Saunders Comprehensive Review for the NCLEX-RN® Examination
9th Edition by Linda Anne Silvestri and Angela Silvestri-Complete
Questions and Answers (Pass Guaranteed) || Updated 2026-300+
High-Yield NCLEX-Style Questions with Rationales Next Generation
NCLEX (NGN) Ready Perfect for NCLEX-RN, HESI, ATI, Class Exams
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★★★ 300+ NCLEX-STYLE QUESTIONS ★★★
WITH DETAILED RATIONALES
★ NEXT GENERATION NCLEX READY ★
★ PERFECT PASS GUARANTEE ★
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Saunders NCLEX-RN 9th Edition Test Bank • Updated 2026
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, HOW TO USE (Page 2)
SIMULATE EXAM CONDITIONS: 1.5 min/question
ANSWER FIRST: Cover answers initially
READ ALL RATIONALES: Even correct answers teach strategy
TRACK WEAK AREAS: Retest low-scoring sections
MASTER NGN CASES: Practice clinical judgment
CONTENTS (150 Questions):
• Fundamentals (25 Qs)
• Med-Surg (50 Qs)
• Maternal-Newborn (20 Qs)
• Pediatrics (20
,Fundamentals NCLEX Q&A With Rationales
1. The nurse is obtaining vital signs for an adult client. Which finding
requires immediate follow-up?
A. Respiratory rate 18 breaths/min
B. Blood pressure 118/76 mm Hg
C. Heart rate 124 beats/min
D. Oral temperature 37.2°C (99°F)
Answer: C
Rationale: A heart rate of 124 beats/min is tachycardia and may
indicate pain, anxiety, hypovolemia, or other acute problems that
require prompt assessment; the other values are within expected
ranges.
1. A nurse is preparing to administer morning medications. Which
action is the highest priority?
A. Explaining each medication to the client
B. Checking the client’s identification using two identifiers
C. Asking the client about food preferences
D. Documenting the medications to be given
Answer: B
Rationale: Verifying the correct client using two identifiers is a core
patient-safety step and must occur before giving any medication to
prevent errors.
, 1. The nurse is reinforcing fire safety on a hospital unit. Which action
follows the RACE acronym correctly as the first step?
A. Close all doors to client rooms
B. Report the fire to the operator
C. Rescue clients in immediate danger
D. Extinguish the fire using the nearest extinguisher
Answer: C
Rationale: RACE stands for Rescue, Alarm, Contain, Extinguish; the first
priority is rescuing anyone in immediate danger before sounding the
alarm or attempting to extinguish the fire.
1. The nurse is caring for a client on contact precautions for
Clostridioides difficile infection. Which action is most appropriate?
A. Use an alcohol-based hand rub after removing gloves
B. Wear a surgical mask for all client contact
C. Wash hands with soap and water after removing gloves
D. Place the client in a negative-pressure room
Answer: C
Rationale: C. difficile forms spores that are not reliably removed by
alcohol; handwashing with soap and water is required after glove
removal to prevent transmission.
1. A client with limited English proficiency nods and says “yes” after
discharge teaching. The nurse suspects the client may not fully
understand. What is the best action?
A. Provide written instructions and ask the client to read them