Page 1 of 101
“ NCLEX - UWORLD TEST 1 QUESTIONS &
ANSWERS EXAM 2026 ”LATEST EXAM 2026 –
2027 SOLVED QUESTIONS & ANSWERS
VERIFIED 100% GRADED A+ (LATEST VERSION)
WELL REVISED 100% GUARANTEE PASS
NCLEX - UWORLD TEST 1
The nurse receives handoff of care report on four clients. Which client should
the nurse assess first?
1. Client who had an emergency appendectomy 48 hours ago and is reporting
hearing waves and seeing fish swimming through the walls (73%)
2.Client who had an exploratory laparoscopy 2 hours ago and has absent
bowel sounds and is reporting nausea (9%)
3.Client with diabetes mellitus who has a foot ulcer and is reporting feeling
pins and needles in the lower legs (9%)
4.Client with Parkinson disease who has tremors while resting and developed
black-colored urine after taking carbidopa/levodopa (7%)
, Page 2 of 101
Hallucinations represent a serious safety risk to the client and others because these
may compel clients to engage in behaviors or activities that trigger self-injury or
violence toward others (eg, command hallucinations). Hallucinations experienced by
clients without a psychiatric illness may indicate withdrawal from alcohol or narcotics,
which can be life-threatening without prompt intervention. Nurses should promptly
assess clients with new or worsening hallucinations (Option 1).
(Option 2) Clients undergoing abdominal surgery (eg, exploratory laparoscopy) often
have nausea and absent bowel sounds for the first few hours postoperatively due to
side effects of anesthetics and decreased peristalsis after bowel manipulation.
(Option 3) Clients with diabetes mellitus may develop diabetic neuropathy as a
complication of neurovascular damage from inadequate long-term blood glucose
management. Feeling "pins and needles" is an uncomfortable but harmless symptom
of diabetic neuropathy.
(Option 4) Resting tremors are an expected finding with Parkinson disease.
Carbidopa/levodopa, a common medication used to manage symptoms of Parkinson
disease, can cause a harmless darkening of urine color (eg, brown, black).
Educational objective:Clients with new or worsening hallucinations require prompt
assessment. Hallucinations increase the risk for injury to self and others and may be
a symptom of life-threatening illnesses (eg, alcohol withdrawal).
There has been a major disaster involving a manufacturing plant explosion.
The emergency department nurse is sent to triage victims. Which client should
the nurse send to the hospital first?
1. Client who has partial-thickness burns on both hands (4%)
2.Client who is screaming and has a left lower arm laceration (3%)
3.Client with a broken, protruding right tibia and gray, pulseless foot (73%)
4.Client with a gaping head wound and Glasgow Coma Scale score of 3 (19%)
During a mass casualty event, the goal of the nurse is to triage rapidly and provide
the greatest good for the greatest number of people. Clients are commonly triaged
using a color-coded system and placed into 4 categories. When prioritizing clients for
treatment, emergent needs should be managed first, followed by urgent and then
, Page 3 of 101
nonurgent. The client with an open fracture and impaired distal perfusion (eg, absent
distal pulses, capillary refill >3 seconds) has an emergent need for care as limb loss
may occur without rapid intervention (Option 3).
(Option 1) Nonurgent treatment is appropriate for the client with partial-thickness
burns to a small portion of the body (eg, hands).
(Option 2) Depending on the size and depth of the laceration, this client would most
likely be categorized as nonurgent or urgent.
(Option 4) A large, open head wound and a Glasgow Coma Scale score of 3 is
indicative of severe neurological trauma. This client has a poor prognosis regardless
of treatment (expectant) and would be the lowest priority.
Educational objective:During a mass casualty event, the goal is the greatest good for
the greatest number of people. Clients are triaged rapidly using a color-coded
system that establishes them with highest medical priority to lowest: red (emergent),
yellow (urgent), green (nonurgent), and black (expectant).
A client with sickle cell crisis reports severe generalized pain. Which
intervention is a priority for correcting vasoocclusion?
1. Administering high-flow IV fluids (72%)
2.Applying oxygen via nasal cannula (17%)
3.Maintaining strict bed rest (3%)
4.Transfusing packed red blood cells (6%)
Sickle cell crisis occurs when inadequate oxygenation or hydration exacerbates
sickling and causes red blood cells (RBCs) to clump together in the capillaries
(vasoocclusion). Vasoocclusion causes severe ischemic pain, hypoxia, and possible
organ dysfunction if left untreated.
