SAUNDERS COMPREHENSIVE NCLEX REVIEW
PRACTICE 2024 PROCTORED EXAM
QUESTIONS WITH DETAILED VERIFIED
SOLUTIONS AND RATIONALE /A+ GRADE
ASSURED
1. Which teaching method is most effective when providing
instruction to members of special populations?
• Teach-back
• video instruction
• written materials
• verbal explanation: 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.
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:
• cancer
• obesity
• hypertension
• heart disease
• hypothyroidism
• diabetes mellitus: 1, 2, 3, 4, 6
Rationale: obesity, diabetes mellitus, hypertension, heart disease,
asthma, and cancer are prevalent among African Americans.
,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
• car seat safety
• breast-feeding
• baby-proofing: 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.
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
• men-who-have-sex-with-men (MSM)
• women-who-have-sex-with-women (WSW)
• Female-To-Male (FTM) transgender persons: 2. MSM
Rationale: MSM (men who have sex with men) are at a higher risk
for HIV and AIDS.
• Which therapeutic communication technique is most
helpful when working with transgender persons? 1. using
open-ended questions
• using their first name to address them
• using pronouns associated with birth sex
• anticipating the client's needs and making suggestions: 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.
6. Which special population should be targeted for breast
cancer screening by way of mammography? Select all that
apply:
• male-to-female (MTF)
• female-to-male (FTM)
• men-who-have-sex-with-men (MSM)
• women-who-have-sex-with-men (WSM)
• women-who-have-sex-with-women (WSW): 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.
7. The nurse is volunteering with an outreach program to
provide basic healthcare for homeless people. Which finding,
if noted, should be addressed first?
• BP 154/72
• visual acuity of 20/200 in both eyes3.
random blood glucose level of 206
4. complaints of pain associated with numbness and tingling
in both feet: 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.
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?
• Glipizide
• Lisinopril
• Metformin
• Beclomethasone: 1. Glipizide
Rationale: Glipizide is an oral hypoglycemic medication and is
classified as a sulfonylurea. A major side effect of this medication
is hypoglycemia, which is a safety risk to the homeless
population. Lisinopril is an angiotensin-converting enzyme
inhibitor. Although there are side effects that should be included
in discharge instructions, there is less of a threat to safety with
this medication and the benefits to it are important. Metformin is
an oral biguanide and is used for type 2 diabetes mellitus.
Hypoglycemia is less of a concern with this medication compared
with other oral hypoglycemics. Beclomethasone is an inhaled
corticosteroid used for obstructive lung disease, and although
there are side effects the client should know about, there is not a
particular safety risk associated with this medication for the
homeless person.
9. The nurse is completing the admission assessment for a
client who is intellectually disabled. Which part of the client
encounter may require more time to complete?
• the history
• the physical assessment
• the nursing plan of care
• the readmission risk assessment: 1. the history
Rationale: intellectually disabled clients tend to be poor historians,
and it may take more time to ask questions in different ways when
collecting the history data.
PRACTICE 2024 PROCTORED EXAM
QUESTIONS WITH DETAILED VERIFIED
SOLUTIONS AND RATIONALE /A+ GRADE
ASSURED
1. Which teaching method is most effective when providing
instruction to members of special populations?
• Teach-back
• video instruction
• written materials
• verbal explanation: 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.
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:
• cancer
• obesity
• hypertension
• heart disease
• hypothyroidism
• diabetes mellitus: 1, 2, 3, 4, 6
Rationale: obesity, diabetes mellitus, hypertension, heart disease,
asthma, and cancer are prevalent among African Americans.
,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
• car seat safety
• breast-feeding
• baby-proofing: 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.
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
• men-who-have-sex-with-men (MSM)
• women-who-have-sex-with-women (WSW)
• Female-To-Male (FTM) transgender persons: 2. MSM
Rationale: MSM (men who have sex with men) are at a higher risk
for HIV and AIDS.
• Which therapeutic communication technique is most
helpful when working with transgender persons? 1. using
open-ended questions
• using their first name to address them
• using pronouns associated with birth sex
• anticipating the client's needs and making suggestions: 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.
6. Which special population should be targeted for breast
cancer screening by way of mammography? Select all that
apply:
• male-to-female (MTF)
• female-to-male (FTM)
• men-who-have-sex-with-men (MSM)
• women-who-have-sex-with-men (WSM)
• women-who-have-sex-with-women (WSW): 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.
7. The nurse is volunteering with an outreach program to
provide basic healthcare for homeless people. Which finding,
if noted, should be addressed first?
• BP 154/72
• visual acuity of 20/200 in both eyes3.
random blood glucose level of 206
4. complaints of pain associated with numbness and tingling
in both feet: 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.
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?
• Glipizide
• Lisinopril
• Metformin
• Beclomethasone: 1. Glipizide
Rationale: Glipizide is an oral hypoglycemic medication and is
classified as a sulfonylurea. A major side effect of this medication
is hypoglycemia, which is a safety risk to the homeless
population. Lisinopril is an angiotensin-converting enzyme
inhibitor. Although there are side effects that should be included
in discharge instructions, there is less of a threat to safety with
this medication and the benefits to it are important. Metformin is
an oral biguanide and is used for type 2 diabetes mellitus.
Hypoglycemia is less of a concern with this medication compared
with other oral hypoglycemics. Beclomethasone is an inhaled
corticosteroid used for obstructive lung disease, and although
there are side effects the client should know about, there is not a
particular safety risk associated with this medication for the
homeless person.
9. The nurse is completing the admission assessment for a
client who is intellectually disabled. Which part of the client
encounter may require more time to complete?
• the history
• the physical assessment
• the nursing plan of care
• the readmission risk assessment: 1. the history
Rationale: intellectually disabled clients tend to be poor historians,
and it may take more time to ask questions in different ways when
collecting the history data.
