1|Page
SAUNDERS NCLEX RN NGN VERSION 2 LATEST 2025
ACTUAL EXAM WITH COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+| ||SURE PASS||
||BRANDNEW!!!||
The nurse is assessing a client's postoperative pain using
the PQRSTU method. Using this method, which questions
would the nurse ask the client? - Answer-The PQRSTU
method is one method of assessing pain. With this
method, the nurse asks about the following: Precipitating
factors (option 6); Quality of the pain (option 3); Region or
Radiation of the pain (option 1); Severity of the pain;
Timing of the pain (continuous or intermittent); and How
the pain affects you (option 4). Options 2 and 5 may be
questions that would be asked; however, these are not a
part of the PQRSTU method.
The nurse is preparing to administer furosemide (Lasix) to
a client with a diagnosis of heart failure. Which is the most
important laboratory test result for the nurse to check
before administering this medication?
1-Blood urea nitrogen
,2|Page
2-Cholesterol level
3-Potassium level
4-Creatinine level - Answer-Furosemide is a loop diuretic.
The medication causes a decrease in the client's
electrolytes, especially potassium, sodium, and chloride.
Administering furosemide to a client with low electrolyte
levels could precipitate ventricular dysrhythmias. Options
1 and 4 reflect renal function. The cholesterol level is
unrelated to the administration of this medication.
A nurse caring for a client with a diagnosis of
gastrointestinal (GI) bleeding reviews the client's
laboratory results and notes a hematocrit level of 30%.
Which action should the nurse take?
1-Report the abnormally low level.
2-Report the abnormally high level.
3-Inform the client that the laboratory result is normal.
4-Place the normal report in the client's medical record. -
Answer-1-Report the abnormally low level.
The normal hematocrit level in a male ranges from 42% to
52%, and 35% to 47 % in a female, depending on age. A
,3|Page
hematocrit level of 30% is a low level and would be
reported to the health care provider because it indicates
blood loss; therefore options 2, 3, and 4 are incorrect.
A nurse provides dietary instructions to a client who will be
taking warfarin sodium (Coumadin). The nurse should tell
the client to avoid which food item?
1-Grapes
2-Spinach
3-Watermelon
4-Cottage cheese - Answer-2-Spinach
Warfarin sodium is an anticoagulant. Anticoagulant
medications act by antagonizing the action of vitamin K,
which is needed for clotting. When a client is taking an
anticoagulant, foods high in vitamin K often are omitted
from the diet. Vitamin K-rich foods include green leafy
vegetables, fish, liver, coffee, and tea.
A client who has been receiving total parenteral nutrition
(TPN) by way of a central venous access device
complains of chest pain and dyspnea. The nurse quickly
, 4|Page
assesses the client's vital signs and notes that the pulse
rate has increased and the blood pressure has dropped.
The nurse determines that the client is most likely
experiencing which problem?
1-Sepsis
2-Air embolism
3-Fluid overload
4-Fluid imbalance - Answer-2-Air embolism
The signs and symptoms of air embolism include chest
pain, dyspnea, hypoxia, anxiety, tachycardia, and
hypotension. The nurse also may hear a loud churning
sound over the pericardium on auscultation of the client's
chest. The signs and symptoms of sepsis include fever,
chills, and general malaise. Fluid overload causes
increased intravascular volume, which increases the blood
pressure and the pulse rate as the heart tries to pump the
extra fluid volume. Fluid overload also causes neck vein
distention and shifting of fluid into the alveoli, resulting in
lung crackles. The signs and symptoms of a fluid
imbalance depend on the type of imbalance the client is
experiencing.
SAUNDERS NCLEX RN NGN VERSION 2 LATEST 2025
ACTUAL EXAM WITH COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+| ||SURE PASS||
||BRANDNEW!!!||
The nurse is assessing a client's postoperative pain using
the PQRSTU method. Using this method, which questions
would the nurse ask the client? - Answer-The PQRSTU
method is one method of assessing pain. With this
method, the nurse asks about the following: Precipitating
factors (option 6); Quality of the pain (option 3); Region or
Radiation of the pain (option 1); Severity of the pain;
Timing of the pain (continuous or intermittent); and How
the pain affects you (option 4). Options 2 and 5 may be
questions that would be asked; however, these are not a
part of the PQRSTU method.
The nurse is preparing to administer furosemide (Lasix) to
a client with a diagnosis of heart failure. Which is the most
important laboratory test result for the nurse to check
before administering this medication?
1-Blood urea nitrogen
,2|Page
2-Cholesterol level
3-Potassium level
4-Creatinine level - Answer-Furosemide is a loop diuretic.
The medication causes a decrease in the client's
electrolytes, especially potassium, sodium, and chloride.
Administering furosemide to a client with low electrolyte
levels could precipitate ventricular dysrhythmias. Options
1 and 4 reflect renal function. The cholesterol level is
unrelated to the administration of this medication.
A nurse caring for a client with a diagnosis of
gastrointestinal (GI) bleeding reviews the client's
laboratory results and notes a hematocrit level of 30%.
Which action should the nurse take?
1-Report the abnormally low level.
2-Report the abnormally high level.
3-Inform the client that the laboratory result is normal.
4-Place the normal report in the client's medical record. -
Answer-1-Report the abnormally low level.
The normal hematocrit level in a male ranges from 42% to
52%, and 35% to 47 % in a female, depending on age. A
,3|Page
hematocrit level of 30% is a low level and would be
reported to the health care provider because it indicates
blood loss; therefore options 2, 3, and 4 are incorrect.
A nurse provides dietary instructions to a client who will be
taking warfarin sodium (Coumadin). The nurse should tell
the client to avoid which food item?
1-Grapes
2-Spinach
3-Watermelon
4-Cottage cheese - Answer-2-Spinach
Warfarin sodium is an anticoagulant. Anticoagulant
medications act by antagonizing the action of vitamin K,
which is needed for clotting. When a client is taking an
anticoagulant, foods high in vitamin K often are omitted
from the diet. Vitamin K-rich foods include green leafy
vegetables, fish, liver, coffee, and tea.
A client who has been receiving total parenteral nutrition
(TPN) by way of a central venous access device
complains of chest pain and dyspnea. The nurse quickly
, 4|Page
assesses the client's vital signs and notes that the pulse
rate has increased and the blood pressure has dropped.
The nurse determines that the client is most likely
experiencing which problem?
1-Sepsis
2-Air embolism
3-Fluid overload
4-Fluid imbalance - Answer-2-Air embolism
The signs and symptoms of air embolism include chest
pain, dyspnea, hypoxia, anxiety, tachycardia, and
hypotension. The nurse also may hear a loud churning
sound over the pericardium on auscultation of the client's
chest. The signs and symptoms of sepsis include fever,
chills, and general malaise. Fluid overload causes
increased intravascular volume, which increases the blood
pressure and the pulse rate as the heart tries to pump the
extra fluid volume. Fluid overload also causes neck vein
distention and shifting of fluid into the alveoli, resulting in
lung crackles. The signs and symptoms of a fluid
imbalance depend on the type of imbalance the client is
experiencing.
