Page 1 of 64
“ UWorld NCLEX RN “ LATEST 2025 EXAM
UPDATED 2025 – 2026 SOLVED QUESTIONS &
ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION)
UWorld NCLEX RN
A client undergoing endotracheal intubation received IV sedation and
succinylcholine. Shortly after respiratory status has been stabilized, the client
flushed and profusely diaphoretic and has a rigid jaw. Which medication
should the nurse prepare to administer? Click the exhibit button for more
information.
Exhibit: Vital signs
Temperature 105 F
Blood pressure 140/90 mm Hg
Heart rate 150/min
Respirations 28/min
O2 saturation 98%
- IM epinephrine
- IV atropine
- IV dantrolene
- IV glucagon
IV dantrolene
- Malignant hyperthermia is a rare and life-threatening condition precipitated by
certain medications used for anesthesia, including inhaled anesthetics and
succinylcholine.
- Skeletal muscles become unable to control calcium levels, leading to a
hypermetabolic state manifested by contracture and increased temperature.
- Early sings of MH include tachypnea, tachycardia, and a rigid jaw or generalized
rigidity.
- As the condition progresses, the client develops a high fever
- Muscle tissue is broken down, leading to hyperkalemia, cardiac dysrhythmias, and
myoglobinuria.
, Page 2 of 64
MH requires emergent treatment with IV dantrolene to reverse the process by
slowing metabolism.
- Succinylcholine should be discontinued.
- Other interventions include applying cooling blankets to reduce temperature and
treating high potassium levels.
Inhaled anethetics
- desflurane
- Isoflurane
- halothane
Succinylcholine
A paralytic used adjunctively for intubation and general anesthesia.
IM epinephrine
Administered for cardiac arrest, anaphylactic reactions, or severe asthma attacks
IV atropine
An anticholinergic agent, used to treat bradycardia.
IV glucagon
Given IM, subq, or IV for severe hypoglycemia.
- IV glucose is preferred due to its immediate effect, however, if it is unavailable,
glucagon can be given to stimulate glycogenolysis in the liver
The nurse is managing the care of a client diagnosed with chronic anxiety.
Which behavior demonstrates to the nurse that the client possesses
resilience?
1. Avoids anxiety-producing situations.
2. Is able to identify anxiety-inducing triggers
3. Practices stress reduction techniques daily
4. Relies on anxiolytic medication to manage symptoms
Practices stress reduction techniques daily.
- Resilient people readily deal with the stress they face by using interventions such
as deep breathing, meditation, thought interruption, and muscle relaxation.
The nurse reviews the laboratory results for 4 assigned clients. Which result is
most important for the nurse to report to the primary health care provider?
- Client with atrial fibrillation receiving warfarin for 7 days with an International
Normalized Ratio (INR) of 1.3
- Client with chronic bronchitis who has a hematocrit of 56& and hemoglobin
of 19 g/dL
- Client with Clostridium difficile infections who has a white blood cell count of
15.000/mm3
- Client with sepsis receiving gentamycin who has a creatinine of 0.6 mg/dL
Client with atrial fibrillation receiving warfarin for 7 days with an International
Normalized Ratio (INR) of 1.3
- The therapeutic INR level for a client receiving warfarin to treat atrial fibrillation is 2-
3.
- The subtherapeutic INR of 1.3 is the most important result to report to the health
, Page 3 of 64
care provider as the client is at increased risk for a stroke and dose adjustment is
needed
A client at 35 weeks gestation is admitted to the labor and delivery unit for
severe pre-eclampsia. She is started on IV magnesium sulfate for seizure
prophylaxis. Which of the following signs indicated that the client had
developed magnesium sulfate toxicity? Select all that apply.
- 0/4 patellar reflex
- Blood pressure of 156/84 mm Hg
- Client voiding 600 mL in 8 hours
- Respirations of 10/min
- Serum magnesium level of 8.0 mEq/L
- 0/4 patellar reflex
- Respirations 10/min
- Serum magnesium level of 8.0 mEq/L
- Therapeutic magnesium levels: 4-7 mEq/L
- Mag toxicity: >7
IV magnesium sulfate (seizure eclampsia prophylaxis)
- Loading dose of 4-6 g
- followed by maintenance dose of 1-2 g/hr
- therapeutic level: 4-7 mEq/L
Magnesium toxicity clinical features
- Mild: nausea, flushing, headache, hyporeflexia
- Moderate: areflexia, hypocalcemia, somnolence
- Severe: respiratory paralysis, cardiac arrest
- Absent or decreased deep tendon reflexes are the earliest sign
Magnesium toxicity: treatment
- Stop magnesium therapy
- Give IV calcium gluconate
A recently widowed client becomes tearful at a routine clinic visit and states, "I
just can't get over my spouse's death." Which of the following responses by
the nurse are appropriate? Select all that apply.
- "A friend of mine passed away recently. I know how hard losses can be."
- "I see that you're upset. I will step out while you process these feelings."
- "It may take a while, but coming to terms with loss gets easier with time."
- "This is a difficult time. Tell me about how you have been coping."
