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SAUNDER'S COMPREHENSIVE NCLEX REVIEW PRACTICE QUESTIONS AND CORRECT VERIFIED ANSWERS

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SAUNDER'S COMPREHENSIVE NCLEX REVIEW PRACTICE QUESTIONS AND CORRECT VERIFIED ANSWERS

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SAUNDER'S COMPREHENSIVE NCLEX
REVIEW PRACTICE QUESTIONS AND
CORRECT VERIFIED ANSWERS
WhichA2teachingA2methodA2isA2mostA2effectiveA2whenA2providingA2instructionA2toA2membe
rsA2ofA2specialA2populations?
1.A2Teach-back
2.A2videoA2instruction
3.A2writtenA2materials
4.A2verbalA2explanationA2-A2Ans--1.A2Teach-back

Rationale:A2WhenA2providingA2educationA2toA2membersA2ofA2specialA2populations,A2return
A2explanationA2andA2demonstrationA2(teach-
back)A2ofA2areA2particularA2importanceA2toA2ensureA2safetyA2andA2mutualA2understanding.
A2ThisA2methodA2isA2theA2mostA2reliableA2inA2confirmingA2theA2clientA2understandsA2theA2in
structions.

WhichA2healthA2concernsA2shouldA2theA2nurseA2beA2awareA2ofA2asA2riskA2factorsA2whenA2c
aringA2forA2clientsA2ofA2AfricanA2AmericanA2descent?A2SelectA2allA2thatA2apply:
1.A2cancer
2.A2obesity
3.A2hypertension
4.A2heartA2disease
5.A2hypothyroidism
6.A2diabetesA2mellitusA2-A2Ans--1,A22,A23,A24,A26A2

Rationale:A2obesity,A2diabetesA2mellitus,A2hypertension,A2heartA2disease,A2asthma,A2andA
2cancerA2areA2prevalentA2amongA2AfricanA2Americans.


TheA2nurseA2isA2planningA2careA2forA2aA2clientA2ofA2NativeA2HawaiianA2descentA2whoA2rec
entlyA2hadA2aA2baby.A2TheA2nurseA2developsA2aA2teachingA2planA2andA2includesA2infoA2ab
outA2whichA2measureA2that'sA2relatedA2toA2aA2newbornA2complicationA2withinA2thisA2ethnic
A2group?
1.A2safeA2sleeping
2.A2carA2seatA2safety
3.A2breast-feeding
4.A2baby-proofingA2-A2Ans--1.A2SafeA2sleepingA2

Rationale:A2TheA2nativeA2HawaiianA2populationA2hasA2aA2disproportionatelyA2higherA2rate
A2ofA2infantA2mortalityA2comparedA2withA2otherA2ethnicA2groups.A2SuddenA2InfantA2DeathA2
SyndromeA2(SIDS)A2isA2aA2majorA2causeA2ofA2infantA2mortality.A2SafeA2sleepingA2isA2anA2i
mportantA2measureA2toA2preventA2thisA2newbornA2complication.

,TheA2nurseA2isA2planningA2careA2forA2anA2assignedA2client.A2TheA2nurseA2shouldA2includeA
2infoA2inA2theA2planA2ofA2careA2aboutA2theA2preventionA2ofA2HIVA2forA2whichA2individualsA2s
pecificallyA2atA2risk?
1.A2lesbianA2personsA2
2.A2men-who-have-sex-with-menA2(MSM)
3.A2women-who-have-sex-with-womenA2(WSW)
4.A2Female-To-MaleA2(FTM)A2transgenderA2personsA2-A2Ans--2.A2MSM

Rationale:A2MSMA2(menA2whoA2haveA2sexA2withA2men)A2areA2atA2aA2higherA2riskA2forA2HIV
A2andA2AIDS.


WhichA2therapeuticA2communicationA2techniqueA2isA2mostA2helpfulA2whenA2workingA2with
A2transgenderA2persons?
1.A2usingA2open-endedA2questions
2.A2usingA2theirA2firstA2nameA2toA2addressA2them
3.A2usingA2pronounsA2associatedA2withA2birthA2sex
4.A2anticipatingA2theA2client'sA2needsA2andA2makingA2suggestionsA2-A2Ans--
1.A2UsingA2open-endedA2questions

Rationale:A2TheA2useA2ofA2open-
endedA2questionsA2isA2theA2mostA2helpfulA2inA2communicatingA2withA2transgenderA2perso
nsA2becauseA2itA2assistsA2inA2refrainingA2fromA2judgmentA2andA2allowsA2theA2clientA2theA2o
pportunityA2toA2expressA2theirA2thoughtsA2andA2feelings.

