UWorldNCLEX-RN TEST 2
Comprehensive Questions with
Verified Answers Graded A+
A nurse coworker is called into work from home to help care for an influx of clients being
admitted 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 concern
4.
Telephone the appropriate regulatory agency and make a report - Answer: 3.
A nurse is administering a rituximab infusion to a client with lymphoma in an oncology clinic.
Which client symptom would be a priority to report to the health care provider?
1.
Dizziness and sudden diarrhea
2.
Nausea and onset of vomiting
3.
,New-onset tachypnea and dyspnea
4.
Temperature of 101 F (38.3 C) - Answer: 3.
The student nurse plans postmortem care for an Orthodox Jewish client hospitalized for the last
week with heart failure who did not sign consents for any postmortem actions. Which
statement by the student would require further education 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." - Answer: 3.
The nurse is caring for a client with chronic pancreatitis. Which meal should the nurse
recommend 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 on a croissant
3.
Sautéed salmon, macaroni and cheese, string beans, and a biscuit
4.
Shrimp enchiladas with tomato salsa, rice, cornbread, and refried beans - Answer: 1.
,The nurse is preparing to change the dressing of a client's subclavian central venous catheter
using a chlorhexidine gluconate (CHG)-impregnated patch and transparent adhesive dressing.
Place the procedural steps in the correct order. All options must be used.
Apply CHG patch over catheter insertion site and cover with a sterile transparent dressing
Cleanse the site with CHG for at least 30 seconds using friction; allow to air dry completely
Discard the clean gloves, perform hand hygiene, and apply sterile gloves
Perform hand hygiene, don face mask, place a mask on the client, and apply clean gloves
Remove old dressing and CHG-impregnated patch; assess insertion site - Answer: Perform hand
hygiene, don face mask, place a mask on the client, and apply clean gloves
Remove old dressing and CHG-impregnated patch; assess insertion site
Discard the clean gloves, perform hand hygiene, and apply sterile gloves
Cleanse the site with CHG for at least 30 seconds using friction; allow to air dry completely
Apply CHG patch over catheter insertion site and cover with a sterile transparent dressing
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 - Answer: 3.
The unlicensed assistive personnel (UAP) reports 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 department for postexposure prophylaxis
4.
Send the UAP to the facility's emergency department for medical evaluation - Answer: 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
Comprehensive Questions with
Verified Answers Graded A+
A nurse coworker is called into work from home to help care for an influx of clients being
admitted 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 concern
4.
Telephone the appropriate regulatory agency and make a report - Answer: 3.
A nurse is administering a rituximab infusion to a client with lymphoma in an oncology clinic.
Which client symptom would be a priority to report to the health care provider?
1.
Dizziness and sudden diarrhea
2.
Nausea and onset of vomiting
3.
,New-onset tachypnea and dyspnea
4.
Temperature of 101 F (38.3 C) - Answer: 3.
The student nurse plans postmortem care for an Orthodox Jewish client hospitalized for the last
week with heart failure who did not sign consents for any postmortem actions. Which
statement by the student would require further education 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." - Answer: 3.
The nurse is caring for a client with chronic pancreatitis. Which meal should the nurse
recommend 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 on a croissant
3.
Sautéed salmon, macaroni and cheese, string beans, and a biscuit
4.
Shrimp enchiladas with tomato salsa, rice, cornbread, and refried beans - Answer: 1.
,The nurse is preparing to change the dressing of a client's subclavian central venous catheter
using a chlorhexidine gluconate (CHG)-impregnated patch and transparent adhesive dressing.
Place the procedural steps in the correct order. All options must be used.
Apply CHG patch over catheter insertion site and cover with a sterile transparent dressing
Cleanse the site with CHG for at least 30 seconds using friction; allow to air dry completely
Discard the clean gloves, perform hand hygiene, and apply sterile gloves
Perform hand hygiene, don face mask, place a mask on the client, and apply clean gloves
Remove old dressing and CHG-impregnated patch; assess insertion site - Answer: Perform hand
hygiene, don face mask, place a mask on the client, and apply clean gloves
Remove old dressing and CHG-impregnated patch; assess insertion site
Discard the clean gloves, perform hand hygiene, and apply sterile gloves
Cleanse the site with CHG for at least 30 seconds using friction; allow to air dry completely
Apply CHG patch over catheter insertion site and cover with a sterile transparent dressing
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 - Answer: 3.
The unlicensed assistive personnel (UAP) reports 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 department for postexposure prophylaxis
4.
Send the UAP to the facility's emergency department for medical evaluation - Answer: 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