- "What are your thoughts about attending a grief support group?"
-"This is a difficult time. Tell me about how you've been coping."
- "What are your thoughts about attending a grief support group?"
- Reflection (acknowledging client statements) and using open-ended questions or
statements assist the client in exploring emotions and allow for expression of needs.
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Nurses may also suggest strategies and share resources to facilitate the client's
grieving process.
A client diagnosed with trigeminal neuralgia is given a prescription of
carbamazepine by the health care provider. Which intervention does the nurse
add to this client's care plan?
- Encourage the client to drink cold beverages
- Encourage the client to eat a high-fiber diet
- Encourage the client to perform facial massage
- Encourage the client to report any fever or sore throat.
Encourage the client to report any fever or sore throat.
- Carbamazepine is a seizure medication but is highly effective for neuropathic pain.
- Carbamazepine is associated with agranulocytosis (leukopenia) and infection risk
Trigeminal neuralgia
A sudden, sharp pain along the distribution of the trigeminal nerve.
- Symptoms are usually unilateral and primarily in the maxillary and mandibular
branches.
- Clients may experience chronic pain with periods of less severe pain, or "cluster
attacks" of pain between long periods without pain.
- Triggers can include washing the face, chewing food, brushing teeth, yawning, or
talking
- Pain is severe, intense, burning, or electric shock-like
- the primary intervention is consistent pain control with medications and lifestyle
changes.
Behavioral interventions for Trigeminal Neuralgia
- Oral care: use a small, soft-bristled toothbrush or a warm mouth wash
- Use lukewarm water; avoid beverages or food that are too hot or cold
- Room should be kept at an even and moderate temperature
- Avoid rubbing or facial massage. Use cotton pads to wash face if necessary.
- Have a soft diet with high calorie content, avoid foods that are difficult to chew.
Chew on the unaffected side of the mouth.
Which of the following drug administrations should be reported as a practice
error? Select all that apply.
- Cephalexin administered; client has history of anaphylaxis from penicillin
- Hydromorphone 2 mg administered; client reports pruritus
- Immunization for 3-month-old administered in ventrogluteal site
- Oral niacin (nicotinic acid) administered; client has facial flushing
- Warfarin administered; client at 12 weeks gestation
- Cephalexin administered; client has history of anaphylaxis from penicillin
- Immunization for 3-month-old administered in ventrogluteal site
- Warfarin administered; client at 12 weeks gestation.
Warfarin embryopathy
- Warfarin crosses the placenta, resulting in fetal anticoagulation; dangerous fetal
bleeding, including intracranial hemorrhage
“ UWorld NCLEX RN “ LATEST 2025 EXAM
UPDATED 2025 – 2026 SOLVED QUESTIONS &
ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION)
UWorld NCLEX RN
A client undergoing endotracheal intubation received IV sedation and
succinylcholine. Shortly after respiratory status has been stabilized, the client
flushed and profusely diaphoretic and has a rigid jaw. Which medication
should the nurse prepare to administer? Click the exhibit button for more
information.
Exhibit: Vital signs
Temperature 105 F
Blood pressure 140/90 mm Hg
Heart rate 150/min
Respirations 28/min
O2 saturation 98%
- IM epinephrine
- IV atropine
- IV dantrolene
- IV glucagon
IV dantrolene
- Malignant hyperthermia is a rare and life-threatening condition precipitated by
certain medications used for anesthesia, including inhaled anesthetics and
succinylcholine.
- Skeletal muscles become unable to control calcium levels, leading to a
hypermetabolic state manifested by contracture and increased temperature.
- Early sings of MH include tachypnea, tachycardia, and a rigid jaw or generalized
rigidity.
- As the condition progresses, the client develops a high fever
- Muscle tissue is broken down, leading to hyperkalemia, cardiac dysrhythmias, and
myoglobinuria.
, Page 2 of 64
MH requires emergent treatment with IV dantrolene to reverse the process by
slowing metabolism.
- Succinylcholine should be discontinued.
- Other interventions include applying cooling blankets to reduce temperature and
treating high potassium levels.
Inhaled anethetics
- desflurane
- Isoflurane
- halothane
Succinylcholine
A paralytic used adjunctively for intubation and general anesthesia.
IM epinephrine
Administered for cardiac arrest, anaphylactic reactions, or severe asthma attacks
IV atropine
An anticholinergic agent, used to treat bradycardia.
IV glucagon
Given IM, subq, or IV for severe hypoglycemia.
- IV glucose is preferred due to its immediate effect, however, if it is unavailable,
glucagon can be given to stimulate glycogenolysis in the liver
The nurse is managing the care of a client diagnosed with chronic anxiety.
Which behavior demonstrates to the nurse that the client possesses
resilience?
1. Avoids anxiety-producing situations.
2. Is able to identify anxiety-inducing triggers
3. Practices stress reduction techniques daily
4. Relies on anxiolytic medication to manage symptoms
Practices stress reduction techniques daily.
- Resilient people readily deal with the stress they face by using interventions such
as deep breathing, meditation, thought interruption, and muscle relaxation.
