UWorldNCLEX-RN TEST QUESTIONS AND
CORRCT ANSWERS
Question 1
The nurse prepares to administer a client's scheduled prandial regular insulin plus a
correctional dose based on a sliding scale as the client's breakfast tray arrives. The
client's fasting blood glucose level is 210 mg/dL (11.7 mmol/L). How many total units
of regular insulin should the nurse administer? Click the exhibit button for additional
information. Record your answer using a whole number.
EXHIBIT:
Medication administration record:
Allergies: NKA
Medications:
-Regular insulin: 4 units subcutaneously with each meal (0800, 1200, 1700)
-Regular insulin: per sliding scale, subcutaneously with each meal and before bed
(0800, 1200, 1700, 2100)
Sliding-Scale Blood Glucose Levels:
<150 mg/dL - 0 units
150-199 mg/dL - 3 units
200-249 mg/dL - 6 units
250-299 mg/dL - 9 units
300-349 mg/dL - 12 units
≥350 mg/dL - 15 units; notify HCP
Correct Answer
Answer: 10 (units)
Page 1 of 109
,Question 2
A nurse is screening clients for skin cancer. Which assessment would be most
concerning?
1.
Client with a blue and black, irregular papule on the hand
2.
Client with a pearly, pink papule with ulceration on the ear
3.
Client with a pink patch with silvery scales on the neck
4.
Client with a red, scaly patch with rough edges on the forehead
Correct Answer
1
Question 3
A female client is visiting the clinic for an annual well-woman examination. The client
reports having had sex with women. Which question will help the nurse determine the
client's risk for sexually transmitted infections?
1.
"Are you a lesbian, or do you have sex with both men and women?"
2.
"Are you in a monogamous relationship with a female partner?"
3.
"What barrier methods do you and your partner(s) use?"
4.
"What types of sexual acts do you engage in with your partner(s)?"
Correct Answer
3
Page 2 of 109
,Question 4
Dozens of clients arrive in the emergency department with chemical burns and
inhalation injuries from exposure to anhydrous ammonia gas released from a tanker
truck on a highway. What is the priority action by the nurse?
1.
Administer 100% oxygen to all clients with evidence of inhalation injuries
2.
Assist clients to remove contaminated clothing and shower with copious amounts of
water
3.
Estimate the extent of the clients' burn injuries using the rule of nines
4.
Rapidly assess the clients' vital signs, respiratory effort, and neurological status
Correct Answer
2.
Question 5
The home health nurse visits a client with inflammatory bowel disease who recently
underwent a total colectomy with ileostomy creation. Which statement by the client
indicates that the client understands ileostomy care?
1.
"I can irrigate the stoma daily to help regulate stool drainage."
2.
"I change the ostomy appliance and bag every morning."
3.
"I cut the appliance opening slightly larger than my stoma."
4.
"I restrict how much I drink to make the stool drainage less watery."
Correct Answer
3.
Page 3 of 109
, Question 6
The emergency department nurse is caring for a client with diabetic ketoacidosis.
Which new prescription should the nurse implement first? Click on the exhibit button
for more information.
Exhibit
Laboratory resultsSerum glucose451 mg/dL (25 mmol/L)Serum pH6.9PaO291 mm Hg
(12.1 kPa)PaCO227 mm Hg (3.6 mmol/L)HCO312 mEq/L (12 mmol/L)
1.
Administer 50 mEq sodium bicarbonate IVP
2.
Give 1 L bolus of 0.9% sodium chloride IV
3.
Initiate a continuous infusion of regular insulin
4.
Insert and maintain an indwelling urinary catheter
Correct Answer
2.
Question 7
Four clients enter the pediatric emergency department at the same time. Which client
should the nurse see first?
1.
2-week-old with tricuspid atresia who has dusky lips and nailbeds
2.
5-week-old with forceful vomiting after every feeding who is crying
3.
12-month-old who was wheezing at home and is now lethargic with no wheezing
4.
3-year-old with fever who had a brief seizure at home and is asleep
Correct Answer
3.
