Download UWorld NCLEX-RN TEST 2 QUESTIONS AND ANSWERS| UPDATED 2025| RATED A+ and more Exams Nursing in PDF only on Docsity!
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?
Ask another coworker to observe the individual to confirm the suspicion
Confront the coworker about the concern and offer emotional support
Speak with the nursing supervisor about the concern
Telephone the appropriate regulatory agency and make a report ✔✔3.
UWorld NCLEX-RN TEST 2 QUESTIONS
AND ANSWERS| UPDATED 2025| RATED A+
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?
Dizziness and sudden diarrhea
"I will prepare the client for transfer to the morgue for autopsy."
"I will provide a sheet to be placed over the client's face." ✔✔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?
Baked tilapia with lemon wedge, sweet potatoes, and green peas
Cream of potato soup and roast beef sandwich on a croissant
Sautéed salmon, macaroni and cheese, string beans, and a biscuit
Shrimp enchiladas with tomato salsa, rice, cornbread, and refried beans ✔✔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
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 ✔✔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?
2 - week-old with tricuspid atresia who has dusky lips and nailbeds
Refer the UAP to the occupational health department for postexposure prophylaxis
Send the UAP to the facility's emergency department for medical evaluation ✔✔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)
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 ✔✔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?
"Have you had any recent changes or added stresses in your life?"
"It is too early to notice any difference. Please continue to take the medicine as prescribed."
"Let's talk more about how you have been taking this medication."
"We will talk with your health care provider about changing the prescription." ✔✔3.
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?
"What upsets you about having a hospital bed?"
"You seem upset. We don't have to talk about this right now." ✔✔3. The nurse is assisting with a presentation on protecting clients' privacy and confidentiality. Which of the following incidents does the nurse recognize as a violation of client confidentiality? Select all that apply.
A family member informs the registered nurse that the client has not been taking the prescribed metformin at home
An oncology nurse reviews the electronic health record of a client in the emergency department who was the victim of a recent mass shooting event
The licensed practical nurse (LPN) leaves the client's report sheet in the cafeteria after lunch
The LPN tells the unlicensed assistive personnel (UAP) who is pregnant to not enter the room of a client with toxoplasmosis
A nurse is screening clients for skin cancer. Which assessment would be most concerning?
Client with a blue and black, irregular papule on the hand
Client with a pearly, pink papule with ulceration on the ear
Client with a pink patch with silvery scales on the neck
Client with a red, scaly patch with rough edges on the forehead ✔✔ 1 The nurse determines that a client with incontinence and limited mobility is at increased risk for skin breakdown and pressure injury. While caring for this client, which of the following nursing interventions are appropriate? Select all that apply.
Applying moisture barrier cream to the skin after performing perineal care
Providing a diet that is high in protein and contains adequate calories