WhichA2specialA2populationA2shouldA2beA2targetedA2forA2breastA2cancerA2screeningA2byA2
wayA2ofA2mammography?A2SelectA2allA2thatA2apply:
1.A2male-to-femaleA2(MTF)
2.A2female-to-maleA2(FTM)
3.A2men-who-have-sex-with-menA2(MSM)
4.A2women-who-have-sex-with-menA2(WSM)
5.A2women-who-have-sex-with-womenA2(WSW)A2-A2Ans--1,A22,A24,A25

Rationale:A2TransgenderA2personsA2whoA2haveA2undergoneA2sexualA2reassignmentA2sur
geryA2shouldA2haveA2theA2respectiveA2preventiveA2screenings.A2WSWA2andA2WSMA2shoul
dA2alsoA2haveA2screenings.

TheA2nurseA2isA2volunteeringA2withA2anA2outreachA2programA2toA2provideA2basicA2healthca
reA2forA2homelessA2people.A2WhichA2finding,A2ifA2noted,A2shouldA2beA2addressedA2first?
1.A2BPA2154/72
2.A2visualA2acuityA2ofA220/200A2inA2bothA2eyes
3.A2randomA2bloodA2glucoseA2levelA2ofA2206A2
4.A2complaintsA2ofA2painA2associatedA2withA2numbnessA2andA2tinglingA2inA2bothA2feetA2-
A2Ans--
4.A2complaintsA2ofA2painA2associatedA2withA2numbnessA2andA2tinglingA2inA2bothA2feet

,Rationale:A2WithA2thisA2population,A2theA2complaintsA2ofA2painA2associatedA2withA2numbn
essA2andA2tinglingA2shouldA2beA2addressedA2first.A2IfA2theA2clientA2perceivesA2valueA2toA2th
eA2serviceA2provided,A2theyA2willA2beA2likelyA2toA2provideA2follow-
upA2care.A2WhileA2theA2bp,A2bloodA2glucose,A2andA2visionA2areA2concerning,A2theA2client'sA
2statedA2concernA2shouldA2beA2addressedA2first.


TheA2nurseA2isA2preparingA2dischargeA2resourcesA2forA2aA2clientA2beingA2dischargedA2toA2t
heA2homelessA2shelter.A2WhenA2lookingA2atA2theA2dischargeA2medicationA2reconciliationA2
form,A2theA2nurseA2determinesA2thereA2isA2aA2needA2forA2follow-
upA2ifA2whichA2medicationA2wasA2prescribed?
1.A2Glipizide
2.A2Lisinopril
3.A2Metformin
4.A2BeclomethasoneA2-A2Ans--1.A2Glipizide

Rationale:A2GlipizideA2isA2anA2oralA2hypoglycemicA2medicationA2andA2isA2classifiedA2asA2a
A2sulfonylurea.A2AA2majorA2sideA2effectA2ofA2thisA2medicationA2isA2hypoglycemia,A2whichA2i
sA2aA2safetyA2riskA2toA2theA2homelessA2population.A2LisinoprilA2isA2anA2angiotensin-
convertingA2enzymeA2inhibitor.A2AlthoughA2thereA2areA2sideA2effectsA2thatA2shouldA2beA2in
cludedA2inA2dischargeA2instructions,A2thereA2isA2lessA2ofA2aA2threatA2toA2safetyA2withA2thisA2
medicationA2andA2theA2benefitsA2toA2itA2areA2important.A2MetforminA2isA2anA2oralA2biguanid
eA2andA2isA2usedA2forA2typeA22A2diabetesA2mellitus.A2HypoglycemiaA2isA2lessA2ofA2aA2conc
ernA2withA2thisA2medicationA2comparedA2withA2otherA2oralA2hypoglycemics.A2Beclomethas
oneA2isA2anA2inhaledA2corticosteroidA2usedA2forA2obstructiveA2lungA2disease,A2andA2althou
ghA2thereA2areA2sideA2effectsA2theA2clientA2shouldA2knowA2about,A2thereA2isA2notA2aA2partic
ularA2safetyA2riskA2associatedA2withA2thisA2medicationA2forA2theA2homelessA2person.

TheA2nurseA2isA2completingA2theA2admissionA2assessmentA2forA2aA2clientA2whoA2isA2intelle
ctuallyA2disabled.A2WhichA2partA2ofA2theA2clientA2encounterA2mayA2requireA2moreA2timeA2to
A2complete?
1.A2theA2history
2.A2theA2physicalA2assessment
3.A2theA2nursingA2planA2ofA2care
4.A2theA2readmissionA2riskA2assessmentA2-A2Ans--1.A2theA2history

Rationale:A2intellectuallyA2disabledA2clientsA2tendA2toA2beA2poorA2historians,A2andA2itA2may
A2takeA2moreA2timeA2toA2askA2questionsA2inA2differentA2waysA2whenA2collectingA2theA2histo
ryA2data.

