Saunder's Comprehensive NCLEX Review Practice Questions
Study online at https://quizlet.com/_8krd07
1. Teach-back
Which teaching method is most effective
Rationale: When providing education
when providing instruction to members
to members of special populations,
of special populations?
return explanation and demonstration
1. Teach-back
(teach-back) of are particular importance
2. video instruction
to ensure safety and mutual understand-
3. written materials
ing. This method is the most reliable in
4. verbal explanation
confirming the client understands the in-
structions.
Which health concerns should the nurse
be aware of as risk factors when caring
for clients of African American descent? 1, 2, 3, 4, 6
Select all that apply:
1. cancer Rationale: obesity, diabetes mellitus, hy-
2. obesity pertension, heart disease, asthma, and
3. hypertension cancer are prevalent among African
4. heart disease Americans.
5. hypothyroidism
6. diabetes mellitus
The nurse is planning care for a client 1. Safe sleeping
of Native Hawaiian descent who recently
had a baby. The nurse develops a teach- Rationale: The native Hawaiian popula-
ing plan and includes info about which tion has a disproportionately higher rate
measure that's related to a newborn of infant mortality compared with other
complication within this ethnic group? ethnic groups. Sudden Infant Death Syn-
1. safe sleeping drome (SIDS) is a major cause of infant
2. car seat safety mortality. Safe sleeping is an important
3. breast-feeding measure to prevent this newborn compli-
4. baby-proofing cation.
The nurse is planning care for an as-
signed client. The nurse should include
2. MSM
info in the plan of care about the preven-
tion of HIV for which individuals specifi-
Rationale: MSM (men who have sex with
cally at risk?
men) are at a higher risk for HIV and
1. lesbian persons
AIDS.
2. men-who-have-sex-with-men (MSM)
3. women-who-have-sex-with-women
, Saunder's Comprehensive NCLEX Review Practice Questions
Study online at https://quizlet.com/_8krd07
(WSW)
4. Female-To-Male (FTM) transgender
persons
Which therapeutic communication tech-
1. Using open-ended questions
nique is most helpful when working with
transgender persons?
Rationale: The use of open-ended ques-
1. using open-ended questions
tions is the most helpful in communicat-
2. using their first name to address them
ing with transgender persons because it
3. using pronouns associated with birth
assists in refraining from judgment and
sex
allows the client the opportunity to ex-
4. anticipating the client's needs and
press their thoughts and feelings.
making suggestions
Which special population should be tar-
geted for breast cancer screening by way
1, 2, 4, 5
of mammography? Select all that apply:
1. male-to-female (MTF)
Rationale: Transgender persons who
2. female-to-male (FTM)
have undergone sexual reassignment
3. men-who-have-sex-with-men (MSM)
surgery should have the respective pre-
4. women-who-have-sex-with-men
ventive screenings. WSW and WSM
(WSM)
should also have screenings.
5. women-who-have-sex-with-women
(WSW)
4. complaints of pain associated with
numbness and tingling in both feet
The nurse is volunteering with an out-
reach program to provide basic health-
Rationale: With this population, the com-
care for homeless people. Which finding,
plaints of pain associated with numbness
if noted, should be addressed first?
and tingling should be addressed first.
1. BP 154/72
If the client perceives value to the ser-
2. visual acuity of 20/200 in both eyes
vice provided, they will be likely to pro-
3. random blood glucose level of 206
vide follow-up care. While the bp, blood
4. complaints of pain associated with
glucose, and vision are concerning, the
numbness and tingling in both feet
client's stated concern should be ad-
dressed first.
The nurse is preparing discharge re-
sources 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
2. Lisinopril
, Saunder's Comprehensive NCLEX Review Practice Questions
Study online at https://quizlet.com/_8krd07
1. Glipizide
Rationale: Glipizide is an oral hypo-
glycemic medication and is classified as
a sulfonylurea. A major side effect of
this medication is hypoglycemia, which
is a safety risk to the homeless popula-
tion. Lisinopril is an angiotensin-convert-
ing 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 corticos-
teroid 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.
The nurse is completing the admission
assessment for a client who is intellectu- 1. the history
ally disabled. Which part of the client en-
counter may require more time to com- Rationale: intellectually disabled clients
plete? tend to be poor historians, and it may
1. the history take more time to ask questions in dif-
2. the physical assessment ferent ways when collecting the history
3. the nursing plan of care data.
