NCLEX REVIEW (Saunders) Exam
Questions & Answers (Grade A+)
Management of Care
The nurse has received the client assignment for the day. Which
client should the nurse assess first?
1. The client who needs to receive subcutaneous insulin before
breakfast
2. The client who has a nasogastric tube attached to intermittent
suction
3. The client who is 2 days postoperative and is complaining of
incisional pain 4. The client who has a blood glucose level of 50
mg/dL (2.8 mmol/L) and
complaints of blurred vision -
correct answer ✅Answer: 4
This question addresses the subcategory Management of Care in
the Client Needs category Safe and Effective Care Environment.
Note the strategic word, first, so you need to establish priorities by
comparing the needs of each client and deciding which need is
urgent. The client described in the correct option has a low blood
glucose level and symptoms reflective of hypoglycemia. This client
should be assessed first so that treatment can be implemented.
Although the clients in options 1, 2, and 3 have needs that require
,NCLEX REVIEW (Saunders) Exam
Questions & Answers (Grade A+)
assessment, their assessments can wait until the client in the
correct option is stabilized.
Safety and Infection Control
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 should assemble which necessary protective items before
entering the client's room?
1. Gloves and gown
2. Gloves and face shield
3. Gloves, gown, and face shield
4. Gloves, gown, and shoe protectors -
correct answer ✅Answer: 3
This question addresses the subcategory Safety and Infection
Control in the Client Needs category Safe and Effective Care
Environment. It addresses content related to protecting oneself
from contracting an infection and requires that you consider the
, NCLEX REVIEW (Saunders) Exam
Questions & Answers (Grade A+)
methods of possible transmission of infection, based on the client's
condition. Note the data in the question. Because of the potential
for splashes of infective material occurring during the wound
irrigation or suctioning of the tracheostomy, option 3 is correct.
Health Promotion and Maintenance
The nurse is choosing age-appropriate toys for a toddler. Which toy
is the best choice for this age?
1. Puzzle
2. Toy soldiers
3. Large stacking blocks
4. A card game with large pictures -
correct answer ✅Answer: 3
This question addresses the Client Needs category Health
Promotion and Maintenance and specifically relates to the
principles of growth and development of a toddler. Note 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 could be
harmful, toys that are safe need to be provided. A puzzle and toy
Questions & Answers (Grade A+)
Management of Care
The nurse has received the client assignment for the day. Which
client should the nurse assess first?
1. The client who needs to receive subcutaneous insulin before
breakfast
2. The client who has a nasogastric tube attached to intermittent
suction
3. The client who is 2 days postoperative and is complaining of
incisional pain 4. The client who has a blood glucose level of 50
mg/dL (2.8 mmol/L) and
complaints of blurred vision -
correct answer ✅Answer: 4
This question addresses the subcategory Management of Care in
the Client Needs category Safe and Effective Care Environment.
Note the strategic word, first, so you need to establish priorities by
comparing the needs of each client and deciding which need is
urgent. The client described in the correct option has a low blood
glucose level and symptoms reflective of hypoglycemia. This client
should be assessed first so that treatment can be implemented.
Although the clients in options 1, 2, and 3 have needs that require
,NCLEX REVIEW (Saunders) Exam
Questions & Answers (Grade A+)
assessment, their assessments can wait until the client in the
correct option is stabilized.
Safety and Infection Control
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 should assemble which necessary protective items before
entering the client's room?
1. Gloves and gown
2. Gloves and face shield
3. Gloves, gown, and face shield
4. Gloves, gown, and shoe protectors -
correct answer ✅Answer: 3
This question addresses the subcategory Safety and Infection
Control in the Client Needs category Safe and Effective Care
Environment. It addresses content related to protecting oneself
from contracting an infection and requires that you consider the
, NCLEX REVIEW (Saunders) Exam
Questions & Answers (Grade A+)
methods of possible transmission of infection, based on the client's
condition. Note the data in the question. Because of the potential
for splashes of infective material occurring during the wound
irrigation or suctioning of the tracheostomy, option 3 is correct.
Health Promotion and Maintenance
The nurse is choosing age-appropriate toys for a toddler. Which toy
is the best choice for this age?
1. Puzzle
2. Toy soldiers
3. Large stacking blocks
4. A card game with large pictures -
correct answer ✅Answer: 3
This question addresses the Client Needs category Health
Promotion and Maintenance and specifically relates to the
principles of growth and development of a toddler. Note 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 could be
harmful, toys that are safe need to be provided. A puzzle and toy
