Page 1 of 390
“UWORLD PN,HURST PART 2,NCSBN PN 2025 “ NEWEST UPDATED EXAM 2025 –
2026 SOLVED QUESTIONS & ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION) WELL REVISED AND HIGHLY RECOMMENDALE
Uworld PN,Hurst part 2,NCSBN PN
When preparing a client for surgery, the nurse realizes the operative permit
has not been signed. The client verbalizes to the nurse understanding of the
procedure, but the client had received preoperative medication approximately
10 minutes ago. What would be the appropriate action by the nurse?
1. Have the client sign the permit, as understanding was verbalized.
2. Witness the form after having the client sign it.
3. Have the spouse sign the form as she witnessed his statement that he
understands.
4. Call the surgical area and explain that the surgery will have to be cancelled.
4. Correct: The client must sign the operative permit or any other legal document
prior to taking preoperative drugs that can affect judgment and decision-making
capacity.
1. Incorrect: The client's verbal understanding does not override the fact that
medication had been received that can alter thought processes and decision-making.
2. Incorrect: Witnessing would not make this document legal. The consent would not
be valid because the client has already received the pain medication that could alter
the thought process.
3. Incorrect: When a client is of legal age (unless an emancipated minor) and of
sound mind, it would be inappropriate for the spouse to sign the form for surgery. In
order to be valid, it must be the client who signs it, unless there is a legal power of
attorney, durable power of attorney, or healthcare surrogate.
, Page 2 of 390
Do not choose an option that violates a client's rights, a stated policy, or a federal
legislation, such as HIPAA.
What is the nurse’s best response to the pregnant client's question about
appropriate exercise during pregnancy?
1. Discuss with healthcare provider your current exercise regimen and history.
2. You can continue any exercise that you have been doing before pregnancy.
3. If you haven't already started an exercise program, you should wait until
after delivery.
4. Exercise is required during pregnancy for a minimum of 15 minutes each
day.
1. Correct: Best advice for pregnant women. The healthcare provider can
individualize according to the physical condition of the woman and the stage of
pregnancy.
2. Incorrect: As pregnancy progresses, the exercise program may need modification
because the change in the woman's center of gravity makes her more prone to falls.
Therefore, an activity that is safe in the first trimester may not be safe in the third
trimester. Those women who have been exercising strenuously before pregnancy
should consult the healthcare provider but may be able to continue much of their
usual routine. Recreational sports generally can be continued if no risk of falling or
abdominal trauma exists.
3. Incorrect: Exercise during pregnancy is generally beneficial and can strengthen
muscles, reduce backache, reduce stress and provide a feeling of well-being. The
amount and type of exercise recommended depend on the physical condition of the
woman and the stage of pregnancy.
4. Incorrect: Women who have no medical or obstetric complications should exercise
in moderation each day for 30 minutes or more during pregnancy.
What information should a nurse include when reinforcing education to a
client regarding buccal administration of a medication?
1. This route allows the medication to get into the blood stream faster than the
oral route.
2. Stinging may occur after placing the medication in the cheek.
3. If swallowed, the medication may be inactivated by gastric secretions.
, Page 3 of 390
4. The buccal dose of medication will need to be increased from the oral dose.
5. Remove the tablet from buccal area after 15 seconds.
1., 2., & 3. Correct: These are correct statements about buccal administration of
medication. Buccal administration involves the medication being placed between the
gums and cheek, where it dissolves and becomes absorbed into the bloodstream.
The cheek area has many capillaries that allow the medication to be absorbed
quickly without having to pass through the digestive system. The degree of stinging
experienced depends on the medication being administered. Some effects of certain
medications can be lessened by digestive processes.
4. Incorrect: When given by the buccal route, the medication does not go through the
digestive system. This means that the medication is not metabolized through the
liver, and thus a lower dose can be used.
5. Incorrect: Placement should be maintained until the tablet is dissolved in order to
get the dosage and effects desired.
A nurse is caring for a client who delivered a baby vaginally four hours ago.
What signs and symptoms of postpartum hemorrhage should the nurse report
to the primary healthcare provider?
1. Two blood clots the size of a dime.
2. Perineal pad saturation in 10 minutes.
3. Constant trickling of bright red blood from vagina.
4. Urinary output of 20 mL per hour.
5. Firm fundus
2., 3., & 4. Correct: Lochia should not exceed an amount that is needed to partially
saturate four to eight peripads daily, which is considered a moderate amount.
Perineal pad saturation in 15 minutes or less is considered excessive and is reason
for immediate concern. Saturation of a peripad in one hour is considered heavy.
