Test Bank for
Saunders Comprehensive Review for the NCLEX-RN®
Examination, 9th Edition by Linda Anne Silvestri and
Angela Silvestri – Complete Questions and Answers
🩺 NCLEX Practice Exam
1. A nurse is caring for a client with heart failure. Which finding requires
immediate action?
A. Weight gain of 1 kg in 1 day
B. Crackles in lungs
C. Potassium level of 3.0 mEq/L
D. Mild ankle edema
Answer: C
Rationale: Hypokalemia can cause life-threatening arrhythmias → priority.
2. A client with diabetes reports shakiness and sweating. What is the
priority action?
A. Give insulin
B. Check blood glucose
C. Offer water
D. Call provider
Answer: B
Rationale: Always assess first → confirm hypoglycemia.
3. Which food should a client on warfarin avoid?
A. Chicken
B. Rice
,C. Spinach
D. Apples
Answer: C
Rationale: High vitamin K reduces warfarin effectiveness.
4. A nurse is preparing to administer IV potassium. Which action is
correct?
A. Push IV rapidly
B. Dilute before infusion
C. Give IM
D. Mix with dextrose only
Answer: B
Rationale: IV potassium must ALWAYS be diluted and infused slowly.
5. A client with COPD is receiving oxygen. Which device is best?
A. Non-rebreather
B. Nasal cannula
C. Venturi mask
D. Simple mask
Answer: C
Rationale: Venturi delivers precise oxygen concentration.
6. Which sign indicates increased intracranial pressure?
A. Bradycardia
B. Tachycardia
C. Hypotension
D. Warm skin
Answer: A
Rationale: Part of Cushing’s triad.
, 7. A client post-op has sudden shortness of breath. What is priority?
A. Give fluids
B. Administer oxygen
C. Call family
D. Ambulate
Answer: B
Rationale: Airway and breathing first.
8. Which electrolyte imbalance causes muscle weakness?
A. Hypernatremia
B. Hypokalemia
C. Hypercalcemia
D. Hypermagnesemia
Answer: B
Rationale: Low potassium → muscle weakness.
9. A nurse is caring for a burn patient. Which fluid is used initially?
A. D5W
B. Lactated Ringer’s
C. Normal saline only
D. Albumin
Answer: B
Rationale: LR is preferred for fluid resuscitation.
10. Which position is best for a client with dyspnea?
A. Supine
B. Trendelenburg
C. High Fowler’s
D. Sims
Answer: C
Rationale: Maximizes lung expansion.
Saunders Comprehensive Review for the NCLEX-RN®
Examination, 9th Edition by Linda Anne Silvestri and
Angela Silvestri – Complete Questions and Answers
🩺 NCLEX Practice Exam
1. A nurse is caring for a client with heart failure. Which finding requires
immediate action?
A. Weight gain of 1 kg in 1 day
B. Crackles in lungs
C. Potassium level of 3.0 mEq/L
D. Mild ankle edema
Answer: C
Rationale: Hypokalemia can cause life-threatening arrhythmias → priority.
2. A client with diabetes reports shakiness and sweating. What is the
priority action?
A. Give insulin
B. Check blood glucose
C. Offer water
D. Call provider
Answer: B
Rationale: Always assess first → confirm hypoglycemia.
3. Which food should a client on warfarin avoid?
A. Chicken
B. Rice
,C. Spinach
D. Apples
Answer: C
Rationale: High vitamin K reduces warfarin effectiveness.
4. A nurse is preparing to administer IV potassium. Which action is
correct?
A. Push IV rapidly
B. Dilute before infusion
C. Give IM
D. Mix with dextrose only
Answer: B
Rationale: IV potassium must ALWAYS be diluted and infused slowly.
5. A client with COPD is receiving oxygen. Which device is best?
A. Non-rebreather
B. Nasal cannula
C. Venturi mask
D. Simple mask
Answer: C
Rationale: Venturi delivers precise oxygen concentration.
6. Which sign indicates increased intracranial pressure?
A. Bradycardia
B. Tachycardia
C. Hypotension
D. Warm skin
Answer: A
Rationale: Part of Cushing’s triad.
, 7. A client post-op has sudden shortness of breath. What is priority?
A. Give fluids
B. Administer oxygen
C. Call family
D. Ambulate
Answer: B
Rationale: Airway and breathing first.
8. Which electrolyte imbalance causes muscle weakness?
A. Hypernatremia
B. Hypokalemia
C. Hypercalcemia
D. Hypermagnesemia
Answer: B
Rationale: Low potassium → muscle weakness.
9. A nurse is caring for a burn patient. Which fluid is used initially?
A. D5W
B. Lactated Ringer’s
C. Normal saline only
D. Albumin
Answer: B
Rationale: LR is preferred for fluid resuscitation.
10. Which position is best for a client with dyspnea?
A. Supine
B. Trendelenburg
C. High Fowler’s
D. Sims
Answer: C
Rationale: Maximizes lung expansion.
