Saunder's Comprehensive NCLEX
Review Practice Exam 2026 Questions
and Answers
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 - Correct answer-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.
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,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 - Correct answer-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
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,4. baby-proofing - Correct answer-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 - Correct answer-2. MSM
Rationale: MSM (men who have sex with men) are at a higher risk for HIV and
AIDS.
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, 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 - Correct answer-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)
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
Review Practice Exam 2026 Questions
and Answers
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 - Correct answer-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.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,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 - Correct answer-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
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,4. baby-proofing - Correct answer-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 - Correct answer-2. MSM
Rationale: MSM (men who have sex with men) are at a higher risk for HIV and
AIDS.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, 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 - Correct answer-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)
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
