Saunders NCLEX-RN Comprehensive Review –
Key Points and Practice Questions Summary
(Silvestri 5th Edition)
Fundamentals of Nursing & Safety
1. The nurse is caring for a client with a suspected Mycobacterium
tuberculosis infection. Which type of transmission-based precaution
is required?
A. Contact Precautions
B. Droplet Precautions
C. Airborne Precautions
D. Protective Environment
2. A client has a new prescription for wrist restraints. Which action
by the nurse is most important?
A. Tying the restraint to the movable part of the bed frame
B. Releasing the restraint and assessing circulation every 2 hours
C. Applying the restraint over the client's clothing
D. Obtaining a telephone order from the provider within 12 hours
3. When delegating tasks to a Licensed Practical Nurse (LPN), the
Registered Nurse (RN) should assign which of the following clients?
A. A client who is 1-day post-op and needs a complex dressing change.
B. A stable client who needs routine vital signs and medication
administration.
C. A client who is being admitted for an unstable cardiac condition.
D. A client who requires initial discharge teaching.
4. The nurse discovers a fire in a client's room. What is the nurse's
priority action?
A. Activate the fire alarm.
,B. Evacuate the client from the room.
C. Use the nearest fire extinguisher.
D. Close all doors on the unit.
5. A client is scheduled for surgery. Before having the client sign the
informed consent, the nurse must ensure:
A. The client has watched an educational video about the procedure.
B. The surgeon has explained the risks, benefits, and alternatives.
C. The client's family is present and agrees with the decision.
D. The nurse has answered all of the client's questions about the surgery.
6. The nurse is preparing to administer a medication. The order
reads "Lasix 40 mg PO daily." The nurse's next action should be to:
A. Check the client's most recent potassium level.
B. Ask the client if they are allergic to penicillin.
C. Crush the tablet and mix it with applesauce.
D. Administer the medication with a full glass of milk.
7. Which action by a new graduate nurse requires immediate
intervention by the charge nurse?
A. Documenting a dressing change after it is completed.
B. Scanning the barcode on the medication after it is poured.
C. Delegating vital signs for a stable client to a nursing assistant.
D. Administering IV push morphine without checking respiratory rate
first.
8. A client with a history of falls attempts to get out of bed without
assistance. The nurse's best initial action is to:
A. Apply all four side rails immediately.
B. Place the client in a vest restraint.
C. Assist the client back to bed and assess why they were getting up.
D. Administer a prn sedative as ordered.
, 9. The nurse is teaching a client about advance directives. The nurse
understands that a living will:
A. Designates a healthcare power of attorney.
B. Specifies the client's wishes regarding medical treatment if they
become incapacitated.
C. Details how the client's estate should be distributed after death.
D. Is only valid for the duration of the current hospitalization.
10. When using the nursing process, the step of "Evaluation"
involves:
A. Collecting and analyzing client data.
B. Determining the client's outcomes and goals.
C. Carrying out the planned interventions.
D. Determining if the client goals were met.
Pharmacology
11. A client is receiving furosemide (Lasix). The nurse should closely
monitor for which electrolyte imbalance?
A. Hyperkalemia
B. Hypokalemia
C. Hypernatremia
D. Hypocalcemia
12. The nurse is administering insulin. Which insulin is cloudy and
should be rolled between the hands, not shaken?
A. Insulin glargine (Lantus)
B. NPH insulin (Humulin N)
C. Insulin regular (Humulin R)
D. Insulin detemir (Levemir)
Key Points and Practice Questions Summary
(Silvestri 5th Edition)
Fundamentals of Nursing & Safety
1. The nurse is caring for a client with a suspected Mycobacterium
tuberculosis infection. Which type of transmission-based precaution
is required?
A. Contact Precautions
B. Droplet Precautions
C. Airborne Precautions
D. Protective Environment
2. A client has a new prescription for wrist restraints. Which action
by the nurse is most important?
A. Tying the restraint to the movable part of the bed frame
B. Releasing the restraint and assessing circulation every 2 hours
C. Applying the restraint over the client's clothing
D. Obtaining a telephone order from the provider within 12 hours
3. When delegating tasks to a Licensed Practical Nurse (LPN), the
Registered Nurse (RN) should assign which of the following clients?
A. A client who is 1-day post-op and needs a complex dressing change.
B. A stable client who needs routine vital signs and medication
administration.
C. A client who is being admitted for an unstable cardiac condition.
D. A client who requires initial discharge teaching.
4. The nurse discovers a fire in a client's room. What is the nurse's
priority action?
A. Activate the fire alarm.
,B. Evacuate the client from the room.
C. Use the nearest fire extinguisher.
D. Close all doors on the unit.
5. A client is scheduled for surgery. Before having the client sign the
informed consent, the nurse must ensure:
A. The client has watched an educational video about the procedure.
B. The surgeon has explained the risks, benefits, and alternatives.
C. The client's family is present and agrees with the decision.
D. The nurse has answered all of the client's questions about the surgery.
6. The nurse is preparing to administer a medication. The order
reads "Lasix 40 mg PO daily." The nurse's next action should be to:
A. Check the client's most recent potassium level.
B. Ask the client if they are allergic to penicillin.
C. Crush the tablet and mix it with applesauce.
D. Administer the medication with a full glass of milk.
7. Which action by a new graduate nurse requires immediate
intervention by the charge nurse?
A. Documenting a dressing change after it is completed.
B. Scanning the barcode on the medication after it is poured.
C. Delegating vital signs for a stable client to a nursing assistant.
D. Administering IV push morphine without checking respiratory rate
first.
8. A client with a history of falls attempts to get out of bed without
assistance. The nurse's best initial action is to:
A. Apply all four side rails immediately.
B. Place the client in a vest restraint.
C. Assist the client back to bed and assess why they were getting up.
D. Administer a prn sedative as ordered.
, 9. The nurse is teaching a client about advance directives. The nurse
understands that a living will:
A. Designates a healthcare power of attorney.
B. Specifies the client's wishes regarding medical treatment if they
become incapacitated.
C. Details how the client's estate should be distributed after death.
D. Is only valid for the duration of the current hospitalization.
10. When using the nursing process, the step of "Evaluation"
involves:
A. Collecting and analyzing client data.
B. Determining the client's outcomes and goals.
C. Carrying out the planned interventions.
D. Determining if the client goals were met.
Pharmacology
11. A client is receiving furosemide (Lasix). The nurse should closely
monitor for which electrolyte imbalance?
A. Hyperkalemia
B. Hypokalemia
C. Hypernatremia
D. Hypocalcemia
12. The nurse is administering insulin. Which insulin is cloudy and
should be rolled between the hands, not shaken?
A. Insulin glargine (Lantus)
B. NPH insulin (Humulin N)
C. Insulin regular (Humulin R)
D. Insulin detemir (Levemir)