TheA2nurseA2workingA2inA2aA2correctionalA2facilityA2isA2caringA2forA2aA2newA2prisoner.A2The
A2clientA2asksA2aboutA2healthA2risksA2associatedA2withA2livingA2inA2aA2prison.A2HowA2shoul
dA2theA2nurseA2respond?
1.A2"healthA2careA2isA2veryA2limitedA2inA2theA2prisonA2setting"
2.A2"livingA2inA2aA2prisonA2isn'tA2differentA2thanA2livingA2atA2home"
3.A2"livingA2inA2aA2prisonA2canA2predisposeA2aA2personA2toA2differentA2healthA2conditions"

, 4.A2"livingA2inA2aA2prisonA2isA2similarA2toA2livingA2inA2aA2condominiumA2complexA2orA2dorm"
A2-A2Ans--
3.A2"livingA2inA2aA2prisonA2canA2predisposeA2aA2personA2toA2differentA2healthA2conditions"

Rationale:A2theA2environmentA2ofA2aA2prisonA2canA2predisposeA2aA2personA2toA2differentA2
healthA2conditions.A2OptionA21A2doesA2notA2addressA2theA2client'sA2questionA2andA2option
sA22A2andA24A2conveyA2incorrectA2information.

AA2nurseA2workingA2inA2aA2communityA2outreachA2programA2forA2fosterA2childrenA2plansA2
careA2knowingA2thatA2whichA2healthA2conditionsA2areA2commonA2inA2thisA2population?
A2SelectA2allA2thatA2apply:
1.A2asthma
2.A2claustrophobia
3.A2sleepA2problemsA2
4.A2bipolarA2disorder
5.A2aggressiveA2behavior
6.A2ADHDA2-A2Ans--3,A24,A25,A26

Rationale:A2fosterA2childrenA2areA2atA2riskA2forA2aA2varietyA2ofA2healthA2conditionsA2laterA2i
nA2life,A2includingA2ADHD,A2aggressiveA2behavior,A2anxietyA2disorder,A2bipolarA2disorder,A
2depression,A2moodA2disorder,A2PTSD,A2reactiveA2detachmentA2disorder,A2sleepA2proble
ms,A2prenatalA2drugA2andA2alcoholA2exposure,A2andA2personalityA2disorder.A2Claustropho
biaA2andA2asthmaA2areA2notA2specificallyA2associatedA2withA2fosterA2children.

TheA2nurseA2isA2caringA2forA2aA2femaleA2clientA2inA2theA2EDA2whoA2presentsA2withA2aA2com
plaintA2ofA2fatigueA2andA2SOB.A2WhichA2physicalA2assessmentA2findings,A2ifA2notedA2byA2t
heA2nurse,A2warrantA2aA2needA2forA2followA2up?
1.A2reddenedA2scleraA2ofA2theA2eyes
2.A2dryA2flakingA2notedA2onA2theA2scalp
3.A2aA2reddish-purpleA2markA2onA2theA2neck
4.A2aA2scalyA2rashA2notedA2onA2theA2elbowsA2andA2kneesA2-A2Ans--3.A2aA2reddish-
purpleA2markA2onA2theA2neck

Rationale:A2TheA2clientA2shouldA2beA2screenedA2forA2abuse.A2BatteredA2womenA2experien
ceA2bruises,A2particularlyA2aroundA2theA2eyes,A2redA2orA2purpleA2marksA2onA2theA2neck,A2s
prainedA2orA2brokenA2wrists,A2chronicA2fatigue,A2SOB,A2muscleA2tension,A2involuntaryA2sh
aking,A2changesA2inA2eatingA2andA2sleeping,A2sexualA2dysfunction,A2andA2fertilityA2issues.
A2MentalA2healthA2issuesA2canA2alsoA2ariseA2includingA2PTSD,A2nightmares,A2anxiety,A2un
controllableA2thoughts,A2depression,A2anxiety,A2lowA2self-
esteem,A2andA2alcoholA2andA2drugA2abuse.A2ReddenedA2sclera,A2aA2dryA2rashA2onA2theA2e
lbows,A2andA2flakingA2ofA2theA2scalpA2doA2notA2indicateA2abuse.

TheA2nurseA2planningA2careA2forA2aA2militaryA2veteranA2shouldA2prioritizeA2nursingA2interv
entionsA2targetedA2atA2managingA2whichA2condition,A2ifA2present,A2thatA2commonlyA2occur
sA2inA2thisA2population?
1.A2hypertension

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