UWorld NCLEX-PN 2026 | Complete
Practice Questions with Detailed
Rationales
The nurse is preparing to change a central venous catheter dressing
using a chlorhexidine gluconate (CHG)-impregnated patch and
transparent adhesive dressing. Place the procedural steps in the correct
order. All options must be used.
1. Apply CHG patch over catheter insertion cite and cover with a sterile
transparent dressing
2. Cleanse the site with CHG for at least 30 seconds using friction; allow
to air-dry completely
3. Discard the clean gloves perform hand hygiene, and apply sterile
gloves
4. Perform hand hygiene, don face mask, place a mask on the client,
and apply clean gloves
5. Remove old dressing and CHG-impregnated patch; inspect insertion
site - answer-CORRECT ANSWER: 4, 5, 3, 2, 1
Central line dressing changes are sterile procedures and must be
performed correctly to prevent infection. Steps should be performed in
the following order:
,• Perform meticulous hand hygiene.
• Don a surgical mask and apply a mask to the client (or ask the client
to turn the head away from the dressing). Apply clean gloves (Option
4).
• Remove the old dressing, including the chlorhexidine gluconate (CHG)
- impregnated patch, making sure not to touch the insertion site
(Option 5).
• Inspect the site for drainage, erythema, heat, or inflammation.
• Discard the clean gloves, perform hand hygiene, and apply sterile
gloves (Option 3).
• Cleanse the site with antimicrobial solution (eg, CHG), in a back-and-
forth motion using friction, for at least 30 seconds; allow to air-dry
completely (Option 2).
• Apply the CHG-impregnated patch over the catheter insertion site
and cover with the sterile transparent dressing (or use a CHG gel
transparent dressing), making certain the edges of the dressing adhere
well (Option 1).
• Sign, date, and initial the dressing.
,• Document the procedure.
The nurse caring for a client who had a femoral angioplasty finds the
client's leg pale, cool, and pulseless. The nurse calls the health care
provider at 2 AM, and the HCP begins to yell at the nurse, stating, "I'm
sick and tired of you calling me in the middle of the night!" What is the
best response by the nurse?
1. "I'm concerned that this client may lose a leg unless something is
done immediately."
2. "I'm sorry to bother you. Is there someone else you'd like me to
call?"
3. "It's my job to report critical findings, just like it's your job to come
see my client right now."
4. "Yelling is unprofessional. I'll need to file a report with my supervisor
once the client is stable." - answer-CORRECT ANSWER: 1
The stress of bullying and workplace violence impairs clinical judgment
and creates an unsafe environment for clients. In response to
unprofessional conduct, the nurse should shift the focus of the
conversation back to the client's needs, especially in situations that may
result in client injury Option 1 is correct).
(Option 2 is wrong) Offering to call a different provider fails to address
the urgency of the situation. The priority is for the nurse to advocate
, for the client's needs, as the client is experiencing a serious limb-
threatening postsurgical complication.
(Option 3 is wrong) Confrontational statements are more likely to
provoke a fight rather than result in appropriate intervention for the
client.
(Option 4 is wrong) Incidents of bullying and workplace violence should
be reported to a nursing supervisor, but the priority is to ensure that
the client's needs are addressed.
The nurse is caring for a client with multiple renal calculi. Which of the
following interventions should the nurse anticipate? Select all that
apply.
1. Administer analgesics at regularly scheduled intervals
2. Encourage fluid intake of up to 3 L/day
3. Instruct client to stay on bed rest
4. Provide massage to the client's flank
5. Strain all urine for the presence of stones - answer-CORRECT
ANSWER: 1, 2, 5
The formation of renal calculi (ie, kidney stones) can be due to various
factors (eg, family history, dietary imbalances, immobilization,
dehydration). Manifestations include sudden, severe abdominal or
Practice Questions with Detailed
Rationales
The nurse is preparing to change a central venous catheter dressing
using a chlorhexidine gluconate (CHG)-impregnated patch and
transparent adhesive dressing. Place the procedural steps in the correct
order. All options must be used.
1. Apply CHG patch over catheter insertion cite and cover with a sterile
transparent dressing
2. Cleanse the site with CHG for at least 30 seconds using friction; allow
to air-dry completely
3. Discard the clean gloves perform hand hygiene, and apply sterile
gloves
4. Perform hand hygiene, don face mask, place a mask on the client,
and apply clean gloves
5. Remove old dressing and CHG-impregnated patch; inspect insertion
site - answer-CORRECT ANSWER: 4, 5, 3, 2, 1
Central line dressing changes are sterile procedures and must be
performed correctly to prevent infection. Steps should be performed in
the following order:
,• Perform meticulous hand hygiene.
• Don a surgical mask and apply a mask to the client (or ask the client
to turn the head away from the dressing). Apply clean gloves (Option
4).
• Remove the old dressing, including the chlorhexidine gluconate (CHG)
- impregnated patch, making sure not to touch the insertion site
(Option 5).
• Inspect the site for drainage, erythema, heat, or inflammation.
• Discard the clean gloves, perform hand hygiene, and apply sterile
gloves (Option 3).
• Cleanse the site with antimicrobial solution (eg, CHG), in a back-and-
forth motion using friction, for at least 30 seconds; allow to air-dry
completely (Option 2).
• Apply the CHG-impregnated patch over the catheter insertion site
and cover with the sterile transparent dressing (or use a CHG gel
transparent dressing), making certain the edges of the dressing adhere
well (Option 1).
• Sign, date, and initial the dressing.
,• Document the procedure.
The nurse caring for a client who had a femoral angioplasty finds the
client's leg pale, cool, and pulseless. The nurse calls the health care
provider at 2 AM, and the HCP begins to yell at the nurse, stating, "I'm
sick and tired of you calling me in the middle of the night!" What is the
best response by the nurse?
1. "I'm concerned that this client may lose a leg unless something is
done immediately."
2. "I'm sorry to bother you. Is there someone else you'd like me to
call?"
3. "It's my job to report critical findings, just like it's your job to come
see my client right now."
4. "Yelling is unprofessional. I'll need to file a report with my supervisor
once the client is stable." - answer-CORRECT ANSWER: 1
The stress of bullying and workplace violence impairs clinical judgment
and creates an unsafe environment for clients. In response to
unprofessional conduct, the nurse should shift the focus of the
conversation back to the client's needs, especially in situations that may
result in client injury Option 1 is correct).
(Option 2 is wrong) Offering to call a different provider fails to address
the urgency of the situation. The priority is for the nurse to advocate
, for the client's needs, as the client is experiencing a serious limb-
threatening postsurgical complication.
(Option 3 is wrong) Confrontational statements are more likely to
provoke a fight rather than result in appropriate intervention for the
client.
(Option 4 is wrong) Incidents of bullying and workplace violence should
be reported to a nursing supervisor, but the priority is to ensure that
the client's needs are addressed.
The nurse is caring for a client with multiple renal calculi. Which of the
following interventions should the nurse anticipate? Select all that
apply.
1. Administer analgesics at regularly scheduled intervals
2. Encourage fluid intake of up to 3 L/day
3. Instruct client to stay on bed rest
4. Provide massage to the client's flank
5. Strain all urine for the presence of stones - answer-CORRECT
ANSWER: 1, 2, 5
The formation of renal calculi (ie, kidney stones) can be due to various
factors (eg, family history, dietary imbalances, immobilization,
dehydration). Manifestations include sudden, severe abdominal or
