NCLEX RN UWORLD EXAM LATEST 2025

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NCLEX RN UWORLD EXAM LATEST 2025

COMPLETE EXAM| 150 QUESTIONS WITH

CORRECT DETAILED ANSWERS (VERIFIED

ANSWERS) ALREADY GRADED A+

The nurse should carefully monitor renal status in a client who has had abdominal aortic aneurysm repair. - ANSWER - BUN, creatinine, and urine output should be assessed. Urine output of at least 30 mL/hr. is expected.

When administering furosemide, it is important to closely monitor - ANSWER - the client's vital signs, serum electrolytes (potassium), and kidney function tests (blood urea nitrogen, creatinine) prior to administration to prevent side effects such as hypokalemia, hypotension, and kidney injury.

The steps for using an automated external defibrillator (AED) are as

follows: - ANSWER - turn on the defibrillator, place the pads on the

client's chest, continue chest compressions until the AED is ready to analyze the rhythm, charge the defibrillator, ensure staff members are all clear, deliver the shock, then resume compressions immediately.

The client in VT must be assessed for the presence or absence of a pulse before further assessment or treatment is initiated. The unstable (hypotensive) client in VT with a pulse is treated with synchronized cardioversion. - ANSWER - Ventricular tachycardia 1 / 3

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pg. 2 Fluid volume deficit - ANSWER - is commonly caused by vomiting and diarrhea; treatment includes IV fluid resuscitation. Signs of adequate rehydration include capillary refill time <2 seconds, adequate urine output (>30 mL/hr.), and normal urine specific gravity (1.005-1.030).Narrowed pulse pressure occurs with hypovolemic shock, and orthostatic hypotension is indicative of ongoing fluid volume deficit.

cardiogenic shock - ANSWER - Clients with cardiomyopathy may develop cardiogenic shock due to the heart's inability to circulate blood effectively, causing reduced cardiac output. Treatment of cardiogenic shock includes supplemental oxygen, an ECG, cardiac enzyme testing, and interventions to reduce cardiac workload.

Acute blood loss - ANSWER - (eg, gastrointestinal bleeding) is a medical emergency. The nurse should place the client in the supine position with the feet elevated to maintain blood perfusion to the brain and other vital organs.

Stable angina - ANSWER - is predictable, intermittent chest pain that occurs when myocardial oxygen demand exceeds supply, most often caused by atherosclerosis. Pain is often precipitated by stress, emotional upset, tobacco use, strenuous activities (eg, exercise), and exposure to extreme temperatures.

The nurse should recognize VF, a potentially lethal dysrhythmia. The ECG shows irregular waveforms of varying shapes and amplitudes. The client is unresponsive, pulseless, and apneic. Rapid treatment should include CPR, defibrillation, and drug therapy (eg, epinephrine, vasopressin, amiodarone). - ANSWER - Ventricular fibrillation (VF) 2 / 3

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pg. 3 in women, the elderly, and diabetics may have gastrointestinal distress as the main symptom; this needs to be evaluated with the institutional protocol for acute coronary syndrome. - ANSWER - Myocardial infarctions

In a client with hypomagnesemia, it is important to assess the QT interval. The client is most at risk for torsade’s de pointes, a serious complication that can develop quickly into ventricular fibrillation (lethal arrhythmia). - ANSWER - Hypomagnesemia think Torsade’s de pontes

Immediately following cardiac catheterization, clients must remain supine with the head of the bed at ≤30 degrees. This prevents hip flexion, which could disrupt clot formation at the insertion site and cause bleeding. - ANSWER - Femoral cardiac catheterization

is characterized by a total absence of ventricular electrical activity. The client is pulseless, apneic, and unresponsive. Treatment includes CPR, oxygenated ventilation, and advanced cardiovascular life-support measures (eg, epinephrine IV, advanced airway). Defibrillation is not effective for treatment of asystole or pulseless electrical activity. - ANSWER - Asystole

measuring capillary refill and assessing skin color and temperature; these are usually within normal limits during the initial and compensatory stages of shock. - ANSWER - The adequacy of blood flow to peripheral tissues is determined by

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