SAUNDER'S COMPREHENSIVE NCLEX REVIEW PRACTICE
QUESTIONS | FROM QUESTION TO PERFECTION| STUDY
WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027
Duration: 2 Hours
Total Marks: 70%
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
,Which teaching method is most effective when providing instruction to members of special
populations?
1. Teach-back
2. video instruction
3. written materials
4. verbal explanation Answer: 1. Teach-back
Rationale: When providing education to members of special populations, return explanation and
demonstration (teach-back) of are particular importance to ensure safety and mutual
understanding. This method is the most reliable in confirming the client understands the
instructions.
Which health concerns should the nurse be aware of as risk factors when caring for clients of
African American descent? Select all that apply:
1. cancer
2. obesity
3. hypertension
4. heart disease
5. hypothyroidism
6. diabetes mellitus Answer: 1, 2, 3, 4, 6
Rationale: obesity, diabetes mellitus, hypertension, heart disease, asthma, and cancer are
prevalent among African Americans.
The nurse is planning care for a client of Native Hawaiian descent who recently had a baby. The
nurse develops a teaching plan and includes info about which measure that's related to a
newborn complication within this ethnic group?
1. safe sleeping
2. car seat safety
3. breast-feeding
4. baby-proofing Answer: 1. Safe sleeping
Rationale: The native Hawaiian population has a disproportionately higher rate of infant
mortality compared with other ethnic groups. Sudden Infant Death Syndrome (SIDS) is a major
cause of infant mortality. Safe sleeping is an important measure to prevent this newborn
complication.
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
,The nurse is planning care for an assigned client. The nurse should include info in the plan of
care about the prevention of HIV for which individuals specifically at risk?
1. lesbian persons
2. men-who-have-sex-with-men (MSM)
3. women-who-have-sex-with-women (WSW)
4. Female-To-Male (FTM) transgender persons Answer: 2. MSM
Rationale: MSM (men who have sex with men) are at a higher risk for HIV and AIDS.
Which therapeutic communication technique is most helpful when working with transgender
persons?
1. using open-ended questions
2. using their first name to address them
3. using pronouns associated with birth sex
4. anticipating the client's needs and making suggestions Answer: 1. Using open-ended
questions
Rationale: The use of open-ended questions is the most helpful in communicating with
transgender persons because it assists in refraining from judgment and allows the client the
opportunity to express their thoughts and feelings.
Which special population should be targeted for breast cancer screening by way of
mammography? Select all that apply:
1. male-to-female (MTF)
2. female-to-male (FTM)
3. men-who-have-sex-with-men (MSM)
4. women-who-have-sex-with-men (WSM)
5. women-who-have-sex-with-women (WSW) Answer: 1, 2, 4, 5
Rationale: Transgender persons who have undergone sexual reassignment surgery should have
the respective preventive screenings. WSW and WSM should also have screenings.
The nurse is volunteering with an outreach program to provide basic healthcare for homeless
people. Which finding, if noted, should be addressed first?
1. BP 154/72
2. visual acuity of 20/200 in both eyes
3. random blood glucose level of 206
APPHIA – Crafted with Care and Precision for Academic Excellence.
3
, 4. complaints of pain associated with numbness and tingling in both feet Answer: 4. complaints
of pain associated with numbness and tingling in both feet
Rationale: With this population, the complaints of pain associated with numbness and tingling
should be addressed first. If the client perceives value to the service provided, they will be likely
to provide follow-up care. While the bp, blood glucose, and vision are concerning, the client's
stated concern should be addressed first.
The nurse is preparing discharge resources 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
3. Metformin
4. Beclomethasone Answer: 1. Glipizide
Rationale: Glipizide is an oral hypoglycemic medication and is classified as a sulfonylurea. A
major side effect of this medication is hypoglycemia, which is a safety risk to the homeless
population. Lisinopril is an angiotensin-converting 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 corticosteroid 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 intellectually disabled.
Which part of the client encounter may require more time to complete?
1. the history
2. the physical assessment
3. the nursing plan of care
4. the readmission risk assessment Answer: 1. the history
Rationale: intellectually disabled clients tend to be poor historians, and it may take more time to
ask questions in different ways when collecting the history data.
The nurse working in a correctional facility is caring for a new prisoner. The client asks about
health risks associated with living in a prison. How should the nurse respond?
1. "health care is very limited in the prison setting"
2. "living in a prison isn't different than living at home"
3. "living in a prison can predispose a person to different health conditions"
APPHIA – Crafted with Care and Precision for Academic Excellence.
