SAUNDERS COMPREHENSIVE
REVIEW FOR THE NCLEX-PN
EXAMINATION QUESTIONS &
VERIFIED COMPLETE ANSWERS
RATED 100% CORRECT
The nurse is choosing age-appropriate toys for a toddler. Which toy is the best choice for this
age?
A. A puzzle
B. Toy soldiers
C. Large stacking blocks
D. A card game with large pictures - correct answer ✔✔Correct Answer: C. Large stacking blocks
This question addresses the Client Needs category Health Promotion and Maintenance and
specifically relates to the principals of growth and development of a toddler. Not the strategic
word best. Toddlers like to master activities independently, such as stacking blocks. Because
toddlers do not have the developmental ability to determine what would be harmful, toys that
are safe need to be provided. A puzzle and toy soldiers provide objects that can be placed in the
mouth and may be harmful for a toddler. A card game with large pictures may require
cooperative play, which is more appropriate for a school-age child
The nurse has received the client assignment for the day. Which client would the nurse attend
to first?
A. The client who has a nasogastric tube attached to intermittent suction.
B. The client who needs to receive subcutaneous insulin before breakfast.
,C. The client who is 2 days postoperative and is complaining of incisional pain.
D. The client who has a blood glucose of 50 mg/dL and complains of blurred vision. - correct
answer ✔✔Correct Answer: D. The client who has a blood glucose of 50 mg/dL and complains
of blurred vision.
The client has a low blood glucose level and symptoms reflective of hypoglycemia. This client
would be attended to first so that treatment can be implemented. Although the other clients
have needs that require attention, they are not the priority and can wait until the client in
option 4 is stabilized.
The nurse prepares to care for a client on contact precautions who has a hospital-acquired
infection caused by methicillin-resistant Staphylococcus aureus (MRSA). The client has an
abdominal wound that requires irrigation and has a tracheostomy attached to a mechanical
ventilator, which requires frequent suctioning. The nurse would assemble which necessary
protective items before entering the client's room?
A. Gloves and a gown
B. Gloves, mask, and goggles
C. Gloves, mask, gown, and goggles
D. Gloves, gown, and shoe protectors - correct answer ✔✔Correct Answer: C. Gloves, mask,
gown, and goggles
Splashes of infective material can occur during wound irrigation or suctioning of the
tracheostomy.
A client with coronary artery disease has selected guided imagery to help cope with
psychological stress. Which client statement indicates an understanding of this stress reduction
measure?
A. "This will help only if I play music at the same time."
,B. "This will work for me only if I am alone in a quiet area."
C. "I need to do this only when I lie down in case I fall asleep."
D. "The best thing about this is that I can use it anywhere, anytime." - correct answer
✔✔Correct Answer: D. "The best thing about tis is that I can use it anywhere, anytime."
This question addresses the Client Needs category Psychosocial Integrity and the content
addresses coping mechanisms. Focus on the subject, client understanding of guided imagery.
Guided imagery involves the client creating an image in the mind, concentrating on the image,
and gradually becoming less aware of the offending stimulus. It can be done anytime and
anywhere; some clients may use other relaxation techniques or play music with it.
A client with Parkinson's disease develops akinesia while ambulating, increasing the risk for
falls. Which suggestion would the nurse provide to the client to alleviate this problem?
A. Use a wheelchair to move around.
B. Stand erect and use a cane to ambulate.
C. Keep the feet close together while ambulating, and use a walker.
D. Consciously think about walking over imaginary lines on the floor. - correct answer
✔✔Correct Answer: Consciously think about walking over imaginary lines on the floor.
This question addresses the subcategory Basic Care and Comfort in the Client Needs category
Physiological Integrity and addresses client mobility and promoting assistance in an activity of
daily living to maintain safety. Focus on the subject, a suggestion that will ensure client safety.
Clients with Parkinson's disease can develop bradykinesia (slow movement) or akinesia (freezing
or no movement). Having these clients imagine lines on the floor to walk over can keep them
moving forward while remaining safe.
