NCLEX UWORLD QUESTIONS AND ANSWERS LATEST UPDATE
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Client Found on Floor
Question 1: What is the correct order of actions when a client is found on the floor?
1. Move the client, check for injuries, notify the provider, document
2. Assess for physiological stability (ABCs), assess for injuries, move the client, notify,
document
3. Notify the provider first, then assess for injuries
4. Document the incident before moving the client
Answer: 2
Leaving Against Medical Advice (AMA)
Question 2: Which of the following clients is NOT eligible to leave AMA?
1. A client who is under chemical influence
2. A client who is mentally alert
3. A client with no known mental illness
4. A client who has signed an AMA form
Answer: 1
Question 3: Which condition makes a client ineligible to leave AMA?
1. Normal consciousness
2. Court decision
3. Lack of sedation
4. Having a support person present
Answer: 2
Effective Handoff Communication
Question 4: What information should a nurse provide during a handoff?
1. Care priorities, exact information, and client changes
2. Only the client's room number
3. Client's family history and preferences
4. Future treatment plans only
Answer: 1
Question 5: Which of the following is NOT a component of effective handoff communication?
,ESTUDY
1. Client's social security number
2. Identifying information (e.g., name and room number)
3. Care priorities and significant changes
4. Multidisciplinary plans (e.g., radiology, physical therapy)
Answer: 1
Risk Factors for Cervical Cancer
Question 6: Which is a risk factor for cervical cancer?
1. Low sexual activity
2. Infection with high-risk HPV strains
3. High income
4. Immunization against HPV
Answer: 2
Question 7: Which lifestyle factor increases the risk of cervical cancer?
1. Regular exercise
2. Tobacco use
3. High protein diet
4. Avoiding oral contraceptives
Answer: 2
Advanced Directives
Question 8: When do advanced directives take effect?
1. As soon as they are signed
2. When the person can no longer speak for themselves
3. Only if the doctor approves
4. Anytime the person requests
Answer: 2
Question 9: Which condition does NOT trigger the use of an advanced directive?
1. Coma with GCS score ≤ 7
2. Aphasia
3. Full mental capacity
4. Severe mental incapacity
Answer: 3
SBAR Communication Framework
Question 10: What does "S" in SBAR stand for?
,ESTUDY
1. Situation
2. Solution
3. Safety
4. Support
Answer: 1
Question 13: What is a major risk of stent placement using the femoral approach?
1. Infection
2. Retroperitoneal hemorrhage
3. High blood pressure
4. Allergic reaction to the stent
Answer: 2
Question 14: What are early signs of bleeding into the retroperitoneal space?
1. Hypertension and dry skin
2. Hypotension and back pain
3. Rash and fever
4. Sweating and rapid heartbeat
Answer: 2
Basilar Skull Fracture Signs
Question 15: Which sign indicates a basilar skull fracture?
, ESTUDY
1. Nosebleed
2. Raccoon eyes (periorbital hematomas)
3. Swelling of the feet
4. Abdominal pain
Answer: 2
Seizure Care
Question 16: What is a nurse's priority action during a seizure?
1. Hold the client down
2. Place the client on their side
3. Give the client water
4. Administer pain medication
Answer: 2
Question 17: Which action should be avoided during a seizure?
1. Documenting the time and duration
2. Removing objects from the area
3. Putting an object in the client's mouth
4. Loosening tight clothing
Answer: 3
Intracranial Pressure (ICP)
Question 18: What is an early sign of increased intracranial pressure (ICP)?
1. Increased hunger
2. Altered level of consciousness (LOC)
3. High fever
4. Redness of the eyes
Answer: 2
TPN Monitoring
Question 19: What should a nurse monitor for a client on Total Parenteral Nutrition (TPN)?
Question 20: Why is blood glucose monitored in clients receiving TPN?
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