4. the readmission risk assessment
The nurse working in a correctional facil-
ity is caring for a new prisoner. The client 3. "living in a prison can predispose a
asks about health risks associated with person to different health conditions"
living in a prison. How should the nurse
respond? Rationale: the environment of a prison
1. "health care is very limited in the
, Saunder's Comprehensive NCLEX Review Practice Questions
Study online at https://quizlet.com/_8krd07
prison setting"
2. "living in a prison isn't different than
can predispose a person to different
living at home"
health conditions. Option 1 does not ad-
3. "living in a prison can predispose a
dress the client's question and options 2
person to different health conditions"
and 4 convey incorrect information.
4. "living in a prison is similar to living in
a condominium complex or dorm"
3, 4, 5, 6
A nurse working in a community out-
reach program for foster children plans
Rationale: foster children are at risk for a
care knowing that which health condi-
variety of health conditions later in life, in-
tions are common in this population? Se-
cluding ADHD, aggressive behavior, anx-
lect all that apply:
iety disorder, bipolar disorder, depres-
1. asthma
sion, mood disorder, PTSD, reactive de-
2. claustrophobia
tachment disorder, sleep problems, pre-
3. sleep problems
natal drug and alcohol exposure, and
4. bipolar disorder
personality disorder. Claustrophobia and
5. aggressive behavior
asthma are not specifically associated
6. ADHD
with foster children.
3. a reddish-purple mark on the neck
Rationale: The client should be screened
for abuse. Battered women experience
The nurse is caring for a female client
bruises, particularly around the eyes,
in the ED who presents with a complaint
red or purple marks on the neck,
of fatigue and SOB. Which physical as-
sprained or broken wrists, chronic fa-
sessment findings, if noted by the nurse,
tigue, SOB, muscle tension, involuntary
warrant a need for follow up?
shaking, changes in eating and sleeping,
1. reddened sclera of the eyes
sexual dysfunction, and fertility issues.
2. dry flaking noted on the scalp
Mental health issues can also arise in-
3. a reddish-purple mark on the neck
cluding PTSD, nightmares, anxiety, un-
4. a scaly rash noted on the elbows and
controllable thoughts, depression, anx-
knees
iety, low self-esteem, and alcohol and
drug abuse. Reddened sclera, a dry rash
on the elbows, and flaking of the scalp do
not indicate abuse.
The nurse planning care for a military
veteran should prioritize nursing inter-
ventions targeted at managing which
condition, if present, that commonly oc-
curs in this population?
1. hypertension
2. hyperlipidemia
Study online at https://quizlet.com/_8krd07
1. Teach-back
Which teaching method is most effective
Rationale: When providing education
when providing instruction to members
to members of special populations,
of special populations?
return explanation and demonstration
1. Teach-back
(teach-back) of are particular importance
2. video instruction
to ensure safety and mutual understand-
3. written materials
ing. This method is the most reliable in
4. verbal explanation
confirming the client understands the in-
structions.
Which health concerns should the nurse
be aware of as risk factors when caring
for clients of African American descent? 1, 2, 3, 4, 6
Select all that apply:
1. cancer Rationale: obesity, diabetes mellitus, hy-
2. obesity pertension, heart disease, asthma, and
3. hypertension cancer are prevalent among African
4. heart disease Americans.
5. hypothyroidism
6. diabetes mellitus
The nurse is planning care for a client 1. Safe sleeping
of Native Hawaiian descent who recently
had a baby. The nurse develops a teach- Rationale: The native Hawaiian popula-
ing plan and includes info about which tion has a disproportionately higher rate
measure that's related to a newborn of infant mortality compared with other
complication within this ethnic group? ethnic groups. Sudden Infant Death Syn-
1. safe sleeping drome (SIDS) is a major cause of infant
2. car seat safety mortality. Safe sleeping is an important
3. breast-feeding measure to prevent this newborn compli-
4. baby-proofing cation.
The nurse is planning care for an as-
signed client. The nurse should include
2. MSM
info in the plan of care about the preven-
tion of HIV for which individuals specifi-
Rationale: MSM (men who have sex with
cally at risk?
men) are at a higher risk for HIV and
1. lesbian persons
AIDS.
2. men-who-have-sex-with-men (MSM)
3. women-who-have-sex-with-women
, Saunder's Comprehensive NCLEX Review Practice Questions
Study online at https://quizlet.com/_8krd07
(WSW)
4. Female-To-Male (FTM) transgender
persons
Which therapeutic communication tech-
1. Using open-ended questions
nique is most helpful when working with
transgender persons?
