Saunders NCLEX-PN Questions with Verified
Solutions| Latest Update
791. The nursing student is asked to discuss the topic of clubfoot at a clinical conference. The
student plans to tell the group which fact about clubfoot?
1. It is a congenital anomaly.
2. It always occurs bilaterally.
3. It affects girls more often than boys.
4. It is a rare deformity of the skeletal system. ✔️✔️
792. A client with type 1 diabetes mellitus is to begin an exercise program, and the nurse is
reinforcing instructions to the client regarding the program. Which should the nurse include in
the instructions?
1. Try to exercise before mealtime.
2. Administer insulin after exercising.
3. Take a blood glucose test before exercising.
4. Exercise should be performed during peak times of insulin. ✔️✔️
793. The nurse is caring for an older client who is terminally ill. Which signs indicate to the
nurse that death may be imminent?
1. Rubor and warm skin
2. Eupnea and normal body temperature
3. Irregular, noisy breathing and cold, clammy skin
4. Presence of swallowing reflex and active bowel sounds ✔️✔️
794. The nurse has reinforced instructions to a client with tuberculosis about proper handling
and disposal of respiratory secretions. The nurse determines that the client understands the
instructions if the client verbalizes to take which measure?
1. Discard used tissues in a plastic bag.
,2. Wash hands at least four times a day.
3. Brush teeth and rinse the mouth once a day.
4. Turn the head to the side if coughing or sneezing. ✔️✔️
795. A client who has been taking isoniazid for 1½ months complains to the nurse about
numbness, paresthesia, and tingling in the extremities. The nurse interprets that the client is
experiencing which adverse effect?
1. Hypercalcemia
2. Peripheral neuritis
3. Small blood vessel spasm
4. Impaired peripheral circulation ✔️✔️
796. The nurse is preparing a 2-year-old child with suspected nephrotic syndrome for a renal
biopsy to confirm the diagnosis. The mother asks the nurse, "Will my child ever look thin
again?" The nurse should respond by giving which statement?
1. "Do you feel guilty about your child's weight gain?"
2. "In most cases, medication and diet will control fluid retention."
3. "Wearing loose-fitting clothing should help conceal the extra weight."
4. "When children are little, it's expected that they'll look a little chubby." ✔️✔️
797. The nurse is caring for a client hospitalized with acute exacerbation of chronic obstructive
pulmonary disease (COPD). Which should the nurse expect to note in this client? Select all that
apply.
1. Hypocapnia
2. Dyspnea on exertion
3. Presence of a productive cough
4. Difficulty breathing while talking
5. Increased oxygen saturation with exercise
6. A shortened expiratory phase of respiration ✔️✔️
, 798. The nurse is preparing to administer an enema to an adult client. Which interventions
should the nurse plan to perform for this procedure? Select all that apply.
1. Apply disposable gloves.
2. Place the client in the right Sims' position.
3. Lubricate the enema tube and insert it approximately 4 inches.
4. Clamp the tubing if the client expresses discomfort during the procedure.
5. Hang the container containing the enema solution 24 inches above the client's anus.
6. Ensure that the temperature of the solution is between 100°F (37.8°C) and 105°F (40.5°C).
✔️✔️
799. The nurse is assigned to care for an adult client who had a stroke and is aphasic. Which
interventions should the nurse use for communicating with the client? Select all that apply.
1. Face the client when talking.
2. Speak slowly and maintain eye contact.
3. Use gestures when talking to enhance words.
4. Avoid the use of body language when talking to the client.
5. Give the client directions using short phrases and simple terms.
6. Phrase what was said differently the second time, if there is a need to repeat it. ✔️✔️
800. The nurse observes that a client with a nasogastric tube connected to continuous gastric
suction is mouth breathing, has dry mucous membranes, and has a foul breath odor. In
planning care, which nursing intervention would be best to maintain the integrity of this client's
oral mucosa?
1. Offer small sips of water frequently.
2. Encourage the client to suck on sour, hard candy.
3. Use lemon glycerin swabs to provide oral hygiene.
4. Use diluted mouthwash and water to rinse the mouth after brushing teeth. ✔️✔️
Solutions| Latest Update
791. The nursing student is asked to discuss the topic of clubfoot at a clinical conference. The
student plans to tell the group which fact about clubfoot?
