UTAH NCLEX RN – QUESTIONS AND ANSWERS | VERIFIED AND WELL DETAILED
ANSWERS | PLUS RATIONALES | GUARANTEED PASS | LATEST EXAM UPDATE
Core Domains:
Safe and Effective Care Environment
Health Promotion and Maintenance
Psychosocial Integrity
Physiological Adaptation
Pharmacological and Parenteral Therapies
Reduction of Risk Potential
Utah Nurse Practice Act and Regulatory Standards
Introduction:
This comprehensive examination is designed to evaluate the entry-level competence,
critical thinking, and clinical judgment required for safe nursing practice. The assessment
measures essential knowledge and clinical skills across diverse healthcare settings,
emphasizing evidence-based practice, patient safety, and interdisciplinary collaboration.
Utilizing a rigorous multiple-choice and complex scenario-based structure, the exam tests
the ability to synthesize clinical data, prioritize client care, and execute sound nursing
interventions. Strong emphasis is placed on real-world application, ethical decision-
,making, and adherence to legal and regulatory standards specific to professional nursing
practice.
Section One: Questions 1–100
A nurse is caring for a client newly diagnosed with type 1 diabetes mellitus. Which
clinical manifestation should the nurse expect to assess?
A. Weight gain
B. Polyuria
C. Bradycardia
D. Heat intolerance
🟢 B. Polyuria
🔴 Explanation: Polyuria, polydipsia, and polyphagia are classic manifestations of type 1
diabetes resulting from osmotic diuresis caused by hyperglycemia.
A nurse is administering digoxin to a client with heart failure. Which assessment
finding requires immediate withholding of the medication and notification of the
primary healthcare provider?
A. Blood pressure of 130/80 mmHg
B. Apical pulse rate of 52 beats/min
C. Serum potassium level of 4.2 mEq/L
D. Slight drowsiness
🟢 B. Apical pulse rate of 52 beats/min
🔴 Explanation: Digoxin slows the heart rate. An apical pulse below 60 beats/min in an
,adult client indicates potential toxicity and warrants holding the medication and notifying
the provider.
An adult client is admitted with severe dehydration secondary to acute
gastroenteritis. Which intravenous solution should the nurse anticipate the healthcare
provider to prescribe initially?
A. 0.45% Sodium Chloride
B. 5% Dextrose in Water
C. 0.9% Sodium Chloride
D. 3% Sodium Chloride
🟢 C. 0.9% Sodium Chloride
🔴 Explanation: 0.9% Sodium Chloride is an isotonic crystalloid solution used to expand
intravascular volume rapidly in clients with severe extracellular fluid volume deficits such
as acute dehydration.
A nurse is preparing to administer a scheduled dose of regular insulin to a client with
type 2 diabetes. When should the nurse administer this medication relative to meals?
A. Exactly 60 minutes after eating
B. Within 15 to 30 minutes before a meal
C. Immediately before bedtime, regardless of meals
D. Only when random blood glucose exceeds 300 mg/dL
🟢 B. Within 15 to 30 minutes before a meal
🔴 Explanation: Regular insulin has an onset of action of approximately 30 to 60 minutes
, and is administered shortly before meals to match the postprandial rise in blood glucose.
A nurse assesses a client who has sustained a right-sided cerebrovascular accident
(CVA). Which finding should the nurse expect?
A. Aphasia and cautious behavior
B. Left-sided hemiplegia and impulsive behavior
C. Right-sided hemiparesis and slow speech
D. Expressive aphasia with normal motor function
🟢 B. Left-sided hemiplegia and impulsive behavior
🔴 Explanation: A right-sided stroke affects the left side of the body (left-sided hemiplegia)
and typically manifests with spatial-perceptual deficits, impulsivity, and poor judgment.
A client admitted with acute pancreatitis reports severe, boring abdominal pain that
radiates to the back. Which laboratory value is most diagnostic for this condition?
A. Serum amylase and lipase
B. Total serum cholesterol
C. Blood urea nitrogen
D. Serum calcium
🟢 A. Serum amylase and lipase
🔴 Explanation: Serum amylase and lipase elevations are classic laboratory indicators of
acute pancreatitis, with serum lipase remaining elevated longer than amylase.
A nurse is providing discharge instructions to a client prescribed warfarin. Which
dietary instruction is most critical for the nurse to include?