Adequate oxygenation and hydration may reverse the acute sickling response. In the
sickled state, RBCs cannot carry enough oxygen from the lungs to the tissues, even
with supplemental oxygen. The priority intervention is the administration of IV fluids
to reduce blood viscosity and restore perfusion to the areas previously affected by
vasoocclusion (Option 1). Only after IV rehydration reverses vasoocclusion can
nonsickled RBCs effectively carry supplemental oxygen to the tissues (Option 2).
, Page 4 of 101
(Option 3) Bed rest improves oxygen use and reduces energy consumption during
sickle cell crisis but does not directly resolve vasoocclusion.
(Option 4) Blood transfusions provide the client with nonsickled RBCs, increasing the
oxygen-carrying capacity of the blood. However, this therapy is generally reserved
for clients with sickle cell disease who do not respond to rehydration with IV fluids.
Educational objective:
Sickle cell crisis results from vasoocclusion of sickled red blood cells in the
microcirculation, resulting in severe ischemic pain. The administration of IV fluids
reduces blood viscosity and restores perfusion to the areas previously affected by
vasoocclusion.
The nurse is caring for a client who has been pronounced brain dead. The
client is a registered organ donor. The client's family is voicing concerns
about the possibility of disfigurement because they want to have an open
casket funeral. How should the nurse respond?
1. "If the family is not in complete agreement about organ donation, we won't
be able to proceed." (9%)
2."Once the body is dressed, there is no evidence of organ removal. An open
casket will be fine." (69%)
3."Some organ procurement leaves evidence on the body. You may want to
consider a closed casket." (9%)
4."Your family member consented to be an organ donor. You should really
honor this wish." (12%)
Friends and family of deceased clients often have questions about, and may even be
suspicious of, the organ donation process, especially during their time of loss and
grieving. Organ procurement does not leave obvious evidence on the client's body
when the body is dressed. Special precautions and techniques are used by the
surgical team and funeral home personnel (eg, morticians) to maintain the integrity
and outward appearance of the body (Option 2). Funeral arrangements are not
delayed by organ donation and the family will not incur any costs related to
procurement. An organ transplant coordinator should be consulted by the nurse to
“ NCLEX - UWORLD TEST 1 QUESTIONS &
ANSWERS EXAM 2026 ”LATEST EXAM 2026 –
2027 SOLVED QUESTIONS & ANSWERS
VERIFIED 100% GRADED A+ (LATEST VERSION)
WELL REVISED 100% GUARANTEE PASS
NCLEX - UWORLD TEST 1
The nurse receives handoff of care report on four clients. Which client should
the nurse assess first?
1. Client who had an emergency appendectomy 48 hours ago and is reporting
hearing waves and seeing fish swimming through the walls (73%)
2.Client who had an exploratory laparoscopy 2 hours ago and has absent
bowel sounds and is reporting nausea (9%)
3.Client with diabetes mellitus who has a foot ulcer and is reporting feeling
pins and needles in the lower legs (9%)
4.Client with Parkinson disease who has tremors while resting and developed
black-colored urine after taking carbidopa/levodopa (7%)
, Page 2 of 101
Hallucinations represent a serious safety risk to the client and others because these
may compel clients to engage in behaviors or activities that trigger self-injury or
violence toward others (eg, command hallucinations). Hallucinations experienced by
clients without a psychiatric illness may indicate withdrawal from alcohol or narcotics,
which can be life-threatening without prompt intervention. Nurses should promptly
assess clients with new or worsening hallucinations (Option 1).
(Option 2) Clients undergoing abdominal surgery (eg, exploratory laparoscopy) often
have nausea and absent bowel sounds for the first few hours postoperatively due to
side effects of anesthetics and decreased peristalsis after bowel manipulation.
(Option 3) Clients with diabetes mellitus may develop diabetic neuropathy as a
complication of neurovascular damage from inadequate long-term blood glucose
management. Feeling "pins and needles" is an uncomfortable but harmless symptom
of diabetic neuropathy.
(Option 4) Resting tremors are an expected finding with Parkinson disease.
Carbidopa/levodopa, a common medication used to manage symptoms of Parkinson
disease, can cause a harmless darkening of urine color (eg, brown, black).
Educational objective:Clients with new or worsening hallucinations require prompt
assessment. Hallucinations increase the risk for injury to self and others and may be
a symptom of life-threatening illnesses (eg, alcohol withdrawal).
