SAUNDERS NCLEX EXAM SCRIPT 2025/2026 QUESTIONS
WITH SOLUTIONS MARKED A+
✔✔The nurse is admitting a client with laryngeal cancer to the nursing unit. What should
the nurse assess for as the most common risk factor for this type of cancer? -
✔✔Cigarette smoking
✔✔The nurse is reviewing the preoperative prescriptions for a client with a colon tumor
who is scheduled for abdominal perineal resection and notes that the primary health
care provider has prescribed neomycin for the client. After discussing a prescription for
neomycin with the nursing student who is caring for the client, the nurse determines that
the student understands the rationale for administration if which statement is made? -
✔✔"It will help to decrease the bacteria in the bowel."
✔✔The nurse monitoring an oncological client assesses for which early sign of vena
cava syndrome? - ✔✔Periorbital edema
✔✔A client with a medical diagnosis of breast cancer is undergoing chemotherapy. The
client complains to the nurse about losing her hair and severe fatigue from the
treatment. Which interventions should the nurse implement for this client? Select all that
apply.
1.Review side effects of chemotherapy and treatment with the client. 2.Teach the client
how to resolve specific concerns of her personal life.
3.Teach the client to pace activities with rest so as to maintain strength.
4.Offer information on available counseling services and support groups.
5.Tell the client about some other clients who have had breast cancer treatment.
6.Inquire how the cancer diagnosis and treatment affect the client's normal routine. -
✔✔Review side effects of chemotherapy and treatment with the client.
Teach the client to pace activities with rest so as to maintain strength.
Offer information on available counseling services and support groups.
Inquire how the cancer diagnosis and treatment affect the client's normal routine.
✔✔The client is preparing for discharge from the hospital after radical vulvectomy. The
nurse should include which activity as appropriate for the client immediately after
discharge? - ✔✔Walking
✔✔A client with carcinoma of the lung develops syndrome of inappropriate antidiuretic
hormone (SIADH) as a complication of the cancer. The nurse anticipates that the
primary health care provider will request which prescriptions? Select all that apply.
1.Radiation
2.Chemotherapy
3.Increased fluid intake
, 4.Decreased oral sodium intake
5.Serum sodium level determination
6.Medication that is antagonistic to antidiuretic hormone - ✔✔1.Radiation
2.Chemotherapy
5.Serum sodium level determination
6.Medication that is antagonistic to antidiuretic hormone
✔✔The clinic nurse has conducted a health screening clinic to identify clients who are at
risk for cervical cancer. The nurse is reviewing the assessment findings in the records of
the clients who attended the clinic. Which client is at lowest risk for developing this type
of cancer? - ✔✔A single white client
✔✔The nurse has provided instructions to a client regarding testicular self-examination
(TSE). Which client statement indicates the need for further teaching regarding TSE? -
✔✔"I examine myself every 2 months."
✔✔A client is admitted to the hospital with a suspected diagnosis of Hodgkin's disease.
Which assessment finding would the nurse expect to note specifically in the client? -
✔✔Enlarged lymph nodes
✔✔The nurse teaches skin care to a client receiving external radiation therapy. Which
client statement indicates the need for further instruction? - ✔✔"I will limit sun exposure
to 1 hour daily."
✔✔The nurse is teaching the client about risk factors for skin cancer. Which statements
by the client indicate that teaching was successful? Select all that apply. - ✔✔"I have to
avoid excessive exposure to sunlight."
"I am at higher risk for skin cancer because my mother had one."
✔✔The nurse is analyzing the laboratory results of a client with leukemia who has
received a regimen of chemotherapy. Which laboratory value would the nurse
specifically note as a result of the massive cell destruction that occurred from the
chemotherapy? - ✔✔Increased uric acid level
✔✔The nurse is caring for a client with leukemia. In assessing the client for signs of
leukemia, the nurse determines that what should be monitored? - ✔✔Bone marrow
biopsy
✔✔The nurse is caring for a client with lung cancer and bone metastasis. What signs
and symptoms would the nurse recognize as indications of a possible oncological
emergency? Select all that apply.