Also, trickling of bright red blood from the vagina can indicate hemorrhage and is
often a result of cervical or vaginal lacerations. Bright red blood indicates active
bleeding. Oliguria is a sign of fluid volume deficit. As blood volume goes down, renal
perfusion decreases and urinary output (UOP) decreases. The kidneys are also
attempting to hold on to what little fluid volume is left.
1. Incorrect: A few small clots would be considered normal and occur due to pooling
, Page 4 of 390
of the blood in the vagina. Passage of numerous or large blood clots (larger than a
quarter) would indicate a problem.
5. Incorrect: We worry about a boggy uterus. Uterine atony is a major cause of
postpartum hemorrhage. The fundus feels firm as the uterus and uterine muscles
contract to reduce the blood loss.
The client has been prescribed hydrochlorothiazide for treatment of
hypertension. What client comment indicates adequate understanding of the
side effects of the drug?
1. "I must limit my intake of citrus food."
2. "I must increase my intake of foods containing potassium."
3. "I can expect an increase in my potassium level."
4. "I love sitting in the sun in the summer."
2. Correct: Loop diuretics cause an increase in potassium excretion, thus serum
potassium levels are decreased.1. Incorrect: Citrus foods, such as oranges contain
potassium and would be good for a client taking hydrochlorothiazide.
3. Incorrect: Potassium levels are likely to be decreased unless supplements are
prescribed or if there is an increased consumption of potassium rich foods.
4. Incorrect: Some people taking this medication become more sensitive to sunlight.
The client should be protected from exposure to the sun by using a sunblock
The nurse is reinforcing teaching to a client about foods containing tyramine
which should be avoided while taking a monoamine oxidase inhibitor (MAOI).
Which meal selection, if chosen by the client, indicates understanding?
1. Smoked turkey and dressing, sweet peas and carrots and milk.
2. Baked chicken over pasta with parmesan sauce, baked potato and tea.
3. Fried catfish, French fries, coleslaw and apple juice.
4. Liver smothered in gravy and onions, rice, squash and water.
3. Correct: These foods are not high in tyramine. Tyramine is an amino acid that
helps in the regulation of blood pressure. MAOIs block the enzyme monoamine
oxidase which is responsible for breaking down excess tyramine in the body. Eating
foods high in tyramine while on MAOIs can result in dangerously high levels of
tyramine in the body. This can lead to a serious rise in blood pressure, creating an
“UWORLD PN,HURST PART 2,NCSBN PN 2025 “ NEWEST UPDATED EXAM 2025 –
2026 SOLVED QUESTIONS & ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION) WELL REVISED AND HIGHLY RECOMMENDALE
Uworld PN,Hurst part 2,NCSBN PN
When preparing a client for surgery, the nurse realizes the operative permit
has not been signed. The client verbalizes to the nurse understanding of the
procedure, but the client had received preoperative medication approximately
10 minutes ago. What would be the appropriate action by the nurse?
1. Have the client sign the permit, as understanding was verbalized.
2. Witness the form after having the client sign it.
3. Have the spouse sign the form as she witnessed his statement that he
understands.
4. Call the surgical area and explain that the surgery will have to be cancelled.
4. Correct: The client must sign the operative permit or any other legal document
prior to taking preoperative drugs that can affect judgment and decision-making
capacity.
1. Incorrect: The client's verbal understanding does not override the fact that
medication had been received that can alter thought processes and decision-making.
2. Incorrect: Witnessing would not make this document legal. The consent would not
be valid because the client has already received the pain medication that could alter
the thought process.
3. Incorrect: When a client is of legal age (unless an emancipated minor) and of
sound mind, it would be inappropriate for the spouse to sign the form for surgery. In
order to be valid, it must be the client who signs it, unless there is a legal power of
attorney, durable power of attorney, or healthcare surrogate.
, Page 2 of 390
Do not choose an option that violates a client's rights, a stated policy, or a federal
legislation, such as HIPAA.
What is the nurse’s best response to the pregnant client's question about
appropriate exercise during pregnancy?
1. Discuss with healthcare provider your current exercise regimen and history.
2. You can continue any exercise that you have been doing before pregnancy.
3. If you haven't already started an exercise program, you should wait until
after delivery.
4. Exercise is required during pregnancy for a minimum of 15 minutes each
day.
1. Correct: Best advice for pregnant women. The healthcare provider can
individualize according to the physical condition of the woman and the stage of
pregnancy.
2. Incorrect: As pregnancy progresses, the exercise program may need modification
because the change in the woman's center of gravity makes her more prone to falls.
Therefore, an activity that is safe in the first trimester may not be safe in the third
trimester. Those women who have been exercising strenuously before pregnancy
should consult the healthcare provider but may be able to continue much of their
usual routine. Recreational sports generally can be continued if no risk of falling or
abdominal trauma exists.
