Page 1 of 122
NGN OR NCLEX UWORLD EXAM WITH
CORRECT ANSWERS ,RATIONALES AND WHY
THE OTHERS ARE NOT CORRECT NEWEST 2026
EXAM VERIFIED 100%
The clinic nurse is assessing a previously healthy 60 year old client when the
client says, " my hand has been shaking when I try to cut food. I did some
research online. could I have Parkinson's disease?" which response from the
nurse is the most helpful?
1. You can't be Parkinson's disease because you are an old enough
2. Make sure you tell the physician about your concerns
3. Parkinson's disease does not cause that kind of hand shaking
4. Tell me more about your symptoms. when did they start?
d
Explanation of the Correct Option
• 4 / d. Tell me more about your symptoms. When did they start?: This
open-ended therapeutic response validates the client's concern, promotes a
strong nurse-patient relationship, and allows the nurse to gather essential
diagnostic data.Clinical Note: The client describes a tremor that occurs "when
I try to cut food," which is an action or intention tremor. Parkinson’s disease
is classically characterized by a resting tremor (a "pill-rolling" motion that
occurs when the limb is fully relaxed). Action tremors are much more
characteristic of conditions like Essential Tremor. Gathering more history
helps clarify this clinical picture before presenting findings to the provider.
Explanation of the Incorrect Options
• ❌ 1. You can't be Parkinson's disease because you are an old enough:
This is factually incorrect and dismissive. The peak onset of Parkinson's
disease is typically between the ages of 55 and 65, making a 60-year-old
client the prime demographic.
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• ❌ 2. Make sure you tell the physician about your concerns: While the
physician will ultimately diagnose the patient, this response passes the buck
and cuts the assessment short. It fails to utilize the nurse's clinical role to
gather baseline assessment data first.
• ❌ 3. Parkinson's disease does not cause that kind of hand shaking:
While clinically true that Parkinson's features a resting tremor rather than an
intentional one, stating this bluntly can sound defensive, dismissive, or
medically authoritative before a full, proper history has been taken.
The healthcare provider prescribes a multivitamin regime that includes
thymine for a client with the history of chronic alcohol abuse. The nurses are
aware that thiamine is given to this client population for which purpose?
1. to lower the blood alcohol level
2. to prevent gross tremors
3. to prevent Wernicke encephalopathy
4. to treat seizures related to acute alcohol withdrawal
ANS C
clients with chronic alcohol abuse suffer from poor nutrition related to improper diet
and altered nutrient absorption. for thymine intake and/or absorption can lead to
Wernicke encephalopathy, a serious complication that manifests as altered mental
health status, oculomotor dysfunction, and ataxia. clients are prescribed thiamine to
prevent this condition.
Option 1 Thiamine is not used to reduce the blood alcohol level; there is no antidote
for elevated blood alcohol levels. supportive measures are used until it levels full and
the client is no longer experiencing acute withdrawal symptoms.
Option 2 Gross tremors related to acute alcohol withdrawal are treated with
benzodiazepine (eg lorazepam, diazepam)
Option 4 seizures related to acute alcohol withdrawal are treated with
benzodiazepine. thiamine is used to prevent encephalopathy. Encephalopathy may
lead to seizures but thymine is not used to treat seizures.
The nurse is caring for a client diagnosed with guillain-barre syndrome (GBS)
after a recent gastrointestinal (GI) illness. Monitoring for which of the following
is a nursing care priority for this client?
Diaphoresis for facial Flushing
hypoactive or absent vowel sounds
, Page 3 of 122
inability to cough or lift the head
warm tender and swollen leg
GBS is an acute immune mediated polyneuropathy that is most often accompanied
by ascending muscle weakness and absent deep tendon reflexes. Many clients have
a history of antecedent respiratory tract or GI infection. lower extremity weakness
progresses over hours the days to involve the thorax arms and cranial nerves.
however neuromuscular respiratory failure is the most life-threatening complication.
early signs indicating impending respiratory failure includes: include
in ability to cough
shallow respirations
Dyspnea and hypoxia
Inability to lift the head or eyebrows
Assessing the client's pulmonary function by spiral spirometry is also recommended.
Measurement of force vital capacity is the golden standard for assessing ventilation;
a decline in fvc indicates impending respiratory arrest requiring endotracheal
intubation.
Option 1 severe I don't know make dysfunction can present as diaphoresis and facial
Flushing
option two the client with GBS is also at risk for paralytic ileus which is related to
either immobility or nerve damage as a result the nurse should monitor for the
presence of hypoactive or absent bowel sounds
Option 4 clients with GPS are at a high risk for developing deep famous thrombosis
due to lack of ambulation and should receive pharmacological prophylaxis Heparin
and support stockings.
although symptoms and options one two and four represent a progressive illness in
our important to communicate to the healthcare provider promptly they are not the
highest priority compared to impending respiratory failure
A one-year-old child who goes to daycare is recovering from an episode of
otitis media. Which intervention is most important for the nurse to recommend
to the parents in order to prevent reoccurrence?
