Saunders NCLEX RN NGN Newest 2025/2026 Version
2 Complete All 160 Questions And Correct Detailed
Answers (Verified Answers) |Already Graded
A+||Brand New Version!!
1. A client receiving digoxin reports nausea and blurred vision. Which action
should the nurse take first?
Check the client’s serum potassium level.
Hypokalemia increases the risk of digoxin toxicity. Nausea and vision
changes are classic signs of toxicity, so assessing potassium helps
determine the cause.
2. Which finding requires immediate intervention in a client with a chest tube?
Continuous bubbling in the water-seal chamber.
Continuous bubbling indicates an air leak, which needs prompt
correction to prevent lung collapse.
3. A client with cirrhosis develops ascites. Which dietary change should the
nurse teach?
Low sodium diet
Sodium restriction helps reduce fluid retention and ascites formation
in cirrhosis.
4. The nurse prepares to administer morning medications via NG tube. Which
action is correct?
Check tube placement before giving medications.
, Verifying placement prevents aspiration and ensures the medication
reaches the stomach.
5. Which client is most at risk for fluid volume deficit?
A client with prolonged vomiting and diarrhea.
Excessive GI losses lead to dehydration and hypovolemia.
6. A nurse teaches a client with a new colostomy about self-care. Which
statement shows understanding?
"I will empty the pouch when it is one-third full."
Emptying before it’s too full prevents leaks and maintains a secure
seal.
7. Which lab value should the nurse monitor for a client on warfarin?
INR
INR indicates the therapeutic level of anticoagulation.
8. Which finding indicates a therapeutic response to furosemide?
Decreased peripheral edema
Furosemide is a diuretic; reduced edema shows it is effective.
9. A client taking lithium reports tremors. What is the best action?
Check the client’s lithium level.
Tremors can indicate toxicity. Monitoring the level prevents
complications.
10. A client receiving IV potassium chloride complains of burning at the site.
What should the nurse do?
Slow the infusion rate.
IV potassium is irritating to veins. Slowing the rate can reduce
discomfort.
, 11. Which food should a client taking MAOIs avoid?
Aged cheese
Aged cheese contains tyramine, which can cause hypertensive crisis
with MAOIs.
12. Which assessment finding indicates hypocalcemia?
Positive Chvostek’s sign
Facial twitching when the facial nerve is tapped indicates low calcium.
13. Which client is at greatest risk for pressure injury?
A 76-year-old immobile client with incontinence
Immobility and moisture increase the risk for skin breakdown.
14. A nurse caring for a client with COPD should report which finding
immediately?
Respiratory rate of 8 breaths/min
Bradypnea indicates impending respiratory failure.
15. A nurse prepares to administer insulin glargine. Which statement is
correct?
Do not mix glargine with other insulins.
Long-acting insulin should never be mixed.
16. Which intervention helps prevent catheter-associated UTIs?
Keep the drainage bag below bladder level.
Gravity drainage prevents reflux of urine into the bladder.
17. A client with a DVT is receiving heparin. Which lab should the nurse
monitor?
aPTT
2 Complete All 160 Questions And Correct Detailed
Answers (Verified Answers) |Already Graded
A+||Brand New Version!!
1. A client receiving digoxin reports nausea and blurred vision. Which action
should the nurse take first?
Check the client’s serum potassium level.
Hypokalemia increases the risk of digoxin toxicity. Nausea and vision
changes are classic signs of toxicity, so assessing potassium helps
determine the cause.
2. Which finding requires immediate intervention in a client with a chest tube?
Continuous bubbling in the water-seal chamber.
Continuous bubbling indicates an air leak, which needs prompt
correction to prevent lung collapse.
3. A client with cirrhosis develops ascites. Which dietary change should the
nurse teach?
Low sodium diet
Sodium restriction helps reduce fluid retention and ascites formation
in cirrhosis.
4. The nurse prepares to administer morning medications via NG tube. Which
action is correct?
Check tube placement before giving medications.
, Verifying placement prevents aspiration and ensures the medication
reaches the stomach.
5. Which client is most at risk for fluid volume deficit?
A client with prolonged vomiting and diarrhea.
Excessive GI losses lead to dehydration and hypovolemia.
6. A nurse teaches a client with a new colostomy about self-care. Which
statement shows understanding?
"I will empty the pouch when it is one-third full."
Emptying before it’s too full prevents leaks and maintains a secure
seal.
7. Which lab value should the nurse monitor for a client on warfarin?
INR
INR indicates the therapeutic level of anticoagulation.
8. Which finding indicates a therapeutic response to furosemide?
Decreased peripheral edema
Furosemide is a diuretic; reduced edema shows it is effective.
9. A client taking lithium reports tremors. What is the best action?
Check the client’s lithium level.
Tremors can indicate toxicity. Monitoring the level prevents
complications.
10. A client receiving IV potassium chloride complains of burning at the site.
What should the nurse do?
Slow the infusion rate.
IV potassium is irritating to veins. Slowing the rate can reduce
discomfort.
, 11. Which food should a client taking MAOIs avoid?
Aged cheese
Aged cheese contains tyramine, which can cause hypertensive crisis
with MAOIs.
12. Which assessment finding indicates hypocalcemia?
Positive Chvostek’s sign
Facial twitching when the facial nerve is tapped indicates low calcium.
13. Which client is at greatest risk for pressure injury?
A 76-year-old immobile client with incontinence
Immobility and moisture increase the risk for skin breakdown.
14. A nurse caring for a client with COPD should report which finding
immediately?
Respiratory rate of 8 breaths/min
Bradypnea indicates impending respiratory failure.
15. A nurse prepares to administer insulin glargine. Which statement is
correct?
Do not mix glargine with other insulins.
Long-acting insulin should never be mixed.
16. Which intervention helps prevent catheter-associated UTIs?
Keep the drainage bag below bladder level.
Gravity drainage prevents reflux of urine into the bladder.
17. A client with a DVT is receiving heparin. Which lab should the nurse
monitor?
aPTT
