UWORLD NCLEX EXAM ACTUAL TEST
QUESTIONS AND SOLVED ANSWERS
◉ A nurse is screening clients for skin cancer. Which assessment
would be most concerning?
1.
Client with a blue and black, irregular papule on the hand
2.
Client with a pearly, pink papule with ulceration on the ear
3.
Client with a pink patch with silvery scales on the neck
4.
Client with a red, scaly patch with rough edges on the forehead.
Answer: 1
◉ The nurse determines that a client with incontinence and limited
mobility is at increased risk for skin breakdown and pressure injury.
While caring for this client, which of the following nursing
interventions are appropriate? Select all that apply.
1.
Applying moisture barrier cream to the skin after performing
perineal care
,2.
Providing a diet that is high in protein and contains adequate
calories
3.
Repositioning the client using a turn sheet every 2 hours
4.
Restricting fluid intake to ≤2.
Answer: 1, 2, 3, 5
◉ The client admitted to the psychiatric unit with severe anxiety is
pacing rapidly in the room, crying, and hyperventilating. The client
yells, "I can't believe you took my belongings! Where are you
keeping them? This is so frustrating!" What is the appropriate
response by the nurse?
1.
"I understand that you are frustrated. I will give you some time to
yourself to decompress."
2.
"This is frustrating for me too. I wish I could give you your
belongings right now, but I can't."
3.
"Would you like.
Answer: 4
,◉ The nurse is caring for a client who is 2 days postoperative
craniotomy with bone flap removal. The nurse notes clear wound
drainage saturating the dressing over the incision. Which action by
the nurse is most appropriate at this time?
1.
Cleanse the incision site with saline and apply a new, sterile dressing
2.
Mark the edges of the drainage on the dressing and continue to
monitor
3.
Notify the health care provider of the color and amount of drainage
4.
Turn the client onto the nonoperative sid.
Answer: 3
◉ A nurse caring for a client following a right femoral angiogram is
unable to palpate the right pedal pulse. What should the nurse do
next?
1.
Apply a heating pad to increase circulation
2.
Call the health care provider
3.
, Document "0" for right pedal pulse strength
4.
Obtain a Doppler ultrasound.
Answer: 4
◉ The following 4 clients are assigned to the emergency department
nurse. Which client should the nurse see first?
1.
Client in a motor vehicle collision whose head hit the steering wheel
2.
Client who is 6 months pregnant and slipped and fell on icy stairs
3.
Client who sustained a stab wound through the hand during a fight
4.
Client with a 1-in (2.5 cm) leg laceration acquired during a soccer
game.
Answer: 1
◉ What nursing intervention is most appropriate when caring for a
client with impairment to cranial nerve II?
1.
Ensure that the client has a mechanical soft diet
QUESTIONS AND SOLVED ANSWERS
◉ A nurse is screening clients for skin cancer. Which assessment
would be most concerning?
1.
Client with a blue and black, irregular papule on the hand
2.
Client with a pearly, pink papule with ulceration on the ear
3.
Client with a pink patch with silvery scales on the neck
4.
Client with a red, scaly patch with rough edges on the forehead.
Answer: 1
◉ The nurse determines that a client with incontinence and limited
mobility is at increased risk for skin breakdown and pressure injury.
While caring for this client, which of the following nursing
interventions are appropriate? Select all that apply.
1.
Applying moisture barrier cream to the skin after performing
perineal care
,2.
Providing a diet that is high in protein and contains adequate
calories
3.
Repositioning the client using a turn sheet every 2 hours
4.
Restricting fluid intake to ≤2.
Answer: 1, 2, 3, 5
◉ The client admitted to the psychiatric unit with severe anxiety is
pacing rapidly in the room, crying, and hyperventilating. The client
yells, "I can't believe you took my belongings! Where are you
keeping them? This is so frustrating!" What is the appropriate
response by the nurse?
1.
"I understand that you are frustrated. I will give you some time to
yourself to decompress."
2.
"This is frustrating for me too. I wish I could give you your
belongings right now, but I can't."
3.
"Would you like.
Answer: 4
,◉ The nurse is caring for a client who is 2 days postoperative
craniotomy with bone flap removal. The nurse notes clear wound
drainage saturating the dressing over the incision. Which action by
the nurse is most appropriate at this time?
1.
Cleanse the incision site with saline and apply a new, sterile dressing
2.
Mark the edges of the drainage on the dressing and continue to
monitor
3.
Notify the health care provider of the color and amount of drainage
4.
Turn the client onto the nonoperative sid.
Answer: 3
◉ A nurse caring for a client following a right femoral angiogram is
unable to palpate the right pedal pulse. What should the nurse do
next?
1.
Apply a heating pad to increase circulation
2.
Call the health care provider
3.
, Document "0" for right pedal pulse strength
4.
Obtain a Doppler ultrasound.
Answer: 4
◉ The following 4 clients are assigned to the emergency department
nurse. Which client should the nurse see first?
1.
Client in a motor vehicle collision whose head hit the steering wheel
2.
Client who is 6 months pregnant and slipped and fell on icy stairs
3.
Client who sustained a stab wound through the hand during a fight
4.
Client with a 1-in (2.5 cm) leg laceration acquired during a soccer
game.
Answer: 1
◉ What nursing intervention is most appropriate when caring for a
client with impairment to cranial nerve II?
1.
Ensure that the client has a mechanical soft diet