3. Incorrect: Exercise during pregnancy is generally beneficial and can strengthen
muscles, reduce backache, reduce stress and provide a feeling of well-being. The
amount and type of exercise recommended depend on the physical condition of the
woman and the stage of pregnancy.
4. Incorrect: Women who have no medical or obstetric complications should exercise
in moderation each day for 30 minutes or more during pregnancy.
What information should a nurse include when reinforcing education to a
client regarding buccal administration of a medication?
1. This route allows the medication to get into the blood stream faster than the
oral route.
2. Stinging may occur after placing the medication in the cheek.
3. If swallowed, the medication may be inactivated by gastric secretions.
, Page 3 of 390
4. The buccal dose of medication will need to be increased from the oral dose.
5. Remove the tablet from buccal area after 15 seconds.
1., 2., & 3. Correct: These are correct statements about buccal administration of
medication. Buccal administration involves the medication being placed between the
gums and cheek, where it dissolves and becomes absorbed into the bloodstream.
The cheek area has many capillaries that allow the medication to be absorbed
quickly without having to pass through the digestive system. The degree of stinging
experienced depends on the medication being administered. Some effects of certain
medications can be lessened by digestive processes.
4. Incorrect: When given by the buccal route, the medication does not go through the
digestive system. This means that the medication is not metabolized through the
liver, and thus a lower dose can be used.
5. Incorrect: Placement should be maintained until the tablet is dissolved in order to
get the dosage and effects desired.
A nurse is caring for a client who delivered a baby vaginally four hours ago.
What signs and symptoms of postpartum hemorrhage should the nurse report
to the primary healthcare provider?
1. Two blood clots the size of a dime.
2. Perineal pad saturation in 10 minutes.
3. Constant trickling of bright red blood from vagina.
4. Urinary output of 20 mL per hour.
5. Firm fundus
2., 3., & 4. Correct: Lochia should not exceed an amount that is needed to partially
saturate four to eight peripads daily, which is considered a moderate amount.
Perineal pad saturation in 15 minutes or less is considered excessive and is reason
for immediate concern. Saturation of a peripad in one hour is considered heavy.
Also, trickling of bright red blood from the vagina can indicate hemorrhage and is
often a result of cervical or vaginal lacerations. Bright red blood indicates active
bleeding. Oliguria is a sign of fluid volume deficit. As blood volume goes down, renal
perfusion decreases and urinary output (UOP) decreases. The kidneys are also
attempting to hold on to what little fluid volume is left.
1. Incorrect: A few small clots would be considered normal and occur due to pooling
, Page 4 of 390
of the blood in the vagina. Passage of numerous or large blood clots (larger than a
quarter) would indicate a problem.
5. Incorrect: We worry about a boggy uterus. Uterine atony is a major cause of
postpartum hemorrhage. The fundus feels firm as the uterus and uterine muscles
contract to reduce the blood loss.
The client has been prescribed hydrochlorothiazide for treatment of
hypertension. What client comment indicates adequate understanding of the
side effects of the drug?
1. "I must limit my intake of citrus food."
2. "I must increase my intake of foods containing potassium."
3. "I can expect an increase in my potassium level."
4. "I love sitting in the sun in the summer."
2. Correct: Loop diuretics cause an increase in potassium excretion, thus serum
potassium levels are decreased.1. Incorrect: Citrus foods, such as oranges contain
potassium and would be good for a client taking hydrochlorothiazide.
3. Incorrect: Potassium levels are likely to be decreased unless supplements are
prescribed or if there is an increased consumption of potassium rich foods.
4. Incorrect: Some people taking this medication become more sensitive to sunlight.
The client should be protected from exposure to the sun by using a sunblock
The nurse is reinforcing teaching to a client about foods containing tyramine
which should be avoided while taking a monoamine oxidase inhibitor (MAOI).
Which meal selection, if chosen by the client, indicates understanding?
1. Smoked turkey and dressing, sweet peas and carrots and milk.
2. Baked chicken over pasta with parmesan sauce, baked potato and tea.
3. Fried catfish, French fries, coleslaw and apple juice.
4. Liver smothered in gravy and onions, rice, squash and water.
3. Correct: These foods are not high in tyramine. Tyramine is an amino acid that
helps in the regulation of blood pressure. MAOIs block the enzyme monoamine
oxidase which is responsible for breaking down excess tyramine in the body. Eating
foods high in tyramine while on MAOIs can result in dangerously high levels of
tyramine in the body. This can lead to a serious rise in blood pressure, creating an
