UWorld NCLEX-PN Exam Study
Guide – Practice Questions
with Verified Answers. GRADED
A+. Latest 2026/2027 Update.
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 flank pain and
nausea/vomiting. Client management focuses on analgesics administered at
regularly scheduled intervals, rehydration of up to 3 L/day unless
contraindicated by other comorbidities, and ambulation to facilitate the
passage of calculi (Options 1 and 2 are correct).
To retrieve stones that the client may pass, the nurse should strain all urine
obtained (Option 5 is correct). The collected stones are analyzed to determine
their composition (eg, calcium oxalate, calcium phosphate, struvite, uric acid,
cystine), which can then direct preventive measures, such as dietary and
lifestyle changes, after discharge.
Guide – Practice Questions
with Verified Answers. GRADED
A+. Latest 2026/2027 Update.
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 flank pain and
nausea/vomiting. Client management focuses on analgesics administered at
regularly scheduled intervals, rehydration of up to 3 L/day unless
contraindicated by other comorbidities, and ambulation to facilitate the
passage of calculi (Options 1 and 2 are correct).
To retrieve stones that the client may pass, the nurse should strain all urine
obtained (Option 5 is correct). The collected stones are analyzed to determine
their composition (eg, calcium oxalate, calcium phosphate, struvite, uric acid,
cystine), which can then direct preventive measures, such as dietary and
lifestyle changes, after discharge.
