Saunders Comprehensive Review for the NCLEX-
PN® Examination
9th Edition
• AUTHOR(S)LINDA ANNE SILVESTRI; ANGELA
SILVESTRI
INTEGRATED REVIEW — COMPREHENSIVE NCLEX
PRACTICE PACK [FUNDAMENTALS,
PHARMACOLOGY, MEDICAL-SURGICAL,
MATERNITY, PEDIATRIC, EMERGENCY, AND
SPECIALTY SYSTEMS] TEST BANK
FUNDAMENTALS (Questions 1–15)
1 (SBA) — Safe & Effective Care Environment: Management of
Care
A 62-year-old post-op client is being discharged with a new
prescription for home wound care. Which statement by the
client indicates the best understanding of discharge teaching?
A. “I will change the dressing whenever it looks a little wet.”
B. “I will change the dressing twice daily and call if I see redness
or drainage.”
C. “I won’t need to wash my hands when I do the dressing
,because the wound is closed.”
D. “I’ll wait until my primary care calls me before I change
anything.”
Answer: B.
Rationale:
• A — Incorrect: dressing frequency should be prescribed
and “whenever it looks wet” may be too late; infection risk
if waiting.
• B — Correct: specific frequency + clear instructions to call
for signs of infection demonstrates comprehension and
safe self-care.
• C — Incorrect: hand hygiene is critical to prevent infection
even with closed wounds.
• D — Incorrect: waiting could delay necessary wound care;
patient should follow taught plan and seek help if issues
occur.
2 (SATA) — Physiological Integrity: Basic Care & Comfort
Which of the following interventions should the nurse include
when caring for a client on contact precautions for
Clostridioides difficile? (Select all that apply.)
A. Use alcohol-based hand rub after patient care.
B. Use soap and water for hand hygiene after glove removal.
C. Wear a gown and gloves for all interactions that may involve
contact with the client or environment.
,D. Place the client in a negative pressure room.
E. Clean room surfaces with bleach-based disinfectant.
Answers: B, C, E.
Rationale:
• A — Incorrect: Alcohol hand rubs are not effective against
C. difficile spores.
• B — Correct: Soap & water is required to remove spores.
• C — Correct: Gown & gloves for contact precautions
protect staff from environmental contamination.
• D — Incorrect: Negative pressure is for airborne
pathogens; C. difficile is contact spread.
• E — Correct: Bleach/disinfectants effective against spores
are recommended.
3 (SBA) — Psychosocial Integrity: Therapeutic Communication
A client tearfully says, “I’m so afraid I’ll never be able to do
things alone again.” Which response is most therapeutic?
A. “You shouldn’t worry — you’ll be fine.”
B. “Tell me more about what makes you afraid.”
C. “I know exactly how you feel.”
D. “You are strong; you’ve already made progress.”
Answer: B.
Rationale:
• A — Incorrect: Minimizes feelings.
, • B — Correct: Open ended, encourages exploration of fear
— therapeutic.
• C — Incorrect: Assumes shared experience — may block
further expression.
• D — Incorrect: Offers reassurance without exploring
feelings.
4 (SBA) — Safe & Effective Care Environment: Safety &
Infection Control
Which action by a newly hired nurse requires the charge nurse
to intervene immediately?
A. Sharing a single-use lancet between two diabetic clients.
B. Using alcohol swab to clean skin before intramuscular
injection.
C. Labeling a specimen container with client’s name and date.
D. Verifying two patient identifiers before blood transfusion.
Answer: A.
Rationale:
• A — Correct: Single-use devices must never be shared
(bloodborne pathogen risk). Immediate intervention
required.
• B — Incorrect: Alcohol swab prior to IM is acceptable.
• C — Incorrect: Proper labeling is correct practice.
• D — Incorrect: Verifying two identifiers is correct.
5 (SBA) — Health Promotion & Maintenance
PN® Examination
9th Edition
• AUTHOR(S)LINDA ANNE SILVESTRI; ANGELA
SILVESTRI
INTEGRATED REVIEW — COMPREHENSIVE NCLEX
PRACTICE PACK [FUNDAMENTALS,
PHARMACOLOGY, MEDICAL-SURGICAL,
MATERNITY, PEDIATRIC, EMERGENCY, AND
SPECIALTY SYSTEMS] TEST BANK
FUNDAMENTALS (Questions 1–15)
1 (SBA) — Safe & Effective Care Environment: Management of
Care
A 62-year-old post-op client is being discharged with a new
prescription for home wound care. Which statement by the
client indicates the best understanding of discharge teaching?
A. “I will change the dressing whenever it looks a little wet.”
B. “I will change the dressing twice daily and call if I see redness
or drainage.”
C. “I won’t need to wash my hands when I do the dressing
,because the wound is closed.”
D. “I’ll wait until my primary care calls me before I change
anything.”
Answer: B.
Rationale:
• A — Incorrect: dressing frequency should be prescribed
and “whenever it looks wet” may be too late; infection risk
if waiting.
• B — Correct: specific frequency + clear instructions to call
for signs of infection demonstrates comprehension and
safe self-care.
• C — Incorrect: hand hygiene is critical to prevent infection
even with closed wounds.
• D — Incorrect: waiting could delay necessary wound care;
patient should follow taught plan and seek help if issues
occur.
2 (SATA) — Physiological Integrity: Basic Care & Comfort
Which of the following interventions should the nurse include
when caring for a client on contact precautions for
Clostridioides difficile? (Select all that apply.)
A. Use alcohol-based hand rub after patient care.
B. Use soap and water for hand hygiene after glove removal.
C. Wear a gown and gloves for all interactions that may involve
contact with the client or environment.
,D. Place the client in a negative pressure room.
E. Clean room surfaces with bleach-based disinfectant.
Answers: B, C, E.
Rationale:
• A — Incorrect: Alcohol hand rubs are not effective against
C. difficile spores.
• B — Correct: Soap & water is required to remove spores.
• C — Correct: Gown & gloves for contact precautions
protect staff from environmental contamination.
• D — Incorrect: Negative pressure is for airborne
pathogens; C. difficile is contact spread.
• E — Correct: Bleach/disinfectants effective against spores
are recommended.
3 (SBA) — Psychosocial Integrity: Therapeutic Communication
A client tearfully says, “I’m so afraid I’ll never be able to do
things alone again.” Which response is most therapeutic?
A. “You shouldn’t worry — you’ll be fine.”
B. “Tell me more about what makes you afraid.”
C. “I know exactly how you feel.”
D. “You are strong; you’ve already made progress.”
Answer: B.
Rationale:
• A — Incorrect: Minimizes feelings.
, • B — Correct: Open ended, encourages exploration of fear
— therapeutic.
• C — Incorrect: Assumes shared experience — may block
further expression.
• D — Incorrect: Offers reassurance without exploring
feelings.
4 (SBA) — Safe & Effective Care Environment: Safety &
Infection Control
Which action by a newly hired nurse requires the charge nurse
to intervene immediately?
A. Sharing a single-use lancet between two diabetic clients.
B. Using alcohol swab to clean skin before intramuscular
injection.
C. Labeling a specimen container with client’s name and date.
D. Verifying two patient identifiers before blood transfusion.
Answer: A.
Rationale:
• A — Correct: Single-use devices must never be shared
(bloodborne pathogen risk). Immediate intervention
required.
• B — Incorrect: Alcohol swab prior to IM is acceptable.
• C — Incorrect: Proper labeling is correct practice.
• D — Incorrect: Verifying two identifiers is correct.
5 (SBA) — Health Promotion & Maintenance