1. It is a congenital anomaly.
2. It always occurs bilaterally.
3. It affects girls more often than boys.
4. It is a rare deformity of the skeletal system. ✔️✔️
792. A client with type 1 diabetes mellitus is to begin an exercise program, and the nurse is
reinforcing instructions to the client regarding the program. Which should the nurse include in
the instructions?
1. Try to exercise before mealtime.
2. Administer insulin after exercising.
3. Take a blood glucose test before exercising.
4. Exercise should be performed during peak times of insulin. ✔️✔️
793. The nurse is caring for an older client who is terminally ill. Which signs indicate to the
nurse that death may be imminent?
1. Rubor and warm skin
2. Eupnea and normal body temperature
3. Irregular, noisy breathing and cold, clammy skin
4. Presence of swallowing reflex and active bowel sounds ✔️✔️
794. The nurse has reinforced instructions to a client with tuberculosis about proper handling
and disposal of respiratory secretions. The nurse determines that the client understands the
instructions if the client verbalizes to take which measure?
1. Discard used tissues in a plastic bag.
,2. Wash hands at least four times a day.
3. Brush teeth and rinse the mouth once a day.
4. Turn the head to the side if coughing or sneezing. ✔️✔️
795. A client who has been taking isoniazid for 1½ months complains to the nurse about
numbness, paresthesia, and tingling in the extremities. The nurse interprets that the client is
experiencing which adverse effect?
1. Hypercalcemia
2. Peripheral neuritis
3. Small blood vessel spasm
4. Impaired peripheral circulation ✔️✔️
796. The nurse is preparing a 2-year-old child with suspected nephrotic syndrome for a renal
biopsy to confirm the diagnosis. The mother asks the nurse, "Will my child ever look thin
again?" The nurse should respond by giving which statement?
1. "Do you feel guilty about your child's weight gain?"
2. "In most cases, medication and diet will control fluid retention."
3. "Wearing loose-fitting clothing should help conceal the extra weight."
4. "When children are little, it's expected that they'll look a little chubby." ✔️✔️
797. The nurse is caring for a client hospitalized with acute exacerbation of chronic obstructive
pulmonary disease (COPD). Which should the nurse expect to note in this client? Select all that
apply.
1. Hypocapnia
2. Dyspnea on exertion
3. Presence of a productive cough
4. Difficulty breathing while talking
5. Increased oxygen saturation with exercise
6. A shortened expiratory phase of respiration ✔️✔️
, 798. The nurse is preparing to administer an enema to an adult client. Which interventions
should the nurse plan to perform for this procedure? Select all that apply.
1. Apply disposable gloves.
2. Place the client in the right Sims' position.
3. Lubricate the enema tube and insert it approximately 4 inches.
4. Clamp the tubing if the client expresses discomfort during the procedure.
5. Hang the container containing the enema solution 24 inches above the client's anus.
6. Ensure that the temperature of the solution is between 100°F (37.8°C) and 105°F (40.5°C).
✔️✔️
799. The nurse is assigned to care for an adult client who had a stroke and is aphasic. Which
interventions should the nurse use for communicating with the client? Select all that apply.
1. Face the client when talking.
2. Speak slowly and maintain eye contact.
3. Use gestures when talking to enhance words.
4. Avoid the use of body language when talking to the client.
5. Give the client directions using short phrases and simple terms.
6. Phrase what was said differently the second time, if there is a need to repeat it. ✔️✔️
800. The nurse observes that a client with a nasogastric tube connected to continuous gastric
suction is mouth breathing, has dry mucous membranes, and has a foul breath odor. In
planning care, which nursing intervention would be best to maintain the integrity of this client's
oral mucosa?
1. Offer small sips of water frequently.
2. Encourage the client to suck on sour, hard candy.
3. Use lemon glycerin swabs to provide oral hygiene.
4. Use diluted mouthwash and water to rinse the mouth after brushing teeth. ✔️✔️
