Saunders Comprehensive Review
for the Nclex-RN Examination |
ACCURATE QUESTIONS AND
ANSWERS (VERIFIED ANSWERS) |
LATEST (2026/2027) UPDATED
VERSION | 100% GUARANTEED PASS
{JUST RELEASED}
1. The nurse is assigned to care for four clients. In planning client rounds, which
client would the nurse assess first?
1. A postoperative client preparing for discharge with a new medication
2. A client requiring daily dressing changes of a recent surgical incision
3. A client scheduled for a chest x-ray after insertion of a nasogastric tube
4. A client with asthma who requested a breathing treatment during the previous
shift
Answer: 4
,Rationale: Airway is always the highest priority, and the nurse would attend to
the client with asthma who requested a breathing treatment during the previous
shift. This could indicate that the client was experiencing difficulty breathing. The
clients described in options 1, 2, and 3 have needs that would be identified as
intermediate priorities.
2. The nurse employed in an emergency department is assigned to triage clients
coming to the emergency department for treatment on the evening shift. The
nurse would assign priority to which client?
1. A client complaining of muscle aches, a headache, and history of seizures
2. A client who twisted their ankle when rollerblading and is requesting
medication for pain
3. A client with a minor laceration on the index finger sustained while cutting an
eggplant
4. A client with chest pain who states that they just ate pizza that was made with a
very spicy sauce
Answer: 4
, Rationale: In an emergency department, triage involves brief client assessment to
classify clients according to their need for care and includes establishing
priorities of care. The type of illness or injury, the severity of the problem, and
the resources available govern the process. Clients with trauma, chest pain,
severe respiratory distress or cardiac arrest, limb amputation, or acute
neurological deficits and those who have sustained chemical splashes to the eyes
are classified as emergent and are the highest priority. Clients with conditions
such as a simple fracture, asthma without respiratory distress, fever,
hypertension, abdominal pain, or a renal stone have urgent needs and are
classified as a second priority. Clients with conditions such as a minor laceration,
sprain, or cold symptoms are classified as nonurgent and are a third priority.
3. A nursing graduate is attending an agency orientation regarding the nursing
model of practice implemented in the health care facility. The nurse is told that
the nursing model is a team nursing approach. The nurse determines that which
scenario is characteristic of the team-based model of nursing practice?
1. Each staff member is assigned a specic task for a group of clients.
2. A staff member is assigned to determine the client's needs at home and begin
discharge planning.
3. A single registered nurse (RN) is responsible for providing care to a group of
six clients with the aid of an assistive personnel (AP).
4. An RN leads two licensed practical nurses (LPNs) and three APs in providing
care to a group of 12 clients.
Answer: 4
for the Nclex-RN Examination |
ACCURATE QUESTIONS AND
ANSWERS (VERIFIED ANSWERS) |
LATEST (2026/2027) UPDATED
VERSION | 100% GUARANTEED PASS
{JUST RELEASED}
1. The nurse is assigned to care for four clients. In planning client rounds, which
client would the nurse assess first?
1. A postoperative client preparing for discharge with a new medication
2. A client requiring daily dressing changes of a recent surgical incision
3. A client scheduled for a chest x-ray after insertion of a nasogastric tube
4. A client with asthma who requested a breathing treatment during the previous
shift
Answer: 4
,Rationale: Airway is always the highest priority, and the nurse would attend to
the client with asthma who requested a breathing treatment during the previous
shift. This could indicate that the client was experiencing difficulty breathing. The
clients described in options 1, 2, and 3 have needs that would be identified as
intermediate priorities.
2. The nurse employed in an emergency department is assigned to triage clients
coming to the emergency department for treatment on the evening shift. The
nurse would assign priority to which client?
1. A client complaining of muscle aches, a headache, and history of seizures
2. A client who twisted their ankle when rollerblading and is requesting
medication for pain
3. A client with a minor laceration on the index finger sustained while cutting an
eggplant
4. A client with chest pain who states that they just ate pizza that was made with a
very spicy sauce
Answer: 4
, Rationale: In an emergency department, triage involves brief client assessment to
classify clients according to their need for care and includes establishing
priorities of care. The type of illness or injury, the severity of the problem, and
the resources available govern the process. Clients with trauma, chest pain,
severe respiratory distress or cardiac arrest, limb amputation, or acute
neurological deficits and those who have sustained chemical splashes to the eyes
are classified as emergent and are the highest priority. Clients with conditions
such as a simple fracture, asthma without respiratory distress, fever,
hypertension, abdominal pain, or a renal stone have urgent needs and are
classified as a second priority. Clients with conditions such as a minor laceration,
sprain, or cold symptoms are classified as nonurgent and are a third priority.
3. A nursing graduate is attending an agency orientation regarding the nursing
model of practice implemented in the health care facility. The nurse is told that
the nursing model is a team nursing approach. The nurse determines that which
scenario is characteristic of the team-based model of nursing practice?
1. Each staff member is assigned a specic task for a group of clients.
2. A staff member is assigned to determine the client's needs at home and begin
discharge planning.
3. A single registered nurse (RN) is responsible for providing care to a group of
six clients with the aid of an assistive personnel (AP).
4. An RN leads two licensed practical nurses (LPNs) and three APs in providing
care to a group of 12 clients.
Answer: 4
