SAUNDERS NCLEX PN NGN TEST BANK NEWEST 2026/2027
| Complete Questions & Verified Answers | Already Graded |
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Saunders Integrated Nursing Concepts & Fundamentals (Q1–Q40)
Q1: The LPN is caring for a client who had a total knee replacement 8 hours ago. The
client reports pain at a 7/10 and requests the prescribed PRN
hydrocodone-acetaminophen. Which action should the nurse take first?
A. Check the client's vital signs and pain assessment before administering the
medication
B. Notify the RN immediately because the client is unstable
C. Administer the medication and reassess in 30 minutes
D. Tell the client to wait until the next scheduled dose in 2 hours
Correct Answer: A
Rationale: The best answer here is A because you always want to assess before you
act—remember the nursing process! The LPN needs to check vital signs and complete a
thorough pain assessment before giving any PRN pain medication. This follows safe
,medication administration principles and gives you a baseline to evaluate effectiveness
later. Don't skip your assessment just because the client is asking for pain relief.
Q2: Which client statement indicates a correct understanding of standard precautions?
Select all that apply.
A. "I need to wash my hands before and after providing any client care." [CORRECT]
B. "Standard precautions only apply to clients with known infections."
C. "I should wear gloves when I might come into contact with blood or body fluids."
[CORRECT]
D. "Standard precautions mean I never need to wear a mask."
E. "I need to use a gown when there is a risk of soiling my clothes with body fluids."
[CORRECT]
Correct Answers: A, C, E
Rationale: The best selections here are A, C, and E. Standard precautions apply to ALL
clients, every single time—not just those with known infections. Hand hygiene is your
number one defense, gloves protect you from blood and body fluids, and gowns are
needed when there's a risk of contamination. Remember: standard precautions are
universal!
,Q3: A client is admitted with a suspected myocardial infarction. Which finding requires
immediate follow-up by the LPN?
A. Blood pressure 148/92 mmHg
B. Heart rate 102 beats per minute, regular rhythm
C. Oxygen saturation 89% on room air [CORRECT]
D. Respiratory rate 20 breaths per minute
Correct Answer: C
Rationale: The best answer here is C because an oxygen saturation of 89% is below the
normal range of 95-100% and indicates hypoxemia. In a client with a suspected MI,
oxygen delivery to the heart muscle is already compromised—low oxygen saturation
makes everything worse. Remember your ABCs: airway and breathing always come
first! The other vital signs are elevated but not immediately life-threatening.
Q4: The LPN is reviewing the medication administration record for a client with heart
failure. Which task is appropriate for the LPN to delegate to unlicensed assistive
personnel (UAP)?
A. Assessing the client's lung sounds before administering furosemide
, B. Measuring and recording the client's daily weight and intake/output [CORRECT]
C. Evaluating the effectiveness of the client's diuretic therapy
D. Teaching the client about sodium restriction in the diet
Correct Answer: B
Rationale: The best answer here is B because measuring weights and I&O are routine,
non-invasive tasks that fall within the UAP scope of practice. Remember the rights of
delegation—this is the right task for the right person. Assessment, evaluation, and client
teaching require nursing judgment and must stay with the licensed nurse. Don't delegate
what you need to evaluate yourself!
Q5: A client with diabetes mellitus is learning to administer insulin. Which statement by
the client indicates a need for further teaching?
A. "I should rotate my injection sites to prevent lipodystrophy."
B. "I need to inject the insulin at a 90-degree angle into my abdomen."
C. "I can reuse my insulin syringe if I keep the cap on between doses." [CORRECT]
D. "I should check my blood sugar before meals and at bedtime."
Correct Answer: C
| Complete Questions & Verified Answers | Already Graded |
Pass Guaranteed - A+ Graded
Saunders Integrated Nursing Concepts & Fundamentals (Q1–Q40)
Q1: The LPN is caring for a client who had a total knee replacement 8 hours ago. The
client reports pain at a 7/10 and requests the prescribed PRN
hydrocodone-acetaminophen. Which action should the nurse take first?
A. Check the client's vital signs and pain assessment before administering the
medication
B. Notify the RN immediately because the client is unstable
C. Administer the medication and reassess in 30 minutes
D. Tell the client to wait until the next scheduled dose in 2 hours
Correct Answer: A
Rationale: The best answer here is A because you always want to assess before you
act—remember the nursing process! The LPN needs to check vital signs and complete a
thorough pain assessment before giving any PRN pain medication. This follows safe
,medication administration principles and gives you a baseline to evaluate effectiveness
later. Don't skip your assessment just because the client is asking for pain relief.
Q2: Which client statement indicates a correct understanding of standard precautions?
Select all that apply.
A. "I need to wash my hands before and after providing any client care." [CORRECT]
B. "Standard precautions only apply to clients with known infections."
C. "I should wear gloves when I might come into contact with blood or body fluids."
[CORRECT]
D. "Standard precautions mean I never need to wear a mask."
E. "I need to use a gown when there is a risk of soiling my clothes with body fluids."
[CORRECT]
Correct Answers: A, C, E
Rationale: The best selections here are A, C, and E. Standard precautions apply to ALL
clients, every single time—not just those with known infections. Hand hygiene is your
number one defense, gloves protect you from blood and body fluids, and gowns are
needed when there's a risk of contamination. Remember: standard precautions are
universal!
,Q3: A client is admitted with a suspected myocardial infarction. Which finding requires
immediate follow-up by the LPN?
A. Blood pressure 148/92 mmHg
B. Heart rate 102 beats per minute, regular rhythm
C. Oxygen saturation 89% on room air [CORRECT]
D. Respiratory rate 20 breaths per minute
Correct Answer: C
Rationale: The best answer here is C because an oxygen saturation of 89% is below the
normal range of 95-100% and indicates hypoxemia. In a client with a suspected MI,
oxygen delivery to the heart muscle is already compromised—low oxygen saturation
makes everything worse. Remember your ABCs: airway and breathing always come
first! The other vital signs are elevated but not immediately life-threatening.
Q4: The LPN is reviewing the medication administration record for a client with heart
failure. Which task is appropriate for the LPN to delegate to unlicensed assistive
personnel (UAP)?
A. Assessing the client's lung sounds before administering furosemide
, B. Measuring and recording the client's daily weight and intake/output [CORRECT]
C. Evaluating the effectiveness of the client's diuretic therapy
D. Teaching the client about sodium restriction in the diet
Correct Answer: B
Rationale: The best answer here is B because measuring weights and I&O are routine,
non-invasive tasks that fall within the UAP scope of practice. Remember the rights of
delegation—this is the right task for the right person. Assessment, evaluation, and client
teaching require nursing judgment and must stay with the licensed nurse. Don't delegate
what you need to evaluate yourself!
Q5: A client with diabetes mellitus is learning to administer insulin. Which statement by
the client indicates a need for further teaching?
A. "I should rotate my injection sites to prevent lipodystrophy."
B. "I need to inject the insulin at a 90-degree angle into my abdomen."
C. "I can reuse my insulin syringe if I keep the cap on between doses." [CORRECT]
D. "I should check my blood sugar before meals and at bedtime."
Correct Answer: C
