ESTUDYR
COMPREHENSIVE REVIEW FOR THE NCLEX-PN EXAMINATION
(SAUNDERS COMPREHENSIVE REVIEW FOR NCLEX-PN) 9TH
EDITION TEST BANK BY LINDA ANNE SILVESTRI PHD RN ANEF
FAAN (AUTHOR) PAPERBACK
1. A nurse volunteers with outreach to the homeless. Which presenting finding should be
addressed first?
A. BP 154/72
B. Visual acuity 20/200 both eyes
C. Random blood glucose 206
D. Complaints of pain with numbness and tingling in both feet ✔
Rationale: Patient-reported neurovascular pain symptoms (peripheral neuropathy or
ischemia) are acute concerns and prompt engagement; addressing the client’s chief
complaint improves trust and follow-up.
2. On discharge reconciliation for a client leaving to a homeless shelter, which medication
requires follow-up due to safety concerns?
A. Glipizide
B. Lisinopril
C. Metformin
D. Beclomethasone
Answer: A. Glipizide ✔
Rationale: Sulfonylureas (glipizide) can cause hypoglycemia — a major safety risk in
populations with unstable food access.
3. Which portion of the admission assessment for a client with intellectual disability will
most likely need extra time?
A. The physical assessment
B. The nursing care plan
C. Readmission risk assessment
D. The history ✔
Rationale: Clients with intellectual disability may be poor historians; collateral
information and slower, repeated questioning are often required.
4. A prisoner asks about health risks of living in prison. The nurse’s best reply is:
A. “Health care is very limited in the prison setting.”
B. “Living in prison isn’t different than living at home.”
C. “Living in a prison can predispose a person to different health conditions.” ✔
,ESTUDYR
D. “Prison is similar to living in a dorm.”
Rationale: Prison environments have unique risks (infectious disease, mental health
stressors); answer C acknowledges and informs.
5. Foster children commonly have certain health conditions. Which set is most likely?
(Select the single best combined choice)
A. Asthma; claustrophobia
B. Sleep problems; bipolar disorder; aggressive behavior; ADHD ✔
C. Diabetes only
D. Heart disease only
Rationale: Foster children have higher rates of sleep issues, mood disorders, conduct
problems and ADHD.
6. Most effective teaching method for special populations to confirm comprehension is:
A. Video instruction
B. Written materials
C. Verbal explanation only
D. Teach-back (return demonstration/explanation) ✔
Rationale: Teach-back confirms understanding and is highest yield for safety and
retention.
7. Health risks common among African-descent clients include all EXCEPT:
A. Cancer
B. Obesity
C. Hypertension
D. Hypothyroidism ✔
Rationale: Hypothyroidism is not especially more prevalent in African-descent
populations compared to listed conditions.
8. Which is the best definition of grieving?
A. A clinical diagnosis only
B. A psychotic reaction
C. Process of coping with loss ✔
D. A type of mania
Rationale: Grief is the normal process of emotional adaptation to loss.
9. A support group primarily provides:
A. Medical advice only
B. Legal representation
C. Emotional and practical mutual support ✔
D. Medication prescriptions
Rationale: Support groups offer peer emotional and practical assistance.
, ESTUDYR
10. Antidepressant medication is used to treat:
A. Acute fractures
B. Depression ✔
C. Hypertension
D. Diabetes
Rationale: Antidepressants target mood disorders; selection and monitoring are
required.
11. A patient who wakes suddenly describes awakening — medically this is:
A. A seizure
B. Sleep apnea only
C. Waking up from sleep ✔
D. None of the above
Rationale: Awakening simply means arousal from sleep.
12. Mumbling refers to speech that is:
A. Loud and clear
B. Hyperarticulate
C. Low and unclear ✔
D. Absent
Rationale: Mumbling is speaking softly/indistinctly.
13. Agitation in a psychiatric patient is best described as:
A. Soporific behavior
B. Calm compliance
C. Restlessness and irritability ✔
D. Complete catatonia
Rationale: Agitation involves increased motor activity and emotional distress.
14. A quiet room in behavioral settings is intended to:
A. Facilitate group therapy only
B. Be punitive
C. Provide a calm, low-stimulation environment ✔
D. Increase sensory input
Rationale: Quiet rooms reduce stimuli and help de-escalate.
15. The psychiatric milieu refers to:
A. Medication type only
B. Physical and social environment of treatment setting
C. An individual defense mechanism
D. Both physical and social environment ✔
Rationale: Milieu therapy uses the environment as part of treatment.