The nurse monitors a client receiving digoxin for which early manifestation of digoxin toxicity?
A. Anorexia
, B. Facial pain
C. Photophobia
D. Yellow color perception. - correct answer ✔✔Correct Answer: A. Anorexia
This question addresses the subcategory Pharmacological Therapies in the Client Needs
category Physiological Integrity. Note the strategic word, early. Digoxin is a cardiac glycoside that
is used to manage and treat heart failure and to control ventricular rates in clients with atrial
fibrillation. The most common early manifestations of toxicity include gastrointestinal
disturbances such as anorexia, nausea, and vomiting. Neurological abnormalities can also occur
early and include fatigue, headache, depression, weakness, drowsiness, confusion, and
nightmares. Facial pain, personality changes, and ocular disturbances (photophobia, diplopia,
light flashes, halos around bright objects, yellow or green color perception) are also signs of
toxicity, but are not early signs.
A magnetic resonance imaging (MRI) study is prescribed for a client with a suspected brain
tumor. The nurse would implement which action to prepare the client for this test?
A. Shave the groin for insertion of a femoral catheter.
B. Remove all metal-containing objects from the client.
C. Keep the client NPO for 6 hours before the test.
D. Instruct the client in inhalation techniques for the administration of the radioisotope. -
correct answer ✔✔Correct Answer: B. Remove all metal-containing objects from the client.
This question addresses the subcategory, Reduction of Risk potential, in the Client Needs
category Physiological Integrity, and the nurse's responsibilities in preparing the client for the
diagnostic test. Focus on the subject, preparation for an MRI. In an MRI study, radiofrequency
pulses in a magnetic field are converted into pictures. All metal objects, such as rings, bracelets,
hairpins, and watches, would be removed. In addition, a history would be taken to ascertain
whether the client has any internal metallic devices, such as orthopedic hardware, pacemakers,
or shrapnel. NPO status is not necessary for an MRI study of the head. The groin may be shaved
fr an angiogram, and inhalation of the radioisotope may be prescribed with other types of scans
but is not part of the procedures for an MRI.
REVIEW FOR THE NCLEX-PN
EXAMINATION QUESTIONS &
VERIFIED COMPLETE ANSWERS
RATED 100% CORRECT
The nurse is choosing age-appropriate toys for a toddler. Which toy is the best choice for this
age?
A. A puzzle
B. Toy soldiers
C. Large stacking blocks
D. A card game with large pictures - correct answer ✔✔Correct Answer: C. Large stacking blocks
This question addresses the Client Needs category Health Promotion and Maintenance and
specifically relates to the principals of growth and development of a toddler. Not the strategic
word best. Toddlers like to master activities independently, such as stacking blocks. Because
toddlers do not have the developmental ability to determine what would be harmful, toys that
are safe need to be provided. A puzzle and toy soldiers provide objects that can be placed in the
mouth and may be harmful for a toddler. A card game with large pictures may require
cooperative play, which is more appropriate for a school-age child
The nurse has received the client assignment for the day. Which client would the nurse attend
to first?
A. The client who has a nasogastric tube attached to intermittent suction.
B. The client who needs to receive subcutaneous insulin before breakfast.
,C. The client who is 2 days postoperative and is complaining of incisional pain.
D. The client who has a blood glucose of 50 mg/dL and complains of blurred vision. - correct
answer ✔✔Correct Answer: D. The client who has a blood glucose of 50 mg/dL and complains
of blurred vision.
The client has a low blood glucose level and symptoms reflective of hypoglycemia. This client
would be attended to first so that treatment can be implemented. Although the other clients
have needs that require attention, they are not the priority and can wait until the client in
option 4 is stabilized.
The nurse prepares to care for a client on contact precautions who has a hospital-acquired
infection caused by methicillin-resistant Staphylococcus aureus (MRSA). The client has an
abdominal wound that requires irrigation and has a tracheostomy attached to a mechanical
ventilator, which requires frequent suctioning. The nurse would assemble which necessary
protective items before entering the client's room?
