Saunders Comprehensive Review for the NCLEX-
PN® Examination
9th Edition
• AUTHOR(S)LINDA ANNE SILVESTRI; ANGELA
SILVESTRI
INTEGRATED REVIEW — COMPREHENSIVE NCLEX
PRACTICE PACK [FUNDAMENTALS,
PHARMACOLOGY, MEDICAL-SURGICAL,
MATERNITY, PEDIATRIC, EMERGENCY, AND
SPECIALTY SYSTEMS] TEST BANK
Distribution (proportional coverage; totals = 100)
• Fundamentals / Safe Practice & Basic Care: 18
• Pharmacology: 18
• Medical-Surgical (adult) / Physiological Integrity: 28
• Maternity: 10
• Pediatric: 10
• Emergency / Critical Care / Triage: 12
, • Specialty Systems (neurology, endocrine, oncology, renal,
etc.): 4
Format legend
• SBA = Single Best Answer (standard 4-option MCQ)
• SATA = Select All That Apply
• NGN-Case = case-based cluster (1 stem with 2–4 item
questions)
• MATRIX = matrix matching (e.g., interventions ↔
priority/phase)
Each item shows: Category • Item type • Cognitive level •
NCLEX domain(s) mapped, then the question, answer, and
concise rationales for all options (so instructors/students can
learn). Correct answer(s) bolded.
1. Fundamentals • SBA • Application • Safe & Effective Care
Environment
A nurse is delegating the morning dressing change for a stable
postoperative client to an experienced LPN. Which task is
appropriate to delegate?
A. Teach the client incentive spirometry technique.
B. Assess the surgical incision for signs of infection.
C. Perform the dressing change and document findings.
D. Initiate discharge teaching about wound care.
,Answer: C.
Rationales:
A — Teaching is an RN responsibility (patient education).
B — Initial comprehensive assessment is RN scope.
C — Appropriate — LPN may perform routine dressing changes
and document.
D — Discharge teaching is RN role (education, care planning).
2. Pharmacology • SBA • Analysis • Physiological Integrity
(Pharmacological & Parenteral Therapies)
A client with atrial fibrillation is started on warfarin. Which lab
result should the nurse use to evaluate therapeutic effect?
A. Platelet count
B. Activated partial thromboplastin time (aPTT)
C. International normalized ratio (INR)
D. Prothrombin time (PT)
Answer: C. INR
Rationales:
A — Platelets measure clotting cells, not warfarin effect.
B — aPTT monitors heparin, not warfarin.
C — Correct — INR standard for warfarin monitoring.
D — PT is related but INR standardizes PT for warfarin.
3. Medical-Surgical • SBA • Application • Physiological
Integrity (Reduction of Risk Potential)
, A client with COPD uses home oxygen at 2 L/min via nasal
cannula. Which instruction is most important for the nurse to
include?
A. "Avoid open flames and remove smoking materials from
home."
B. "You can use oil-based moisturizers to prevent nasal
dryness."
C. "Increase oxygen flow when you feel short of breath."
D. "Use vasoconstrictor nasal sprays for congestion."
Answer: A.
Rationales:
A — Correct — Oxygen supports combustion; smoking risk
critical.
B — Oil-based products are fire risk; avoid them.
C — Adjusting flow requires order — unsafe to self-increase.
D — Nasal sprays may be contraindicated long-term; not
priority safety.
4. Maternity • SBA • Application • Health Promotion &
Maintenance
A primigravida at 28 weeks asks about fetal movement counts.
What is the best response?
A. "Count movements for 60 minutes once a day; call if fewer
than 10."
B. "Count movements for 2 hours twice a week; call if you feel
more than 15."
PN® Examination
9th Edition
• AUTHOR(S)LINDA ANNE SILVESTRI; ANGELA
SILVESTRI
INTEGRATED REVIEW — COMPREHENSIVE NCLEX
PRACTICE PACK [FUNDAMENTALS,
PHARMACOLOGY, MEDICAL-SURGICAL,
MATERNITY, PEDIATRIC, EMERGENCY, AND
SPECIALTY SYSTEMS] TEST BANK
Distribution (proportional coverage; totals = 100)
• Fundamentals / Safe Practice & Basic Care: 18
• Pharmacology: 18
• Medical-Surgical (adult) / Physiological Integrity: 28
• Maternity: 10
• Pediatric: 10
• Emergency / Critical Care / Triage: 12
, • Specialty Systems (neurology, endocrine, oncology, renal,
etc.): 4
Format legend
• SBA = Single Best Answer (standard 4-option MCQ)
• SATA = Select All That Apply
• NGN-Case = case-based cluster (1 stem with 2–4 item
questions)
• MATRIX = matrix matching (e.g., interventions ↔
priority/phase)
Each item shows: Category • Item type • Cognitive level •
NCLEX domain(s) mapped, then the question, answer, and
concise rationales for all options (so instructors/students can
learn). Correct answer(s) bolded.
1. Fundamentals • SBA • Application • Safe & Effective Care
Environment
A nurse is delegating the morning dressing change for a stable
postoperative client to an experienced LPN. Which task is
appropriate to delegate?
A. Teach the client incentive spirometry technique.
B. Assess the surgical incision for signs of infection.
C. Perform the dressing change and document findings.
D. Initiate discharge teaching about wound care.
,Answer: C.
Rationales:
A — Teaching is an RN responsibility (patient education).
B — Initial comprehensive assessment is RN scope.
C — Appropriate — LPN may perform routine dressing changes
and document.
D — Discharge teaching is RN role (education, care planning).
2. Pharmacology • SBA • Analysis • Physiological Integrity
(Pharmacological & Parenteral Therapies)
A client with atrial fibrillation is started on warfarin. Which lab
result should the nurse use to evaluate therapeutic effect?
A. Platelet count
B. Activated partial thromboplastin time (aPTT)
C. International normalized ratio (INR)
D. Prothrombin time (PT)
Answer: C. INR
Rationales:
A — Platelets measure clotting cells, not warfarin effect.
B — aPTT monitors heparin, not warfarin.
C — Correct — INR standard for warfarin monitoring.
D — PT is related but INR standardizes PT for warfarin.
3. Medical-Surgical • SBA • Application • Physiological
Integrity (Reduction of Risk Potential)
, A client with COPD uses home oxygen at 2 L/min via nasal
cannula. Which instruction is most important for the nurse to
include?
A. "Avoid open flames and remove smoking materials from
home."
B. "You can use oil-based moisturizers to prevent nasal
dryness."
C. "Increase oxygen flow when you feel short of breath."
D. "Use vasoconstrictor nasal sprays for congestion."
Answer: A.
Rationales:
A — Correct — Oxygen supports combustion; smoking risk
critical.
B — Oil-based products are fire risk; avoid them.
C — Adjusting flow requires order — unsafe to self-increase.
D — Nasal sprays may be contraindicated long-term; not
priority safety.
4. Maternity • SBA • Application • Health Promotion &
Maintenance
A primigravida at 28 weeks asks about fetal movement counts.
What is the best response?
A. "Count movements for 60 minutes once a day; call if fewer
than 10."
B. "Count movements for 2 hours twice a week; call if you feel
more than 15."