COMPREHENSIVE REVIEW FOR THE NCLEX-PN EXAMINATION
(SAUNDERS COMPREHENSIVE REVIEW FOR NCLEX-PN) 9TH
EDITION TEST BANK BY LINDA ANNE SILVESTRI PHD RN ANEF
FAAN (AUTHOR) PAPERBACK
1. A nurse volunteers with outreach to the homeless. Which presenting finding should be
addressed first?
A. BP 154/72
B. Visual acuity 20/200 both eyes
C. Random blood glucose 206
D. Complaints of pain with numbness and tingling in both feet ✔
Rationale: Patient-reported neurovascular pain symptoms (peripheral neuropathy or
ischemia) are acute concerns and prompt engagement; addressing the client’s chief
complaint improves trust and follow-up.
2. On discharge reconciliation for a client leaving to a homeless shelter, which medication
requires follow-up due to safety concerns?
A. Glipizide
B. Lisinopril
C. Metformin
D. Beclomethasone
Answer: A. Glipizide ✔
Rationale: Sulfonylureas (glipizide) can cause hypoglycemia — a major safety risk in
populations with unstable food access.
3. Which portion of the admission assessment for a client with intellectual disability will
most likely need extra time?
A. The physical assessment
B. The nursing care plan
C. Readmission risk assessment
D. The history ✔
Rationale: Clients with intellectual disability may be poor historians; collateral
information and slower, repeated questioning are often required.
4. A prisoner asks about health risks of living in prison. The nurse’s best reply is:
A. “Health care is very limited in the prison setting.”
B. “Living in prison isn’t different than living at home.”
C. “Living in a prison can predispose a person to different health conditions.” ✔
,ESTUDYR
D. “Prison is similar to living in a dorm.”
Rationale: Prison environments have unique risks (infectious disease, mental health
stressors); answer C acknowledges and informs.
5. Foster children commonly have certain health conditions. Which set is most likely?
(Select the single best combined choice)
A. Asthma; claustrophobia
B. Sleep problems; bipolar disorder; aggressive behavior; ADHD ✔
C. Diabetes only
D. Heart disease only
Rationale: Foster children have higher rates of sleep issues, mood disorders, conduct
problems and ADHD.
6. Most effective teaching method for special populations to confirm comprehension is:
A. Video instruction
B. Written materials
C. Verbal explanation only
D. Teach-back (return demonstration/explanation) ✔
Rationale: Teach-back confirms understanding and is highest yield for safety and
retention.
7. Health risks common among African-descent clients include all EXCEPT:
A. Cancer
B. Obesity
C. Hypertension
D. Hypothyroidism ✔
Rationale: Hypothyroidism is not especially more prevalent in African-descent
populations compared to listed conditions.
8. Which is the best definition of grieving?
A. A clinical diagnosis only
B. A psychotic reaction
C. Process of coping with loss ✔
D. A type of mania
Rationale: Grief is the normal process of emotional adaptation to loss.
9. A support group primarily provides:
A. Medical advice only
B. Legal representation
C. Emotional and practical mutual support ✔
D. Medication prescriptions
Rationale: Support groups offer peer emotional and practical assistance.
, ESTUDYR
10. Antidepressant medication is used to treat:
A. Acute fractures
B. Depression ✔
C. Hypertension
D. Diabetes
Rationale: Antidepressants target mood disorders; selection and monitoring are
required.
11. A patient who wakes suddenly describes awakening — medically this is:
A. A seizure
B. Sleep apnea only
C. Waking up from sleep ✔
D. None of the above
Rationale: Awakening simply means arousal from sleep.
12. Mumbling refers to speech that is:
A. Loud and clear
B. Hyperarticulate
C. Low and unclear ✔
D. Absent
Rationale: Mumbling is speaking softly/indistinctly.
13. Agitation in a psychiatric patient is best described as:
A. Soporific behavior
B. Calm compliance
C. Restlessness and irritability ✔
D. Complete catatonia
Rationale: Agitation involves increased motor activity and emotional distress.
14. A quiet room in behavioral settings is intended to:
A. Facilitate group therapy only
B. Be punitive
C. Provide a calm, low-stimulation environment ✔
D. Increase sensory input
Rationale: Quiet rooms reduce stimuli and help de-escalate.
15. The psychiatric milieu refers to:
A. Medication type only
B. Physical and social environment of treatment setting
C. An individual defense mechanism
D. Both physical and social environment ✔
Rationale: Milieu therapy uses the environment as part of treatment.