Page 4 of 109
CORRCT ANSWERS
Question 1
The nurse prepares to administer a client's scheduled prandial regular insulin plus a
correctional dose based on a sliding scale as the client's breakfast tray arrives. The
client's fasting blood glucose level is 210 mg/dL (11.7 mmol/L). How many total units
of regular insulin should the nurse administer? Click the exhibit button for additional
information. Record your answer using a whole number.
EXHIBIT:
Medication administration record:
Allergies: NKA
Medications:
-Regular insulin: 4 units subcutaneously with each meal (0800, 1200, 1700)
-Regular insulin: per sliding scale, subcutaneously with each meal and before bed
(0800, 1200, 1700, 2100)
Sliding-Scale Blood Glucose Levels:
<150 mg/dL - 0 units
150-199 mg/dL - 3 units
200-249 mg/dL - 6 units
250-299 mg/dL - 9 units
300-349 mg/dL - 12 units
≥350 mg/dL - 15 units; notify HCP
Correct Answer
Answer: 10 (units)
Page 1 of 109
,Question 2
A nurse is screening clients for skin cancer. Which assessment would be most
concerning?
1.
Client with a blue and black, irregular papule on the hand
2.
Client with a pearly, pink papule with ulceration on the ear
3.
Client with a pink patch with silvery scales on the neck
4.
Client with a red, scaly patch with rough edges on the forehead
Correct Answer
1
Question 3
A female client is visiting the clinic for an annual well-woman examination. The client
reports having had sex with women. Which question will help the nurse determine the
client's risk for sexually transmitted infections?
1.
"Are you a lesbian, or do you have sex with both men and women?"
2.
"Are you in a monogamous relationship with a female partner?"
3.
"What barrier methods do you and your partner(s) use?"
4.
"What types of sexual acts do you engage in with your partner(s)?"
Correct Answer
3
Page 2 of 109
,Question 4
Dozens of clients arrive in the emergency department with chemical burns and
inhalation injuries from exposure to anhydrous ammonia gas released from a tanker
truck on a highway. What is the priority action by the nurse?
1.
Administer 100% oxygen to all clients with evidence of inhalation injuries
2.
Assist clients to remove contaminated clothing and shower with copious amounts of
water
3.
Estimate the extent of the clients' burn injuries using the rule of nines
4.
Rapidly assess the clients' vital signs, respiratory effort, and neurological status
Correct Answer
2.
Question 5
The home health nurse visits a client with inflammatory bowel disease who recently
underwent a total colectomy with ileostomy creation. Which statement by the client
indicates that the client understands ileostomy care?
1.
"I can irrigate the stoma daily to help regulate stool drainage."
2.
"I change the ostomy appliance and bag every morning."
3.
"I cut the appliance opening slightly larger than my stoma."
4.
"I restrict how much I drink to make the stool drainage less watery."
Correct Answer
3.
Page 3 of 109
, Question 6
The emergency department nurse is caring for a client with diabetic ketoacidosis.
Which new prescription should the nurse implement first? Click on the exhibit button
for more information.
Exhibit
Laboratory resultsSerum glucose451 mg/dL (25 mmol/L)Serum pH6.9PaO291 mm Hg
(12.1 kPa)PaCO227 mm Hg (3.6 mmol/L)HCO312 mEq/L (12 mmol/L)
1.
Administer 50 mEq sodium bicarbonate IVP
2.
Give 1 L bolus of 0.9% sodium chloride IV
3.
Initiate a continuous infusion of regular insulin
4.
Insert and maintain an indwelling urinary catheter
Correct Answer
2.
Question 7
Four clients enter the pediatric emergency department at the same time. Which client
should the nurse see first?
1.
2-week-old with tricuspid atresia who has dusky lips and nailbeds
2.
5-week-old with forceful vomiting after every feeding who is crying
3.
12-month-old who was wheezing at home and is now lethargic with no wheezing
4.
3-year-old with fever who had a brief seizure at home and is asleep
Correct Answer
3.
Page 4 of 109
