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
QUESTIONS 1–12 — Fundamentals / Safety / Basic Care (12
items)
1. (Fundamentals — Safe & Effective Care Environment: Safety
& Infection Control) — Single best answer
A 68-year-old client with a history of COPD is prescribed oxygen
at 2 L/min via nasal cannula. The client smokes cigarettes.
Which action by the nurse has the highest priority?
A. Reinforce smoking-cessation education.
B. Place "No Smoking — Oxygen in Use" signs and remove
smoking materials from the room.
,C. Check the oxygen flowmeter is set to 2 L/min.
D. Assess the client's oxygen saturation on pulse oximetry.
Answer: B.
• A: Important for long-term care but not immediate hazard
control.
• B: Correct — highest priority: preventing ignition/oxygen-
fuel source is immediate safety.
• C: Important but secondary to removing ignition sources.
• D: Important clinical assessment but not highest priority
for immediate fire risk.
2. (Fundamentals — Safe & Effective Care Environment:
Management of Care) — SATA
Select all actions that are appropriate for delegating to an
experienced unlicensed assistive personnel (UAP) for a stable
post-op client (POD 1):
A. Obtain routine vital signs every 4 hours.
B. Teach wound care technique to the client.
C. Assist with ambulation to the bathroom.
D. Document intake and output.
E. Assess surgical incision for signs of infection.
Answer: A, C, D.
• A: Delegate — routine VS collection appropriate.
• B: Not delegate — teaching is an RN responsibility.
, • C: Delegate — ambulation assistance is within UAP scope.
• D: Delegate — documentation of I&O appropriate.
• E: Not delegate — assessment requiring clinical judgment
is RN role.
3. (Fundamentals — Health Promotion & Maintenance) —
Single best answer
A nurse counsels a 55-year-old woman about colorectal cancer
screening. Which is the most evidence-based screening option
to recommend beginning at age 50–75 depending on
guidelines?
A. Annual guaiac fecal occult blood test only.
B. Colonoscopy every 10 years OR FIT annually.
C. No screening unless symptoms occur.
D. Barium enema every 5 years.
Answer: B.
• A: FOBT/FIT can be used but not the only option; guidance
includes colonoscopy vs FIT.
• B: Correct — colonoscopy q10y or FIT q1y are commonly
recommended options depending on guideline and risk.
• C: Incorrect — screening recommended.
• D: Outdated/nonpreferred.
, 4. (Fundamentals — Safe & Effective Care Environment:
Safety) — Single best answer
Which bed position is safest for a client receiving continuous
feeding via nasogastric tube who is at risk of aspiration?
A. Flat (0°).
B. High Fowler's (60–90°).
C. Semi-Fowler's (30–45°).
D. Trendelenburg.
Answer: C.
• A: Flat increases aspiration risk.
• B: Very upright may be uncomfortable and not necessary;
semi-Fowler is typical.
• C: Correct — semi-Fowler (30–45°) reduces aspiration risk
during enteral feeding.
• D: Contraindicated for aspiration risk.
5. (Fundamentals — Psychosocial Integrity) — Single best
answer
A client newly diagnosed with Type 2 diabetes is tearful and
says, "I will never be able to do this." What is the best initial
nursing response?
A. "You'll be fine; millions live with diabetes."
B. "It sounds like you're feeling overwhelmed — tell me what
worries you most."
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
QUESTIONS 1–12 — Fundamentals / Safety / Basic Care (12
items)
1. (Fundamentals — Safe & Effective Care Environment: Safety
& Infection Control) — Single best answer
A 68-year-old client with a history of COPD is prescribed oxygen
at 2 L/min via nasal cannula. The client smokes cigarettes.
Which action by the nurse has the highest priority?
A. Reinforce smoking-cessation education.
B. Place "No Smoking — Oxygen in Use" signs and remove
smoking materials from the room.
,C. Check the oxygen flowmeter is set to 2 L/min.
D. Assess the client's oxygen saturation on pulse oximetry.
Answer: B.
• A: Important for long-term care but not immediate hazard
control.
• B: Correct — highest priority: preventing ignition/oxygen-
fuel source is immediate safety.
• C: Important but secondary to removing ignition sources.
• D: Important clinical assessment but not highest priority
for immediate fire risk.
2. (Fundamentals — Safe & Effective Care Environment:
Management of Care) — SATA
Select all actions that are appropriate for delegating to an
experienced unlicensed assistive personnel (UAP) for a stable
post-op client (POD 1):
A. Obtain routine vital signs every 4 hours.
B. Teach wound care technique to the client.
C. Assist with ambulation to the bathroom.
D. Document intake and output.
E. Assess surgical incision for signs of infection.
Answer: A, C, D.
• A: Delegate — routine VS collection appropriate.
• B: Not delegate — teaching is an RN responsibility.
, • C: Delegate — ambulation assistance is within UAP scope.
• D: Delegate — documentation of I&O appropriate.
• E: Not delegate — assessment requiring clinical judgment
is RN role.
3. (Fundamentals — Health Promotion & Maintenance) —
Single best answer
A nurse counsels a 55-year-old woman about colorectal cancer
screening. Which is the most evidence-based screening option
to recommend beginning at age 50–75 depending on
guidelines?
A. Annual guaiac fecal occult blood test only.
B. Colonoscopy every 10 years OR FIT annually.
C. No screening unless symptoms occur.
D. Barium enema every 5 years.
Answer: B.
• A: FOBT/FIT can be used but not the only option; guidance
includes colonoscopy vs FIT.
• B: Correct — colonoscopy q10y or FIT q1y are commonly
recommended options depending on guideline and risk.
• C: Incorrect — screening recommended.
• D: Outdated/nonpreferred.
, 4. (Fundamentals — Safe & Effective Care Environment:
Safety) — Single best answer
Which bed position is safest for a client receiving continuous
feeding via nasogastric tube who is at risk of aspiration?
A. Flat (0°).
B. High Fowler's (60–90°).
C. Semi-Fowler's (30–45°).
D. Trendelenburg.
Answer: C.
• A: Flat increases aspiration risk.
• B: Very upright may be uncomfortable and not necessary;
semi-Fowler is typical.
• C: Correct — semi-Fowler (30–45°) reduces aspiration risk
during enteral feeding.
• D: Contraindicated for aspiration risk.
5. (Fundamentals — Psychosocial Integrity) — Single best
answer
A client newly diagnosed with Type 2 diabetes is tearful and
says, "I will never be able to do this." What is the best initial
nursing response?
A. "You'll be fine; millions live with diabetes."
B. "It sounds like you're feeling overwhelmed — tell me what
worries you most."
