SAUNDERS NCLEX EXAM TESTBANK COMPREHENSIVE 150-QUESTION
ASSESSMENT QUESTIONS AND ANSWERS: THE MOST RECENT AND
COMPREHENSIVE VERSION WITH VERIFIED ANSWERS; GUARANTEED
PASS WITH INSTANT PDF DOWNLOAD.
Exam Overview
This comprehensive Saunders-style NCLEX practice examination is designed to reflect current NCLEX-RN test
plan standards and professional nursing competencies. The exam includes 150 multiple-choice questions covering:
Safe and Effective Care Environment (Management of Care, Safety and Infection Control) – 35 questions
Health Promotion and Maintenance – 15 questions
Psychosocial Integrity – 20 questions
Physiological Integrity:
o Basic Care and Comfort – 15 questions
o Pharmacological and Parenteral Therapies – 25 questions
o Reduction of Risk Potential – 20 questions
o Physiological Adaptation – 20 questions
1. The nurse is caring for four clients. Which client should be assessed first?
A. A client with stable angina reporting mild chest discomfort rated 2/10
B. A client 1 day postoperative with a temperature of 100.4°F (38°C)
C. A client with sudden onset shortness of breath and oxygen saturation
of 88%
D. A client with chronic COPD requesting breathing treatment
Rationale: Airway and breathing take priority. Acute hypoxia requires immediate
intervention.
2. The nurse delegates ambulation of a postoperative client to the UAP. Which
instruction is most appropriate?
A. Assess for orthostatic hypotension before ambulation
B. Report dizziness or shortness of breath immediately
, C. Evaluate incision for drainage
D. Document gait pattern
Rationale: The UAP should report abnormal findings; assessment remains the
nurse’s responsibility.
3. Which action demonstrates appropriate informed consent?
A. Nurse explains risks and benefits
B. Family signs for alert adult
C. Provider explains procedure; nurse witnesses signature
D. Consent obtained after sedation
Rationale: The provider performs explanation; nurse verifies voluntary signature.
4. A client with tuberculosis is admitted. Which precaution is appropriate?
A. Contact
B. Droplet
C. Airborne
D. Protective
Rationale: TB requires airborne precautions and negative-pressure room.
5. Which laboratory value requires immediate reporting?
A. Sodium 136 mEq/L
, B. Hemoglobin 13 g/dL
C. Potassium 6.2 mEq/L
D. WBC 9,000/mm³
Rationale: Hyperkalemia can cause life-threatening dysrhythmias.
6. A nurse suspects elder abuse. What is the priority action?
A. Notify family
B. Report according to facility policy
C. Confront caregiver
D. Document only
Rationale: Nurses are mandated reporters.
7. A postpartum client saturates one pad in 15 minutes. What is the first action?
A. Notify provider
B. Administer oxytocin
C. Massage the fundus
D. Insert catheter
Rationale: Fundal massage addresses uterine atony, common cause of
hemorrhage.
, 8. Which finding indicates digoxin toxicity?
A. Hypertension
B. Yellow-green halos around lights
C. Bradycardia 90 bpm
D. Increased appetite
Rationale: Visual disturbances are classic signs.
9. A client with diabetes has blood glucose 52 mg/dL. What should the nurse
administer?
A. Regular insulin
B. 15 g rapid-acting carbohydrate
C. IV potassium
D. Long-acting insulin
Rationale: Treat hypoglycemia immediately with simple carbohydrate.
10.Which client is appropriate for LPN assignment?
A. New admission with chest pain
B. Client requiring IV titration
C. Stable client needing wound dressing change
D. Client with unstable glucose
Rationale: LPNs care for stable clients with predictable outcomes.
ASSESSMENT QUESTIONS AND ANSWERS: THE MOST RECENT AND
COMPREHENSIVE VERSION WITH VERIFIED ANSWERS; GUARANTEED
PASS WITH INSTANT PDF DOWNLOAD.
Exam Overview
This comprehensive Saunders-style NCLEX practice examination is designed to reflect current NCLEX-RN test
plan standards and professional nursing competencies. The exam includes 150 multiple-choice questions covering:
Safe and Effective Care Environment (Management of Care, Safety and Infection Control) – 35 questions
Health Promotion and Maintenance – 15 questions
Psychosocial Integrity – 20 questions
Physiological Integrity:
o Basic Care and Comfort – 15 questions
o Pharmacological and Parenteral Therapies – 25 questions
o Reduction of Risk Potential – 20 questions
o Physiological Adaptation – 20 questions
1. The nurse is caring for four clients. Which client should be assessed first?
A. A client with stable angina reporting mild chest discomfort rated 2/10
B. A client 1 day postoperative with a temperature of 100.4°F (38°C)
C. A client with sudden onset shortness of breath and oxygen saturation
of 88%
D. A client with chronic COPD requesting breathing treatment
Rationale: Airway and breathing take priority. Acute hypoxia requires immediate
intervention.
2. The nurse delegates ambulation of a postoperative client to the UAP. Which
instruction is most appropriate?
A. Assess for orthostatic hypotension before ambulation
B. Report dizziness or shortness of breath immediately
, C. Evaluate incision for drainage
D. Document gait pattern
Rationale: The UAP should report abnormal findings; assessment remains the
nurse’s responsibility.
3. Which action demonstrates appropriate informed consent?
A. Nurse explains risks and benefits
B. Family signs for alert adult
C. Provider explains procedure; nurse witnesses signature
D. Consent obtained after sedation
Rationale: The provider performs explanation; nurse verifies voluntary signature.
4. A client with tuberculosis is admitted. Which precaution is appropriate?
A. Contact
B. Droplet
C. Airborne
D. Protective
Rationale: TB requires airborne precautions and negative-pressure room.
5. Which laboratory value requires immediate reporting?
A. Sodium 136 mEq/L
, B. Hemoglobin 13 g/dL
C. Potassium 6.2 mEq/L
D. WBC 9,000/mm³
Rationale: Hyperkalemia can cause life-threatening dysrhythmias.
6. A nurse suspects elder abuse. What is the priority action?
A. Notify family
B. Report according to facility policy
C. Confront caregiver
D. Document only
Rationale: Nurses are mandated reporters.
7. A postpartum client saturates one pad in 15 minutes. What is the first action?
A. Notify provider
B. Administer oxytocin
C. Massage the fundus
D. Insert catheter
Rationale: Fundal massage addresses uterine atony, common cause of
hemorrhage.
, 8. Which finding indicates digoxin toxicity?
A. Hypertension
B. Yellow-green halos around lights
C. Bradycardia 90 bpm
D. Increased appetite
Rationale: Visual disturbances are classic signs.
9. A client with diabetes has blood glucose 52 mg/dL. What should the nurse
administer?
A. Regular insulin
B. 15 g rapid-acting carbohydrate
C. IV potassium
D. Long-acting insulin
Rationale: Treat hypoglycemia immediately with simple carbohydrate.
10.Which client is appropriate for LPN assignment?
A. New admission with chest pain
B. Client requiring IV titration
C. Stable client needing wound dressing change
D. Client with unstable glucose
Rationale: LPNs care for stable clients with predictable outcomes.