The nurse reviews the laboratory results for 4 assigned clients. Which result is
most important for the nurse to report to the primary health care provider?
- Client with atrial fibrillation receiving warfarin for 7 days with an International
Normalized Ratio (INR) of 1.3
- Client with chronic bronchitis who has a hematocrit of 56& and hemoglobin
of 19 g/dL
- Client with Clostridium difficile infections who has a white blood cell count of
15.000/mm3
- Client with sepsis receiving gentamycin who has a creatinine of 0.6 mg/dL
Client with atrial fibrillation receiving warfarin for 7 days with an International
Normalized Ratio (INR) of 1.3
- The therapeutic INR level for a client receiving warfarin to treat atrial fibrillation is 2-
3.
- The subtherapeutic INR of 1.3 is the most important result to report to the health
, Page 3 of 64
care provider as the client is at increased risk for a stroke and dose adjustment is
needed
A client at 35 weeks gestation is admitted to the labor and delivery unit for
severe pre-eclampsia. She is started on IV magnesium sulfate for seizure
prophylaxis. Which of the following signs indicated that the client had
developed magnesium sulfate toxicity? Select all that apply.
- 0/4 patellar reflex
- Blood pressure of 156/84 mm Hg
- Client voiding 600 mL in 8 hours
- Respirations of 10/min
- Serum magnesium level of 8.0 mEq/L
- 0/4 patellar reflex
- Respirations 10/min
- Serum magnesium level of 8.0 mEq/L
- Therapeutic magnesium levels: 4-7 mEq/L
- Mag toxicity: >7
IV magnesium sulfate (seizure eclampsia prophylaxis)
- Loading dose of 4-6 g
- followed by maintenance dose of 1-2 g/hr
- therapeutic level: 4-7 mEq/L
Magnesium toxicity clinical features
- Mild: nausea, flushing, headache, hyporeflexia
- Moderate: areflexia, hypocalcemia, somnolence
- Severe: respiratory paralysis, cardiac arrest
- Absent or decreased deep tendon reflexes are the earliest sign
Magnesium toxicity: treatment
- Stop magnesium therapy
- Give IV calcium gluconate
A recently widowed client becomes tearful at a routine clinic visit and states, "I
just can't get over my spouse's death." Which of the following responses by
the nurse are appropriate? Select all that apply.
- "A friend of mine passed away recently. I know how hard losses can be."
- "I see that you're upset. I will step out while you process these feelings."
- "It may take a while, but coming to terms with loss gets easier with time."
- "This is a difficult time. Tell me about how you have been coping."
- "What are your thoughts about attending a grief support group?"
-"This is a difficult time. Tell me about how you've been coping."
- "What are your thoughts about attending a grief support group?"
- Reflection (acknowledging client statements) and using open-ended questions or
statements assist the client in exploring emotions and allow for expression of needs.
, Page 4 of 64
Nurses may also suggest strategies and share resources to facilitate the client's
grieving process.
A client diagnosed with trigeminal neuralgia is given a prescription of
carbamazepine by the health care provider. Which intervention does the nurse
add to this client's care plan?
- Encourage the client to drink cold beverages
- Encourage the client to eat a high-fiber diet
- Encourage the client to perform facial massage
- Encourage the client to report any fever or sore throat.
Encourage the client to report any fever or sore throat.
- Carbamazepine is a seizure medication but is highly effective for neuropathic pain.
- Carbamazepine is associated with agranulocytosis (leukopenia) and infection risk
Trigeminal neuralgia
A sudden, sharp pain along the distribution of the trigeminal nerve.
- Symptoms are usually unilateral and primarily in the maxillary and mandibular
branches.
- Clients may experience chronic pain with periods of less severe pain, or "cluster
attacks" of pain between long periods without pain.
- Triggers can include washing the face, chewing food, brushing teeth, yawning, or
talking
- Pain is severe, intense, burning, or electric shock-like
- the primary intervention is consistent pain control with medications and lifestyle
changes.
Behavioral interventions for Trigeminal Neuralgia
- Oral care: use a small, soft-bristled toothbrush or a warm mouth wash
- Use lukewarm water; avoid beverages or food that are too hot or cold
- Room should be kept at an even and moderate temperature
- Avoid rubbing or facial massage. Use cotton pads to wash face if necessary.
- Have a soft diet with high calorie content, avoid foods that are difficult to chew.
Chew on the unaffected side of the mouth.
Which of the following drug administrations should be reported as a practice
error? Select all that apply.
- Cephalexin administered; client has history of anaphylaxis from penicillin
- Hydromorphone 2 mg administered; client reports pruritus
- Immunization for 3-month-old administered in ventrogluteal site
- Oral niacin (nicotinic acid) administered; client has facial flushing
- Warfarin administered; client at 12 weeks gestation
- Cephalexin administered; client has history of anaphylaxis from penicillin
- Immunization for 3-month-old administered in ventrogluteal site
- Warfarin administered; client at 12 weeks gestation.
Warfarin embryopathy
- Warfarin crosses the placenta, resulting in fetal anticoagulation; dangerous fetal
bleeding, including intracranial hemorrhage
