UWORLD NCLEX-RN EVALUATION EXAM UPDATED
QUESTIONS AND SOLUTIONS RATED A+
✔✔Dozens of clients arrive in the emergency department with chemical burns and
inhalation injuries from exposure to anhydrous ammonia gas released from a tanker
truck on a highway. What is the priority action by the nurse?
1.
Administer 100% oxygen to all clients with evidence of inhalation injuries
2.
Assist clients to remove contaminated clothing and shower with copious amounts of
water
3.
Estimate the extent of the clients' burn injuries using the rule of nines
4.
Rapidly assess the clients' vital signs, respiratory effort, and neurological status - ✔✔2.
✔✔The infection control nurse observes a new graduate nurse in the intensive care
unit. Which action by the graduate nurse requires intervention by the infection control
nurse?
1.
Graduate nurse removes gloves prior to removing mask when leaving client's room
2.
Graduate nurse scrubs underneath artificial nails while performing hand hygiene
3.
Graduate nurse uses alcohol-based hand sanitizer when entering client's room
4.
Graduate nurse washes hands with soap and water for 20 seconds - ✔✔2.
✔✔The nurse is reviewing telemetry strips of clients. Which rhythm requires further
assessment by the nurse?
1.
2.
3.
4. - ✔✔*look at word document*
✔✔The nurse cares for a client with end-stage liver disease who is not a candidate for a
liver transplant. The client is considering participation in a research study investigating
an experimental therapy. In discussing possible enrollment in the study with the client,
which of the following statements by the nurse are appropriate? Select all that apply.
1.
"Ask the research team about the risks, consequences, and benefits before signing
consent."
2.
"Before signing consent, make sure you understand the study's duration and your
obligations."
, 3.
"In your own words, can you tell me what you have been told about the study and what
you will be required to do?"
4.
"Remember that if you participate, you are not obligated to stay in the study. You may
withdraw at any time."
5.
"To maintain the integrity of the study, certain information may be withheld, such as
potential for harm or discomfort." - ✔✔1, 2, 3, 4
✔✔After a traumatic head injury, a 36-year-old client on a mechanical ventilator is
declared braterm-62in dead. The client's spouse states, "Maybe this happened for a
reason. Do you think organ donation is possible?" Which response by the nurse is
appropriate?
1.
"A specialized team reviews each case for eligibility. I will contact them to review your
spouse's history."
2.
"It depends on whether your spouse gave consent to be an organ donor before the
injury."
3.
"Organ donation often provides comfort to family members who are grieving the loss of
a loved one."
4.
"You seem to be thinking the worst. Your spouse was young and healthy, and we are
doing everything we can." - ✔✔1.
✔✔The nurse is performing a 12-lead ECG on a client suspected of having a
myocardial infarction. The nurse notes significant interference on lead V2. Which
electrode will the nurse troubleshoot? Left-clicking the mouse will put an X to show the
answer before submitting the question. - ✔✔*look at word doc*
✔✔The clinic nurse gathers data from the parent of an adolescent client with suspected
bulimia nervosa. Which of the following communications by the parent support this
diagnosis? Select all that apply.
1.
"I can now see my child's ribs and spine after so much weight loss."
2.
"I have noticed that my child has developed fine hair on the back."
3.
"My child ate a large container of chocolate ice cream in one evening."
4.
"My child frequently leaves the table during meals to go to the bathroom."
5.
"The dentist informed me that my child's tooth enamel is wearing away." - ✔✔3, 4, 5
QUESTIONS AND SOLUTIONS RATED A+
✔✔Dozens of clients arrive in the emergency department with chemical burns and
inhalation injuries from exposure to anhydrous ammonia gas released from a tanker
truck on a highway. What is the priority action by the nurse?
1.
Administer 100% oxygen to all clients with evidence of inhalation injuries
2.
Assist clients to remove contaminated clothing and shower with copious amounts of
water
3.
Estimate the extent of the clients' burn injuries using the rule of nines
4.
Rapidly assess the clients' vital signs, respiratory effort, and neurological status - ✔✔2.
✔✔The infection control nurse observes a new graduate nurse in the intensive care
unit. Which action by the graduate nurse requires intervention by the infection control
nurse?
1.
Graduate nurse removes gloves prior to removing mask when leaving client's room
2.
Graduate nurse scrubs underneath artificial nails while performing hand hygiene
3.
Graduate nurse uses alcohol-based hand sanitizer when entering client's room
4.
Graduate nurse washes hands with soap and water for 20 seconds - ✔✔2.
✔✔The nurse is reviewing telemetry strips of clients. Which rhythm requires further
assessment by the nurse?
1.
2.
3.
4. - ✔✔*look at word document*
✔✔The nurse cares for a client with end-stage liver disease who is not a candidate for a
liver transplant. The client is considering participation in a research study investigating
an experimental therapy. In discussing possible enrollment in the study with the client,
which of the following statements by the nurse are appropriate? Select all that apply.
1.
"Ask the research team about the risks, consequences, and benefits before signing
consent."
2.
"Before signing consent, make sure you understand the study's duration and your
obligations."
, 3.
"In your own words, can you tell me what you have been told about the study and what
you will be required to do?"
4.
"Remember that if you participate, you are not obligated to stay in the study. You may
withdraw at any time."
5.
"To maintain the integrity of the study, certain information may be withheld, such as
potential for harm or discomfort." - ✔✔1, 2, 3, 4
✔✔After a traumatic head injury, a 36-year-old client on a mechanical ventilator is
declared braterm-62in dead. The client's spouse states, "Maybe this happened for a
reason. Do you think organ donation is possible?" Which response by the nurse is
appropriate?
1.
"A specialized team reviews each case for eligibility. I will contact them to review your
spouse's history."
2.
"It depends on whether your spouse gave consent to be an organ donor before the
injury."
3.
"Organ donation often provides comfort to family members who are grieving the loss of
a loved one."
4.
"You seem to be thinking the worst. Your spouse was young and healthy, and we are
doing everything we can." - ✔✔1.
✔✔The nurse is performing a 12-lead ECG on a client suspected of having a
myocardial infarction. The nurse notes significant interference on lead V2. Which
electrode will the nurse troubleshoot? Left-clicking the mouse will put an X to show the
answer before submitting the question. - ✔✔*look at word doc*
✔✔The clinic nurse gathers data from the parent of an adolescent client with suspected
bulimia nervosa. Which of the following communications by the parent support this
diagnosis? Select all that apply.
1.
"I can now see my child's ribs and spine after so much weight loss."
2.
"I have noticed that my child has developed fine hair on the back."
3.
"My child ate a large container of chocolate ice cream in one evening."
4.
"My child frequently leaves the table during meals to go to the bathroom."
5.
"The dentist informed me that my child's tooth enamel is wearing away." - ✔✔3, 4, 5