UTAH NCLEX RN – QUESTIONS AND ANSWERS | VERIFIED AND WELL DETAILED
ANSWERS | PLUS RATIONALES | GUARANTEED PASS | LATEST EXAM UPDATE
Core Domains:
Safe and Effective Care Environment
Health Promotion and Maintenance
Psychosocial Integrity
Physiological Adaptation
Pharmacological and Parenteral Therapies
Reduction of Risk Potential
Utah Nurse Practice Act and Regulatory Standards
Introduction:
This comprehensive examination is designed to evaluate the entry-level competence,
critical thinking, and clinical judgment required for safe nursing practice. The assessment
measures essential knowledge and clinical skills across diverse healthcare settings,
emphasizing evidence-based practice, patient safety, and interdisciplinary collaboration.
Utilizing a rigorous multiple-choice and complex scenario-based structure, the exam tests
the ability to synthesize clinical data, prioritize client care, and execute sound nursing
interventions. Strong emphasis is placed on real-world application, ethical decision-
,making, and adherence to legal and regulatory standards specific to professional nursing
practice.
Section One: Questions 1–100
A nurse is caring for a client newly diagnosed with type 1 diabetes mellitus. Which
clinical manifestation should the nurse expect to assess?
A. Weight gain
B. Polyuria
C. Bradycardia
D. Heat intolerance
🟢 B. Polyuria
🔴 Explanation: Polyuria, polydipsia, and polyphagia are classic manifestations of type 1
diabetes resulting from osmotic diuresis caused by hyperglycemia.
A nurse is administering digoxin to a client with heart failure. Which assessment
finding requires immediate withholding of the medication and notification of the
primary healthcare provider?
A. Blood pressure of 130/80 mmHg
B. Apical pulse rate of 52 beats/min
C. Serum potassium level of 4.2 mEq/L
D. Slight drowsiness
🟢 B. Apical pulse rate of 52 beats/min
🔴 Explanation: Digoxin slows the heart rate. An apical pulse below 60 beats/min in an
,adult client indicates potential toxicity and warrants holding the medication and notifying
the provider.
An adult client is admitted with severe dehydration secondary to acute
gastroenteritis. Which intravenous solution should the nurse anticipate the healthcare
provider to prescribe initially?
A. 0.45% Sodium Chloride
B. 5% Dextrose in Water
C. 0.9% Sodium Chloride
D. 3% Sodium Chloride
🟢 C. 0.9% Sodium Chloride
🔴 Explanation: 0.9% Sodium Chloride is an isotonic crystalloid solution used to expand
intravascular volume rapidly in clients with severe extracellular fluid volume deficits such
as acute dehydration.
A nurse is preparing to administer a scheduled dose of regular insulin to a client with
type 2 diabetes. When should the nurse administer this medication relative to meals?
A. Exactly 60 minutes after eating
B. Within 15 to 30 minutes before a meal
C. Immediately before bedtime, regardless of meals
D. Only when random blood glucose exceeds 300 mg/dL
🟢 B. Within 15 to 30 minutes before a meal
🔴 Explanation: Regular insulin has an onset of action of approximately 30 to 60 minutes
, and is administered shortly before meals to match the postprandial rise in blood glucose.
A nurse assesses a client who has sustained a right-sided cerebrovascular accident
(CVA). Which finding should the nurse expect?
A. Aphasia and cautious behavior
B. Left-sided hemiplegia and impulsive behavior
C. Right-sided hemiparesis and slow speech
D. Expressive aphasia with normal motor function
🟢 B. Left-sided hemiplegia and impulsive behavior
🔴 Explanation: A right-sided stroke affects the left side of the body (left-sided hemiplegia)
and typically manifests with spatial-perceptual deficits, impulsivity, and poor judgment.
A client admitted with acute pancreatitis reports severe, boring abdominal pain that
radiates to the back. Which laboratory value is most diagnostic for this condition?
A. Serum amylase and lipase
B. Total serum cholesterol
C. Blood urea nitrogen
D. Serum calcium
🟢 A. Serum amylase and lipase
🔴 Explanation: Serum amylase and lipase elevations are classic laboratory indicators of
acute pancreatitis, with serum lipase remaining elevated longer than amylase.
A nurse is providing discharge instructions to a client prescribed warfarin. Which
dietary instruction is most critical for the nurse to include?
