UWorld
NCLEX-RN TEST 2
Study online at https://quizlet.com/_eii4l9
1. A nurse coworker is called into work from home 3.
to help care for an influx of clients being ad-
mitted after a bus accident. While assisting the
coworker prepare for incoming clients, the nurse
becomes concerned that the coworker may be
under the influence of an impairing substance.
Which action by the nurse is best?
1.
Ask another coworker to observe the individual
to confirm the suspicion
2.
Confront the coworker about the concern and
offer emotional support
3.
Speak with the nursing supervisor about the con-
cern
4.
Telephone the appropriate regulatory agency
and make a report
2. A nurse is administering a rituximab infusion to 3.
a client with lymphoma in an oncology clinic.
Which client symptom would be a priority to re-
port to the health care provider?
1.
Dizziness and sudden diarrhea
2.
Nausea and onset of vomiting
3.
New-onset tachypnea and dyspnea
, UWorld
NCLEX-RN TEST 2
Study online at https://quizlet.com/_eii4l9
4.
Temperature of 101 F (38.3 C)
3. The student nurse plans postmortem care for an 3.
Orthodox Jewish client hospitalized for the last
week with heart failure who did not sign con-
sents for any postmortem actions. Which state-
ment by the student would require further edu-
cation by the supervising nurse?
1.
"I will allow the family to remain with the client at
all times."
2.
"I will call the next of kin before providing any
postmortem care."
3.
"I will prepare the client for transfer to the
morgue for autopsy."
4.
"I will provide a sheet to be placed over the
client's face."
4. The nurse is caring for a client with chronic pan- 1.
creatitis. Which meal should the nurse recom-
mend when assisting the client in selecting food
items from a menu?
1.
Baked tilapia with lemon wedge, sweet potatoes,
and green peas
2.
Cream of potato soup and roast beef sandwich
, UWorld
NCLEX-RN TEST 2
Study online at https://quizlet.com/_eii4l9
on a croissant
3.
Sautéed salmon, macaroni and cheese, string
beans, and a biscuit
4.
Shrimp enchiladas with tomato salsa, rice, corn-
bread, and refried beans
5. The nurse is preparing to change the dressing Perform hand hygiene, don face
of a client's subclavian central venous catheter mask, place a mask on the client,
using a chlorhexidine gluconate (CHG)-impreg- and apply clean gloves
nated patch and transparent adhesive dressing.
Place the procedural steps in the correct order. Remove old dressing and
All options must be used. CHG-impregnated patch; assess
insertion site
Apply CHG patch over catheter insertion site and
cover with a sterile transparent dressing Discard the clean gloves, perform
hand hygiene, and apply sterile
Cleanse the site with CHG for at least 30 seconds gloves
using friction; allow to air dry completely
Cleanse the site with CHG for at
Discard the clean gloves, perform hand hygiene, least 30 seconds using friction; al-
and apply sterile gloves low to air dry completely
Perform hand hygiene, don face mask, place a Apply CHG patch over catheter in-
mask on the client, and apply clean gloves sertion site and cover with a sterile
transparent dressing
Remove old dressing and CHG-impregnated
patch; assess insertion site
6. Four clients enter the pediatric emergency de- 3.
partment at the same time. Which client should
, UWorld
NCLEX-RN TEST 2
Study online at https://quizlet.com/_eii4l9
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
7. The unlicensed assistive personnel (UAP) reports 1.
being splashed in the eye while emptying urine
from the catheter bag of a client with AIDS. The
UAP is afraid of becoming infected with HIV and
requests immediate testing. What is the nurse's
priority action?
1.
Direct the UAP to immediately flush the eye with
water at the unit's eyewash station
2.
Reassure the UAP that the risk for HIV is low as
urine does not transmit the virus
3.
Refer the UAP to the occupational health depart-
ment for postexposure prophylaxis
4.
NCLEX-RN TEST 2
Study online at https://quizlet.com/_eii4l9
1. A nurse coworker is called into work from home 3.
to help care for an influx of clients being ad-
mitted after a bus accident. While assisting the
coworker prepare for incoming clients, the nurse
becomes concerned that the coworker may be
under the influence of an impairing substance.
Which action by the nurse is best?
1.
Ask another coworker to observe the individual
to confirm the suspicion
2.
Confront the coworker about the concern and
offer emotional support
3.
Speak with the nursing supervisor about the con-
cern
4.
Telephone the appropriate regulatory agency
and make a report
2. A nurse is administering a rituximab infusion to 3.
a client with lymphoma in an oncology clinic.
Which client symptom would be a priority to re-
port to the health care provider?
1.
Dizziness and sudden diarrhea
2.
Nausea and onset of vomiting
3.
New-onset tachypnea and dyspnea
, UWorld
NCLEX-RN TEST 2
Study online at https://quizlet.com/_eii4l9
4.
Temperature of 101 F (38.3 C)
3. The student nurse plans postmortem care for an 3.
Orthodox Jewish client hospitalized for the last
week with heart failure who did not sign con-
sents for any postmortem actions. Which state-
ment by the student would require further edu-
cation by the supervising nurse?
1.
"I will allow the family to remain with the client at
all times."
2.
"I will call the next of kin before providing any
postmortem care."
3.
"I will prepare the client for transfer to the
morgue for autopsy."
4.
"I will provide a sheet to be placed over the
client's face."
4. The nurse is caring for a client with chronic pan- 1.
creatitis. Which meal should the nurse recom-
mend when assisting the client in selecting food
items from a menu?
1.
Baked tilapia with lemon wedge, sweet potatoes,
and green peas
2.
Cream of potato soup and roast beef sandwich
, UWorld
NCLEX-RN TEST 2
Study online at https://quizlet.com/_eii4l9
on a croissant
3.
Sautéed salmon, macaroni and cheese, string
beans, and a biscuit
4.
Shrimp enchiladas with tomato salsa, rice, corn-
bread, and refried beans
5. The nurse is preparing to change the dressing Perform hand hygiene, don face
of a client's subclavian central venous catheter mask, place a mask on the client,
using a chlorhexidine gluconate (CHG)-impreg- and apply clean gloves
nated patch and transparent adhesive dressing.
Place the procedural steps in the correct order. Remove old dressing and
All options must be used. CHG-impregnated patch; assess
insertion site
Apply CHG patch over catheter insertion site and
cover with a sterile transparent dressing Discard the clean gloves, perform
hand hygiene, and apply sterile
Cleanse the site with CHG for at least 30 seconds gloves
using friction; allow to air dry completely
Cleanse the site with CHG for at
Discard the clean gloves, perform hand hygiene, least 30 seconds using friction; al-
and apply sterile gloves low to air dry completely
Perform hand hygiene, don face mask, place a Apply CHG patch over catheter in-
mask on the client, and apply clean gloves sertion site and cover with a sterile
transparent dressing
Remove old dressing and CHG-impregnated
patch; assess insertion site
6. Four clients enter the pediatric emergency de- 3.
partment at the same time. Which client should
, UWorld
NCLEX-RN TEST 2
Study online at https://quizlet.com/_eii4l9
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
7. The unlicensed assistive personnel (UAP) reports 1.
being splashed in the eye while emptying urine
from the catheter bag of a client with AIDS. The
UAP is afraid of becoming infected with HIV and
requests immediate testing. What is the nurse's
priority action?
1.
Direct the UAP to immediately flush the eye with
water at the unit's eyewash station
2.
Reassure the UAP that the risk for HIV is low as
urine does not transmit the virus
3.
Refer the UAP to the occupational health depart-
ment for postexposure prophylaxis
4.
