NCLEX UWORLD EXAM LA EXAM SCRIPT 2026
TEST PAPER QUESTIONS AND SOLUTIONS
GRADED A+
◉ The nurse has just received report on 4 clients. Which client
should the nurse see first?
1.
Client 2 days post hip replacement who is reporting intense itching
at the incision site
2.
Client receiving normal saline IV at 250 mL/hr who is reporting
puffy legs and a new cough
3.
Client who is becoming increasingly angry due to a 2-hour delay in
being discharged
4.
Client with a potassium level of 5.0 mEq/L (5.0 mmol/L) receiving
NS with 20 mEq/L (20 mmol/L) potassium chloride.
Answer: 2
◉ The nurse is teaching a seminar about atypical presentation of
myocardial infarction. The nurse teaches about which factor that
increases a client's risk of experiencing atypical symptoms?
,1.
Female gender
2.
History of smoking
3.
Hyperlipidemia
4.
Hypertension.
Answer: 1.
◉ Which client presenting to the women's health clinic should the
nurse assess first?
1.
Client at 9 weeks gestation who reports intractable nausea and
vomiting for past 6 hours
2.
Client at 37 weeks gestation with twins who reports irregular
contractions
3.
Client whose last menstrual period was 7 weeks ago and reports
severe pelvic pain
4.
,Primigravida client at 19 weeks gestation who has not yet felt fetal
movement.
Answer: 3
◉ 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)?".
Answer: 3
◉ The nurse is caring for a client prescribed 500 mg of daptomycin
in 50 mL of normal saline IV to be administered over 30 minutes
every 24 hours. The nurse has IV tubing with a drip factor of 45
gtt/mL. At what rate in drips per minute (gtt/min) should the nurse
administer the IV daptomycin? Record your answer using a whole
number.
, Answer: (gtt/min). Answer: Answer: 75 (gtt/min)
◉ A nurse is sent to triage victims at a mass casualty incident site
following a disaster and correctly identifies which client as the
priority for transport to a hospital?
1.
Client who has no respirations or palpable pulses and is receiving
CPR by bystanders
2.
Client who is cool and clammy with a glass shard penetrating the
chest wall
3.
Client with an open tibial fracture and palpable distal extremity
pulses
4.
Client with superficial burns and minor lacerations on the forearms
bilaterally.
Answer: 2
◉ The nurse in a psychiatric unit is approached by an aggressive
client who grabs the nurse's stethoscope and attempts to strangle
the nurse with it. The nurse is able to escape the client's grasp
unharmed. Which action should the nurse take first?
1.
TEST PAPER QUESTIONS AND SOLUTIONS
GRADED A+
◉ The nurse has just received report on 4 clients. Which client
should the nurse see first?
1.
Client 2 days post hip replacement who is reporting intense itching
at the incision site
2.
Client receiving normal saline IV at 250 mL/hr who is reporting
puffy legs and a new cough
3.
Client who is becoming increasingly angry due to a 2-hour delay in
being discharged
4.
Client with a potassium level of 5.0 mEq/L (5.0 mmol/L) receiving
NS with 20 mEq/L (20 mmol/L) potassium chloride.
Answer: 2
◉ The nurse is teaching a seminar about atypical presentation of
myocardial infarction. The nurse teaches about which factor that
increases a client's risk of experiencing atypical symptoms?
,1.
Female gender
2.
History of smoking
3.
Hyperlipidemia
4.
Hypertension.
Answer: 1.
◉ Which client presenting to the women's health clinic should the
nurse assess first?
1.
Client at 9 weeks gestation who reports intractable nausea and
vomiting for past 6 hours
2.
Client at 37 weeks gestation with twins who reports irregular
contractions
3.
Client whose last menstrual period was 7 weeks ago and reports
severe pelvic pain
4.
,Primigravida client at 19 weeks gestation who has not yet felt fetal
movement.
Answer: 3
◉ 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)?".
Answer: 3
◉ The nurse is caring for a client prescribed 500 mg of daptomycin
in 50 mL of normal saline IV to be administered over 30 minutes
every 24 hours. The nurse has IV tubing with a drip factor of 45
gtt/mL. At what rate in drips per minute (gtt/min) should the nurse
administer the IV daptomycin? Record your answer using a whole
number.
, Answer: (gtt/min). Answer: Answer: 75 (gtt/min)
◉ A nurse is sent to triage victims at a mass casualty incident site
following a disaster and correctly identifies which client as the
priority for transport to a hospital?
1.
Client who has no respirations or palpable pulses and is receiving
CPR by bystanders
2.
Client who is cool and clammy with a glass shard penetrating the
chest wall
3.
Client with an open tibial fracture and palpable distal extremity
pulses
4.
Client with superficial burns and minor lacerations on the forearms
bilaterally.
Answer: 2
◉ The nurse in a psychiatric unit is approached by an aggressive
client who grabs the nurse's stethoscope and attempts to strangle
the nurse with it. The nurse is able to escape the client's grasp
unharmed. Which action should the nurse take first?
1.
