SAUNDER NCLEX -RN TEST BANK EXAM
2026/2027 WITH ACTUAL CORRECT QUESTIONS
AND VERIFIED DETAILED ANSWERS
|CURRENTLY TESTING QUESTIONS AND
SOLUTIONS|ALREADY GRADED A+|NEWEST
|BRAND NEW VERSION!!|JUST RELEASED
The charge nurse in a long-term care facility has just completed client care assignments for
unlicensed assistive personnel (UAP). Which of the following statements by the charge
nurse would provide the best direction to a UAP about the assignment?
1."The client with heart failure should be weighed and have vital signs checked before
breakfast is served."
2."You will need to assist the client with mild Alzheimer's disease (AD) with activities of
daily living (ADL)."
3."You need to follow proper infection control precautions when assisting the client with
active pulmonary tuberculosis (TB)."
4."The client with paraplegia should have the monthly safety check completed on the
wheelchair."
2."You will need to assist the client with mild Alzheimer's disease (AD) with activities of
daily living (ADL)."
The nurse is assisting with the plan care for a client with moderate Alzheimer's disease
(AD). Which of the following interventions should the nurse suggest including in the client's
plan of care? Select all that apply.
1.Avoid the use of restraints.
2.Avoid reminiscing about happy times in the client's life.
1|Page
,3.Use distraction when the client becomes anxious or agitated.
4.Provide the client with a wide selection of food choices at mealtimes.
5.Speak slowly and use short, simple sentences when providing the client with
information.
6.Provide family members with information about community support services for respite
care.
1,3,5,6
The nurse on the maternity unit is talking with a staff member from another unit. The staff
member asks the nurse about a mutual friend who had a baby at the health care facility.
Which of the following would be an appropriate response for the nurse to make? Select all
that apply.
1."You should give her a call on the telephone to see how she is doing."
2."I saw her this morning, and she is going to be discharged home today."
3."Take a look in the computer system to find out which room she is in so you can visit."
4."I understand the delivery went well and her spouse is with her."
5."I cannot give you any information about her condition."
1,5
The nurse is reinforcing teaching with a client who is scheduled for a thoracentesis. Which
of the following information should the nurse reinforce?
1."You should lie on the affected side for 4 hours after the procedure."
2."You will be placed in a sitting position with your arms resting on a bedside table during
the procedure."
3."You will be given a dose of a prescribed sedative/hypnotic before the procedure."
4."You should not have anything to eat or drink for 24 hours before the procedure."
2."You will be placed in a sitting position with your arms resting on a bedside table during
the procedure."
2|Page
,The nurse has reinforced teaching with a client who has an ileal conduit. Which of the
following statements by the client would indicate a correct understanding of the teaching?
1."I will need to awaken several times at night to empty the pouch."
2."I can expect to have mucus in my urine."
3."The stoma should be a dark purple color."
4."I will need to limit my fluid intake."
2."I can expect to have mucus in my urine."
The nurse has attended a staff development conference about elder abuse. Which of the
following statements by the nurse would indicate a correct understanding of the teaching?
1."Clients who are physically disabled and living in a long-term care facility are the typical
victims of elder abuse."
2."The nurse should explain to the victim of elder abuse that data collected about the
abuse will be kept confidential."
3."Older adults who are abused will readily explain their situation to a health care provider if
asked directly."
4."A health care worker or family member who threatens to withhold food, water or medical
care is committing a form of abuse."
1."Clients who are physically disabled and living in a long-term care facility are the typical
victims of elder abuse."
The nurse is contributing to a staff education conference about advance directives. Which
of the following information should the nurse recommend including? Select all that apply.
1."Advance directives support a client's ethical right to autonomy."
2."A client may designate another person to make health care decisions for the client."
3."Health care facilities must ask clients if they have completed an advance directive."
4."Advance directives indicate a client's treatment wishes for acute diagnoses."
5."A living will must be witnessed by a client's attorney."
1,2,4
3|Page
, The nurse in a long-term care facility is making client care assignments for unlicensed
assistive personnel (UAP). Which of the following statements by the nurse would provide
UAP with the best directions about an assignment?
1."The client is weak on the right side, so please assist the client with dressing and bathing."
2."Please check the client's capillary blood glucose level, and tell me the results by 0700."
3."We need to document vital signs for the client every 4 hours today."
4."Please encourage the client to change positions frequently."
3."We need to document vital signs for the client every 4 hours today."
The nurse is contributing to the plan of care for a client who sustained full-thickness (third-
degree) burns on 30% of the body 3 days ago. Which of the following interventions should
the nurse suggest including in the client's plan of care? Select all that apply.
1.Discourage movement of the affected body parts.
2.Offer the client prescribed opioid analgesics prior to providing wound care.
3.Wear a hair covering and a surgical mask when the burn wounds are exposed.
4.Use ice and other cold therapy as an adjunct to pharmaceutical pain relief.
5.Stress the importance of strict intake and output recording for the client with the
unlicensed assistive personnel (UAP).
2,3,5
The nurse is collecting data from a client with Guillain-Barré. The client is experiencing
paralysis and paresthesias of the lower extremities and has a respiratory rate of 18. Which
of the following actions should the nurse take?
1.Massage the client's legs every 2 hours.
2.Pad the side rails of the client's bed.
3.Monitor the client's respiratory rate frequently.
4.Keep the head of the client's bed elevated at 30 degrees.
3.Monitor the client's respiratory rate frequently.
