Exam 1 Content Practice
Unit 1 and 2 Topics
Saunders NCLEX Practice Question
1. The baseline vital signs for a client with pneumonia are as follows: temperature 98.8° F (37.1° C)
oral, pulse 74 beats/min, respirations 18 breaths/min, and blood pressure 124/76 mm Hg. The
client's temperature suddenly spikes to 103° F (39.4° C). Which corresponding respiratory rate
would the nurse anticipate in this client as part of the body's response to the change in status?
1 Respiratory rate of 12 breaths/min
2 Respiratory rate of 16 breaths/min
3 Respiratory rate of 18 breaths/min
4 Respiratory rate of 22 breaths/min
2. The nurse is explaining a preoperative teaching plan to an English-speaking client. What are
some other aspects of verbal communication the nurse would employ? Select all that apply.
1 Timing
2 Volume
3 Voice tone
4 Eye contact
5 Hand gestures
6 Ability to share thoughts and feelings
3. The nurse is preparing to provide preoperative teaching to a non–English-speaking client and the
client's family. Which nursing action would be most effective for teaching the client?
1 The nurse asks one of the client's English-speaking relatives to interpret.
2 The nurse secures the assistance of a professional interpreter to communicate with the
client.
3 The nurse obtains a special-language dictionary for help in conducting the teaching
session.
4 The nurse obtains a preoperative teaching brochure that has pictures and gives it to the
client.
,4. The registered nurse (RN) is educating a new RN on conducting a problem-based or focused
assessment on a client. Which statement by the new RN indicates that the teaching has
been effective?
1 "This is mostly used in a walk-in clinic or emergency department."
2 "This is focused on disease detection and conducted in a health care provider's office."
3 "This is conducted on admission in a primary care or long-term care setting."
4 "This is conducted as a follow-up examination by a health care provider."
5. The clinic nurse is preparing to assess the client's apical pulse. The nurse correctly palpates over
which area? Click on the image to indicate your answer.
, 6. The clinic nurse is preparing to perform a Romberg test on a client being seen in the clinic. The
nurse would perform this test for the purpose of determining which status?
1 The client's ability to ambulate
2 The intactness of the tympanic membrane
3 The intactness of the retinal structure of the eye
4 The functional status of the vestibular apparatus in the inner ear
7. The nurse performs a physical assessment on a client and gathers both subjective and objective
data. Which would the nurse document as subjective data?
1 Pedal pulses are present.
2 Temperature is 99.6° F (37.6° C).
3 Client reports difficulty sleeping at night.
4 Client has an apical pulse rate of 56 beats/min.
8. The nurse is documenting the findings of a physical examination in a client's record. Which of the
findings would the nurse determine to be objective data?
1 The client experiences migraine headaches.
2 The client has a rash on the chest and arms.
3 The client reports having difficulty urinating.
4 The client reports taking atenolol for blood pressure.
9. A client with pneumonia is admitted to the hospital with difficulty breathing. Which is
the best approach for the nurse to use in obtaining the client's health history?
1 Focus only on the physical examination.
2 Obtain all information from family members.
3 Plan short sessions with the client to obtain data.
4 Use the primary health care provider's medical history.
Unit 1 and 2 Topics
Saunders NCLEX Practice Question
1. The baseline vital signs for a client with pneumonia are as follows: temperature 98.8° F (37.1° C)
oral, pulse 74 beats/min, respirations 18 breaths/min, and blood pressure 124/76 mm Hg. The
client's temperature suddenly spikes to 103° F (39.4° C). Which corresponding respiratory rate
would the nurse anticipate in this client as part of the body's response to the change in status?
1 Respiratory rate of 12 breaths/min
2 Respiratory rate of 16 breaths/min
3 Respiratory rate of 18 breaths/min
4 Respiratory rate of 22 breaths/min
2. The nurse is explaining a preoperative teaching plan to an English-speaking client. What are
some other aspects of verbal communication the nurse would employ? Select all that apply.
1 Timing
2 Volume
3 Voice tone
4 Eye contact
5 Hand gestures
6 Ability to share thoughts and feelings
3. The nurse is preparing to provide preoperative teaching to a non–English-speaking client and the
client's family. Which nursing action would be most effective for teaching the client?
1 The nurse asks one of the client's English-speaking relatives to interpret.
2 The nurse secures the assistance of a professional interpreter to communicate with the
client.
3 The nurse obtains a special-language dictionary for help in conducting the teaching
session.
4 The nurse obtains a preoperative teaching brochure that has pictures and gives it to the
client.
,4. The registered nurse (RN) is educating a new RN on conducting a problem-based or focused
assessment on a client. Which statement by the new RN indicates that the teaching has
been effective?
1 "This is mostly used in a walk-in clinic or emergency department."
2 "This is focused on disease detection and conducted in a health care provider's office."
3 "This is conducted on admission in a primary care or long-term care setting."
4 "This is conducted as a follow-up examination by a health care provider."
5. The clinic nurse is preparing to assess the client's apical pulse. The nurse correctly palpates over
which area? Click on the image to indicate your answer.
, 6. The clinic nurse is preparing to perform a Romberg test on a client being seen in the clinic. The
nurse would perform this test for the purpose of determining which status?
1 The client's ability to ambulate
2 The intactness of the tympanic membrane
3 The intactness of the retinal structure of the eye
4 The functional status of the vestibular apparatus in the inner ear
7. The nurse performs a physical assessment on a client and gathers both subjective and objective
data. Which would the nurse document as subjective data?
1 Pedal pulses are present.
2 Temperature is 99.6° F (37.6° C).
3 Client reports difficulty sleeping at night.
4 Client has an apical pulse rate of 56 beats/min.
8. The nurse is documenting the findings of a physical examination in a client's record. Which of the
findings would the nurse determine to be objective data?
1 The client experiences migraine headaches.
2 The client has a rash on the chest and arms.
3 The client reports having difficulty urinating.
4 The client reports taking atenolol for blood pressure.
9. A client with pneumonia is admitted to the hospital with difficulty breathing. Which is
the best approach for the nurse to use in obtaining the client's health history?
1 Focus only on the physical examination.
2 Obtain all information from family members.
3 Plan short sessions with the client to obtain data.
4 Use the primary health care provider's medical history.
