UWorld NCLEX-RN TEST 2 QUESTIONS WITH
COMPLETE SOLUTIONS
A 16-year-old client arrives at the emergency department
experiencing an asthma exacerbation. The client's parent is
visibly upset and shouts that the client smells like cigarette
smoke. What is the nurse's best action?
1.
Allow the client and parent to finish the conversation privately
2.
Ask the parent to leave the room until able to remain calm
3.
Redirect the parent to instruct the client to perform deep-
breathing techniques
4.
Reinforce education about the importance of smoking cessation
Correct Answers 3.
A client comes to the emergency department after being bitten
by a bat. The nurse observes 2 small, nondraining puncture
wounds resembling pinpricks on the fingertip. Which action
should the nurse implement first?
1.
Administer an intramuscular injection of human rabies vaccine
2.
Administer an intramuscular tetanus toxoid vaccine if client not
immunized within 5 years
3.
Inject human rabies immunoglobulin into the proximal wound
area
4.
,Scrub the wound with povidone-iodine solution or soap and
water Correct Answers 4.
A client is diagnosed with septic arthritis of the knee. What
manifestations does the nurse expect to find? Select all that
apply.
1.
Fever
2.
Joint swelling with effusion
3.
Limited range of motion
4.
Moderate to severe pain
5.
Numbness in the extremity Correct Answers 1, 2, 3, 4
A client's family member reports to the charge nurse that the
nurses on the unit are not responding appropriately to the client's
report of pain. What is the charge nurse's priority action?
1.
Ask the client to rate current pain on a scale of 0-10
2.
Discuss the concerns with the nurse assigned to the client
3.
Evaluate the client's medication administration record
4.
Review the narcotic count and look for discrepancies Correct
Answers 1.
,A female client is visiting the clinic for an annual well-woman
examination. The client reports having had sex with women.
Which question will help the nurse determine the client's risk for
sexually transmitted infections?
1.
"Are you a lesbian, or do you have sex with both men and
women?"
2.
"Are you in a monogamous relationship with a female partner?"
3.
"What barrier methods do you and your partner(s) use?"
4.
"What types of sexual acts do you engage in with your
partner(s)?" Correct Answers 3
A medical-surgical nurse with no critical care experience has
been assigned to float to the intensive care unit for the shift.
Which clients would be appropriate for the charge nurse to
assign to this nurse? Select all that apply.
1.
Client 3 days postoperative from a femoral-popliteal bypass
graft
2.
Client in restraints to prevent self-extubation of an endotracheal
tube
3.
Client receiving a continuous IV norepinephrine infusion for
septic shock
4.
Client with acute stroke receiving tissue plasminogen activator
5.
, Client with diabetic ketoacidosis receiving insulin before meals
Correct Answers 1, 5
A nurse assists a student nurse in formulating a care plan for a
nonverbal hospice client who demonstrates restlessness and
facial grimacing during repositioning. Which statements by the
student nurse indicate a correct understanding of the goals of
end-of-life care? Select all that apply.
1.
"I can observe the client's agitation as an indicator of the client's
pain level."
2.
"I should ask the family to leave the client alone if the client
becomes restless."
3.
"I should continue to explain interventions I am performing even
though the client is unresponsive."
4.
"I will ask the family if they would like to hold the client's hand
while I administer pain medication."
5.
"Managing pain rather than treating disease is the priority goal
for this client." Correct Answers 1, 3, 4, 5
A nurse caring for a client following a right femoral angiogram
is unable to palpate the right pedal pulse. What should the nurse
do next?
1.
Apply a heating pad to increase circulation
2.
Call the health care provider
COMPLETE SOLUTIONS
A 16-year-old client arrives at the emergency department
experiencing an asthma exacerbation. The client's parent is
visibly upset and shouts that the client smells like cigarette
smoke. What is the nurse's best action?
1.
Allow the client and parent to finish the conversation privately
2.
Ask the parent to leave the room until able to remain calm
3.
Redirect the parent to instruct the client to perform deep-
breathing techniques
4.
Reinforce education about the importance of smoking cessation
Correct Answers 3.
A client comes to the emergency department after being bitten
by a bat. The nurse observes 2 small, nondraining puncture
wounds resembling pinpricks on the fingertip. Which action
should the nurse implement first?
1.
Administer an intramuscular injection of human rabies vaccine
2.
Administer an intramuscular tetanus toxoid vaccine if client not
immunized within 5 years
3.
Inject human rabies immunoglobulin into the proximal wound
area
4.
,Scrub the wound with povidone-iodine solution or soap and
water Correct Answers 4.
A client is diagnosed with septic arthritis of the knee. What
manifestations does the nurse expect to find? Select all that
apply.
1.
Fever
2.
Joint swelling with effusion
3.
Limited range of motion
4.
Moderate to severe pain
5.
Numbness in the extremity Correct Answers 1, 2, 3, 4
A client's family member reports to the charge nurse that the
nurses on the unit are not responding appropriately to the client's
report of pain. What is the charge nurse's priority action?
1.
Ask the client to rate current pain on a scale of 0-10
2.
Discuss the concerns with the nurse assigned to the client
3.
Evaluate the client's medication administration record
4.
Review the narcotic count and look for discrepancies Correct
Answers 1.
,A female client is visiting the clinic for an annual well-woman
examination. The client reports having had sex with women.
Which question will help the nurse determine the client's risk for
sexually transmitted infections?
1.
"Are you a lesbian, or do you have sex with both men and
women?"
2.
"Are you in a monogamous relationship with a female partner?"
3.
"What barrier methods do you and your partner(s) use?"
4.
"What types of sexual acts do you engage in with your
partner(s)?" Correct Answers 3
A medical-surgical nurse with no critical care experience has
been assigned to float to the intensive care unit for the shift.
Which clients would be appropriate for the charge nurse to
assign to this nurse? Select all that apply.
1.
Client 3 days postoperative from a femoral-popliteal bypass
graft
2.
Client in restraints to prevent self-extubation of an endotracheal
tube
3.
Client receiving a continuous IV norepinephrine infusion for
septic shock
4.
Client with acute stroke receiving tissue plasminogen activator
5.
, Client with diabetic ketoacidosis receiving insulin before meals
Correct Answers 1, 5
A nurse assists a student nurse in formulating a care plan for a
nonverbal hospice client who demonstrates restlessness and
facial grimacing during repositioning. Which statements by the
student nurse indicate a correct understanding of the goals of
end-of-life care? Select all that apply.
1.
"I can observe the client's agitation as an indicator of the client's
pain level."
2.
"I should ask the family to leave the client alone if the client
becomes restless."
3.
"I should continue to explain interventions I am performing even
though the client is unresponsive."
4.
"I will ask the family if they would like to hold the client's hand
while I administer pain medication."
5.
"Managing pain rather than treating disease is the priority goal
for this client." Correct Answers 1, 3, 4, 5
A nurse caring for a client following a right femoral angiogram
is unable to palpate the right pedal pulse. What should the nurse
do next?
1.
Apply a heating pad to increase circulation
2.
Call the health care provider