4
QUESTIONS | FROM QUESTION TO PERFECTION| STUDY
WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027
Duration: 2 Hours
Total Marks: 70%
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
,Which teaching method is most effective when providing instruction to members of special
populations?
1. Teach-back
2. video instruction
3. written materials
4. verbal explanation Answer: 1. Teach-back
Rationale: When providing education to members of special populations, return explanation and
demonstration (teach-back) of are particular importance to ensure safety and mutual
understanding. This method is the most reliable in confirming the client understands the
instructions.
Which health concerns should the nurse be aware of as risk factors when caring for clients of
African American descent? Select all that apply:
1. cancer
2. obesity
3. hypertension
4. heart disease
5. hypothyroidism
6. diabetes mellitus Answer: 1, 2, 3, 4, 6
Rationale: obesity, diabetes mellitus, hypertension, heart disease, asthma, and cancer are
prevalent among African Americans.
The nurse is planning care for a client of Native Hawaiian descent who recently had a baby. The
nurse develops a teaching plan and includes info about which measure that's related to a
newborn complication within this ethnic group?
1. safe sleeping
2. car seat safety
3. breast-feeding
4. baby-proofing Answer: 1. Safe sleeping
Rationale: The native Hawaiian population has a disproportionately higher rate of infant
mortality compared with other ethnic groups. Sudden Infant Death Syndrome (SIDS) is a major
cause of infant mortality. Safe sleeping is an important measure to prevent this newborn
complication.
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
,The nurse is planning care for an assigned client. The nurse should include info in the plan of
care about the prevention of HIV for which individuals specifically at risk?
1. lesbian persons
2. men-who-have-sex-with-men (MSM)
3. women-who-have-sex-with-women (WSW)
4. Female-To-Male (FTM) transgender persons Answer: 2. MSM
Rationale: MSM (men who have sex with men) are at a higher risk for HIV and AIDS.
Which therapeutic communication technique is most helpful when working with transgender
persons?
1. using open-ended questions
2. using their first name to address them
3. using pronouns associated with birth sex
4. anticipating the client's needs and making suggestions Answer: 1. Using open-ended
questions
Rationale: The use of open-ended questions is the most helpful in communicating with
transgender persons because it assists in refraining from judgment and allows the client the
opportunity to express their thoughts and feelings.
Which special population should be targeted for breast cancer screening by way of
mammography? Select all that apply:
1. male-to-female (MTF)
2. female-to-male (FTM)
3. men-who-have-sex-with-men (MSM)
4. women-who-have-sex-with-men (WSM)
5. women-who-have-sex-with-women (WSW) Answer: 1, 2, 4, 5
Rationale: Transgender persons who have undergone sexual reassignment surgery should have
the respective preventive screenings. WSW and WSM should also have screenings.
The nurse is volunteering with an outreach program to provide basic healthcare for homeless
people. Which finding, if noted, should be addressed first?
1. BP 154/72
2. visual acuity of 20/200 in both eyes
3. random blood glucose level of 206
APPHIA – Crafted with Care and Precision for Academic Excellence.
3
, 4. complaints of pain associated with numbness and tingling in both feet Answer: 4. complaints
of pain associated with numbness and tingling in both feet
Rationale: With this population, the complaints of pain associated with numbness and tingling
should be addressed first. If the client perceives value to the service provided, they will be likely
to provide follow-up care. While the bp, blood glucose, and vision are concerning, the client's
stated concern should be addressed first.
The nurse is preparing discharge resources 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
3. Metformin
4. Beclomethasone Answer: 1. Glipizide
Rationale: Glipizide is an oral hypoglycemic medication and is classified as a sulfonylurea. A
major side effect of this medication is hypoglycemia, which is a safety risk to the homeless
population. Lisinopril is an angiotensin-converting 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 corticosteroid 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 intellectually disabled.
Which part of the client encounter may require more time to complete?
1. the history
2. the physical assessment
3. the nursing plan of care
4. the readmission risk assessment Answer: 1. the history
Rationale: intellectually disabled clients tend to be poor historians, and it may take more time to
ask questions in different ways when collecting the history data.
The nurse working in a correctional facility is caring for a new prisoner. The client asks about
health risks associated with living in a prison. How should the nurse respond?
1. "health care is very limited in the prison setting"
2. "living in a prison isn't different than living at home"
3. "living in a prison can predispose a person to different health conditions"
APPHIA – Crafted with Care and Precision for Academic Excellence.
4
