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2 | UWorld NCLEX-PN

Latest nclex materials Jan 7, 2026 ★★★★☆ (4.0/5)
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  • | UWorld NCLEX-PN
  • Leave the first rating Students also studied Terms in this set (11) Science MedicineNursing Save

  • | UWorld NCLEX-PN
  • 124 terms realOronianPreview CLPNS Practice Test **IMPORTANT!!...84 terms kaitlyn4638Preview UWorld NCLEX-RN TEST 2 100 terms MCATBUDDyPreview

  • | UWo
  • 82 terms rea 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? C

  • "A hospital bed will make your spouse's care easier."
  • "Are you not ready for this particular change in your
  • life?"

  • "What upsets you about your spouse having a hospital
  • bed?"

  • "You seem upset. We don't have to talk about this right
  • now."

CORRECT ANSWER: 3

Clients with Huntington disease or other degenerative neurological conditions advance through several phases over the course of their illness. Each stage represents further progression of the disease and decline of the client's physical, emotional, and cognitive abilities.Family members' grief in response to the disease progression is expressed in different ways. Many family members feel that their loved one is being "lost" to the illness and that they have little control over its course. Others are in denial and have difficulty acknowledging the client's worsening condition. It is most important for the nurse to explore family members' concerns, thoughts, and feelings about the situation. Using open-ended questions that ask for further clarification of the spouse's statement is a therapeutic communication technique, which may help them accept the reality of the client's condition (Option 3 is correct).(Option 1 is wrong) Although a hospital bed can better meet the client's needs, the nurse should first explore the spouse's resistance.(Option 2 is wrong) To facilitate open communication. the nurse should ask open- ended questions and avoid limiting conversation by asking closed-ended (ie, yes or no) questions.(Option 4 is wrong) Changing the subject is a nontherapeutic communication technique that shows a lack of empathy and does not allow the nurse to explore the spouse's resistance.

A child with congenital heart disease who weighs 88 lb is prescribed furosemide 1 mg/kg by mouth every 8 hours.It is available as an oral solution of 10 mg/mL. How many milliliters (mL) of furosemide should the nurse administer to the client for each dose? Record your answer using a whole number.

CORRECT ANSWER: 4 mL

Explanation of Method 1: https://imgur.com/wBuwOt8 Explanation of Method 2: https://imgur.com/qw3Ur9S The nurse is caring for a client taking escitalopram who reports no improvement in 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. Continue the
  • medicine as prescribed.

  • "Let us talk more about how you have been taking this
  • medication."

  • "We will talk with your health care provider about
  • changing the prescription."

CORRECT ANSWER: 3

Selective serotonin reuptake inhibitors (SSRIs) (eg, escitalopram, sertraline, fluoxetine) are commonly prescribed antidepressants. Noncompliance is common with SSRIs due to intolerance of adverse effects (eg, nausea, weight gain, sexual dysfunction). The nurse should first assess whether the client is taking the medication as prescribed (Option 3 is correct).Clients may require education on symptom management (eg, taking the medication with food to prevent nausea, nutritional education to manage weight).If the client is compliant but the medication has not relieved depressive symptoms, the health care provider (HCP) may change the prescribed dose or medication.(Option 1 is correct) Assessing for stressors is important when a client is taking an SSRI. However, this can be asked later in the assessment; the priority is to determine compliance.(Option 2 is correct) Full efficacy for SSRIs can take 1-4 weeks from the first dose to improve depressive symptoms. If a client experiences no improvement after 2 months, reevaluation is necessary.(Option 4 is correct) The nurse should assess the client's compliance with the medication before discussing a change in the prescription with the HCP.

After listening to the parents' reports and seeing the following pediatric clients, the nurse knows that which client demonstrates signs of abuse that may necessitate mandatory reporting?

  • 1-year-old with dyspnea, drooling, and a swollen
  • tongue after eating part of a houseplant

  • 2-year-old who is crying and has a large forehead
  • hematoma after falling out of a chair X

  • 3-year-old with second-degree burns on the face after
  • pulling a cup of hot tea off the table

  • 5-year-old whose x-ray reveals 1 new and 2 healed
  • humerus fractures after falling from a tree

CORRECT ANSWER: 4

Diagram of signs of abuse: https://imgur.com/oOc5VgY The nurse should be aware of signs of physical, sexual, and emotional abuse and comply with state or provincial mandatory reporting. Signs of abuse may include: • Shaken baby syndrome (ie, irritability or lethargy, poor feeding, emesis, seizures) • Burns in the shape of household items (eg, iron, spatula), from cigarettes, or from immersion in scalding liquid • Repeated injuries in varied stages of healing (eg, bruises, burns, fractures) (Option 4 is correct) • Injuries to genitalia • Lapsed time between the injury and the time when care is sought • Inconsistency between the injury and the caregiver's explanation of the injury (eg, client's developmental age, mechanism of injury) (Options 1, 2, and 3 are wrong) Toddlers and young children are prone to many accidental injuries (eg, aspiration or poisoning from foreign objects in the mouth, climbs onto and falls from furniture, pulling of objects from the table). The injuries and caregivers' explanations are reasonable for these clients. Prior to discharge, the nurse should instruct caregivers on child safety measures within the home to prevent future injury.The nurse cares for a client with a terminal disease who created a do not attempt resuscitation (DNAR) directive.The client stops breathing and loses their pulse. The client's adult child states, "Please, do whatever you can to save them!" Which intervention is appropriate? O

