Saunder's Comprehensive NCLEX Review Practice QUESTIONS AND
ANSWERS WITH RATIONALE 2025-2026 UPDATE PASSING
SCORE GUARANTEED (100% VERIFIED EXAM)
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 an
demonstration (teach-back) of are particular importance to ensure safety and mutual understanding. Thi
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 Africa
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 prevalen
among African Americans.
The nurse is planning care for a client of Native Hawaiian descent who recently had a baby. The nurs
develops a teaching plan and includes info about which measure that's related to a newborn complicatio
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 mortalit
compared with other ethnic groups. Sudden Infant Death Syndrome (SIDS) is a major cause of infan
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 abou
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 transgende
persons because it assists in refraining from judgment and allows the client the opportunity to expres
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 th
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 pai
associated with numbness and tingling in both feet
Rationale: With this population, the complaints of pain associated with numbness and tingling should b
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 b
addressed first.
The nurse is preparing discharge resources for a client being discharged to the homeless shelter. Whe
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 sid
effect of this medication is hypoglycemia, which is a safety risk to the homeless population. Lisinopril i
an angiotensin-converting enzyme inhibitor. Although there are side effects that should be included i
discharge instructions, there is less of a threat to safety with this medication and the benefits to it ar
important. Metformin is an oral biguanide and is used for type 2 diabetes mellitus. Hypoglycemia is les
of a concern with this medication compared with other oral hypoglycemics. Beclomethasone is an inhale
corticosteroid used for obstructive lung disease, and although there are side effects the client shoul
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 pa
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 as
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 risk
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 priso
can predispose a person to different health conditions"
Rationale: the environment of a prison can predispose a person to different health conditions. Option
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 whic
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, reactiv
detachment disorder, sleep problems, prenatal drug and alcohol exposure, and personality disorde
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. Whic
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, particularl
around the eyes, red or purple marks on the neck, sprained or broken wrists, chronic fatigue, SOB, muscl
tension, involuntary shaking, changes in eating and sleeping, sexual dysfunction, and fertility issues
Mental health issues can also arise including PTSD, nightmares, anxiety, uncontrollable thoughts
depression, anxiety, low self-esteem, and alcohol and drug abuse. Reddened sclera, a dry rash on th
elbows, and flaking of the scalp do not indicate abuse.
The nurse planning care for a military veteran should prioritize nursing interventions targeted at managin
which condition, if present, that commonly occurs in this population?
1. hypertension
ANSWERS WITH RATIONALE 2025-2026 UPDATE PASSING
SCORE GUARANTEED (100% VERIFIED EXAM)
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 an
demonstration (teach-back) of are particular importance to ensure safety and mutual understanding. Thi
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 Africa
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 prevalen
among African Americans.
The nurse is planning care for a client of Native Hawaiian descent who recently had a baby. The nurs
develops a teaching plan and includes info about which measure that's related to a newborn complicatio
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 mortalit
compared with other ethnic groups. Sudden Infant Death Syndrome (SIDS) is a major cause of infan
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 abou
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 transgende
persons because it assists in refraining from judgment and allows the client the opportunity to expres
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 th
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 pai
associated with numbness and tingling in both feet
Rationale: With this population, the complaints of pain associated with numbness and tingling should b
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 b
addressed first.
The nurse is preparing discharge resources for a client being discharged to the homeless shelter. Whe
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 sid
effect of this medication is hypoglycemia, which is a safety risk to the homeless population. Lisinopril i
an angiotensin-converting enzyme inhibitor. Although there are side effects that should be included i
discharge instructions, there is less of a threat to safety with this medication and the benefits to it ar
important. Metformin is an oral biguanide and is used for type 2 diabetes mellitus. Hypoglycemia is les
of a concern with this medication compared with other oral hypoglycemics. Beclomethasone is an inhale
corticosteroid used for obstructive lung disease, and although there are side effects the client shoul
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 pa
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 as
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 risk
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 priso
can predispose a person to different health conditions"
Rationale: the environment of a prison can predispose a person to different health conditions. Option
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 whic
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, reactiv
detachment disorder, sleep problems, prenatal drug and alcohol exposure, and personality disorde
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. Whic
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, particularl
around the eyes, red or purple marks on the neck, sprained or broken wrists, chronic fatigue, SOB, muscl
tension, involuntary shaking, changes in eating and sleeping, sexual dysfunction, and fertility issues
Mental health issues can also arise including PTSD, nightmares, anxiety, uncontrollable thoughts
depression, anxiety, low self-esteem, and alcohol and drug abuse. Reddened sclera, a dry rash on th
elbows, and flaking of the scalp do not indicate abuse.
The nurse planning care for a military veteran should prioritize nursing interventions targeted at managin
which condition, if present, that commonly occurs in this population?
1. hypertension
