COMPREHENSIVE REVIEW NCLEX PN SAUNDERS
COMPREHENSIVE REVIEW FOR THE NCLEX-PN
EXAMINATION (SAUNDERS COMPREHENSIVE REVIEW FOR
NCLEX-PN) 9TH EDITION test bank BY LINDA ANNE
SILVESTRI PHD RN ANEF FAAN (AUTHOR) PAPERBACK JUNE
2025
A client with congestive heart failure is prescribed furosemide 40 mg IV twice
daily. The nurse should monitor for which PRIMARY electrolyte imbalance?
o A) Hypernatremia
o B) Hypokalemia ✓
o C) Hypercalcemia
o D) Hypomagnesemia
o Rationale: Loop diuretics like furosemide cause potassium wasting.
Daily weights and potassium monitoring are essential.
A postoperative client suddenly develops shortness of breath, chest
pain, and tachycardia. Which action should the nurse take
FIRST?
o A) Administer prescribed morphine
o B) Apply oxygen at 2 L/min via nasal cannula
o C) Notify the provider immediately ✓
o D) Place the client in high Fowler's position
Rationale: These are signs of potential pulmonary embolism, a
medical emergency requiring immediate provider notification.
, 3. The nurse has received the client assignment for the day. Which
client would the nurse attend to first?
A. The client who has a nasogastric tube attached to
intermittent suction.
B. The client who needs to receive subcutaneous insulin before
breakfast.
C. The client who is 2 days postoperative and is complaining of
incisional pain.
D. The client who has a blood glucose of 50 mg/dL and
complains of blurred vision.
o Correct -answer -: D. The client who has a blood glucose of 50
mg/dL and complains of blurred vision.
o The client has a low blood glucose level and symptoms reflective of
hypoglycemia. This client would be attended to first so that treatment
can be implemented. Although the other clients have needs that
require attention, they are not the priority and can wait until the
client in option 4 is stabilized.
o 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 would assemble which necessary protective
items before entering the client's room?
o A. Gloves and a gown
o B. Gloves, mask, and goggles
o C. Gloves, mask, gown, and goggles
o D. Gloves, gown, and shoe protectors
o Correct -answer -: C. Gloves, mask, gown, and goggles
,o Splashes of infective material can occur during wound irrigation or
suctioning of the tracheostomy.
o The nurse is choosing age-appropriate toys for a toddler. Which toy
is the best choice for this age?
o A. A puzzle
o B. Toy soldiers
o C. Large stacking blocks
o D. A card game with large pictures
o Correct -answer -: C. Large stacking blocks
o This question addresses the Client Needs category Health Promotion
and Maintenance and specifically relates to the principals of growth
and development of a toddler. Not the strategic word best. Toddlers
like to master activities independently, such as stacking blocks.
Because toddlers do not have the developmental ability to determine
what would be harmful, toys that are safe need to be provided. A
puzzle and toy soldiers provide objects that can be placed in the
mouth and may be harmful for a toddler. A card game with large
pictures may require cooperative play, which is more appropriate for
a school-age child
o A client with coronary artery disease has selected guided imagery
to help cope with psychological stress. Which client statement
indicates an understanding of this stress reduction measure?
A. "This will help only if I play music at the same time."
B. "This will work for me only if I am alone in a quiet area."
C. "I need to do this only when I lie down in case I fall asleep."
D. "The best thing about this is that I can use it anywhere,
anytime."
o Correct -answer -: D. "The best thing about tis is that I can use it
anywhere, anytime."
, o This question addresses the Client Needs category Psychosocial
Integrity and the content addresses coping mechanisms. Focus on the
subject, client understanding of guided imagery. Guided imagery
involves the client creating an image in the mind, concentrating on
the image, and gradually becoming less aware of the offending
stimulus. It can be done anytime and anywhere; some clients may use
other relaxation techniques or play music with it.
o A client with Parkinson's disease develops akinesia while
ambulating, increasing the risk for falls. Which suggestion would
the nurse provide to the client to alleviate this problem?
A. Use a wheelchair to move around.
B. Stand erect and use a cane to ambulate.
C. Keep the feet close together while ambulating, and use a walker.
D. Consciously think about walking over imaginary lines on the
floor.
o Correct -answer -: Consciously think about walking over imaginary
lines on the floor.
o This question addresses the subcategory Basic Care and Comfort in
the Client Needs category Physiological Integrity and addresses client
mobility and promoting assistance in an activity of daily living to
maintain safety. Focus on the subject, a suggestion that will ensure
client safety. Clients with Parkinson's disease can develop
bradykinesia (slow movement) or akinesia (freezing or no movement).
