UWORLD NCLEX AUTHENTIC ASSESSMENT
2026 QUESTIONS SOLUTIONS GRADED
PLUS SCRIPT FINAL
◉ The nurse cares for a client who is experiencing exophthalmos as
a complication of Graves' disease. Which nursing action(s) should be
included in the client's plan of care? Select all that apply.
Answer: 1. Administer artificial tears to moisten the conjunctiva.
2. If eyelids don't close during sleep, lightly tape them shut.
3. Recommend the use of dark glasses to prevent irritation.
4. Teach about the importance of smoking cessation.
◉ Exophthalmos
Answer: A complication of hyperthyroidism from Graves' disease
- protrusion of the eyeballs caused by increased orbital tissue
expansion and can be irreversible. The exposed cornea is at risk for
dryness, injury, and infection.
◉ Nursing interventions for exophthalmos
Answer: - HOB in a raised position to facilitate fluid drainage from
the periorbital area
- artificial tears to prevent corneal drying and abrasions/ulcers
, - tape client's eyelids shut during sleep if they do not close on their
own.
- patient teaching: regular ophthalmologist visits; anti-thyroid drugs
to prevent exacerbation; smoking cessation; restrict sodium/salt;
use dark glasses; perform intraocular muscle exercises
◉ A 6-year-old client was diagnosed with type 1 diabetes mellitus 2
years ago. The nurse would like to encourage the client to
participate in disease management. Which of the following diabetes
care tasks are appropriate for the child to perform? Select all that
apply.
Answer: 1. Choose insulin injection site with parental oversight of
rotation schedule.
2. Push plunger of insulin syringe after a parent inserts and
stabilizes the needle.
3. Select and clean the site for finger-stick blood glucose testing
5. Verbalize two or three signs and symptoms of hypoglycemia.
◉ The nurse has been providing care for the past month to a 7-year-
old client recently diagnosed with type 1 diabetes mellitus. Initially,
the family seemed devastated about the diagnosis and the client's
parent stated, "Our lives will never be the same." Which statement
made by the parent indicates that nursing interventions and
education have been effective?
Answer: "We are working to manage this disease so that it cannot
control our child's life."
2026 QUESTIONS SOLUTIONS GRADED
PLUS SCRIPT FINAL
◉ The nurse cares for a client who is experiencing exophthalmos as
a complication of Graves' disease. Which nursing action(s) should be
included in the client's plan of care? Select all that apply.
Answer: 1. Administer artificial tears to moisten the conjunctiva.
2. If eyelids don't close during sleep, lightly tape them shut.
3. Recommend the use of dark glasses to prevent irritation.
4. Teach about the importance of smoking cessation.
◉ Exophthalmos
Answer: A complication of hyperthyroidism from Graves' disease
- protrusion of the eyeballs caused by increased orbital tissue
expansion and can be irreversible. The exposed cornea is at risk for
dryness, injury, and infection.
◉ Nursing interventions for exophthalmos
Answer: - HOB in a raised position to facilitate fluid drainage from
the periorbital area
- artificial tears to prevent corneal drying and abrasions/ulcers
, - tape client's eyelids shut during sleep if they do not close on their
own.
- patient teaching: regular ophthalmologist visits; anti-thyroid drugs
to prevent exacerbation; smoking cessation; restrict sodium/salt;
use dark glasses; perform intraocular muscle exercises
◉ A 6-year-old client was diagnosed with type 1 diabetes mellitus 2
years ago. The nurse would like to encourage the client to
participate in disease management. Which of the following diabetes
care tasks are appropriate for the child to perform? Select all that
apply.
Answer: 1. Choose insulin injection site with parental oversight of
rotation schedule.
2. Push plunger of insulin syringe after a parent inserts and
stabilizes the needle.
3. Select and clean the site for finger-stick blood glucose testing
5. Verbalize two or three signs and symptoms of hypoglycemia.
◉ The nurse has been providing care for the past month to a 7-year-
old client recently diagnosed with type 1 diabetes mellitus. Initially,
the family seemed devastated about the diagnosis and the client's
parent stated, "Our lives will never be the same." Which statement
made by the parent indicates that nursing interventions and
education have been effective?
Answer: "We are working to manage this disease so that it cannot
control our child's life."
