Saunders Comprehensive Review for
the NCLEX-PN Examination Questions
& Answers (Grade A+)
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. -
correct answer : D. The client who has a blood glucose of 50 mg/dL
and complains of blurred vision.
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.
,Saunders Comprehensive Review for
the NCLEX-PN Examination Questions
& Answers (Grade A+)
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?
A. Gloves and a gown
B. Gloves, mask, and goggles
C. Gloves, mask, gown, and goggles
D. Gloves, gown, and shoe protectors -
correct answer : C. Gloves, mask, gown, and goggles
Splashes of infective material can occur during wound irrigation or
suctioning of the tracheostomy.
The nurse is choosing age-appropriate toys for a toddler. Which toy
is the best choice for this age?
A. A puzzle
,Saunders Comprehensive Review for
the NCLEX-PN Examination Questions
& Answers (Grade A+)
B. Toy soldiers
C. Large stacking blocks
D. A card game with large pictures -
correct answer : C. Large stacking blocks
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
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."
, Saunders Comprehensive Review for
the NCLEX-PN Examination Questions
& Answers (Grade A+)
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." -
correct answer : D. "The best thing about tis is that I can use it
anywhere, anytime."
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.
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.
the NCLEX-PN Examination Questions
& Answers (Grade A+)
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. -
correct answer : D. The client who has a blood glucose of 50 mg/dL
and complains of blurred vision.
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.
,Saunders Comprehensive Review for
the NCLEX-PN Examination Questions
& Answers (Grade A+)
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?
A. Gloves and a gown
B. Gloves, mask, and goggles
C. Gloves, mask, gown, and goggles
D. Gloves, gown, and shoe protectors -
correct answer : C. Gloves, mask, gown, and goggles
Splashes of infective material can occur during wound irrigation or
suctioning of the tracheostomy.
The nurse is choosing age-appropriate toys for a toddler. Which toy
is the best choice for this age?
A. A puzzle
,Saunders Comprehensive Review for
the NCLEX-PN Examination Questions
& Answers (Grade A+)
B. Toy soldiers
C. Large stacking blocks
D. A card game with large pictures -
correct answer : C. Large stacking blocks
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
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."
, Saunders Comprehensive Review for
the NCLEX-PN Examination Questions
& Answers (Grade A+)
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." -
correct answer : D. "The best thing about tis is that I can use it
anywhere, anytime."
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.
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.