A. Gloves and a gown
B. Gloves, mask, and goggles
C. Gloves, mask, gown, and goggles
D. Gloves, gown, and shoe protectors - correct answer ✔✔Correct Answer: C. Gloves, mask,
gown, and goggles
Splashes of infective material can occur during wound irrigation or suctioning of the
tracheostomy.
A client with coronary artery disease has selected guided imagery to help cope with
psychological stress. Which client statement indicates an understanding of this stress reduction
measure?
A. "This will help only if I play music at the same time."
,B. "This will work for me only if I am alone in a quiet area."
C. "I need to do this only when I lie down in case I fall asleep."
D. "The best thing about this is that I can use it anywhere, anytime." - correct answer
✔✔Correct Answer: D. "The best thing about tis is that I can use it anywhere, anytime."
This question addresses the Client Needs category Psychosocial Integrity and the content
addresses coping mechanisms. Focus on the subject, client understanding of guided imagery.
Guided imagery involves the client creating an image in the mind, concentrating on the image,
and gradually becoming less aware of the offending stimulus. It can be done anytime and
anywhere; some clients may use other relaxation techniques or play music with it.
A client with Parkinson's disease develops akinesia while ambulating, increasing the risk for
falls. Which suggestion would the nurse provide to the client to alleviate this problem?
A. Use a wheelchair to move around.
B. Stand erect and use a cane to ambulate.
C. Keep the feet close together while ambulating, and use a walker.
D. Consciously think about walking over imaginary lines on the floor. - correct answer
✔✔Correct Answer: Consciously think about walking over imaginary lines on the floor.
This question addresses the subcategory Basic Care and Comfort in the Client Needs category
Physiological Integrity and addresses client mobility and promoting assistance in an activity of
daily living to maintain safety. Focus on the subject, a suggestion that will ensure client safety.
Clients with Parkinson's disease can develop bradykinesia (slow movement) or akinesia (freezing
or no movement). Having these clients imagine lines on the floor to walk over can keep them
moving forward while remaining safe.
The nurse monitors a client receiving digoxin for which early manifestation of digoxin toxicity?
A. Anorexia
, B. Facial pain
C. Photophobia
D. Yellow color perception. - correct answer ✔✔Correct Answer: A. Anorexia
This question addresses the subcategory Pharmacological Therapies in the Client Needs
category Physiological Integrity. Note the strategic word, early. Digoxin is a cardiac glycoside that
is used to manage and treat heart failure and to control ventricular rates in clients with atrial
fibrillation. The most common early manifestations of toxicity include gastrointestinal
disturbances such as anorexia, nausea, and vomiting. Neurological abnormalities can also occur
early and include fatigue, headache, depression, weakness, drowsiness, confusion, and
nightmares. Facial pain, personality changes, and ocular disturbances (photophobia, diplopia,
light flashes, halos around bright objects, yellow or green color perception) are also signs of
toxicity, but are not early signs.
A magnetic resonance imaging (MRI) study is prescribed for a client with a suspected brain
tumor. The nurse would implement which action to prepare the client for this test?
A. Shave the groin for insertion of a femoral catheter.
B. Remove all metal-containing objects from the client.
C. Keep the client NPO for 6 hours before the test.
D. Instruct the client in inhalation techniques for the administration of the radioisotope. -
correct answer ✔✔Correct Answer: B. Remove all metal-containing objects from the client.
This question addresses the subcategory, Reduction of Risk potential, in the Client Needs
category Physiological Integrity, and the nurse's responsibilities in preparing the client for the
diagnostic test. Focus on the subject, preparation for an MRI. In an MRI study, radiofrequency
pulses in a magnetic field are converted into pictures. All metal objects, such as rings, bracelets,
hairpins, and watches, would be removed. In addition, a history would be taken to ascertain
whether the client has any internal metallic devices, such as orthopedic hardware, pacemakers,
or shrapnel. NPO status is not necessary for an MRI study of the head. The groin may be shaved
fr an angiogram, and inhalation of the radioisotope may be prescribed with other types of scans
but is not part of the procedures for an MRI.
