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UWORLD NCLEX-RN TEST 2 QUESTIONS & ANSWERS
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UWORLD NCLEX-RN TEST 2 QUESTIONS & ANSWERS
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UWORLD NCLEX-RN TEST 2 QUESTIONS & ANSWERSA 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 - Answers-3.Speak with
the nursing supervisor about the concern
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) - Answers-3.
New-onset tachypnea and dyspnea
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." - Answers-3.
"I will prepare the client for transfer to the morgue for autopsy."
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 - Answers-1.
Baked tilapia with lemon wedge, sweet potatoes, and green peas
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 - Answers-
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 - Answers-3.
12-month-old who was wheezing at home and is now lethargic with no wheezing
Educational objective:A client who suddenly stops wheezing may be experiencing
impending respiratory failure and should be assessed immediately.
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 - Answers-
1.
Direct the UAP to immediately flush the eye with water at the unit's eyewash station
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 - Answers-Answer: 10 (units)
, The nurse is caring for a client taking escitalopram who reports no improvement of
depressive feelings since starting the medication 2 months ago. What is the best
response by the nurse?
1.
"Have you had any recent changes or added stresses in your life?"
2.
"It is too early to notice any difference. Please continue to take the medicine as
prescribed."
3.
"Let's talk more about how you have been taking this medication."
4.
"We will talk with your health care provider about changing the prescription." - Answers-
3.
"Let's talk more about how you have been taking this medication."
The nurse reinforces teaching to the parents of a 12-month-old who has begun weaning
from breastfeeding. Which statement by the parents indicates that teaching has been
effective?
1.
"I can allow my child to sleep with a bottle for comfort while weaning."
2.
"I can start substituting breastfeeding sessions with whole cow's milk."
3.
"I should discourage my child from drinking milk to increase solid food intake."
4.
"I will stop breastfeeding completely to expedite the weaning process." - Answers-2.
"I can start substituting breastfeeding sessions with whole cow's milk."
The home health nurse is discussing the care needs of a client in the last stage of
Huntington disease with the family. When the nurse recommends a hospital bed, the
client's spouse becomes visibly upset and says, "No hospital bed. I'm just not ready for
it yet." What is the best response by the nurse?
1.
"A hospital bed will make your spouse's care easier."
2.
"Are you not ready for this particular change?"
3.
"What upsets you about having a hospital bed?"
4.
"You seem upset. We don't have to talk about this right now." - Answers-3.
"What upsets you about having a hospital bed?"
Educational objective:Family members of a client with a degenerative disease may be
resistant to care recommendations during periods of grief (eg, denial). The nurse should
use therapeutic communication that focuses on exploring family members' concerns
and validating their feelings.
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