UWorld NCLEX-RN TEST 2 Questions And Answers Verified 100% Correct

UWorld NCLEX-RN TEST 2 Questions And Answers Verified 100% Correct 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." - CORRECT 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." - CORRECT 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." - CORRECT 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. The LPN tells the unlicensed assistive personnel (UAP) who is pregnant to not enter the room of a client with toxoplasmosis 5. The UAP tells a client that the hospital roommate will return to the room after receiving hemodialysis - CORRECT ANSWER 2, 3, 5 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 - CORRECT 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 L/day to reduce number of incontinent episodes Using foam padding placed under the client's legs to elevate the heels - CORRECT 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 to sit down so we can talk? Pacing like this will make you feel worse." 4. "Your belongings are locked in a safe place to ensure that they are protected while you are here." - CORRECT 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 side using the log-rolling technique - CORRECT 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 - CORRECT 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 - CORRECT 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 2.