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CARDIO ADULT UWORLD NCLEXRN TEST QUESTIONS AND EXPLAINED ANSWERS LATEST 2024/2025 UPDATE
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CARDIO ADULT UWORLD NCLEXRN TEST QUESTIONS AND EXPLAINED ANSWERS LATEST 2024/2025 UPDATE
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CARDIO ADULT UWORLD NCLEX- 1.RN TEST QUESTIONS AND Dizziness and sudden diarrhea
EXPLAINED ANSWERS LATEST
2.
2024/2025 UPDATE
Nausea and onset of vomiting
3.
New-onset tachypnea and dyspnea
4.
Temperature of 101 F (38.3 C) - -----ANSWER----
>3.
A nurse coworker is called into work from home
New-onset tachypnea and dyspnea
to help care for an influx of clients being
admitted after a bus accident. While assisting
the coworker prepare for incoming clients, the
The student nurse plans postmortem care for
nurse becomes concerned that the coworker
an Orthodox Jewish client hospitalized for the
may be under the influence of an impairing
last week with heart failure who did not sign
substance. Which action by the nurse is best?
consents for any postmortem actions. Which
1. statement by the student would require further
education by the supervising nurse?
Ask another coworker to observe the individual
to confirm the suspicion 1.
2. "I will allow the family to remain with the client
at all times."
Confront the coworker about the concern and
offer emotional support 2.
3. "I will call the next of kin before providing any
postmortem care."
Speak with the nursing supervisor about the
concern 3.
4. "I will prepare the client for transfer to the
morgue for autopsy."
Telephone the appropriate regulatory agency
and make a report - -----ANSWER---->3.Speak 4.
with the nursing supervisor about the concern
"I will provide a sheet to be placed over the
client's face." - -----ANSWER---->3.
A nurse is administering a rituximab infusion to "I will prepare the client for transfer to the
a client with lymphoma in an oncology clinic. morgue for autopsy."
Which client symptom would be a priority to
report to the health care provider?
,The nurse is caring for a client with chronic Discard the clean gloves, perform hand hygiene,
pancreatitis. Which meal should the nurse and apply sterile gloves
recommend when assisting the client in
selecting food items from a menu?
Perform hand hygiene, don face mask, place a
1.
mask on the client, and apply clean gloves
Baked tilapia with lemon wedge, sweet
potatoes, and green peas
Remove old dressing and CHG-impregnated
2.
patch; assess insertion site - -----ANSWER----
Cream of potato soup and roast beef sandwich >Perform hand hygiene, don face mask, place a
on a croissant mask on the client, and apply clean gloves
3.
Sautéed salmon, macaroni and cheese, string Remove old dressing and CHG-impregnated
beans, and a biscuit patch; assess insertion site
4.
Shrimp enchiladas with tomato salsa, rice, Discard the clean gloves, perform hand hygiene,
cornbread, and refried beans - -----ANSWER---- and apply sterile gloves
>1.
Baked tilapia with lemon wedge, sweet
Cleanse the site with CHG for at least 30
potatoes, and green peas
seconds using friction; allow to air dry
completely
The nurse is preparing to change the dressing of
a client's subclavian central venous catheter
Apply CHG patch over catheter insertion site
using a chlorhexidine gluconate (CHG)-
and cover with a sterile transparent dressing
impregnated patch and transparent adhesive
dressing. Place the procedural steps in the
correct order. All options must be used.
Four clients enter the pediatric emergency
department at the same time. Which client
should the nurse see first?
Apply CHG patch over catheter insertion site
and cover with a sterile transparent dressing 1.
2-week-old with tricuspid atresia who has dusky
lips and nailbeds
Cleanse the site with CHG for at least 30
seconds using friction; allow to air dry 2.
completely
5-week-old with forceful vomiting after every
feeding who is crying
3.
,12-month-old who was wheezing at home and The nurse prepares to administer a client's
is now lethargic with no wheezing scheduled prandial regular insulin plus a
correctional dose based on a sliding scale as the
4.
client's breakfast tray arrives. The client's
3-year-old with fever who had a brief seizure at fasting blood glucose level is 210 mg/dL (11.7
home and is asleep - -----ANSWER---->3. mmol/L). How many total units of regular
insulin should the nurse administer? Click the
12-month-old who was wheezing at home and exhibit button for additional information.
is now lethargic with no wheezing Record your answer using a whole number.
Educational objective:A client who suddenly EXHIBIT:
stops wheezing may be experiencing impending
respiratory failure and should be assessed Medication administration record:
immediately.
Allergies: NKA
The unlicensed assistive personnel (UAP)
Medications:
reports being splashed in the eye while
emptying urine from the catheter bag of a client -Regular insulin: 4 units subcutaneously with
with AIDS. The UAP is afraid of becoming each meal (0800, 1200, 1700)
infected with HIV and requests immediate
testing. What is the nurse's priority action?
-Regular insulin: per sliding scale,
1.
subcutaneously with each meal and before bed
Direct the UAP to immediately flush the eye
(0800, 1200, 1700, 2100)
with water at the unit's eyewash station
2.
Sliding-Scale Blood Glucose Levels:
Reassure the UAP that the risk for HIV is low as
urine does not transmit the virus <150 mg/dL - 0 units
3. 150-199 mg/dL - 3 units
Refer the UAP to the occupational health 200-249 mg/dL - 6 units
department for postexposure prophylaxis
250-299 mg/dL - 9 units
4.
300-349 mg/dL - 12 units
Send the UAP to the facility's emergency
department for medical evaluation - ----- ≥350 mg/dL - 15 units; notify HCP - -----
ANSWER---->1. ANSWER---->Answer: 10 (units)
Direct the UAP to immediately flush the eye
with water at the unit's eyewash station The nurse is caring for a client taking
escitalopram who reports no improvement of
, depressive feelings since starting the "I will stop breastfeeding completely to
medication 2 months ago. What is the best expedite the weaning process." - -----ANSWER---
response by the nurse? ->2.
1. "I can start substituting breastfeeding sessions
with whole cow's milk."
"Have you had any recent changes or added
stresses in your life?"
2. The home health nurse is discussing the care
needs of a client in the last stage of Huntington
"It is too early to notice any difference. Please
disease with the family. When the nurse
continue to take the medicine as prescribed."
recommends a hospital bed, the client's spouse
3. becomes visibly upset and says, "No hospital
bed. I'm just not ready for it yet." What is the
"Let's talk more about how you have been best response by the nurse?
taking this medication."
1.
4.
"A hospital bed will make your spouse's care
"We will talk with your health care provider easier."
about changing the prescription." - -----
ANSWER---->3. 2.
"Let's talk more about how you have been "Are you not ready for this particular change?"
taking this medication."
3.
"What upsets you about having a hospital bed?"
The nurse reinforces teaching to the parents of
4.
a 12-month-old who has begun weaning from
breastfeeding. Which statement by the parents "You seem upset. We don't have to talk about
indicates that teaching has been effective? this right now." - -----ANSWER---->3.
1. "What upsets you about having a hospital bed?"
"I can allow my child to sleep with a bottle for
comfort while weaning."
Educational objective:Family members of a
2. client with a degenerative disease may be
resistant to care recommendations during
"I can start substituting breastfeeding sessions
periods of grief (eg, denial). The nurse should
with whole cow's milk."
use therapeutic communication that focuses on
3. exploring family members' concerns and
validating their feelings.
"I should discourage my child from drinking milk
to increase solid food intake."
4. The nurse is assisting with a presentation on
protecting clients' privacy and confidentiality.
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