There has been a major disaster involving a manufacturing plant explosion.
The emergency department nurse is sent to triage victims. Which client should
the nurse send to the hospital first?
1. Client who has partial-thickness burns on both hands (4%)
2.Client who is screaming and has a left lower arm laceration (3%)
3.Client with a broken, protruding right tibia and gray, pulseless foot (73%)
4.Client with a gaping head wound and Glasgow Coma Scale score of 3 (19%)
During a mass casualty event, the goal of the nurse is to triage rapidly and provide
the greatest good for the greatest number of people. Clients are commonly triaged
using a color-coded system and placed into 4 categories. When prioritizing clients for
treatment, emergent needs should be managed first, followed by urgent and then
, Page 3 of 101
nonurgent. The client with an open fracture and impaired distal perfusion (eg, absent
distal pulses, capillary refill >3 seconds) has an emergent need for care as limb loss
may occur without rapid intervention (Option 3).
(Option 1) Nonurgent treatment is appropriate for the client with partial-thickness
burns to a small portion of the body (eg, hands).
(Option 2) Depending on the size and depth of the laceration, this client would most
likely be categorized as nonurgent or urgent.
(Option 4) A large, open head wound and a Glasgow Coma Scale score of 3 is
indicative of severe neurological trauma. This client has a poor prognosis regardless
of treatment (expectant) and would be the lowest priority.
Educational objective:During a mass casualty event, the goal is the greatest good for
the greatest number of people. Clients are triaged rapidly using a color-coded
system that establishes them with highest medical priority to lowest: red (emergent),
yellow (urgent), green (nonurgent), and black (expectant).
A client with sickle cell crisis reports severe generalized pain. Which
intervention is a priority for correcting vasoocclusion?
1. Administering high-flow IV fluids (72%)
2.Applying oxygen via nasal cannula (17%)
3.Maintaining strict bed rest (3%)
4.Transfusing packed red blood cells (6%)
Sickle cell crisis occurs when inadequate oxygenation or hydration exacerbates
sickling and causes red blood cells (RBCs) to clump together in the capillaries
(vasoocclusion). Vasoocclusion causes severe ischemic pain, hypoxia, and possible
organ dysfunction if left untreated.
Adequate oxygenation and hydration may reverse the acute sickling response. In the
sickled state, RBCs cannot carry enough oxygen from the lungs to the tissues, even
with supplemental oxygen. The priority intervention is the administration of IV fluids
to reduce blood viscosity and restore perfusion to the areas previously affected by
vasoocclusion (Option 1). Only after IV rehydration reverses vasoocclusion can
nonsickled RBCs effectively carry supplemental oxygen to the tissues (Option 2).
, Page 4 of 101
(Option 3) Bed rest improves oxygen use and reduces energy consumption during
sickle cell crisis but does not directly resolve vasoocclusion.
(Option 4) Blood transfusions provide the client with nonsickled RBCs, increasing the
oxygen-carrying capacity of the blood. However, this therapy is generally reserved
for clients with sickle cell disease who do not respond to rehydration with IV fluids.
Educational objective:
Sickle cell crisis results from vasoocclusion of sickled red blood cells in the
microcirculation, resulting in severe ischemic pain. The administration of IV fluids
reduces blood viscosity and restores perfusion to the areas previously affected by
vasoocclusion.
The nurse is caring for a client who has been pronounced brain dead. The
client is a registered organ donor. The client's family is voicing concerns
about the possibility of disfigurement because they want to have an open
casket funeral. How should the nurse respond?
1. "If the family is not in complete agreement about organ donation, we won't
be able to proceed." (9%)
2."Once the body is dressed, there is no evidence of organ removal. An open
casket will be fine." (69%)
3."Some organ procurement leaves evidence on the body. You may want to
consider a closed casket." (9%)
4."Your family member consented to be an organ donor. You should really
honor this wish." (12%)
Friends and family of deceased clients often have questions about, and may even be
suspicious of, the organ donation process, especially during their time of loss and
grieving. Organ procurement does not leave obvious evidence on the client's body
when the body is dressed. Special precautions and techniques are used by the
surgical team and funeral home personnel (eg, morticians) to maintain the integrity
and outward appearance of the body (Option 2). Funeral arrangements are not
delayed by organ donation and the family will not incur any costs related to
procurement. An organ transplant coordinator should be consulted by the nurse to
