SAUNDERS NCLEX RN COMPREHENSIVE EXAM
PREP |ACTUAL QUESTIONS AND VERIFIED
ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
Which teaching method is most effective when providing instruction to members of
special populations?
1. Teach-back
2. video instruction
3. written materials
4. verbal explanation
CORRECT ANSWER
1. Teach-back
Rationale: When providing education to members of special populations, return
explanation and demonstration (teach-back) of are particular importance to ensure
safety and mutual understanding. This method is the most reliable in confirming the
client understands the instructions.
Question 2
Which health concerns should the nurse be aware of as risk factors when caring for clients
of African American descent? Select all that apply:
1. cancer
2. obesity
3. hypertension
4. heart disease
5. hypothyroidism
1
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,6. diabetes mellitus
CORRECT ANSWER
1, 2, 3, 4, 6
Rationale: obesity, diabetes mellitus, hypertension, heart disease, asthma, and cancer
are prevalent among African Americans.
Question 3
The nurse is planning care for a client of Native Hawaiian descent who recently had a baby.
The nurse develops a teaching plan and includes info about which measure that's related
to a newborn complication within this ethnic group?
1. safe sleeping
2. car seat safety
3. breast-feeding
4. baby-proofing
CORRECT ANSWER
1. Safe sleeping
Rationale: The native Hawaiian population has a disproportionately higher rate of infant
mortality compared with other ethnic groups. Sudden Infant Death Syndrome (SIDS) is a
major cause of infant mortality. Safe sleeping is an important measure to prevent this
newborn complication.
Question 4
The nurse is planning care for an assigned client. The nurse should include info in the plan
of care about the prevention of HIV for which individuals specifically at risk?
1. lesbian persons
2. men-who-have-sex-with-men (MSM)
2
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,3. women-who-have-sex-with-women (WSW)
4. Female-To-Male (FTM) transgender persons
CORRECT ANSWER
2. MSM
Rationale: MSM (men who have sex with men) are at a higher risk for HIV and AIDS.
Question 5
Which therapeutic communication technique is most helpful when working with
transgender persons?
1. using open-ended questions
2. using their first name to address them
3. using pronouns associated with birth sex
4. anticipating the client's needs and making suggestions
CORRECT ANSWER
1. Using open-ended questions
Rationale: The use of open-ended questions is the most helpful in communicating with
transgender persons because it assists in refraining from judgment and allows the client
the opportunity to express their thoughts and feelings.
Question 6
Which special population should be targeted for breast cancer screening by way of
mammography? Select all that apply:
1. male-to-female (MTF)
2. female-to-male (FTM)
3. men-who-have-sex-with-men (MSM)
3
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, 4. women-who-have-sex-with-men (WSM)
5. women-who-have-sex-with-women (WSW)
CORRECT ANSWER
1, 2, 4, 5
Rationale: Transgender persons who have undergone sexual reassignment surgery should
have the respective preventive screenings. WSW and WSM should also have screenings.
Question 7
The nurse is volunteering with an outreach program to provide basic healthcare for
homeless people. Which finding, if noted, should be addressed first?
1. BP 154/72
2. visual acuity of 20/200 in both eyes
3. random blood glucose level of 206
4. complaints of pain associated with numbness and tingling in both feet
CORRECT ANSWER
4. complaints of pain associated with numbness and tingling in both feet
Rationale: With this population, the complaints of pain associated with numbness and
tingling should be addressed first. If the client perceives value to the service provided,
they will be likely to provide follow-up care. While the bp, blood glucose, and vision are
concerning, the client's stated concern should be addressed first.
Question 8
The nurse is preparing discharge resources for a client being discharged to the homeless
shelter. When looking at the discharge medication reconciliation form, the nurse
determines there is a need for follow-up if which medication was prescribed?
1. Glipizide
4
@https://www.stuvia.com/user/thestudyvault
PREP |ACTUAL QUESTIONS AND VERIFIED
ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
Which teaching method is most effective when providing instruction to members of
special populations?
