UWORLD NCLEX-RN TEST 2 |LATEST UPDATED
2026/2027 |A COMPLETE SOLUTION WITH
VERIFIED QUESTIONS AND ANSWERS WITH
RATIONALES |GET IT 100% CORRECT |GRADED A+
A nurse coworker is called into work from home to help care for an influx
of clients being admitted after a bus accident. While assisting the
coworker prepare for incoming clients, the nurse becomes concerned that
the coworker may be under the influence of an impairing substance.
Which action by the nurse is best?
1.
Ask another coworker to observe the individual to confirm the suspicion
2.
Confront the coworker about the concern and offer emotional support
3.
Speak with the nursing supervisor about the concern
4.
Telephone the appropriate regulatory agency and make a report
3.
A nurse is administering a rituximab infusion to a client with lymphoma in
an oncology clinic. Which client symptom would be a priority to report to
the health care provider?
1.
Dizziness and sudden diarrhea
2.
Nausea and onset of vomiting
3.
New-onset tachypnea and dyspnea
,4.
Temperature of 101 F (38.3 C)
3.
The student nurse plans postmortem care for an Orthodox Jewish client
hospitalized for the last week with heart failure who did not sign consents
for any postmortem actions. Which statement by the student would
require further education by the supervising nurse?
1.
"I will allow the family to remain with the client at all times."
2.
"I will call the next of kin before providing any postmortem care."
3.
"I will prepare the client for transfer to the morgue for autopsy."
4.
"I will provide a sheet to be placed over the client's face."
3.
The nurse is caring for a client with chronic pancreatitis. Which meal
should the nurse recommend when assisting the client in selecting food
items from a menu?
1.
Baked tilapia with lemon wedge, sweet potatoes, and green peas
2.
Cream of potato soup and roast beef sandwich on a croissant
3.
Sautéed salmon, macaroni and cheese, string beans, and a biscuit
4.
Shrimp enchiladas with tomato salsa, rice, cornbread, and refried beans
1.
The nurse is preparing to change the dressing of a client's subclavian
central venous catheter using a chlorhexidine gluconate (CHG)-
impregnated patch and transparent adhesive dressing. Place the
procedural steps in the correct order. All options must be used.
,Apply CHG patch over catheter insertion site and cover with a sterile
transparent dressing
Cleanse the site with CHG for at least 30 seconds using friction; allow to
air dry completely
Discard the clean gloves, perform hand hygiene, and apply sterile gloves
Perform hand hygiene, don face mask, place a mask on the client, and
apply clean gloves
Remove old dressing and CHG-impregnated patch; assess insertion site
Perform hand hygiene, don face mask, place a mask on the client, and
apply clean gloves
Remove old dressing and CHG-impregnated patch; assess insertion site
Discard the clean gloves, perform hand hygiene, and apply sterile gloves
Cleanse the site with CHG for at least 30 seconds using friction; allow to
air dry completely
Apply CHG patch over catheter insertion site and cover with a sterile
transparent dressing
Four clients enter the pediatric emergency department at the same time.
Which client should the nurse see first?
1.
2-week-old with tricuspid atresia who has dusky lips and nailbeds
2.
5-week-old with forceful vomiting after every feeding who is crying
3.
12-month-old who was wheezing at home and is now lethargic with no
, wheezing
4.
3-year-old with fever who had a brief seizure at home and is asleep
3.
The unlicensed assistive personnel (UAP) reports being splashed in the
eye while emptying urine from the catheter bag of a client with AIDS. The
UAP is afraid of becoming infected with HIV and requests immediate
testing. What is the nurse's priority action?
1.
Direct the UAP to immediately flush the eye with water at the unit's
eyewash station
2.
Reassure the UAP that the risk for HIV is low as urine does not transmit
the virus
3.
Refer the UAP to the occupational health department for postexposure
prophylaxis
4.
Send the UAP to the facility's emergency department for medical
evaluation
1.
The nurse prepares to administer a client's scheduled prandial regular
insulin plus a correctional dose based on a sliding scale as the client's
breakfast tray arrives. The client's fasting blood glucose level is 210
mg/dL (11.7 mmol/L). How many total units of regular insulin should the
nurse administer? Click the exhibit button for additional information.
Record your answer using a whole number.
