1
uworld Nclex - pn test 1 Verified
Questions and Answers Graded A+
The nurse on an inpatient mental health unit is
caring for a client with paranoid delusions who is
refusing to eat. The client states that all the food and
drinks have been poisoned. Which intervention by
the nurse is appropriate? - Correct Answer-provide
the client food in unopened, individually packaged
food
After listening to the parents' reports and seeing the
following pediatric clients, the nurse knows that
which client demonstrates signs of abuse that may
necessitate mandatory reporting? - Correct Answer-
5- year -old whose x-ray reveals 1 new and 2 healed
humerus fractures after falling from a tree.
The nurse is discussing the care needs of a client in
the last stage of Huntington disease with the family.
When the nurse mentions arranging for delivery of a
prescribed hospital bed, the client's spouse becomes
visibly upset and says, "No hospital bed. I'm just not
1
, 2
ready for it yet." What is the best response by the
nurse? - Correct Answer-what upsets you about
having a hospital bed?
The nurse administers ondansetron to a hospitalized
client. Which statement would indicate to the nurse
that the ondansetron was effective? - Correct
Answer-The nausea is a lot better
The nurse has just received report on 4 clients.
Which client should the nurse see first? - Correct
Answer-client receiving Iv normal saline at 250 ml /
hr who is reporting puffy legs and a new cough
An unaccompanied 16-year-old girl comes to the
emergency department with severe abdominal pain
and vomiting. The client has a temperature of 102.2
F (39 C) and a pulse of 120/min and is lethargic. The
client's parents are out of town, and no guardians
can be reached. How should this client's care be
handled? - Correct Answer-Administer care until the
parents or guardians can be reached.
2
, 3
The nurse reinforces teaching to the parents of a 12-
month-old who has begun weaning from
breastfeeding. Which statement by the parents
indicates that teaching has been effective? - Correct
Answer-I can start substituting breastfeeding
sessions with whole cow's milk.
The nurse cares for a client with a terminal disease
who has an advance directive supporting a do not
resuscitate (DNR) code status. The client stops
breathing and loses a pulse. The client's adult child
states, "I changed my mind. Do whatever you can to
save him!" Which intervention is most appropriate at
this time? - Correct Answer-Explain the client's
wishes to the client child.
The nurse speaks with a client diagnosed with
schizophrenia who begins to look away toward the
door and grimace. Which statement by the nurse is
most therapeutic at this time? - Correct Answer-
what do you see at the door?
The nurse reinforces teaching to a 15-year-old
primigravid client at 16 weeks gestation during an
initial prenatal visit. Which information would be a
3
, 4
priority for the nurse to include? - Correct Answer-
stress the importance of consistent prenatal care
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? - Correct Answer-what
barrier methods do you and your partner(s) use?
While the nurse is transporting a client to a new
unit, the client's chest tube drainage system falls off
the bed and the tube becomes dislodged from the
chest wall. What is the nurse's priority action? -
Correct Answer-Firmly cover the insertion site with
the palm of a clean, gloved hand
The nurse cares for a client with a burn on the arm
and finds that the area is red, moist, and covered in
shiny, fluid-filled vesicles. Which burn stage does the
nurse document? - Correct Answer-Second degree
A nurse in the emergency department is caring for 4
clients. Which client should the nurse see first? -
4
uworld Nclex - pn test 1 Verified
Questions and Answers Graded A+
The nurse on an inpatient mental health unit is
caring for a client with paranoid delusions who is
refusing to eat. The client states that all the food and
drinks have been poisoned. Which intervention by
the nurse is appropriate? - Correct Answer-provide
the client food in unopened, individually packaged
food
After listening to the parents' reports and seeing the
following pediatric clients, the nurse knows that
which client demonstrates signs of abuse that may
necessitate mandatory reporting? - Correct Answer-
5- year -old whose x-ray reveals 1 new and 2 healed
humerus fractures after falling from a tree.
The nurse is discussing the care needs of a client in
the last stage of Huntington disease with the family.
When the nurse mentions arranging for delivery of a
prescribed hospital bed, the client's spouse becomes
visibly upset and says, "No hospital bed. I'm just not
1
, 2
ready for it yet." What is the best response by the
nurse? - Correct Answer-what upsets you about
having a hospital bed?
The nurse administers ondansetron to a hospitalized
client. Which statement would indicate to the nurse
that the ondansetron was effective? - Correct
Answer-The nausea is a lot better
The nurse has just received report on 4 clients.
Which client should the nurse see first? - Correct
Answer-client receiving Iv normal saline at 250 ml /
hr who is reporting puffy legs and a new cough
An unaccompanied 16-year-old girl comes to the
emergency department with severe abdominal pain
and vomiting. The client has a temperature of 102.2
F (39 C) and a pulse of 120/min and is lethargic. The
client's parents are out of town, and no guardians
can be reached. How should this client's care be
handled? - Correct Answer-Administer care until the
parents or guardians can be reached.
2
, 3
The nurse reinforces teaching to the parents of a 12-
month-old who has begun weaning from
breastfeeding. Which statement by the parents
indicates that teaching has been effective? - Correct
Answer-I can start substituting breastfeeding
sessions with whole cow's milk.
The nurse cares for a client with a terminal disease
who has an advance directive supporting a do not
resuscitate (DNR) code status. The client stops
breathing and loses a pulse. The client's adult child
states, "I changed my mind. Do whatever you can to
save him!" Which intervention is most appropriate at
this time? - Correct Answer-Explain the client's
wishes to the client child.
The nurse speaks with a client diagnosed with
schizophrenia who begins to look away toward the
door and grimace. Which statement by the nurse is
most therapeutic at this time? - Correct Answer-
what do you see at the door?
The nurse reinforces teaching to a 15-year-old
primigravid client at 16 weeks gestation during an
initial prenatal visit. Which information would be a
3
, 4
priority for the nurse to include? - Correct Answer-
stress the importance of consistent prenatal care
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? - Correct Answer-what
barrier methods do you and your partner(s) use?
While the nurse is transporting a client to a new
unit, the client's chest tube drainage system falls off
the bed and the tube becomes dislodged from the
chest wall. What is the nurse's priority action? -
Correct Answer-Firmly cover the insertion site with
the palm of a clean, gloved hand
The nurse cares for a client with a burn on the arm
and finds that the area is red, moist, and covered in
shiny, fluid-filled vesicles. Which burn stage does the
nurse document? - Correct Answer-Second degree
A nurse in the emergency department is caring for 4
clients. Which client should the nurse see first? -
4
