NCLEX UWORLD EXAM LA FINAL PAPER 2026
COMPLETE QUESTIONS AND ANSWERS
◉ The nurse prepares to administer a client's scheduled prandial
regular insulin plus a correctional dose based on a sliding scale as
the client's breakfast tray arrives. The client's fasting blood glucose
level is 210 mg/dL (11.7 mmol/L). How many total units of regular
insulin should the nurse administer? Click the exhibit button for
additional information. Record your answer using a whole number.
EXHIBIT:
Medication administration record:
Allergies: NKA
Medications:
-Regular insulin: 4 units subcutaneously with each meal (0800,
1200, 1700)
-Regular insulin: per sliding scale, subcutaneously with each meal
and before bed
(0800, 1200, 1700, 2100)
Sliding-Scale Blood Glucose Levels:
,<150 mg/dL - 0 units
150-199 mg/dL - 3 units
200-249 mg/dL - 6 units
250-299 mg/dL - 9 units
300-349 mg/dL - 12 units
≥350 mg/dL - 15 units; notify HCP.
Answer: Answer: 10 (units)
◉ The nurse is caring for a client taking escitalopram who reports
no improvement of depressive feelings since starting the medication
2 months ago. What is the best response by the nurse?
1.
"Have you had any recent changes or added stresses in your life?"
2.
"It is too early to notice any difference. Please continue to take the
medicine as prescribed."
3.
"Let's talk more about how you have been taking this medication."
4.
"We will talk with your health care provider about changing the
prescription.".
Answer: 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?
1.
"I can allow my child to sleep with a bottle for comfort while
weaning."
2.
"I can start substituting breastfeeding sessions with whole cow's
milk."
3.
"I should discourage my child from drinking milk to increase solid
food intake."
4.
"I will stop breastfeeding completely to expedite the weaning
process.".
Answer: 2.
◉ The home health nurse is discussing the care needs of a client in
the last stage of Huntington disease with the family. When the nurse
recommends a hospital bed, the client's spouse becomes visibly
upset and says, "No hospital bed. I'm just not ready for it yet." What
is the best response by the nurse?
1.
"A hospital bed will make your spouse's care easier."
, 2.
"Are you not ready for this particular change?"
3.
"What upsets you about having a hospital bed?"
4.
"You seem upset. We don't have to talk about this right now.".
Answer: 3.
◉ The nurse is assisting with a presentation on protecting clients'
privacy and confidentiality. Which of the following incidents does
the nurse recognize as a violation of client confidentiality? Select all
that apply.
1.
A family member informs the registered nurse that the client has not
been taking the prescribed metformin at home
2.
An oncology nurse reviews the electronic health record of a client in
the emergency department who was the victim of a recent mass
shooting event
3.
The licensed practical nurse (LPN) leaves the client's report sheet in
the cafeteria after lunch
4.
COMPLETE QUESTIONS AND ANSWERS
◉ The nurse prepares to administer a client's scheduled prandial
regular insulin plus a correctional dose based on a sliding scale as
the client's breakfast tray arrives. The client's fasting blood glucose
level is 210 mg/dL (11.7 mmol/L). How many total units of regular
insulin should the nurse administer? Click the exhibit button for
additional information. Record your answer using a whole number.
EXHIBIT:
Medication administration record:
Allergies: NKA
Medications:
-Regular insulin: 4 units subcutaneously with each meal (0800,
1200, 1700)
-Regular insulin: per sliding scale, subcutaneously with each meal
and before bed
(0800, 1200, 1700, 2100)
Sliding-Scale Blood Glucose Levels:
,<150 mg/dL - 0 units
150-199 mg/dL - 3 units
200-249 mg/dL - 6 units
250-299 mg/dL - 9 units
300-349 mg/dL - 12 units
≥350 mg/dL - 15 units; notify HCP.
Answer: Answer: 10 (units)
◉ The nurse is caring for a client taking escitalopram who reports
no improvement of depressive feelings since starting the medication
2 months ago. What is the best response by the nurse?
1.
"Have you had any recent changes or added stresses in your life?"
2.
"It is too early to notice any difference. Please continue to take the
medicine as prescribed."
3.
"Let's talk more about how you have been taking this medication."
4.
"We will talk with your health care provider about changing the
prescription.".
Answer: 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?
1.
"I can allow my child to sleep with a bottle for comfort while
weaning."
2.
"I can start substituting breastfeeding sessions with whole cow's
milk."
3.
"I should discourage my child from drinking milk to increase solid
food intake."
4.
"I will stop breastfeeding completely to expedite the weaning
process.".
Answer: 2.
◉ The home health nurse is discussing the care needs of a client in
the last stage of Huntington disease with the family. When the nurse
recommends a hospital bed, the client's spouse becomes visibly
upset and says, "No hospital bed. I'm just not ready for it yet." What
is the best response by the nurse?
1.
"A hospital bed will make your spouse's care easier."
, 2.
"Are you not ready for this particular change?"
3.
"What upsets you about having a hospital bed?"
4.
"You seem upset. We don't have to talk about this right now.".
Answer: 3.
◉ The nurse is assisting with a presentation on protecting clients'
privacy and confidentiality. Which of the following incidents does
the nurse recognize as a violation of client confidentiality? Select all
that apply.
1.
A family member informs the registered nurse that the client has not
been taking the prescribed metformin at home
2.
An oncology nurse reviews the electronic health record of a client in
the emergency department who was the victim of a recent mass
shooting event
3.
The licensed practical nurse (LPN) leaves the client's report sheet in
the cafeteria after lunch
4.