  • Call for help to obtain emergency medications while
  • initiating CPR

  • Call the health care provider to confirm the DNAR
  • directive

  • Explain the client's resuscitation directive to the client's
  • child

  • Request the presence of a health care proxy at the
  • bedside

CORRECT ANSWER: 3

Advance directives outline the client's choices for medical care (eg, CPR, mechanical ventilation) ahead of time. This allows the family and care team to follow the client's wishes at the end of life, when the client may be unable to make choices known.Clients can create a do not attempt resuscitation (DNAR) directive instructing that CPR and other life-saving measures be withheld. With an advance directive in place, the client's wishes should be followed, even if they conflict with the wishes of loved ones (Option 3 is correct).(Option 1 is wrong) Initiating CPR on a client with a DNAR directive does not respect the wishes of the client to forgo life-saving measures and allow natural death. Nurses must advocate for clients' wishes, even if family members disagree.(Option 2 is wrong) The client has a terminal illness and in their advance directive expressed wishes that were verified prior to initiating the DNAR directive; therefore, there is no need to clarify with the health care provider.(Option 4 is wrong) A medical power of attorney (health care proxy) is a person the client has designated to make decisions on their behalf if they cannot make decisions on their own. The presence of an existing advanced directive does not require a health care proxy because the client's wishes have been established and should be honored.

The nurses on a medical-surgical unit maintain a public social media page. Which of the following social media posts written by a nurse breaches client confidentiality?Select all that apply.

  • "I private-messaged everyone a cute story about our
  • sweet client with dementia."

  • "It breaks my heart that our paraplegic client was so
  • neglected by her husband.

  • "So proud of how well our nurses worked together
  • yesterday, despite how busy we were!"

  • "The client in room 5 is positive for influenza, so please
  • remember your flu vaccines!"

  • "Wash your hands well if you had room 4 this week!
  • Cultures are positive for Clostridioides (formerly Clostridium) difficile.'

CORRECT ANSWER: 1, 2, 4, 5

Nurses are ethically and legally obligated to prevent breaches of confidentiality when using social media. Nurses should protect client confidentiality and safeguard any protected health information (PHI) learned during care. PHI may include the client's name, diagnosis, history, examination results, or treatment and may be discussed only in a private setting with staff members who are directly involved in the client's care.Sharing information in private messages or using social media privacy settings does not protect client confidentiality. Once PHI has been shared through social media, it can be copied or shared again by others and can always be retrieved, even after deletion (Option 1 is correct).Sharing PHI while referring to a client by a diagnosis, nickname, or room number does not protect the client's confidentiality. Even if a client or group of clients is referred to in a general way without using names, nonspecific information can still reveal clients' identities to a third party (Options 2, 4, and 5 are correct).(Option 3 is wrong) When used responsibly, social media can be a valuable tool for networking with colleagues, sharing professional information, and supporting peers. However, careless use of social media that reveals client PHI, even unintentionally, can prompt disciplinary action from employers and regulatory boards.The nurse witnesses the collapse of a child while outdoors. The child is not breathing and has a pulse of 50/min. The nurse calls emergency services and initiates rescue breathing. After 2 minutes of rescue breaths, the child is still not breathing and is pale with a pulse of 30/min. What is the nurse's next action?

  • Initiate chest compressions
  • Perform abdominal thrusts
  • Provide rescue breaths for an additional 2 minutes
  • Use a finger to check the child's mouth for blockage

CORRECT ANSWER: 1

Diagram of addressing cardiac arrests: https://imgur.com/5oxIhg8 Infants and children (age 1 year to puberty) often develop respiratory distress and bradycardia prior to cardiac arrest. After witnessing the collapse of a child who is not breathing but has a pulse, the nurse should contact emergency services and begin rescue breathing. Rescue breathing is performed at a rate of 1 breath every 2-3 seconds. If the pulse remains ≤60/min and there are signs of poor perfusion (eg, skin pallor), the nurse should initiate chest compressions and reassess the pulse every 2 minutes (Option 1 is correct).(Option 2 is wrong) Abdominal thrusts (Heimlich maneuver) are done to expel a foreign object from a client who is choking but responsive. In the event that the child becomes unresponsive, the nurse should lower the client to the ground and begin chest compressions.(Option 3 is wrong) If the heart rate increases to >60/min with signs of adequate perfusion (eq. skin pink, capillary refill seconds) but the child is still apneic, rescue breaths should continue.(Option 4 is wrong) A finger sweep of the client's mouth can force a loosely obstructing object to fully block the airway or cause the object to fall farther into the airway. Blockages should be removed only if they are visible and easily accessible.

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Added: Jan 7, 2026
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