SAUNDERS NCLEX-PN
QUESTIONS WITH VERIFIED
SOLUTIONS 2025-2026
SMART STUDY
BIGGYPERFECT
,SAUNDERS NCLEX-PN QUESTIONS WITH
VERIFIED SOLUTIONS 2025-2026
,741. The nurse reinforces home care instructions to the parents of a child hospitalized with pertussis. The child is in
the convalescent stage and is being prepared for discharge. Which statement by the parents indicates a need for
further teaching?
1. "We need to encourage adequate fluid intake."
2. "Coughing spells may be triggered by dust or smoke."
3. "We need to maintain respiratory precautions and a quiet environment for at least 2 weeks."
4. "Good hand-washing techniques need to be instituted to prevent spreading the disease to others." 741. 3
Rationale: Pertussis is transmitted by direct contact or respiratory droplets from coughing. The communicable period
occurs primarily during the catarrhal stage. Respiratory precautions are not required during the convalescent phase.
Options 1, 2, and 4 are components of home care instructions.
Test-Taking Strategy: Note the strategic words, need for further teaching. These words indicate a negative event
query and the need to select the incorrect statement. Options 1 and 4 can be easily eliminated because they are
general interventions associated with convalescence. Knowing that coughing spells are associated with pertussis will
assist in directing you to the correct option from the remaining options. In addition, a 2-week period of respiratory
precautions is not required. Review: home care instructions for the child with pertussis.
Level of Cognitive Ability: Evaluating
Client Needs: Safe and Effective Care Environment
Integrated Process: Nursing Process/Evaluation
Content Area: Child Health: Infectious and Communicable Diseases
Priority Concepts: Gas Exchange, Infection
Reference(s): Hockenberry, Wilson (2013), pp. 428, 653-654.
742. A client enters the emergency department confused, twitching, and having seizures. His family states he
recently was placed on corticosteroids for arthritis and was feeling better and exercising daily. Upon assessment, he
, has flushed skin, dry mucous membranes, an elevated temperature, and poor skin turgor. His serum sodium level is
172 mEq/L. Which interventions would the health care provider likely prescribe? Select all that apply.
1. Monitor the vital signs.
2. Monitor intake and output.
3. Increase water intake orally.
4. Monitor the electrolyte levels.
5. Provide a sodium-reduced diet.
6. Administer sodium replacements. 742. 1, 2, 3, 4, 5
Rationale: Hypernatremia is described as having a serum sodium level that exceeds 145 mEq/L. Signs and
symptoms would include dry mucous membranes, loss of skin turgor, thirst, flushed skin, elevated temperature,
oliguria, muscle twitching, fatigue, confusion, and seizures. Interventions include monitoring fluid balance, monitoring
vital signs, reducing dietary intake of sodium, monitoring electrolyte levels, and increasing oral intake of water.
Sodium replacement therapy would not be prescribed for a client with hypernatremia.
Test-Taking Strategy: Focus on the subject, a sodium level of 172 mEq/L. Knowledge that this level is elevated and
knowledge of the treatment for hyperkalemia will direct you to the correct options. Review: hypernatremia.
Level of Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Planning
Content Area: Fundamental Skills: Fluids & Electrolytes
Priority Concepts: Clinical Judgment, Fluid and Electrolyte Balance
Reference(s): deWit, Kumagai (2013), pp. 41-42.
QUESTIONS WITH VERIFIED
SOLUTIONS 2025-2026
SMART STUDY
BIGGYPERFECT
,SAUNDERS NCLEX-PN QUESTIONS WITH
VERIFIED SOLUTIONS 2025-2026
,741. The nurse reinforces home care instructions to the parents of a child hospitalized with pertussis. The child is in
the convalescent stage and is being prepared for discharge. Which statement by the parents indicates a need for
further teaching?
1. "We need to encourage adequate fluid intake."
2. "Coughing spells may be triggered by dust or smoke."
3. "We need to maintain respiratory precautions and a quiet environment for at least 2 weeks."
4. "Good hand-washing techniques need to be instituted to prevent spreading the disease to others." 741. 3
Rationale: Pertussis is transmitted by direct contact or respiratory droplets from coughing. The communicable period
occurs primarily during the catarrhal stage. Respiratory precautions are not required during the convalescent phase.
Options 1, 2, and 4 are components of home care instructions.
Test-Taking Strategy: Note the strategic words, need for further teaching. These words indicate a negative event
query and the need to select the incorrect statement. Options 1 and 4 can be easily eliminated because they are
general interventions associated with convalescence. Knowing that coughing spells are associated with pertussis will
assist in directing you to the correct option from the remaining options. In addition, a 2-week period of respiratory
precautions is not required. Review: home care instructions for the child with pertussis.
Level of Cognitive Ability: Evaluating
Client Needs: Safe and Effective Care Environment
Integrated Process: Nursing Process/Evaluation
Content Area: Child Health: Infectious and Communicable Diseases
Priority Concepts: Gas Exchange, Infection
Reference(s): Hockenberry, Wilson (2013), pp. 428, 653-654.
742. A client enters the emergency department confused, twitching, and having seizures. His family states he
recently was placed on corticosteroids for arthritis and was feeling better and exercising daily. Upon assessment, he
, has flushed skin, dry mucous membranes, an elevated temperature, and poor skin turgor. His serum sodium level is
172 mEq/L. Which interventions would the health care provider likely prescribe? Select all that apply.
1. Monitor the vital signs.
2. Monitor intake and output.
3. Increase water intake orally.
4. Monitor the electrolyte levels.
5. Provide a sodium-reduced diet.
6. Administer sodium replacements. 742. 1, 2, 3, 4, 5
Rationale: Hypernatremia is described as having a serum sodium level that exceeds 145 mEq/L. Signs and
symptoms would include dry mucous membranes, loss of skin turgor, thirst, flushed skin, elevated temperature,
oliguria, muscle twitching, fatigue, confusion, and seizures. Interventions include monitoring fluid balance, monitoring
vital signs, reducing dietary intake of sodium, monitoring electrolyte levels, and increasing oral intake of water.
Sodium replacement therapy would not be prescribed for a client with hypernatremia.
Test-Taking Strategy: Focus on the subject, a sodium level of 172 mEq/L. Knowledge that this level is elevated and
knowledge of the treatment for hyperkalemia will direct you to the correct options. Review: hypernatremia.
Level of Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Planning
Content Area: Fundamental Skills: Fluids & Electrolytes
Priority Concepts: Clinical Judgment, Fluid and Electrolyte Balance
Reference(s): deWit, Kumagai (2013), pp. 41-42.
