SAUNDERS NCLEX FINAL PAPER 2025/2026 QUESTIONS
WITH SOLUTIONS MARKED A+
✔✔Which client is the safest one for a licensed practical nurse (LPN) to care for? - ✔✔A
client recovering from a scheduled cesarean delivery
✔✔The nurse administers an injection to a client with a diagnosis of acquired
immunodeficiency syndrome (AIDS). After administering the medication, the nurse
should dispose of the used needle by which method? - ✔✔Placing the needle and
syringe in a puncture-resistant container
✔✔A client has a prescription to receive 1000 mL of 5% dextrose in 0.45% sodium
chloride. After gathering the appropriate equipment, the nurse takes which action first
before spiking the IV bag with the tubing? - ✔✔Closes the roller clamp on the IV tubing
✔✔The nurse is caring for a client who becomes agitated and begins to pull on a
surgically placed abdominal drainage tube. The primary health care provider visits and
prescribes restraints if needed. Which actions are appropriate to delegate to the
unlicensed assistive personnel (UAP), who has completed the facility's education about
care of the restrained client? Select all that apply. - ✔✔Socialize with the restrained
client.
Remove the restraint and perform range of motion activity.
Reapply the restraint after assisting the client to the bathroom.
✔✔The registered nurse (RN) and a licensed practical nurse (LPN) are discussing total
parenteral nutrition (TPN) with a client who is receiving TPN through a peripherally
inserted central catheter (PICC). The client asks why the solution is being infused
through a central catheter IV. The nurses explain that TPN is preferably infused through
a central line for which reason? - ✔✔There is greater blood flow with a central line IV to
dilute the TPN, which is a concentrated solution and needs to be diluted to avoid
damage to the blood vessel.
✔✔A client is being discharged to home following spinal laminectomy and fusion with
insertion of a metal implant. The nurse includes which instructions about activity after
discharge? Select all that apply. - ✔✔Avoid activities that involve pulling or pushing.
Do not lift objects weighing more than 5 pounds.
Do not climb stairs until after the follow-up appointment with the surgeon.
✔✔The nurse is assigned to assist with caring for a client with esophageal varices who
had a Sengstaken-Blakemore tube inserted because other treatment measures were
unsuccessful. The nurse should check the client's room to ensure that which priority
item is at the bedside? - ✔✔A pair of scissors
, ✔✔The nurse is reinforcing discharge instructions to the parents of a 2-year-old child
who sustained accidental burns from a hot cup of coffee. The nurse determines that the
parents have correctly understood the teaching when they make which statement? -
✔✔"We will be sure not to leave hot liquids unattended."
✔✔The nurse is instructed to complete a medication reconciliation form on a newly
admitted client. Why is it important for the nurse to ensure that this process is
completed accurately? - ✔✔It helps to make sure that the primary health care provider
is aware of all of the medications the client is taking and has been taking at home.
✔✔The nurse reviews the laboratory values on a child with leukemia receiving
chemotherapy. The nurse notes that the platelet count is 19,000 mm3 (19 ×
109/L).Based on this laboratory result, which actions should the nurse include in the
plan of care? Select all that apply. - ✔✔Testing stools and urine for blood
Using a soft toothbrush for mouth care
✔✔The nurse is preparing to clean up a blood spill on the client's bedside table. The
spill occurred when a blood tube containing the client's blood specimen broke. The
nurse avoids doing which action when cleaning up the blood spill? - ✔✔Blotting up the
spill with a face cloth or cloth towel
✔✔A mother tells the pediatrician's office nurse that she is concerned because her
children must let themselves into the house after school each day while she is at work
and they feel isolated and fearful. The nurse should suggest which to the mother? -
✔✔"You should seek community after-school programs or activities for your children."
✔✔The nurse is assigned to care for a client experiencing episodes of postural
hypotension who will be discharged home soon. Which actions should the nurse take to
ensure safety while transferring the client from the bed to the chair? Select all that
apply. - ✔✔Question the client about feelings of dizziness.
Put the client's shoes on to help the client avoid slipping on the floor during the transfer.
Allow the client to dangle the legs in a sitting position on the bed before transfer to a
chair.
✔✔The nurse applies wrist restraints, prescribed to prevent a client from pulling out a
nasogastric tube. How should the nurse determine that the restraints are not too
constrictive? - ✔✔Place two fingers under the restraint to determine snugness.
✔✔A 1-year-old infant is admitted to the hospital for control of tonic-clonic seizures. The
nurse helps minimize the infant's risk for injury by implementing which interventions?
