Saunders Comprehensive Review for
the NCLEX-RN Exam Unit 1:
Preparation Exam Questions &
Answers (Grade A+)
The nurse notes blanching, coolness, and edema at the peripheral
intravenous (IV) site. On the basis of these findings, the nurse
should implement which action?
1. Remove the IV.
2. Apply a warm compress.
3. Check for a blood return.
4. Measure the area of infiltration. -
correct answer ✅1.
The nurse has received the client assignment for the day. Which
client should the nurse assess first?
1. The client who needs to receive subcutaneous insulin before
breakfast
2. The client who has a nasogastric tube attached to intermittent
suction
3. The client who is 2 days postoperative and is complaining of
incisional pain
4. The client who has a blood glucose level of 50 mg/dL (2.8
mmol/L) and complaints of blurred vision -
correct answer ✅4.
, Saunders Comprehensive Review for
the NCLEX-RN Exam Unit 1:
Preparation Exam Questions &
Answers (Grade A+)
The nurse prepares to care for a client on contact precautions who
has a hospital-acquired infection caused by methicillin-resistant
Staphylococcus aureus (MRSA). The client has an abdominal wound
that requires irrigation and has a tracheostomy attached to a
mechanical ventilator, which requires frequent suctioning. The
nurse should assemble which necessary protective items before
entering the client's room?
1. Gloves and gown
2. Gloves and face shield
3. Gloves, gown, and face shield
4. Gloves, gown, and shoe protectors -
correct answer ✅3.
The nurse is choosing age-appropriate toys for a toddler. Which toy
is the best choice for this age?
1. Puzzle
2. Toy soldiers
3. Large stacking blocks
the NCLEX-RN Exam Unit 1:
Preparation Exam Questions &
Answers (Grade A+)
The nurse notes blanching, coolness, and edema at the peripheral
intravenous (IV) site. On the basis of these findings, the nurse
should implement which action?
1. Remove the IV.
2. Apply a warm compress.
3. Check for a blood return.
4. Measure the area of infiltration. -
correct answer ✅1.
The nurse has received the client assignment for the day. Which
client should the nurse assess first?
1. The client who needs to receive subcutaneous insulin before
breakfast
2. The client who has a nasogastric tube attached to intermittent
suction
3. The client who is 2 days postoperative and is complaining of
incisional pain
4. The client who has a blood glucose level of 50 mg/dL (2.8
mmol/L) and complaints of blurred vision -
correct answer ✅4.
, Saunders Comprehensive Review for
the NCLEX-RN Exam Unit 1:
Preparation Exam Questions &
Answers (Grade A+)
The nurse prepares to care for a client on contact precautions who
has a hospital-acquired infection caused by methicillin-resistant
Staphylococcus aureus (MRSA). The client has an abdominal wound
that requires irrigation and has a tracheostomy attached to a
mechanical ventilator, which requires frequent suctioning. The
nurse should assemble which necessary protective items before
entering the client's room?
1. Gloves and gown
2. Gloves and face shield
3. Gloves, gown, and face shield
4. Gloves, gown, and shoe protectors -
correct answer ✅3.
The nurse is choosing age-appropriate toys for a toddler. Which toy
is the best choice for this age?
1. Puzzle
2. Toy soldiers
3. Large stacking blocks