UWorld NCLEX-RN TEST 2 WITH ANSWERS 100% CORRECT | GRADED A+
1. 3. A nurse coworker is called into work from home
to help care for an influx of clients being admitted
after a bus accident. While assisting the coworker
prepare for incoming clients, the nurse becomes
concerned that the coworker may be under the in-
fluence of an impairing substance. Which action by
the nurse is best?
1.
Ask another coworker to observe the individual to
confirm the suspicion
2.
Confront the coworker about the concern and offer
emotional support
3.
Speak with the nursing supervisor about the con-
cern
4.
Telephone the appropriate regulatory agency and
make a report
2. 3. A nurse is administering a rituximab infusion to a
client with lymphoma in an oncology clinic. Which
client symptom would be a priority to report to the
health care provider?
1.
Dizziness and sudden diarrhea
2.
Nausea and onset of vomiting
3.
New-onset tachypnea and dyspnea
4.
Temperature of 101 F (38.3 C)
3. 3. The student nurse plans postmortem care for an
Orthodox Jewish client hospitalized for the last week
with heart failure who did not sign consents for any
postmortem actions. Which statement by the stu-
dent would require further education by the super-
vising nurse?
,UWorld NCLEX-RN TEST 2 WITH ANSWERS 100% CORRECT | GRADED A+
1.
"I will allow the family to remain with the client at all
times."
2.
"I will call the next of kin before providing any post-
mortem care."
3.
"I will prepare the client for transfer to the morgue for
autopsy."
4.
"I will provide a sheet to be placed over the client's
face."
4. 1. The nurse is caring for a client with chronic pan-
creatitis. Which meal should the nurse recommend
when assisting the client in selecting food items from
a menu?
1.
Baked tilapia with lemon wedge, sweet potatoes,
and green peas
2.
Cream of potato soup and roast beef sandwich on
a croissant
3.
Sautéed salmon, macaroni and cheese, string
beans, and a biscuit
4.
Shrimp enchiladas with tomato salsa, rice, corn-
bread, and refried beans
5. Perform hand hy- The nurse is preparing to change the dressing of a
giene, don face mask, client's subclavian central venous catheter using a
place a mask on the chlorhexidine gluconate (CHG)-impregnated patch
client, and apply clean and transparent adhesive dressing. Place the pro-
gloves cedural steps in the correct order. All options must
be used.
Remove old dressing
and CHG-impregnat- Apply CHG patch over catheter insertion site and
ed patch; assess in- cover with a sterile transparent dressing
,UWorld NCLEX-RN TEST 2 WITH ANSWERS 100% CORRECT | GRADED A+
sertion site
Cleanse the site with CHG for at least 30 seconds
Discard the clean using friction; allow to air dry completely
gloves, perform hand
hygiene, and apply Discard the clean gloves, perform hand hygiene,
sterile gloves and apply sterile gloves
Cleanse the site with Perform hand hygiene, don face mask, place a mask
CHG for at least 30 on the client, and apply clean gloves
seconds using fric-
tion; allow to air dry Remove old dressing and CHG-impregnated patch;
completely assess insertion site
Apply CHG patch over
catheter insertion site
and cover with a ster-
ile transparent dress-
ing
6. 3. Four clients enter the pediatric emergency depart-
ment at the same time. Which client should the nurse
see first?
1.
2- week-old with tricuspid atresia who has dusky lips
and nailbeds
2.
5-week-old with forceful vomiting after every feeding
who is crying
3.
12-month-old who was wheezing at home and is
now lethargic with no wheezing
4.
3- year-old with fever who had a brief seizure at
home and is asleep
7. 1. The unlicensed assistive personnel (UAP) reports
being splashed in the eye while emptying urine from
the catheter bag of a client with AIDS. The UAP is
afraid of becoming infected with HIV and requests
, UWorld NCLEX-RN TEST 2 WITH ANSWERS 100% CORRECT | GRADED A+
immediate testing. What is the nurse's priority ac-
tion?
1.
Direct the UAP to immediately flush the eye with
water at the unit's eyewash station
2.
Reassure the UAP that the risk for HIV is low as
urine does not transmit the virus
3.
Refer the UAP to the occupational health depart-
ment for postexposure prophylaxis
4.