4|Page
2026/2027 WITH ACTUAL CORRECT QUESTIONS
AND VERIFIED DETAILED ANSWERS
|CURRENTLY TESTING QUESTIONS AND
SOLUTIONS|ALREADY GRADED A+|NEWEST
|BRAND NEW VERSION!!|JUST RELEASED
The charge nurse in a long-term care facility has just completed client care assignments for
unlicensed assistive personnel (UAP). Which of the following statements by the charge
nurse would provide the best direction to a UAP about the assignment?
1."The client with heart failure should be weighed and have vital signs checked before
breakfast is served."
2."You will need to assist the client with mild Alzheimer's disease (AD) with activities of
daily living (ADL)."
3."You need to follow proper infection control precautions when assisting the client with
active pulmonary tuberculosis (TB)."
4."The client with paraplegia should have the monthly safety check completed on the
wheelchair."
2."You will need to assist the client with mild Alzheimer's disease (AD) with activities of
daily living (ADL)."
The nurse is assisting with the plan care for a client with moderate Alzheimer's disease
(AD). Which of the following interventions should the nurse suggest including in the client's
plan of care? Select all that apply.
1.Avoid the use of restraints.
2.Avoid reminiscing about happy times in the client's life.
1|Page
,3.Use distraction when the client becomes anxious or agitated.
4.Provide the client with a wide selection of food choices at mealtimes.
5.Speak slowly and use short, simple sentences when providing the client with
information.
6.Provide family members with information about community support services for respite
care.
1,3,5,6
The nurse on the maternity unit is talking with a staff member from another unit. The staff
member asks the nurse about a mutual friend who had a baby at the health care facility.
Which of the following would be an appropriate response for the nurse to make? Select all
that apply.
1."You should give her a call on the telephone to see how she is doing."
2."I saw her this morning, and she is going to be discharged home today."
3."Take a look in the computer system to find out which room she is in so you can visit."
4."I understand the delivery went well and her spouse is with her."
5."I cannot give you any information about her condition."
1,5
The nurse is reinforcing teaching with a client who is scheduled for a thoracentesis. Which
of the following information should the nurse reinforce?
1."You should lie on the affected side for 4 hours after the procedure."
2."You will be placed in a sitting position with your arms resting on a bedside table during
the procedure."
3."You will be given a dose of a prescribed sedative/hypnotic before the procedure."
4."You should not have anything to eat or drink for 24 hours before the procedure."
2."You will be placed in a sitting position with your arms resting on a bedside table during
the procedure."
2|Page
,The nurse has reinforced teaching with a client who has an ileal conduit. Which of the
following statements by the client would indicate a correct understanding of the teaching?
1."I will need to awaken several times at night to empty the pouch."
2."I can expect to have mucus in my urine."
3."The stoma should be a dark purple color."
4."I will need to limit my fluid intake."
2."I can expect to have mucus in my urine."
The nurse has attended a staff development conference about elder abuse. Which of the
following statements by the nurse would indicate a correct understanding of the teaching?
1."Clients who are physically disabled and living in a long-term care facility are the typical
victims of elder abuse."
2."The nurse should explain to the victim of elder abuse that data collected about the
abuse will be kept confidential."
3."Older adults who are abused will readily explain their situation to a health care provider if
asked directly."
4."A health care worker or family member who threatens to withhold food, water or medical
care is committing a form of abuse."
1."Clients who are physically disabled and living in a long-term care facility are the typical
victims of elder abuse."
The nurse is contributing to a staff education conference about advance directives. Which
of the following information should the nurse recommend including? Select all that apply.
1."Advance directives support a client's ethical right to autonomy."
2."A client may designate another person to make health care decisions for the client."
3."Health care facilities must ask clients if they have completed an advance directive."
4."Advance directives indicate a client's treatment wishes for acute diagnoses."
5."A living will must be witnessed by a client's attorney."
1,2,4
3|Page
, The nurse in a long-term care facility is making client care assignments for unlicensed
assistive personnel (UAP). Which of the following statements by the nurse would provide
UAP with the best directions about an assignment?
1."The client is weak on the right side, so please assist the client with dressing and bathing."
2."Please check the client's capillary blood glucose level, and tell me the results by 0700."
3."We need to document vital signs for the client every 4 hours today."
4."Please encourage the client to change positions frequently."
3."We need to document vital signs for the client every 4 hours today."
The nurse is contributing to the plan of care for a client who sustained full-thickness (third-
degree) burns on 30% of the body 3 days ago. Which of the following interventions should
the nurse suggest including in the client's plan of care? Select all that apply.
1.Discourage movement of the affected body parts.
2.Offer the client prescribed opioid analgesics prior to providing wound care.
3.Wear a hair covering and a surgical mask when the burn wounds are exposed.
4.Use ice and other cold therapy as an adjunct to pharmaceutical pain relief.
5.Stress the importance of strict intake and output recording for the client with the
unlicensed assistive personnel (UAP).
2,3,5
The nurse is collecting data from a client with Guillain-Barré. The client is experiencing
paralysis and paresthesias of the lower extremities and has a respiratory rate of 18. Which
of the following actions should the nurse take?
1.Massage the client's legs every 2 hours.
2.Pad the side rails of the client's bed.
3.Monitor the client's respiratory rate frequently.
4.Keep the head of the client's bed elevated at 30 degrees.
3.Monitor the client's respiratory rate frequently.
4|Page