Select all that apply. - ✔✔Removing any toy with bright blinking lights
Keeping the sides rails of the child's bed padded
Turning the infant on the side during any seizure
Having oxygen and suction available at the bedside
WITH SOLUTIONS MARKED A+
✔✔Which client is the safest one for a licensed practical nurse (LPN) to care for? - ✔✔A
client recovering from a scheduled cesarean delivery
✔✔The nurse administers an injection to a client with a diagnosis of acquired
immunodeficiency syndrome (AIDS). After administering the medication, the nurse
should dispose of the used needle by which method? - ✔✔Placing the needle and
syringe in a puncture-resistant container
✔✔A client has a prescription to receive 1000 mL of 5% dextrose in 0.45% sodium
chloride. After gathering the appropriate equipment, the nurse takes which action first
before spiking the IV bag with the tubing? - ✔✔Closes the roller clamp on the IV tubing
✔✔The nurse is caring for a client who becomes agitated and begins to pull on a
surgically placed abdominal drainage tube. The primary health care provider visits and
prescribes restraints if needed. Which actions are appropriate to delegate to the
unlicensed assistive personnel (UAP), who has completed the facility's education about
care of the restrained client? Select all that apply. - ✔✔Socialize with the restrained
client.
Remove the restraint and perform range of motion activity.
Reapply the restraint after assisting the client to the bathroom.
✔✔The registered nurse (RN) and a licensed practical nurse (LPN) are discussing total
parenteral nutrition (TPN) with a client who is receiving TPN through a peripherally
inserted central catheter (PICC). The client asks why the solution is being infused
through a central catheter IV. The nurses explain that TPN is preferably infused through
a central line for which reason? - ✔✔There is greater blood flow with a central line IV to
dilute the TPN, which is a concentrated solution and needs to be diluted to avoid
damage to the blood vessel.
✔✔A client is being discharged to home following spinal laminectomy and fusion with
insertion of a metal implant. The nurse includes which instructions about activity after
discharge? Select all that apply. - ✔✔Avoid activities that involve pulling or pushing.
Do not lift objects weighing more than 5 pounds.
Do not climb stairs until after the follow-up appointment with the surgeon.
✔✔The nurse is assigned to assist with caring for a client with esophageal varices who
had a Sengstaken-Blakemore tube inserted because other treatment measures were
unsuccessful. The nurse should check the client's room to ensure that which priority
item is at the bedside? - ✔✔A pair of scissors
, ✔✔The nurse is reinforcing discharge instructions to the parents of a 2-year-old child
who sustained accidental burns from a hot cup of coffee. The nurse determines that the
parents have correctly understood the teaching when they make which statement? -
✔✔"We will be sure not to leave hot liquids unattended."
✔✔The nurse is instructed to complete a medication reconciliation form on a newly
admitted client. Why is it important for the nurse to ensure that this process is
completed accurately? - ✔✔It helps to make sure that the primary health care provider
is aware of all of the medications the client is taking and has been taking at home.
✔✔The nurse reviews the laboratory values on a child with leukemia receiving
chemotherapy. The nurse notes that the platelet count is 19,000 mm3 (19 ×
109/L).Based on this laboratory result, which actions should the nurse include in the
plan of care? Select all that apply. - ✔✔Testing stools and urine for blood
Using a soft toothbrush for mouth care
✔✔The nurse is preparing to clean up a blood spill on the client's bedside table. The
spill occurred when a blood tube containing the client's blood specimen broke. The
nurse avoids doing which action when cleaning up the blood spill? - ✔✔Blotting up the
spill with a face cloth or cloth towel
✔✔A mother tells the pediatrician's office nurse that she is concerned because her
children must let themselves into the house after school each day while she is at work
and they feel isolated and fearful. The nurse should suggest which to the mother? -
✔✔"You should seek community after-school programs or activities for your children."
✔✔The nurse is assigned to care for a client experiencing episodes of postural
hypotension who will be discharged home soon. Which actions should the nurse take to
ensure safety while transferring the client from the bed to the chair? Select all that
apply. - ✔✔Question the client about feelings of dizziness.
Put the client's shoes on to help the client avoid slipping on the floor during the transfer.
Allow the client to dangle the legs in a sitting position on the bed before transfer to a
chair.
✔✔The nurse applies wrist restraints, prescribed to prevent a client from pulling out a
nasogastric tube. How should the nurse determine that the restraints are not too
constrictive? - ✔✔Place two fingers under the restraint to determine snugness.
✔✔A 1-year-old infant is admitted to the hospital for control of tonic-clonic seizures. The
nurse helps minimize the infant's risk for injury by implementing which interventions?
Select all that apply. - ✔✔Removing any toy with bright blinking lights
Keeping the sides rails of the child's bed padded
Turning the infant on the side during any seizure
Having oxygen and suction available at the bedside