Send the UAP to the facility's emergency depart-
ment for medical evaluation
8. Answer: 10 (units) The nurse prepares to administer a client's sched-
uled 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
1. 3. A nurse coworker is called into work from home
to help care for an influx of clients being admitted
after a bus accident. While assisting the coworker
prepare for incoming clients, the nurse becomes
concerned that the coworker may be under the in-
fluence of an impairing substance. Which action by
the nurse is best?
1.
Ask another coworker to observe the individual to
confirm the suspicion
2.
Confront the coworker about the concern and offer
emotional support
3.
Speak with the nursing supervisor about the con-
cern
4.
Telephone the appropriate regulatory agency and
make a report
2. 3. A nurse is administering a rituximab infusion to a
client with lymphoma in an oncology clinic. Which
client symptom would be a priority to report to the
health care provider?
1.
Dizziness and sudden diarrhea
2.
Nausea and onset of vomiting
3.
New-onset tachypnea and dyspnea
4.
Temperature of 101 F (38.3 C)
3. 3. The student nurse plans postmortem care for an
Orthodox Jewish client hospitalized for the last week
with heart failure who did not sign consents for any
postmortem actions. Which statement by the stu-
dent would require further education by the super-
vising nurse?
,UWorld NCLEX-RN TEST 2 WITH ANSWERS 100% CORRECT | GRADED A+
1.
"I will allow the family to remain with the client at all
times."
2.
"I will call the next of kin before providing any post-
mortem care."
3.
"I will prepare the client for transfer to the morgue for
autopsy."
4.
"I will provide a sheet to be placed over the client's
face."
4. 1. The nurse is caring for a client with chronic pan-
creatitis. Which meal should the nurse recommend
when assisting the client in selecting food items from
a menu?
1.
Baked tilapia with lemon wedge, sweet potatoes,
and green peas
2.
Cream of potato soup and roast beef sandwich on
a croissant
3.
Sautéed salmon, macaroni and cheese, string
beans, and a biscuit
4.
Shrimp enchiladas with tomato salsa, rice, corn-
bread, and refried beans
5. Perform hand hy- The nurse is preparing to change the dressing of a
giene, don face mask, client's subclavian central venous catheter using a
place a mask on the chlorhexidine gluconate (CHG)-impregnated patch
client, and apply clean and transparent adhesive dressing. Place the pro-
gloves cedural steps in the correct order. All options must
be used.
Remove old dressing
and CHG-impregnat- Apply CHG patch over catheter insertion site and
ed patch; assess in- cover with a sterile transparent dressing
,UWorld NCLEX-RN TEST 2 WITH ANSWERS 100% CORRECT | GRADED A+
sertion site
Cleanse the site with CHG for at least 30 seconds
Discard the clean using friction; allow to air dry completely
gloves, perform hand
hygiene, and apply Discard the clean gloves, perform hand hygiene,
sterile gloves and apply sterile gloves
Cleanse the site with Perform hand hygiene, don face mask, place a mask
CHG for at least 30 on the client, and apply clean gloves
seconds using fric-
tion; allow to air dry Remove old dressing and CHG-impregnated patch;
completely assess insertion site
Apply CHG patch over
catheter insertion site
and cover with a ster-
ile transparent dress-
ing
6. 3. Four clients enter the pediatric emergency depart-
ment at the same time. Which client should the nurse
see first?
1.
2- week-old with tricuspid atresia who has dusky lips
and nailbeds
2.
5-week-old with forceful vomiting after every feeding
who is crying
3.
12-month-old who was wheezing at home and is
now lethargic with no wheezing
4.
3- year-old with fever who had a brief seizure at
home and is asleep
7. 1. The unlicensed assistive personnel (UAP) reports
being splashed in the eye while emptying urine from
the catheter bag of a client with AIDS. The UAP is
afraid of becoming infected with HIV and requests
, UWorld NCLEX-RN TEST 2 WITH ANSWERS 100% CORRECT | GRADED A+
immediate testing. What is the nurse's priority ac-
tion?
1.
Direct the UAP to immediately flush the eye with
water at the unit's eyewash station
2.
Reassure the UAP that the risk for HIV is low as
urine does not transmit the virus
3.
Refer the UAP to the occupational health depart-
ment for postexposure prophylaxis
4.
Send the UAP to the facility's emergency depart-
ment for medical evaluation
8. Answer: 10 (units) The nurse prepares to administer a client's sched-
uled 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
