Saunder's Comprehensive NCLEX Review
Practice Questions
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 - ANS 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 - ANS 1, 2, 3, 4, 6
Rationale: obesity, diabetes mellitus, hypertension, heart disease, asthma, and cancer
are prevalent among African Americans.
The nurse is planning care for a client of Native Hawaiian descent who recently had a
baby. The nurse develops a teaching plan and includes info about which measure that's
related to a newborn complication within this ethnic group?
1. safe sleeping
2. car seat safety
3. breast-feeding
4. baby-proofing - ANS 1. Safe sleeping
,Rationale: The native Hawaiian population has a disproportionately higher rate of infant
mortality compared with other ethnic groups. Sudden Infant Death Syndrome (SIDS) is
a major cause of infant mortality. Safe sleeping is an important measure to prevent this
newborn complication.
The nurse is planning care for an assigned client. The nurse should include info in the
plan of care about the prevention of HIV for which individuals specifically at risk?
1. lesbian persons
2. men-who-have-sex-with-men (MSM)
3. women-who-have-sex-with-women (WSW)
4. Female-To-Male (FTM) transgender persons - ANS 2. MSM
Rationale: MSM (men who have sex with men) are at a higher risk for HIV and AIDS.
Which therapeutic communication technique is most helpful when working with
transgender persons?
1. using open-ended questions
2. using their first name to address them
3. using pronouns associated with birth sex
4. anticipating the client's needs and making suggestions - ANS 1. Using open-ended
questions
Rationale: The use of open-ended questions is the most helpful in communicating with
transgender persons because it assists in refraining from judgment and allows the client
the opportunity to express their thoughts and feelings.
Which special population should be targeted for breast cancer screening by way of
mammography? Select all that apply:
1. male-to-female (MTF)
2. female-to-male (FTM)
3. men-who-have-sex-with-men (MSM)
4. women-who-have-sex-with-men (WSM)
5. women-who-have-sex-with-women (WSW) - ANS 1, 2, 4, 5
Rationale: Transgender persons who have undergone sexual reassignment surgery
should have the respective preventive screenings. WSW and WSM should also have
screenings.
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 - ANS 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 - ANS 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 - ANS 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" - ANS 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 - ANS 3, 4, 5, 6
Rationale: foster children are at risk for a variety of health conditions later in life,
including ADHD, aggressive behavior, anxiety disorder, bipolar disorder, depression,
mood disorder, PTSD, reactive detachment disorder, sleep problems, prenatal drug and
alcohol exposure, and personality disorder. Claustrophobia and asthma are not
specifically associated with foster children.
The nurse is caring for a female client in the ED who presents with a complaint of
fatigue and SOB. Which physical assessment findings, if noted by the nurse, warrant a
need for follow up?
1. reddened sclera of the eyes
2. dry flaking noted on the scalp
3. a reddish-purple mark on the neck
4. a scaly rash noted on the elbows and knees - ANS 3. a reddish-purple mark on the
neck
Rationale: The client should be screened for abuse. Battered women experience
bruises, particularly around the eyes, red or purple marks on the neck, sprained or
broken wrists, chronic fatigue, SOB, muscle tension, involuntary shaking, changes in
Practice Questions
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 - ANS 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 - ANS 1, 2, 3, 4, 6
Rationale: obesity, diabetes mellitus, hypertension, heart disease, asthma, and cancer
are prevalent among African Americans.
The nurse is planning care for a client of Native Hawaiian descent who recently had a
baby. The nurse develops a teaching plan and includes info about which measure that's
related to a newborn complication within this ethnic group?
1. safe sleeping
2. car seat safety
3. breast-feeding
4. baby-proofing - ANS 1. Safe sleeping
,Rationale: The native Hawaiian population has a disproportionately higher rate of infant
mortality compared with other ethnic groups. Sudden Infant Death Syndrome (SIDS) is
a major cause of infant mortality. Safe sleeping is an important measure to prevent this
newborn complication.
The nurse is planning care for an assigned client. The nurse should include info in the
plan of care about the prevention of HIV for which individuals specifically at risk?
1. lesbian persons
2. men-who-have-sex-with-men (MSM)
3. women-who-have-sex-with-women (WSW)
4. Female-To-Male (FTM) transgender persons - ANS 2. MSM
Rationale: MSM (men who have sex with men) are at a higher risk for HIV and AIDS.
Which therapeutic communication technique is most helpful when working with
transgender persons?
1. using open-ended questions
2. using their first name to address them
3. using pronouns associated with birth sex
4. anticipating the client's needs and making suggestions - ANS 1. Using open-ended
questions
Rationale: The use of open-ended questions is the most helpful in communicating with
transgender persons because it assists in refraining from judgment and allows the client
the opportunity to express their thoughts and feelings.
Which special population should be targeted for breast cancer screening by way of
mammography? Select all that apply:
1. male-to-female (MTF)
2. female-to-male (FTM)
3. men-who-have-sex-with-men (MSM)
4. women-who-have-sex-with-men (WSM)
5. women-who-have-sex-with-women (WSW) - ANS 1, 2, 4, 5
Rationale: Transgender persons who have undergone sexual reassignment surgery
should have the respective preventive screenings. WSW and WSM should also have
screenings.
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 - ANS 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 - ANS 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 - ANS 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" - ANS 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 - ANS 3, 4, 5, 6
Rationale: foster children are at risk for a variety of health conditions later in life,
including ADHD, aggressive behavior, anxiety disorder, bipolar disorder, depression,
mood disorder, PTSD, reactive detachment disorder, sleep problems, prenatal drug and
alcohol exposure, and personality disorder. Claustrophobia and asthma are not
specifically associated with foster children.
The nurse is caring for a female client in the ED who presents with a complaint of
fatigue and SOB. Which physical assessment findings, if noted by the nurse, warrant a
need for follow up?
1. reddened sclera of the eyes
2. dry flaking noted on the scalp
3. a reddish-purple mark on the neck
4. a scaly rash noted on the elbows and knees - ANS 3. a reddish-purple mark on the
neck
Rationale: The client should be screened for abuse. Battered women experience
bruises, particularly around the eyes, red or purple marks on the neck, sprained or
broken wrists, chronic fatigue, SOB, muscle tension, involuntary shaking, changes in
