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 2024
The nurse is volunteering with an outreach program to provide basic healthcare for
homeless people. Which finding, if noted, should be addressed first?
1. BP 154/72
2. visual acuity of 20/200 in both eyes
3. random blood glucose level of 206
4. complaints of pain associated with numbness and tingling in both feet
answers: 4. complaints of pain associated with numbness and tingling in both feet
Rationale: With this population, the complaints of pain associated with numbness
and tingling should be addressed first. If the client perceives value to the service
provided, they will be likely to provide follow-up care. While the bp, blood
glucose, and vision are concerning, the client's stated concern should be addressed
first.
The nurse is preparing discharge resources for a client being discharged to the
homeless shelter. When looking at the discharge medication reconciliation form,
the nurse determines there is a need for follow-up if which medication was
prescribed?
1. Glipizide
2. Lisinopril
,3. Metformin
4. Beclomethasone
answers: 1. Glipizide
Rationale: Glipizide is an oral hypoglycemic medication and is classified as a
sulfonylurea. A major side effect of this medication is hypoglycemia, which is a
safety risk to the homeless population. Lisinopril is an angiotensin-converting
enzyme inhibitor. Although there are side effects that should be included in
discharge instructions, there is less of a threat to safety with this medication and
the benefits to it are important. Metformin is an oral biguanide and is used for type
2 diabetes mellitus. Hypoglycemia is less of a concern with this medication
compared with other oral hypoglycemics. Beclomethasone is an inhaled
corticosteroid used for obstructive lung disease, and although there are side effects
the client should know about, there is not a particular safety risk associated with
this medication for the homeless person.
The nurse is completing the admission assessment for a client who is intellectually
disabled. Which part of the client encounter may require more time to complete?
1. the history
2. the physical assessment
3. the nursing plan of care
4. the readmission risk assessment
answers: 1. the history
Rationale: intellectually disabled clients tend to be poor historians, and it may take
more time to ask questions in different ways when collecting the history data.
,The nurse working in a correctional facility is caring for a new prisoner. The client
asks about health risks associated with living in a prison. How should the nurse
respond?
1. "health care is very limited in the prison setting"
2. "living in a prison isn't different than living at home"
3. "living in a prison can predispose a person to different health conditions"
4. "living in a prison is similar to living in a condominium complex or dorm"
answers: 3. "living in a prison can predispose a person to different health
conditions"
Rationale: the environment of a prison can predispose a person to different health
conditions. Option 1 does not address the client's question and options 2 and 4
convey incorrect information.
A nurse working in a community outreach program for foster children plans care
knowing that which health conditions are common in this population? Select all
that apply:
1. asthma
2. claustrophobia
3. sleep problems
4. bipolar disorder
5. aggressive behavior
6. ADHD
answers: 3, 4, 5, 6
, Which teaching method is most effective when providing instruction to members
of special populations?
1. Teach-back
2. video instruction
3. written materials
4. verbal explanation
answers: 1. Teach-back
Rationale: When providing education to members of special populations, return
explanation and demonstration (teach-back) of are particular importance to ensure
safety and mutual understanding. This method is the most reliable in confirming
the client understands the instructions.
Which health concerns should the nurse be aware of as risk factors when caring for
clients of African American descent? Select all that apply:
1. cancer
2. obesity
3. hypertension
4. heart disease
5. hypothyroidism
6. diabetes mellitus
answers: 1, 2, 3, 4, 6
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 2024
The nurse is volunteering with an outreach program to provide basic healthcare for
homeless people. Which finding, if noted, should be addressed first?
1. BP 154/72
2. visual acuity of 20/200 in both eyes
3. random blood glucose level of 206
4. complaints of pain associated with numbness and tingling in both feet
answers: 4. complaints of pain associated with numbness and tingling in both feet
Rationale: With this population, the complaints of pain associated with numbness
and tingling should be addressed first. If the client perceives value to the service
provided, they will be likely to provide follow-up care. While the bp, blood
glucose, and vision are concerning, the client's stated concern should be addressed
first.
The nurse is preparing discharge resources for a client being discharged to the
homeless shelter. When looking at the discharge medication reconciliation form,
the nurse determines there is a need for follow-up if which medication was
prescribed?
1. Glipizide
2. Lisinopril
,3. Metformin
4. Beclomethasone
answers: 1. Glipizide
Rationale: Glipizide is an oral hypoglycemic medication and is classified as a
sulfonylurea. A major side effect of this medication is hypoglycemia, which is a
safety risk to the homeless population. Lisinopril is an angiotensin-converting
enzyme inhibitor. Although there are side effects that should be included in
discharge instructions, there is less of a threat to safety with this medication and
the benefits to it are important. Metformin is an oral biguanide and is used for type
2 diabetes mellitus. Hypoglycemia is less of a concern with this medication
compared with other oral hypoglycemics. Beclomethasone is an inhaled
corticosteroid used for obstructive lung disease, and although there are side effects
the client should know about, there is not a particular safety risk associated with
this medication for the homeless person.
The nurse is completing the admission assessment for a client who is intellectually
disabled. Which part of the client encounter may require more time to complete?
1. the history
2. the physical assessment
3. the nursing plan of care
4. the readmission risk assessment
answers: 1. the history
Rationale: intellectually disabled clients tend to be poor historians, and it may take
more time to ask questions in different ways when collecting the history data.
,The nurse working in a correctional facility is caring for a new prisoner. The client
asks about health risks associated with living in a prison. How should the nurse
respond?
1. "health care is very limited in the prison setting"
2. "living in a prison isn't different than living at home"
3. "living in a prison can predispose a person to different health conditions"
4. "living in a prison is similar to living in a condominium complex or dorm"
answers: 3. "living in a prison can predispose a person to different health
conditions"
Rationale: the environment of a prison can predispose a person to different health
conditions. Option 1 does not address the client's question and options 2 and 4
convey incorrect information.
A nurse working in a community outreach program for foster children plans care
knowing that which health conditions are common in this population? Select all
that apply:
1. asthma
2. claustrophobia
3. sleep problems
4. bipolar disorder
5. aggressive behavior
6. ADHD
answers: 3, 4, 5, 6
, Which teaching method is most effective when providing instruction to members
of special populations?
1. Teach-back
2. video instruction
3. written materials
4. verbal explanation
answers: 1. Teach-back
Rationale: When providing education to members of special populations, return
explanation and demonstration (teach-back) of are particular importance to ensure
safety and mutual understanding. This method is the most reliable in confirming
the client understands the instructions.
Which health concerns should the nurse be aware of as risk factors when caring for
clients of African American descent? Select all that apply:
1. cancer
2. obesity
3. hypertension
4. heart disease
5. hypothyroidism
6. diabetes mellitus
answers: 1, 2, 3, 4, 6
