SAUNDERS COMPREHENSIVE
REVIEW FOR THE NCLEX-RN EXAM
UNIT 1 PREPARATION QUESTIONS &
ANSWERS RATED 100% CORRECT
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
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
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
REVIEW FOR THE NCLEX-RN EXAM
UNIT 1 PREPARATION QUESTIONS &
ANSWERS RATED 100% CORRECT
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
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
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
