SAUNDER'S COMPREHENSIVE NCLEX
CORRECT WELL DETAILED
ANSWERS|LATEST
UPDATE!!!2025/2026|GUARANTEED
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 - 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.
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 - ANSWER 1, 2, 3, 4, 6
Rationale: obesity, diabetes mellitus, hypertension, heart disease, asthma, and cancer are
prevalent among African Americans.
1
,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
4. baby-proofing - 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 - ANSWER 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 - ANSWER 1. Using open-
ended questions
2
,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)
5. women-who-have-sex-with-women (WSW) - ANSWER 1, 2, 4, 5
Rationale: Transgender persons who have undergone sexual reassignment surgery should
have the 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 - ANSWER 4.
complaints of pain associated with numbness and tingling in both feet
Rationale: With this population, the complaints of pain associated with numbness and
tingling should be 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 be addressed first.
3
, The nurse is preparing discharge resources for a client being discharged to the homeless
shelter. When 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 - ANSWER 1. Glipizide
Rationale: Glipizide is an oral hypoglycemic medication and is classified as a sulfonylurea. A
major side effect of this medication is hypoglycemia, which is a safety risk to the homeless
population. Lisinopril is an angiotensin-converting enzyme inhibitor. Although there are side
effects that should be included in discharge instructions, there is less of a threat to safety
with this medication and the benefits to it are important. Metformin is an oral biguanide and
is used for type 2 diabetes mellitus. Hypoglycemia is less of a concern with this medication
compared with other oral hypoglycemics. Beclomethasone is an inhaled corticosteroid used
for obstructive lung disease, and although there are side effects the client should 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 part 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 - ANSWER 1. the history
Rationale: intellectually disabled clients tend to be poor historians, and it may take more
time to ask 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 risks associated with living in a prison. How should the nurse respond?
1. "health care is very limited in the prison setting"
4
CORRECT WELL DETAILED
ANSWERS|LATEST
UPDATE!!!2025/2026|GUARANTEED
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 - 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.
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 - ANSWER 1, 2, 3, 4, 6
Rationale: obesity, diabetes mellitus, hypertension, heart disease, asthma, and cancer are
prevalent among African Americans.
1
,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
4. baby-proofing - 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 - ANSWER 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 - ANSWER 1. Using open-
ended questions
2
,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)
5. women-who-have-sex-with-women (WSW) - ANSWER 1, 2, 4, 5
Rationale: Transgender persons who have undergone sexual reassignment surgery should
have the 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 - ANSWER 4.
complaints of pain associated with numbness and tingling in both feet
Rationale: With this population, the complaints of pain associated with numbness and
tingling should be 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 be addressed first.
3
, The nurse is preparing discharge resources for a client being discharged to the homeless
shelter. When 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 - ANSWER 1. Glipizide
Rationale: Glipizide is an oral hypoglycemic medication and is classified as a sulfonylurea. A
major side effect of this medication is hypoglycemia, which is a safety risk to the homeless
population. Lisinopril is an angiotensin-converting enzyme inhibitor. Although there are side
effects that should be included in discharge instructions, there is less of a threat to safety
with this medication and the benefits to it are important. Metformin is an oral biguanide and
is used for type 2 diabetes mellitus. Hypoglycemia is less of a concern with this medication
compared with other oral hypoglycemics. Beclomethasone is an inhaled corticosteroid used
for obstructive lung disease, and although there are side effects the client should 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 part 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 - ANSWER 1. the history
Rationale: intellectually disabled clients tend to be poor historians, and it may take more
time to ask 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 risks associated with living in a prison. How should the nurse respond?
1. "health care is very limited in the prison setting"
4
