of bleeding
sustained sinus tachy- into the retroperitoneal space and require immediate intervention.
cardia of 110/min at
rest.
5. The nurse is review- Bone healing depends on multiple factors, including nutrition, ade-
ing the medical histo- quate circulation, and age. A client with peripheral arterial disease has
ry of a client who has decreased perfusion to the extremities due to atherosclerotic changes
sustained a right tib- in the arteries. Without adequate perfusion, the bone is not supplied
ia/fibula fracture from with the oxygen and nutrients required for healing (Option 4).
a fall. The nurse iden- (Option 1) A BMI of 25-29.9 kg/m2 indicates that the client is over-
tifies which finding as weight. A sedentary lifestyle often leads to elevated BMI and also cor-
most likely to hinder relates with decreased bone density, which places the client at risk for
healing? fractures. However, neither sedentary lifestyle nor elevated BMI directly