Having these clients imagine lines on the floor to walk over can keep
them moving forward while remaining safe.
o The nurse monitors a client receiving digoxin for
which early manifestation of digoxin toxicity?
o A. Anorexia
o B. Facial pain
o C. Photophobia
COMPREHENSIVE REVIEW FOR THE NCLEX-PN
EXAMINATION (SAUNDERS COMPREHENSIVE REVIEW FOR
NCLEX-PN) 9TH EDITION test bank BY LINDA ANNE
SILVESTRI PHD RN ANEF FAAN (AUTHOR) PAPERBACK JUNE
2025
A client with congestive heart failure is prescribed furosemide 40 mg IV twice
daily. The nurse should monitor for which PRIMARY electrolyte imbalance?
o A) Hypernatremia
o B) Hypokalemia ✓
o C) Hypercalcemia
o D) Hypomagnesemia
o Rationale: Loop diuretics like furosemide cause potassium wasting.
Daily weights and potassium monitoring are essential.
A postoperative client suddenly develops shortness of breath, chest
pain, and tachycardia. Which action should the nurse take
FIRST?
o A) Administer prescribed morphine
o B) Apply oxygen at 2 L/min via nasal cannula
o C) Notify the provider immediately ✓
o D) Place the client in high Fowler's position
Rationale: These are signs of potential pulmonary embolism, a
medical emergency requiring immediate provider notification.
, 3. The nurse has received the client assignment for the day. Which
client would the nurse attend to first?
A. The client who has a nasogastric tube attached to
intermittent suction.
B. The client who needs to receive subcutaneous insulin before
breakfast.
C. The client who is 2 days postoperative and is complaining of
incisional pain.
D. The client who has a blood glucose of 50 mg/dL and
complains of blurred vision.
o Correct -answer -: D. The client who has a blood glucose of 50
mg/dL and complains of blurred vision.
o The client has a low blood glucose level and symptoms reflective of
hypoglycemia. This client would be attended to first so that treatment
can be implemented. Although the other clients have needs that
require attention, they are not the priority and can wait until the
client in option 4 is stabilized.
o 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 would assemble which necessary protective
items before entering the client's room?
o A. Gloves and a gown
o B. Gloves, mask, and goggles
o C. Gloves, mask, gown, and goggles
o D. Gloves, gown, and shoe protectors
o Correct -answer -: C. Gloves, mask, gown, and goggles
,o Splashes of infective material can occur during wound irrigation or
suctioning of the tracheostomy.
o The nurse is choosing age-appropriate toys for a toddler. Which toy
is the best choice for this age?
o A. A puzzle
o B. Toy soldiers
o C. Large stacking blocks
o D. A card game with large pictures
o Correct -answer -: C. Large stacking blocks
o This question addresses the Client Needs category Health Promotion
and Maintenance and specifically relates to the principals of growth
and development of a toddler. Not the strategic word best. Toddlers
like to master activities independently, such as stacking blocks.
Because toddlers do not have the developmental ability to determine
what would be harmful, toys that are safe need to be provided. A
puzzle and toy soldiers provide objects that can be placed in the
mouth and may be harmful for a toddler. A card game with large
pictures may require cooperative play, which is more appropriate for
a school-age child
o A client with coronary artery disease has selected guided imagery
to help cope with psychological stress. Which client statement
indicates an understanding of this stress reduction measure?
A. "This will help only if I play music at the same time."
B. "This will work for me only if I am alone in a quiet area."
C. "I need to do this only when I lie down in case I fall asleep."
D. "The best thing about this is that I can use it anywhere,
anytime."
o Correct -answer -: D. "The best thing about tis is that I can use it
anywhere, anytime."
, o This question addresses the Client Needs category Psychosocial
Integrity and the content addresses coping mechanisms. Focus on the
subject, client understanding of guided imagery. Guided imagery
involves the client creating an image in the mind, concentrating on
the image, and gradually becoming less aware of the offending
stimulus. It can be done anytime and anywhere; some clients may use
other relaxation techniques or play music with it.
o A client with Parkinson's disease develops akinesia while
ambulating, increasing the risk for falls. Which suggestion would
the nurse provide to the client to alleviate this problem?
A. Use a wheelchair to move around.
B. Stand erect and use a cane to ambulate.
C. Keep the feet close together while ambulating, and use a walker.
D. Consciously think about walking over imaginary lines on the
floor.
o Correct -answer -: Consciously think about walking over imaginary
lines on the floor.
o This question addresses the subcategory Basic Care and Comfort in
the Client Needs category Physiological Integrity and addresses client
mobility and promoting assistance in an activity of daily living to
maintain safety. Focus on the subject, a suggestion that will ensure
client safety. Clients with Parkinson's disease can develop
bradykinesia (slow movement) or akinesia (freezing or no movement).
Having these clients imagine lines on the floor to walk over can keep
them moving forward while remaining safe.
o The nurse monitors a client receiving digoxin for
which early manifestation of digoxin toxicity?
o A. Anorexia
o B. Facial pain
o C. Photophobia
