NCLEX UWORLD 2023 QUESTIONS AND ANSWERS LATEST UPDATE
2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED
A+ FOR SUCCESS
Appropriate order of actions when client found on floor - CORRECT
ANSWERS 1. *Assessment* of *physiological stability* (ABCs)
2. *Assessment* of *injuries*
3. *Moving client*
4. *Notifications*
5. *Documentation*
Conditions of being *ineligible to leave AMA* - CORRECT ANSWERS 1
*danger to self or others*
2. *lack of consciousness*
3. *Altered consciousness*
4. *Mental illness*
5. Being under *chemical influence*
6. *Court decision*
Effective handoff communication components - CORRECT ANSWERS Nurse
should:
1. Provide *identifying information* (eg client's name and room number)
2. Note *care priorities* and upcoming or outstanding tasks (eg time to
replace medication infusion bag, need to perform delayed wound care and
cause of delay)
3. Provide *exact, pertinent information* (eg medication dose, time,
measurable outcomes)
4. Include *multidisciplinary plans* (eg radiology examinations, family
meetings, physical therapy)
5. Relay significant client changes in a clear manner
,NCLEX UWORLD 2023 QUESTIONS AND ANSWERS LATEST UPDATE
2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED
A+ FOR SUCCESS
*Risk factors* for *cervical cancer* - CORRECT ANSWERS 1. Infection with
high-risk HPV strains
2. History of sexually transmitted diseases
3. Early onset of sexual activity
4. Multiple or high-risk sexual partners
5. Immunosuppression
6. Oral contraceptive use
7. Low SES
8. Tobacco use
When do *advanced directives* go into effect? - CORRECT ANSWERS when
person is *unable to speak for him/herself* due to either:
1. *Mental Incapacity* - *coma *(GCS score ≤ 7)
2. *Aphasia*
(≠as soon as signed; directives can always be changed later by person)
SBAR Communication Framekwork Components - CORRECT ANSWERS 1.
*S* = Situation - what *prompted* the communication (eg *what* changes
occurred)
2. *B* = Background - *pertinent information, relevant history, vital signs*
3. *A* = Assessment - nurse's assessment of the situation (*when* & *what
changes* occurred)
4. *R* = Recommendation - *request* for *prescription* or *action* from
HCP
,NCLEX UWORLD 2023 QUESTIONS AND ANSWERS LATEST UPDATE
2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED
A+ FOR SUCCESS
what medications interact with grapefruit? - CORRECT ANSWERS 1.
*calcium channel blockers* (diltiazem, nifedipine, verapamil, etc)
2. *statins*
3. *SSRIs*
Risk associated with *stent placement* using the *femoral approach* -
CORRECT ANSWERS *retroperitoneal hemorrhage*
what are early signs of bleeding into the retroperitoneal space? - CORRECT
ANSWERS hypotension, back pain, flank ecchymosis (grey turner sign),
hematoma formation, diminshed distal pulses
what is the grey-turner sign and what is it a sign of? - CORRECT ANSWERS
bruising of the flanks and retroperitoneal hemorrhage and is a bluish color
what are some physical signs of peripheral arterial disease? - CORRECT
ANSWERS intermittent calf muscle pain?, rest pain, hair loss, decreased
peripheral pulses, cool, dry, shiny skin, thick brittle nails, gangrene, ulcers
(all of these are in the extremities)
transplanted hearts are expected to be - CORRECT ANSWERS tachycardic
like 90-110
what is the priority intervention for pain with sickle cell crisis and why? -
CORRECT ANSWERS administer IV fluids to reduce blood viscosity and
restore perfusion to areas affected by vasoocclusion
what is the purpose of continuous bladder irrigation? - CORRECT
ANSWERS it is perscribed after TURP to prevent obstruction of urine
outflow by removing clotted blood from the bladder
, NCLEX UWORLD 2023 QUESTIONS AND ANSWERS LATEST UPDATE
2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED
A+ FOR SUCCESS
what is the nurses care of monitoring CBI? - CORRECT ANSWERS monitor
quality of drainage, titrate the inflow rate, and manurally irrigating as
needed
characteristics of a basilar skull fracture - CORRECT ANSWERS periorbital
hematomas (raccoon eyes), csf fluid rhinorrhea, and battle sign (behind the
ear bruising)
immediate client care for basilar skull fracture - CORRECT ANSWERS
cervical spime immobilization, close neurologic monitoring, and support of
ABCs
vomiting with intake may mean - CORRECT ANSWERS viral or bacterial
infection
tympanosomty tubes are placed for - CORRECT ANSWERS recurrent otis
medias
nurse actions during a seizure - CORRECT ANSWERS assist them to lie
down is standing/sitting, put them on side for patent airway, loosen tight
clothing, give oxygen as needed, remove objects from immediate area,
document time and duration of seizure (for tests are done later to see
which type of seizure and maybe what exacerates it)
never put anything in mouth or restrain them since musclec ontractions
can occur during a seizure
what are some early symptoms of ICP? - CORRECT ANSWERS altered LOC,
headache, abnormal reathing, rise in bp, slow pulse, vomiting
