NCLEX UWORLD QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

NCLEX UWORLD QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
whatWmedicationsWinteractWwithWgrapefruit?W-
WANSWERWcalciumWchannelWblockers:Wdiltiazem,Wnifedipine,Wverapamil,Wetc



statins

caffeine

SSRIs



beWsureWtoWpracticeWmath!W-WANSWERW



stentWplacementWusingWtheWfemoralWapproachWputsWyouWatWriskWforWretroperitonealWhemorrhageW-
WANSWERW




whatWareWearlyWsignsWofWbleedingWintoWtheWretroperitonealWspace?W-
WANSWERWhypotension,WbackWpain,WflankWecchymosisW(greyWturnerWsign),WhematomaWformation,Wdimins

hedWdistalWpulses



whatWisWtheWgrey-turnerWsignWandWwhatWisWitWaWsignWof?W-
WANSWERWbruisingWofWtheWflanksWandWretroperitonealWhemorrhageWandWisWaWbluishWcolor




whatWareWsomeWphysicalWsignsWofWperipheralWarterialWdisease?W-
WANSWERWintermittentWcalfWmuscleWpain?,WrestWpain,WhairWloss,WdecreasedWperipheralWpulses,Wcool,Wdry,

WshinyWskin,WthickWbrittleWnails,Wgangrene,WulcersW(allWofWtheseWareWinWtheWextremities)




transplantedWheartsWareWexpectedWtoWbeW-WANSWERWtachycardicWlikeW90-110



whatWisWtheWpriorityWinterventionWforWpainWwithWsickleWcellWcrisisWandWwhy?W-
WANSWERWadministerWIVWfluidsWtoWreduceWbloodWviscosityWandWrestoreWperfusionWtoWareasWaffectedWbyW

vasoocclusion

,whatWisWtheWpurposeWofWcontinuousWbladderWirrigation?W-
WANSWERWitWisWperscribedWafterWTURPWtoWpreventWobstructionWofWurineWoutflowWbyWremovingWclottedW

bloodWfromWtheWbladder



whatWisWtheWnursesWcareWofWmonitoringWCBI?W-
WANSWERWmonitorWqualityWofWdrainage,WtitrateWtheWinflowWrate,WandWmanurallyWirrigatingWasWneeded




characteristicsWofWaWbasilarWskullWfractureW-
WANSWERWperiorbitalWhematomasW(raccoonWeyes),WcsfWfluidWrhinorrhea,WandWbattleWsignW(behindWtheWe

arWbruising)



immediateWclientWcareWforWbasilarWskullWfractureW-
WANSWERWcervicalWspimeWimmobilization,WcloseWneurologicWmonitoring,WandWsupportWofWABCs




vomitingWwithWintakeWmayWmeanW-WANSWERWviralWorWbacterialWinfection



tympanosomtyWtubesWareWplacedWforW-WANSWERWrecurrentWotisWmedias



nurseWactionsWduringWaWseizureW-
WANSWERWassistWthemWtoWlieWdownWisWstanding/sitting,WputWthemWonWsideWforWpatentWairway,WloosenWti

ghtWclothing,WgiveWoxygenWasWneeded,WremoveWobjectsWfromWimmediateWarea,WdocumentWtimeWandWdur
ationWofWseizureW(forWtestsWareWdoneWlaterWtoWseeWwhichWtypeWofWseizureWandWmaybeWwhatWexaceratesW
it)

neverWputWanythingWinWmouthWorWrestrainWthemWsinceWmusclecWontractionsWcanWoccurWduringWaWseizure



whatWareWsomeWearlyWsymptomsWofWICP?W-
WANSWERWalteredWLOC,Wheadache,WabnormalWreathing,WriseWinWbp,WslowWpulse,Wvomiting




clientWwhoWhasWaWTIAWisWoftenWplacedWonW-
WANSWERWprophylacticWantithromboticWtreatmentWlikeWaspirinWorWclopidogrel




glascowWcomaWscaleWrangesWfromW-WANSWERW3-
15;W3WbeingWworstW15WbeingWbestWconditionW(8WorWbelowWinWaWcoma)