Exclusive breastfeeding
not sending the child to daycare
preventing water from entering their ear
smoking cessation by the parents
, Page 4 of 122
ANS D
OTITIS MEDIA is the inflammation or infection in the middle ear resulting from
dysfunction of the eustachian tube. OM Typically occurs in infants and children under
two years old, sometimes following a respiratory tract infection. The eustachian
tubes and infants and younger children are short, straight and fairly horizontal, which
results in ineffective drainage and protection from respiratory secretions. In friends
with exposure to tobacco smoke or at high risk forOM due to the resulting respiratory
inflammation. OM risk is also higher with activities such as using a pacifier or
drinking from a bottle when laying down as these allow fluid to pull in the mouth and
then reach the eustachian tubes.
he preventative measures include eliminating exposure to smoke, obtaining routine
immunizations to prevent infection, and reducing or eliminating use of a pacifier after
age of 6 months.
Option 1 breastfed infants have a decreased risk forOM possibly due to the semi
vertical position used for breastfeeding which reduces reflux to the eustachian tubes.
exclusive breastfeeding is recommended for the first 6 months. however this client is
age one and should be receiving a very healthy and take up solid food at this time.
Option 2 take your attendance is a significant respecter to the development of OM.
however this recommendation to avoid daycares usually not practical as many
parents must work outside of the home.
Opton 3 excessive water and the ears from bathing or swimming can alter protective
environment up the external ear and contribute to otitis externa, known as swimmer's
ear; however this does not contribute to OM.
During a camping trip a camp counselor falls and gets a small Splinter of wood
embedded in the right eye. What action should the volunteer camp nurse take
first?
Gently flush the eye with cool water
Instill optic antibiotic ointment
Patch both eyes with eye Shields
Remove this winter using tweezers
ANS C
The camp nurse protects the injured using an eye shield (e.g. small styrofoam or
paper cup), ensuring the shield does not touch the foreign body. the eyes work in
synchrony with each other; therefore the non-injured eyes patched to prevent further
NGN OR NCLEX UWORLD EXAM WITH
CORRECT ANSWERS ,RATIONALES AND WHY
THE OTHERS ARE NOT CORRECT NEWEST 2026
EXAM VERIFIED 100%
The clinic nurse is assessing a previously healthy 60 year old client when the
client says, " my hand has been shaking when I try to cut food. I did some
research online. could I have Parkinson's disease?" which response from the
nurse is the most helpful?
1. You can't be Parkinson's disease because you are an old enough
2. Make sure you tell the physician about your concerns
3. Parkinson's disease does not cause that kind of hand shaking
4. Tell me more about your symptoms. when did they start?
d
Explanation of the Correct Option
• 4 / d. Tell me more about your symptoms. When did they start?: This
open-ended therapeutic response validates the client's concern, promotes a
strong nurse-patient relationship, and allows the nurse to gather essential
diagnostic data.Clinical Note: The client describes a tremor that occurs "when
I try to cut food," which is an action or intention tremor. Parkinson’s disease
is classically characterized by a resting tremor (a "pill-rolling" motion that
occurs when the limb is fully relaxed). Action tremors are much more
characteristic of conditions like Essential Tremor. Gathering more history
helps clarify this clinical picture before presenting findings to the provider.
Explanation of the Incorrect Options
• ❌ 1. You can't be Parkinson's disease because you are an old enough:
This is factually incorrect and dismissive. The peak onset of Parkinson's
disease is typically between the ages of 55 and 65, making a 60-year-old
client the prime demographic.
, Page 2 of 122
• ❌ 2. Make sure you tell the physician about your concerns: While the
physician will ultimately diagnose the patient, this response passes the buck
and cuts the assessment short. It fails to utilize the nurse's clinical role to
gather baseline assessment data first.
• ❌ 3. Parkinson's disease does not cause that kind of hand shaking:
While clinically true that Parkinson's features a resting tremor rather than an
intentional one, stating this bluntly can sound defensive, dismissive, or
medically authoritative before a full, proper history has been taken.
The healthcare provider prescribes a multivitamin regime that includes
thymine for a client with the history of chronic alcohol abuse. The nurses are
aware that thiamine is given to this client population for which purpose?
