SAUNDERS NCLEX RN |ACTUAL QUESTIONS AND
VERIFIED ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
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.
Question 2
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.
Question 3
1
@https://www.stuvia.com/user/thestudyvault
, 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.
Question 4
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
4. A card game with large pictures
CORRECT ANSWER
3.
Question 5
A client with coronary artery disease has selected guided imagery to help cope with
psychological stress. Which client statement indicates an understanding of this stress
reduction measure?
1. "This will help only if I play music at the same time."
2. "This will work for me only if I am alone in a quiet area."
2
@https://www.stuvia.com/user/thestudyvault
VERIFIED ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
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.
Question 2
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.
Question 3
1
@https://www.stuvia.com/user/thestudyvault
, 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.
Question 4
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
4. A card game with large pictures
CORRECT ANSWER
3.
Question 5
A client with coronary artery disease has selected guided imagery to help cope with
psychological stress. Which client statement indicates an understanding of this stress
reduction measure?
1. "This will help only if I play music at the same time."
2. "This will work for me only if I am alone in a quiet area."
2
@https://www.stuvia.com/user/thestudyvault