Rationale: The use of open-ended ques-
1. using open-ended questions
tions is the most helpful in communicat-
2. using their first name to address them
ing with transgender persons because it
3. using pronouns associated with birth
assists in refraining from judgment and
sex
allows the client the opportunity to ex-
4. anticipating the client's needs and
press their thoughts and feelings.
making suggestions
Which special population should be tar-
geted for breast cancer screening by way
1, 2, 4, 5
of mammography? Select all that apply:
1. male-to-female (MTF)
Rationale: Transgender persons who
2. female-to-male (FTM)
have undergone sexual reassignment
3. men-who-have-sex-with-men (MSM)
surgery should have the respective pre-
4. women-who-have-sex-with-men
ventive screenings. WSW and WSM
(WSM)
should also have screenings.
5. women-who-have-sex-with-women
(WSW)
4. complaints of pain associated with
numbness and tingling in both feet
The nurse is volunteering with an out-
reach program to provide basic health-
Rationale: With this population, the com-
care for homeless people. Which finding,
plaints of pain associated with numbness
if noted, should be addressed first?
and tingling should be addressed first.
1. BP 154/72
If the client perceives value to the ser-
2. visual acuity of 20/200 in both eyes
vice provided, they will be likely to pro-
3. random blood glucose level of 206
vide follow-up care. While the bp, blood
4. complaints of pain associated with
glucose, and vision are concerning, the
numbness and tingling in both feet
client's stated concern should be ad-
dressed first.
The nurse is preparing discharge re-
sources 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
2. Lisinopril
, Saunder's Comprehensive NCLEX Review Practice Questions
Study online at https://quizlet.com/_8krd07
1. Glipizide
Rationale: Glipizide is an oral hypo-
glycemic medication and is classified as
a sulfonylurea. A major side effect of
this medication is hypoglycemia, which
is a safety risk to the homeless popula-
tion. Lisinopril is an angiotensin-convert-
ing 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 corticos-
teroid 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.
The nurse is completing the admission
assessment for a client who is intellectu- 1. the history
ally disabled. Which part of the client en-
counter may require more time to com- Rationale: intellectually disabled clients
plete? tend to be poor historians, and it may
1. the history take more time to ask questions in dif-
2. the physical assessment ferent ways when collecting the history
3. the nursing plan of care data.
4. the readmission risk assessment
The nurse working in a correctional facil-
ity is caring for a new prisoner. The client 3. "living in a prison can predispose a
asks about health risks associated with person to different health conditions"
living in a prison. How should the nurse
respond? Rationale: the environment of a prison
1. "health care is very limited in the
, Saunder's Comprehensive NCLEX Review Practice Questions
Study online at https://quizlet.com/_8krd07
prison setting"
2. "living in a prison isn't different than
can predispose a person to different
living at home"
health conditions. Option 1 does not ad-
3. "living in a prison can predispose a
dress the client's question and options 2
person to different health conditions"
and 4 convey incorrect information.
4. "living in a prison is similar to living in
a condominium complex or dorm"
3, 4, 5, 6
A nurse working in a community out-
reach program for foster children plans
Rationale: foster children are at risk for a
care knowing that which health condi-
variety of health conditions later in life, in-
tions are common in this population? Se-
cluding ADHD, aggressive behavior, anx-
lect all that apply:
iety disorder, bipolar disorder, depres-
1. asthma
sion, mood disorder, PTSD, reactive de-
2. claustrophobia
tachment disorder, sleep problems, pre-
3. sleep problems
natal drug and alcohol exposure, and
4. bipolar disorder
personality disorder. Claustrophobia and
5. aggressive behavior
asthma are not specifically associated
6. ADHD
with foster children.
3. a reddish-purple mark on the neck
Rationale: The client should be screened
for abuse. Battered women experience
The nurse is caring for a female client
bruises, particularly around the eyes,
in the ED who presents with a complaint
red or purple marks on the neck,
of fatigue and SOB. Which physical as-
sprained or broken wrists, chronic fa-
sessment findings, if noted by the nurse,
tigue, SOB, muscle tension, involuntary
warrant a need for follow up?
shaking, changes in eating and sleeping,
1. reddened sclera of the eyes
sexual dysfunction, and fertility issues.
2. dry flaking noted on the scalp
Mental health issues can also arise in-
3. a reddish-purple mark on the neck
cluding PTSD, nightmares, anxiety, un-
4. a scaly rash noted on the elbows and
controllable thoughts, depression, anx-
knees
iety, low self-esteem, and alcohol and
drug abuse. Reddened sclera, a dry rash
on the elbows, and flaking of the scalp do
not indicate abuse.
The nurse planning care for a military
veteran should prioritize nursing inter-
ventions targeted at managing which
condition, if present, that commonly oc-
curs in this population?
1. hypertension
2. hyperlipidemia
