UWORLD NCLEX-RN TEST 2 QUESTIONS WITH 100% VERIFIED
ANSWERS
1. A nurse coworker is called into work from 3.Speak with the nursing su-
home to help care for an influx of clients be- pervisor about the concern
ing admitted after a bus accident. While as-
sisting 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 indi-
vidual 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
2. A nurse is administering a rituximab infu- 3.
sion to a client with lymphoma in an on- New-onset tachypnea and
cology clinic. Which client symptom would dyspnea
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 3.
for an Orthodox Jewish client hospitalized "I will prepare the client for
for the last week with heart failure who transfer to the morgue for au-
did not sign consents for any postmortem topsy."
, UWORLD NCLEX-RN TEST 2 QUESTIONS WITH 100% VERIFIED
ANSWERS
actions. Which statement by the student
would require further education by the su-
pervising 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."
4. The nurse is caring for a client with chronic 1.
pancreatitis. Which meal should the nurse Baked tilapia with lemon
recommend when assisting the client in se- wedge, sweet potatoes, and
lecting food items from a menu? green peas
1.
Baked tilapia with lemon wedge, sweet
potatoes, and green peas
2.
Cream of potato soup and roast beef sand-
wich 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
5. The nurse is preparing to change the dress- Perform hand hygiene, don
ing of a client's subclavian central venous face mask, place a mask on
catheter using a chlorhexidine gluconate the client, and apply clean
(CHG)-impregnated patch and transparent gloves
adhesive dressing. Place the procedural
steps in the correct order. All options must Remove old dressing and
, UWORLD NCLEX-RN TEST 2 QUESTIONS WITH 100% VERIFIED
ANSWERS
be used. CHG-impregnated patch; as-
sess insertion site
Apply CHG patch over catheter insertion
site and cover with a sterile transparent Discard the clean gloves, per-
dressing form hand hygiene, and apply
sterile gloves
Cleanse the site with CHG for at least 30
seconds using friction; allow to air dry Cleanse the site with CHG for
completely at least 30 seconds using fric-
tion; allow to air dry complete-
Discard the clean gloves, perform hand hy- ly
giene, and apply sterile gloves
Apply CHG patch over
Perform hand hygiene, don face mask, catheter insertion site and
place a mask on the client, and apply clean cover with a sterile transpar-
gloves ent dressing
Remove old dressing and CHG-impregnat-
ed patch; assess insertion site
6. Four clients enter the pediatric emergency 3.
department at the same time. Which client 12-month-old who was
should the nurse see first? wheezing at home and is now
1. lethargic with no wheezing
2- week-old with tricuspid atresia who has
dusky lips and nailbeds Educational objective:A client
2. who suddenly stops wheez-
5-week-old with forceful vomiting after ing may be experiencing im-
every feeding who is crying pending respiratory failure
3. and should be assessed im-
12-month-old who was wheezing at home mediately.
and is now lethargic with no wheezing
4.
3- year-old with fever who had a brief
seizure at home and is asleep
7. The unlicensed assistive personnel (UAP) 1.
reports being splashed in the eye while Direct the UAP to immediate-
emptying urine from the catheter bag of a
, UWORLD NCLEX-RN TEST 2 QUESTIONS WITH 100% VERIFIED
ANSWERS
client with AIDS. The UAP is afraid of be- ly flush the eye with water at
coming infected with HIV and requests im- the unit's eyewash station
mediate 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
8. The nurse prepares to administer a client's Answer: 10 (units)
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 admin-
ister? Click the exhibit button for additional
information. Record your answer using a
whole number.
EXHIBIT:
Medication administration record:
Allergies: NKA
Medications:
-Regular insulin: 4 units subcutaneously
with each meal (0800, 1200, 1700)
-Regular insulin: per sliding scale, subcu-
taneously with each meal and before bed
(0800, 1200, 1700, 2100)
ANSWERS
1. A nurse coworker is called into work from 3.Speak with the nursing su-
home to help care for an influx of clients be- pervisor about the concern
ing admitted after a bus accident. While as-
sisting 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 indi-
vidual 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
2. A nurse is administering a rituximab infu- 3.
sion to a client with lymphoma in an on- New-onset tachypnea and
cology clinic. Which client symptom would dyspnea
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 3.
for an Orthodox Jewish client hospitalized "I will prepare the client for
for the last week with heart failure who transfer to the morgue for au-
did not sign consents for any postmortem topsy."
, UWORLD NCLEX-RN TEST 2 QUESTIONS WITH 100% VERIFIED
ANSWERS
actions. Which statement by the student
would require further education by the su-
pervising 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."
4. The nurse is caring for a client with chronic 1.
pancreatitis. Which meal should the nurse Baked tilapia with lemon
recommend when assisting the client in se- wedge, sweet potatoes, and
lecting food items from a menu? green peas
1.
Baked tilapia with lemon wedge, sweet
potatoes, and green peas
2.
Cream of potato soup and roast beef sand-
wich 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
5. The nurse is preparing to change the dress- Perform hand hygiene, don
ing of a client's subclavian central venous face mask, place a mask on
catheter using a chlorhexidine gluconate the client, and apply clean
(CHG)-impregnated patch and transparent gloves
adhesive dressing. Place the procedural
steps in the correct order. All options must Remove old dressing and
, UWORLD NCLEX-RN TEST 2 QUESTIONS WITH 100% VERIFIED
ANSWERS
be used. CHG-impregnated patch; as-
sess insertion site
Apply CHG patch over catheter insertion
site and cover with a sterile transparent Discard the clean gloves, per-
dressing form hand hygiene, and apply
sterile gloves
Cleanse the site with CHG for at least 30
seconds using friction; allow to air dry Cleanse the site with CHG for
completely at least 30 seconds using fric-
tion; allow to air dry complete-
Discard the clean gloves, perform hand hy- ly
giene, and apply sterile gloves
Apply CHG patch over
Perform hand hygiene, don face mask, catheter insertion site and
place a mask on the client, and apply clean cover with a sterile transpar-
gloves ent dressing
Remove old dressing and CHG-impregnat-
ed patch; assess insertion site
6. Four clients enter the pediatric emergency 3.
department at the same time. Which client 12-month-old who was
should the nurse see first? wheezing at home and is now
1. lethargic with no wheezing
2- week-old with tricuspid atresia who has
dusky lips and nailbeds Educational objective:A client
2. who suddenly stops wheez-
5-week-old with forceful vomiting after ing may be experiencing im-
every feeding who is crying pending respiratory failure
3. and should be assessed im-
12-month-old who was wheezing at home mediately.
and is now lethargic with no wheezing
4.
3- year-old with fever who had a brief
seizure at home and is asleep
7. The unlicensed assistive personnel (UAP) 1.
reports being splashed in the eye while Direct the UAP to immediate-
emptying urine from the catheter bag of a
, UWORLD NCLEX-RN TEST 2 QUESTIONS WITH 100% VERIFIED
ANSWERS
client with AIDS. The UAP is afraid of be- ly flush the eye with water at
coming infected with HIV and requests im- the unit's eyewash station
mediate 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
8. The nurse prepares to administer a client's Answer: 10 (units)
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 admin-
ister? Click the exhibit button for additional
information. Record your answer using a
whole number.
EXHIBIT:
Medication administration record:
Allergies: NKA
Medications:
-Regular insulin: 4 units subcutaneously
with each meal (0800, 1200, 1700)
-Regular insulin: per sliding scale, subcu-
taneously with each meal and before bed
(0800, 1200, 1700, 2100)
