UWORLD NCLEX CERTIFICATION PAPER
2026 QUESTIONS SOLUTIONS GRADED
PLUS SCRIPT FINAL
◉ A new nurse is caring for an adolescent transgender client. What
question would be appropriate when assessing the client's gender
identity?
Answer: "How would you describe your gender?"
◉ The nurse is caring for a client who was just resuscitated
following an out-of-hospital cardiac arrest. The client does not
follow commands and remains comatose. What intervention does
the nurse anticipate being added to the client's plan of care?
Answer: Obtaining equipment and cold fluids for induction of
therapeutic hypothermia.
- Neurologic injury is the most common cause of mortality in clients
who have had cardiac arrest, particularly ventricular fibrillation or
pulseless ventricular tachycardia.
- inducing therapeutic hypothermia in these clients within 6 hours
of arrest and maintaining it for 24 hours has been shown to decrease
mortality rates and improve neurologic outcomes.
, ◉ Therapeutic hypothermia.
Answer: Following a cardiac arrest (particularly ventricular
fibrillation or pulseless ventricular tachycardia), to prevent
neurological injury, the client is cooled to 89.6-93.2 F for 24 hours
before rewarming.
-Accomplished by cooling blankets, ice placed in the groin, axillae,
and sides of the neck, and cold IV fluids.
- Nurse must closely assess the cardiac monitor because bradycardia
is common.
- monitor core body temp, blood pressure, and skin for thermal
injury.
- MAP to be kept >80 mm Hg
- Apply neuroprotective strategies: elevate HOB to 30 degrees.
◉ An adult client is admitted with back pain and found to have a
metastatic tumor tumor on the spine. The health care provider
(HCP) explains that the client has few months to live and is likely to
become totally paralyzed below the waist soon. The next day, the
client tells the nurse of wanting to be discharged despite the HCP's
recommendation that the client stay a few more days. Which is the
most appropriate initial response by the nurse?
Answer: "Tell me more about your need to leave the hospital."
2026 QUESTIONS SOLUTIONS GRADED
PLUS SCRIPT FINAL
◉ A new nurse is caring for an adolescent transgender client. What
question would be appropriate when assessing the client's gender
identity?
Answer: "How would you describe your gender?"
◉ The nurse is caring for a client who was just resuscitated
following an out-of-hospital cardiac arrest. The client does not
follow commands and remains comatose. What intervention does
the nurse anticipate being added to the client's plan of care?
Answer: Obtaining equipment and cold fluids for induction of
therapeutic hypothermia.
- Neurologic injury is the most common cause of mortality in clients
who have had cardiac arrest, particularly ventricular fibrillation or
pulseless ventricular tachycardia.
- inducing therapeutic hypothermia in these clients within 6 hours
of arrest and maintaining it for 24 hours has been shown to decrease
mortality rates and improve neurologic outcomes.
, ◉ Therapeutic hypothermia.
Answer: Following a cardiac arrest (particularly ventricular
fibrillation or pulseless ventricular tachycardia), to prevent
neurological injury, the client is cooled to 89.6-93.2 F for 24 hours
before rewarming.
-Accomplished by cooling blankets, ice placed in the groin, axillae,
and sides of the neck, and cold IV fluids.
- Nurse must closely assess the cardiac monitor because bradycardia
is common.
- monitor core body temp, blood pressure, and skin for thermal
injury.
- MAP to be kept >80 mm Hg
- Apply neuroprotective strategies: elevate HOB to 30 degrees.
◉ An adult client is admitted with back pain and found to have a
metastatic tumor tumor on the spine. The health care provider
(HCP) explains that the client has few months to live and is likely to
become totally paralyzed below the waist soon. The next day, the
client tells the nurse of wanting to be discharged despite the HCP's
recommendation that the client stay a few more days. Which is the
most appropriate initial response by the nurse?
Answer: "Tell me more about your need to leave the hospital."