1. to lower the blood alcohol level
2. to prevent gross tremors
3. to prevent Wernicke encephalopathy
4. to treat seizures related to acute alcohol withdrawal
ANS C
clients with chronic alcohol abuse suffer from poor nutrition related to improper diet
and altered nutrient absorption. for thymine intake and/or absorption can lead to
Wernicke encephalopathy, a serious complication that manifests as altered mental
health status, oculomotor dysfunction, and ataxia. clients are prescribed thiamine to
prevent this condition.
Option 1 Thiamine is not used to reduce the blood alcohol level; there is no antidote
for elevated blood alcohol levels. supportive measures are used until it levels full and
the client is no longer experiencing acute withdrawal symptoms.
Option 2 Gross tremors related to acute alcohol withdrawal are treated with
benzodiazepine (eg lorazepam, diazepam)
Option 4 seizures related to acute alcohol withdrawal are treated with
benzodiazepine. thiamine is used to prevent encephalopathy. Encephalopathy may
lead to seizures but thymine is not used to treat seizures.
The nurse is caring for a client diagnosed with guillain-barre syndrome (GBS)
after a recent gastrointestinal (GI) illness. Monitoring for which of the following
is a nursing care priority for this client?
Diaphoresis for facial Flushing
hypoactive or absent vowel sounds
, Page 3 of 122
inability to cough or lift the head
warm tender and swollen leg
GBS is an acute immune mediated polyneuropathy that is most often accompanied
by ascending muscle weakness and absent deep tendon reflexes. Many clients have
a history of antecedent respiratory tract or GI infection. lower extremity weakness
progresses over hours the days to involve the thorax arms and cranial nerves.
however neuromuscular respiratory failure is the most life-threatening complication.
early signs indicating impending respiratory failure includes: include
in ability to cough
shallow respirations
Dyspnea and hypoxia
Inability to lift the head or eyebrows
Assessing the client's pulmonary function by spiral spirometry is also recommended.
Measurement of force vital capacity is the golden standard for assessing ventilation;
a decline in fvc indicates impending respiratory arrest requiring endotracheal
intubation.
Option 1 severe I don't know make dysfunction can present as diaphoresis and facial
Flushing
option two the client with GBS is also at risk for paralytic ileus which is related to
either immobility or nerve damage as a result the nurse should monitor for the
presence of hypoactive or absent bowel sounds
Option 4 clients with GPS are at a high risk for developing deep famous thrombosis
due to lack of ambulation and should receive pharmacological prophylaxis Heparin
and support stockings.
although symptoms and options one two and four represent a progressive illness in
our important to communicate to the healthcare provider promptly they are not the
highest priority compared to impending respiratory failure
A one-year-old child who goes to daycare is recovering from an episode of
otitis media. Which intervention is most important for the nurse to recommend
to the parents in order to prevent reoccurrence?
Exclusive breastfeeding
not sending the child to daycare
preventing water from entering their ear
smoking cessation by the parents
, Page 4 of 122
ANS D
OTITIS MEDIA is the inflammation or infection in the middle ear resulting from
dysfunction of the eustachian tube. OM Typically occurs in infants and children under
two years old, sometimes following a respiratory tract infection. The eustachian
tubes and infants and younger children are short, straight and fairly horizontal, which
results in ineffective drainage and protection from respiratory secretions. In friends
with exposure to tobacco smoke or at high risk forOM due to the resulting respiratory
inflammation. OM risk is also higher with activities such as using a pacifier or
drinking from a bottle when laying down as these allow fluid to pull in the mouth and
then reach the eustachian tubes.
he preventative measures include eliminating exposure to smoke, obtaining routine
immunizations to prevent infection, and reducing or eliminating use of a pacifier after
age of 6 months.
Option 1 breastfed infants have a decreased risk forOM possibly due to the semi
vertical position used for breastfeeding which reduces reflux to the eustachian tubes.
exclusive breastfeeding is recommended for the first 6 months. however this client is
age one and should be receiving a very healthy and take up solid food at this time.
Option 2 take your attendance is a significant respecter to the development of OM.
however this recommendation to avoid daycares usually not practical as many
parents must work outside of the home.
Opton 3 excessive water and the ears from bathing or swimming can alter protective
environment up the external ear and contribute to otitis externa, known as swimmer's
ear; however this does not contribute to OM.
During a camping trip a camp counselor falls and gets a small Splinter of wood
embedded in the right eye. What action should the volunteer camp nurse take
first?
Gently flush the eye with cool water
Instill optic antibiotic ointment
Patch both eyes with eye Shields
Remove this winter using tweezers
ANS C
The camp nurse protects the injured using an eye shield (e.g. small styrofoam or
paper cup), ensuring the shield does not touch the foreign body. the eyes work in
synchrony with each other; therefore the non-injured eyes patched to prevent further