,whatWareWtheW3Wcomponents?W-WANSWERWeyeWopening

motorWresponse

verbalWresponse



whatWisWaWprimaryWcomponentWinWTPN?W-
WANSWERWglucose,WsoWtheWnurseWshouldWbeWmonitoringWbloodWglucoseWandWbeWassessingWforWsignsWofW

hyperglycemia



whenWaWclientWisWonWTPN,WtheWnurseWmustWassessWforWhyperglycemiaWwhy?W-
WANSWERWbcWaWprimaryWcomponentWisWglucose.WthereforeWtheWnurseWmustWbeWassessingWtoWseeWifWtheW

clientWisWgettingWtooWmuchWglucoseW(hoerglycemia).WandWwithWaWlargeWurinaryWoutputWlikeW4800,WthisWc
ouldWindicateWsymptomsWofWhyperglycemia



signsWogWhyperglycemiaW-
WANSWERWpolydipsia,Wpolyuria,Wrestless,Wconfused,WbgWoverW200,Wfatigue,WkussmaulWresp




whatWisWtheWgoalWforWmassWcasualtyWevents?W-
WANSWERWdoWtheWgreatestWgoodWforWtheWgreatestWnumberWofWpeople




keepWinWmindWthatWdisasterWtriageWranksWtheWlikelihoodWofWsurvivalWwithWtreatment,WnotWnecessarilyWth
eWseverityWofWtheWinjuryW-WANSWERW



whatWareWtheW4WcategoriesWforWtriaging?W-WANSWERWimmediateW(redWtag)-
WlifeWthreateningWinjuriesWwithWgoodWprognosisWonceWtreatedW



delayedW(yellow)-WinjuriesWrequiringWtreatmentWwithinWhours

minimalW(greenWtag)-WinjuriesWrequiringWtreatmentWwithinWaWfewWdaysW

expectantW(blackWtag)-WextensiveWinjuries,WpoorWprognosisWregardlessWofWtreatment



ruleWofWninesW-WANSWERWhead:W4.5WfrontW4.5Wback

torso:W18WfrontW18Wback

eachWarm:W4.5WfrontW4.5WbackW(eachWarmWisW9Wtotal)

, eachWleg:W9WfrontW8WbackW(eachWisW18Wtotal)

genitals:W1



extrapyramidalWsideWeffectsW-
WANSWERWACUTEWDYSTONICWREACTION:WsuddenWonsetWsustainedWmuscleWcontractions



AKATHISIA:WrestlessnessWwithWinabilityWtoWsitWstillW

drugWinduceWPARKINSONISM:Wtremor,Wrigidity,Wbradykinies,WmaskedWlikeWfaces

AKINISIA:WlossWofWinvoluntaryWmovement

TARDIVEWDYSKININIA

NEUROLEPTICWMALIGNANTWSYNDROME



dontWgiveWmorphineWifWRRWunderW12WbcWitWcanWcauseW-WANSWERWrespiratoryWdepression



airborneWprecautionsW-WANSWERWtuberculosis,Wvaricella,WandWrubeolaW(measles)

wearWN95WrespiratorW(andWotherWasWneededWlikeWforWsplashes)W

ALSOW(negWpressureWroomWandWHEPA)

clientsWsuspectedWareWtoWwearWaWsurgicalWmaskWafterWtriage



UAPWsoftWwristWrestraintsWcan:W-WANSWERWdoWROMWexercises

reapplyWwristWrestraints

reportWchangesWinWskinWtoWnurse

turn/repositionWclientWinWbed



aWclientWwithWmajorWdepressionWandWsevereWweightWlossWneedsWwhatWtypeWofWdiet?W-
WANSWERWhighWinWcaloriesWandWprotein,WalsoWfoodsWthatWareWeasyWtoWchewWandWdontWrequireWaWlotWofW

energyWbcWtheyWmayWhaveWaWlowWenergyWlevelW

examples:WwhileWmilk/dairy,WgranolaWmuffins,Wpottoes,WmeatWfishWeggs,Wpasta

alsoWsmallWfrequentWmeals