1. Teach-back
2. video instruction
3. written materials
4. verbal explanation
CORRECT ANSWER
1. Teach-back
Rationale: When providing education to members of special populations, return
explanation and demonstration (teach-back) of are particular importance to ensure
safety and mutual understanding. This method is the most reliable in confirming the
client understands the instructions.
Question 2
Which health concerns should the nurse be aware of as risk factors when caring for clients
of African American descent? Select all that apply:
1. cancer
2. obesity
3. hypertension
4. heart disease
5. hypothyroidism
1
@https://www.stuvia.com/user/thestudyvault
,6. diabetes mellitus
CORRECT ANSWER
1, 2, 3, 4, 6
Rationale: obesity, diabetes mellitus, hypertension, heart disease, asthma, and cancer
are prevalent among African Americans.
Question 3
The nurse is planning care for a client of Native Hawaiian descent who recently had a baby.
The nurse develops a teaching plan and includes info about which measure that's related
to a newborn complication within this ethnic group?
1. safe sleeping
2. car seat safety
3. breast-feeding
4. baby-proofing
CORRECT ANSWER
1. Safe sleeping
Rationale: The native Hawaiian population has a disproportionately higher rate of infant
mortality compared with other ethnic groups. Sudden Infant Death Syndrome (SIDS) is a
major cause of infant mortality. Safe sleeping is an important measure to prevent this
newborn complication.
Question 4
The nurse is planning care for an assigned client. The nurse should include info in the plan
of care about the prevention of HIV for which individuals specifically at risk?
1. lesbian persons
2. men-who-have-sex-with-men (MSM)
2
@https://www.stuvia.com/user/thestudyvault
,3. women-who-have-sex-with-women (WSW)
4. Female-To-Male (FTM) transgender persons
CORRECT ANSWER
2. MSM
Rationale: MSM (men who have sex with men) are at a higher risk for HIV and AIDS.
Question 5
Which therapeutic communication technique is most helpful when working with
transgender persons?
1. using open-ended questions
2. using their first name to address them
3. using pronouns associated with birth sex
4. anticipating the client's needs and making suggestions
CORRECT ANSWER
1. Using open-ended questions
Rationale: The use of open-ended questions is the most helpful in communicating with
transgender persons because it assists in refraining from judgment and allows the client
the opportunity to express their thoughts and feelings.
Question 6
Which special population should be targeted for breast cancer screening by way of
mammography? Select all that apply:
1. male-to-female (MTF)
2. female-to-male (FTM)
3. men-who-have-sex-with-men (MSM)
3
@https://www.stuvia.com/user/thestudyvault
, 4. women-who-have-sex-with-men (WSM)
5. women-who-have-sex-with-women (WSW)
CORRECT ANSWER
1, 2, 4, 5
Rationale: Transgender persons who have undergone sexual reassignment surgery should
have the respective preventive screenings. WSW and WSM should also have screenings.
Question 7
The nurse is volunteering with an outreach program to provide basic healthcare for
homeless people. Which finding, if noted, should be addressed first?
1. BP 154/72
2. visual acuity of 20/200 in both eyes
3. random blood glucose level of 206
4. complaints of pain associated with numbness and tingling in both feet
CORRECT ANSWER
4. complaints of pain associated with numbness and tingling in both feet
Rationale: With this population, the complaints of pain associated with numbness and
tingling should be addressed first. If the client perceives value to the service provided,
they will be likely to provide follow-up care. While the bp, blood glucose, and vision are
concerning, the client's stated concern should be addressed first.
Question 8
The nurse is preparing discharge resources for a client being discharged to the homeless
shelter. When looking at the discharge medication reconciliation form, the nurse
determines there is a need for follow-up if which medication was prescribed?
1. Glipizide
4
@https://www.stuvia.com/user/thestudyvault