1.Facial edema in the morning
WITH SOLUTIONS MARKED A+
✔✔The nurse is admitting a client with laryngeal cancer to the nursing unit. What should
the nurse assess for as the most common risk factor for this type of cancer? -
✔✔Cigarette smoking
✔✔The nurse is reviewing the preoperative prescriptions for a client with a colon tumor
who is scheduled for abdominal perineal resection and notes that the primary health
care provider has prescribed neomycin for the client. After discussing a prescription for
neomycin with the nursing student who is caring for the client, the nurse determines that
the student understands the rationale for administration if which statement is made? -
✔✔"It will help to decrease the bacteria in the bowel."
✔✔The nurse monitoring an oncological client assesses for which early sign of vena
cava syndrome? - ✔✔Periorbital edema
✔✔A client with a medical diagnosis of breast cancer is undergoing chemotherapy. The
client complains to the nurse about losing her hair and severe fatigue from the
treatment. Which interventions should the nurse implement for this client? Select all that
apply.
1.Review side effects of chemotherapy and treatment with the client. 2.Teach the client
how to resolve specific concerns of her personal life.
3.Teach the client to pace activities with rest so as to maintain strength.
4.Offer information on available counseling services and support groups.
5.Tell the client about some other clients who have had breast cancer treatment.
6.Inquire how the cancer diagnosis and treatment affect the client's normal routine. -
✔✔Review side effects of chemotherapy and treatment with the client.
Teach the client to pace activities with rest so as to maintain strength.
Offer information on available counseling services and support groups.
Inquire how the cancer diagnosis and treatment affect the client's normal routine.
✔✔The client is preparing for discharge from the hospital after radical vulvectomy. The
nurse should include which activity as appropriate for the client immediately after
discharge? - ✔✔Walking
✔✔A client with carcinoma of the lung develops syndrome of inappropriate antidiuretic
hormone (SIADH) as a complication of the cancer. The nurse anticipates that the
primary health care provider will request which prescriptions? Select all that apply.
1.Radiation
2.Chemotherapy
3.Increased fluid intake
, 4.Decreased oral sodium intake
5.Serum sodium level determination
6.Medication that is antagonistic to antidiuretic hormone - ✔✔1.Radiation
2.Chemotherapy
5.Serum sodium level determination
6.Medication that is antagonistic to antidiuretic hormone
✔✔The clinic nurse has conducted a health screening clinic to identify clients who are at
risk for cervical cancer. The nurse is reviewing the assessment findings in the records of
the clients who attended the clinic. Which client is at lowest risk for developing this type
of cancer? - ✔✔A single white client
✔✔The nurse has provided instructions to a client regarding testicular self-examination
(TSE). Which client statement indicates the need for further teaching regarding TSE? -
✔✔"I examine myself every 2 months."
✔✔A client is admitted to the hospital with a suspected diagnosis of Hodgkin's disease.
Which assessment finding would the nurse expect to note specifically in the client? -
✔✔Enlarged lymph nodes
✔✔The nurse teaches skin care to a client receiving external radiation therapy. Which
client statement indicates the need for further instruction? - ✔✔"I will limit sun exposure
to 1 hour daily."
✔✔The nurse is teaching the client about risk factors for skin cancer. Which statements
by the client indicate that teaching was successful? Select all that apply. - ✔✔"I have to
avoid excessive exposure to sunlight."
"I am at higher risk for skin cancer because my mother had one."
✔✔The nurse is analyzing the laboratory results of a client with leukemia who has
received a regimen of chemotherapy. Which laboratory value would the nurse
specifically note as a result of the massive cell destruction that occurred from the
chemotherapy? - ✔✔Increased uric acid level
✔✔The nurse is caring for a client with leukemia. In assessing the client for signs of
leukemia, the nurse determines that what should be monitored? - ✔✔Bone marrow
biopsy
✔✔The nurse is caring for a client with lung cancer and bone metastasis. What signs
and symptoms would the nurse recognize as indications of a possible oncological
emergency? Select all that apply.
1.Facial edema in the morning
