Saunders NCLEX RN NGN Newest 2025/2026 Version 1
Complete All 160 Questions And Correct Detailed
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1. A nurse is caring for a client who has heart failure and is receiving
furosemide. Which laboratory result should the nurse monitor to detect an
adverse effect?
A. Sodium
B. Chloride
C. Potassium
D. Calcium
Furosemide is a loop diuretic that increases urinary excretion of potassium, so
the nurse should monitor for hypokalemia.
2. A client is newly prescribed phenytoin. Which statement indicates
understanding of the medication?
A. "I will take it on an empty stomach."
B. "I need to brush and floss my teeth regularly."
C. "I can stop taking it when I feel better."
D. "I should take it once weekly."
,B
Phenytoin can cause gingival hyperplasia. Good oral hygiene helps prevent this
adverse effect.
3. A nurse is providing discharge teaching to a client with a new prescription
for nitroglycerin sublingual tablets. Which instruction should the nurse
include?
A. "Swallow the tablet whole."
B. "Take the tablet every morning."
C. "Place the tablet under your tongue when chest pain occurs."
D. "Store the tablets in the bathroom cabinet."
Nitroglycerin tablets should be placed under the tongue at the onset of chest
pain for quick absorption.
4. A nurse is assessing a client who is receiving morphine for pain
management. Which finding should the nurse report immediately?
A. Urinary retention
B. Nausea and vomiting
C. Respiratory rate of 8/min
D. Pruritus
A respiratory rate of 8/min indicates respiratory depression, a serious adverse
effect of opioids.
, 5. A client is prescribed digoxin for heart failure. Which finding indicates
digoxin toxicity?
A. Hypertension
B. Visual disturbances
C. Tachycardia
D. Weight gain
Visual changes such as blurred vision or seeing halos are signs of digoxin
toxicity.
6. A nurse is caring for a client who has asthma and is prescribed albuterol.
Which statement indicates understanding?
A. "I will use this medication every night."
B. "I will use this medication when I have an acute asthma attack."
C. "I should use this medication before using my corticosteroid inhaler."
D. "I will rinse my mouth after using this inhaler."
Albuterol is a short-acting bronchodilator used for quick relief during acute
asthma attacks.
7. A client asks why they need to continue taking isoniazid for 6 months.
Which response should the nurse provide?
A. "It helps relieve your cough."
B. "It decreases nausea from other medications."
, C. "It destroys the tuberculosis bacteria."
D. "It prevents liver damage."
Isoniazid is an antibiotic that kills TB bacteria; adherence to the full regimen is
crucial to cure TB.
8. A nurse is reviewing laboratory results for a client receiving warfarin. Which
value should the nurse report to the provider?
A. INR 2.0
B. INR 2.5
C. INR 3.0
D. INR 4.5
An INR greater than 4.0 indicates an increased risk for bleeding and requires
intervention.
9. A nurse is teaching a client how to administer insulin glargine. Which
instruction should the nurse include?
A. "Shake the vial before use."
B. "Mix it with regular insulin."
C. "Administer at mealtime."
D. "Do not mix with other insulins."
Insulin glargine should not be mixed with other insulins because it alters its
pharmacokinetics.
Complete All 160 Questions And Correct Detailed
Answers (Verified Answers) |Already Graded
A+||Brand New Version
1. A nurse is caring for a client who has heart failure and is receiving
furosemide. Which laboratory result should the nurse monitor to detect an
adverse effect?
A. Sodium
B. Chloride
C. Potassium
D. Calcium
Furosemide is a loop diuretic that increases urinary excretion of potassium, so
the nurse should monitor for hypokalemia.
2. A client is newly prescribed phenytoin. Which statement indicates
understanding of the medication?
A. "I will take it on an empty stomach."
B. "I need to brush and floss my teeth regularly."
C. "I can stop taking it when I feel better."
D. "I should take it once weekly."
,B
Phenytoin can cause gingival hyperplasia. Good oral hygiene helps prevent this
adverse effect.
3. A nurse is providing discharge teaching to a client with a new prescription
for nitroglycerin sublingual tablets. Which instruction should the nurse
include?
A. "Swallow the tablet whole."
B. "Take the tablet every morning."
C. "Place the tablet under your tongue when chest pain occurs."
D. "Store the tablets in the bathroom cabinet."
Nitroglycerin tablets should be placed under the tongue at the onset of chest
pain for quick absorption.
4. A nurse is assessing a client who is receiving morphine for pain
management. Which finding should the nurse report immediately?
A. Urinary retention
B. Nausea and vomiting
C. Respiratory rate of 8/min
D. Pruritus
A respiratory rate of 8/min indicates respiratory depression, a serious adverse
effect of opioids.
, 5. A client is prescribed digoxin for heart failure. Which finding indicates
digoxin toxicity?
A. Hypertension
B. Visual disturbances
C. Tachycardia
D. Weight gain
Visual changes such as blurred vision or seeing halos are signs of digoxin
toxicity.
6. A nurse is caring for a client who has asthma and is prescribed albuterol.
Which statement indicates understanding?
A. "I will use this medication every night."
B. "I will use this medication when I have an acute asthma attack."
C. "I should use this medication before using my corticosteroid inhaler."
D. "I will rinse my mouth after using this inhaler."
Albuterol is a short-acting bronchodilator used for quick relief during acute
asthma attacks.
7. A client asks why they need to continue taking isoniazid for 6 months.
Which response should the nurse provide?
A. "It helps relieve your cough."
B. "It decreases nausea from other medications."
, C. "It destroys the tuberculosis bacteria."
D. "It prevents liver damage."
Isoniazid is an antibiotic that kills TB bacteria; adherence to the full regimen is
crucial to cure TB.
8. A nurse is reviewing laboratory results for a client receiving warfarin. Which
value should the nurse report to the provider?
A. INR 2.0
B. INR 2.5
C. INR 3.0
D. INR 4.5
An INR greater than 4.0 indicates an increased risk for bleeding and requires
intervention.
9. A nurse is teaching a client how to administer insulin glargine. Which
instruction should the nurse include?
A. "Shake the vial before use."
B. "Mix it with regular insulin."
C. "Administer at mealtime."
D. "Do not mix with other insulins."
Insulin glargine should not be mixed with other insulins because it alters its
pharmacokinetics.