EXHIBIT:
Medication administration record:
Allergies: NKA
2026/2027 |A COMPLETE SOLUTION WITH
VERIFIED QUESTIONS AND ANSWERS WITH
RATIONALES |GET IT 100% CORRECT |GRADED A+
A nurse coworker is called into work from home to help care for an influx
of clients being admitted after a bus accident. While assisting the
coworker prepare for incoming clients, the nurse becomes concerned that
the coworker may be under the influence of an impairing substance.
Which action by the nurse is best?
1.
Ask another coworker to observe the individual to confirm the suspicion
2.
Confront the coworker about the concern and offer emotional support
3.
Speak with the nursing supervisor about the concern
4.
Telephone the appropriate regulatory agency and make a report
3.
A nurse is administering a rituximab infusion to a client with lymphoma in
an oncology clinic. Which client symptom would be a priority to report to
the health care provider?
1.
Dizziness and sudden diarrhea
2.
Nausea and onset of vomiting
3.
New-onset tachypnea and dyspnea
,4.
Temperature of 101 F (38.3 C)
3.
The student nurse plans postmortem care for an Orthodox Jewish client
hospitalized for the last week with heart failure who did not sign consents
for any postmortem actions. Which statement by the student would
require further education by the supervising nurse?
1.
"I will allow the family to remain with the client at all times."
2.
"I will call the next of kin before providing any postmortem care."
3.
"I will prepare the client for transfer to the morgue for autopsy."
4.
"I will provide a sheet to be placed over the client's face."
3.
The nurse is caring for a client with chronic pancreatitis. Which meal
should the nurse recommend when assisting the client in selecting food
items from a menu?
1.
Baked tilapia with lemon wedge, sweet potatoes, and green peas
2.
Cream of potato soup and roast beef sandwich on a croissant
3.
Sautéed salmon, macaroni and cheese, string beans, and a biscuit
4.
Shrimp enchiladas with tomato salsa, rice, cornbread, and refried beans
1.
The nurse is preparing to change the dressing of a client's subclavian
central venous catheter using a chlorhexidine gluconate (CHG)-
impregnated patch and transparent adhesive dressing. Place the
procedural steps in the correct order. All options must be used.
,Apply CHG patch over catheter insertion site and cover with a sterile
transparent dressing
Cleanse the site with CHG for at least 30 seconds using friction; allow to
air dry completely
Discard the clean gloves, perform hand hygiene, and apply sterile gloves
Perform hand hygiene, don face mask, place a mask on the client, and
apply clean gloves
Remove old dressing and CHG-impregnated patch; assess insertion site
Perform hand hygiene, don face mask, place a mask on the client, and
apply clean gloves
Remove old dressing and CHG-impregnated patch; assess insertion site
Discard the clean gloves, perform hand hygiene, and apply sterile gloves
Cleanse the site with CHG for at least 30 seconds using friction; allow to
air dry completely
Apply CHG patch over catheter insertion site and cover with a sterile
transparent dressing
Four clients enter the pediatric emergency department at the same time.
Which client should the nurse see first?
1.
2-week-old with tricuspid atresia who has dusky lips and nailbeds
2.
5-week-old with forceful vomiting after every feeding who is crying
3.
12-month-old who was wheezing at home and is now lethargic with no
, wheezing
4.
3-year-old with fever who had a brief seizure at home and is asleep
3.
The unlicensed assistive personnel (UAP) reports being splashed in the
eye while emptying urine from the catheter bag of a client with AIDS. The
UAP is afraid of becoming infected with HIV and requests immediate
testing. What is the nurse's priority action?
1.
Direct the UAP to immediately flush the eye with water at the unit's
eyewash station
2.
Reassure the UAP that the risk for HIV is low as urine does not transmit
the virus
3.
Refer the UAP to the occupational health department for postexposure
prophylaxis
4.
Send the UAP to the facility's emergency department for medical
evaluation
1.
The nurse prepares to administer a client's scheduled prandial regular
insulin plus a correctional dose based on a sliding scale as the client's
breakfast tray arrives. The client's fasting blood glucose level is 210
mg/dL (11.7 mmol/L). How many total units of regular insulin should the
nurse administer? Click the exhibit button for additional information.
Record your answer using a whole number.
EXHIBIT:
Medication administration record:
Allergies: NKA
