Saunders NCLEX Review Exam Prep
SAUNDERS NCLEX REVIEW EXAM PREP NEWEST 2026/2027 ACTUAL
EXAM COMPLETE 250 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) WITH DETAILED RATIONALES |ALREADY GRADED
A+||BRAND NEW VERSION!!
The nurse is performing CPR on an infant. When performing chest compressions,
the nurse compresses at least how many times?
1. 60 times per minute
2. 80 times per minute
3. 100 times per minute
4. 160 times per minute - Correct Answer-3
In an infant, the rate of chest compressions is at least 100 times per minute.
The nurse is teaching CPR to a group of nursing students. The nurse asks a student
to describe the reason why blind finger sweeps are avoided in infants. The nurse
determines that the student understands this reason if the student makes which
statement?
1. "The object may have been swallowed"
2. "The infant may bite down on the finger"
3. "The mouth is too small to see the object"
4. "The object may be forced back further into the throat" - Correct Answer-4
Blind finger sweeps are not recommended for infants and children because of the
risk of forcing the object farther down into the airway. The other options do not
identify reasons for avoiding blind finger sweeps.
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, Saunders NCLEX Review Exam Prep
The nurse witnesses the collapse of a victim in her neighborhood and suspects
cardiac arrest. Which action should the nurse take first?
1. Initiate rescue breathing
2. Begin giving chest compressions
3. Activate the emergency response system
4. Obtain an automated external defibrillator - Correct Answer-3
If a collapse is witnessed and the nurse suspects cardiac arrest, the nurse should
first activate the emergency response systems. Next, the nurse should obtain an
automated external defibrillator, followed by initiation of CPR, beginning with
chest compressions.
The nursing instructor asks a nursing student to describe the procedure for
performing abdominal thrusts on an unconscious pregnant woman at 32 weeks'
gestation. The student describes a component of the procedure correctly if the
student states that he will take which action?
1. Place his hands on the pelvis to perform the thrusts
2. Perform abdominal thrusts until the object is dislodged
3. Perform left lateral abdominal thrusts until the object is dislodged
4. Place a rolled blanket under the right abdominal flank and hip area - Correct
Answer-3
If an unconscious woman in an advanced gestational stage of pregnancy has a
foreign body airay obstruction, the woman is placed on her back. A wedge, such as
a pillow or rolled blanket, is placed udbder the right abdominal flank and hip to
displace the uterus to the left side of the abdomen. This prevents supine
hypotension that can occur if the gravid uterus rests on the vena cava. The rescuer
then attemps ventilations, if ventilation is unsuccessful, the rescuer positions the
2|Page
, Saunders NCLEX Review Exam Prep
hands as for chest compressions and delivers firm chest thrusts to remove the
obstruction. Placing the hands on the pelvis or abdomen and performing left
lateral abdominal thrusts are ineffective and could be harmful.
The nurse is performing CPR on an adult client. When performing chest
compressions, the nurse should depress the sternum by how many inch(es)?
1. 1/4 inch
2. 1 inch
2. 2 inches
3. 3 inches - Correct Answer-3
When performing CPR on an adult client, the sternum is depressed 2 inches. The
depth for the adult and the child is 2 inches whereas for the infant it is 1 1/2
inches.
The nurse has just reassessed the condition of a postoperative client who was
admitted 1 hour ago to the surgical unit. The nurse plans to monitor which
parameter most carefully during the next hour?
1. Urinary output of 20 mL/hr
2. Temperature of 37.6 C (99.6 F)
3. Blood pressure of 100/70 mmHg
4. Serous drainage on the surgical dressing - Correct Answer-1
Urine output should be maintained at a minimum of 30 mL/hr for an adult. An
output of less than 30 mL for each of 2 consecutive hours should be reported to
the health care provider. A temperature higher than 37.7 C (100 F) or lower than
36.1 C (97 F) and a falling systolic blood pressure, lower than 90 mmHg are usually
considered reportable immediately. The client's preoperative or baseline blood
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, Saunders NCLEX Review Exam Prep
pressure is used to make informed postoperative comparisons. Moderate or light
serous drainage from the surgical site is considered normal.
A postoperative client asks the nurse why it is so important to deep-breathe and
cough after surgery. When formulating a response, the nurse incorporates the
understanding that retained pulmonary secretions in a postoperative client can
lead to which condition?
1. Pneumonia
2. Hypoxemia
3. Fluid imbalance
4. Pulmonary embolism - Correct Answer-1
Postoperative respiratory problems are atelectasis pneumonia, and pulmonary
emboli. Pneumonia is the inflammation of lung tissue that causes productive
cough, dyspnea, and lung crackles and can be caused by retained pulmonary
secretions. Hypoxemia is an inadequate concentration of oxygen in arterial blood.
Fluid imbalance can be deficit or excess related to fluid loss or overload.
Pulmonary embolus occurs as a result of a blockage of the pulmonary artery that
disrupts blood flow to one or more lobes of the lung; this is usually due to clot
formation
The nurse is developing a plan of care for a client scheduled for surgery. The nurse
should include which activity in the nursing care plan for the client on the day of
the surgery?
1. Avoid oral hygiene and rinsing with mouthwash
2. Verify that the client has not eaten for the last 24 hours
3. Have the client void immediately before going into surgery
4|Page
SAUNDERS NCLEX REVIEW EXAM PREP NEWEST 2026/2027 ACTUAL
EXAM COMPLETE 250 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) WITH DETAILED RATIONALES |ALREADY GRADED
A+||BRAND NEW VERSION!!
The nurse is performing CPR on an infant. When performing chest compressions,
the nurse compresses at least how many times?
1. 60 times per minute
2. 80 times per minute
3. 100 times per minute
4. 160 times per minute - Correct Answer-3
In an infant, the rate of chest compressions is at least 100 times per minute.
The nurse is teaching CPR to a group of nursing students. The nurse asks a student
to describe the reason why blind finger sweeps are avoided in infants. The nurse
determines that the student understands this reason if the student makes which
statement?
1. "The object may have been swallowed"
2. "The infant may bite down on the finger"
3. "The mouth is too small to see the object"
4. "The object may be forced back further into the throat" - Correct Answer-4
Blind finger sweeps are not recommended for infants and children because of the
risk of forcing the object farther down into the airway. The other options do not
identify reasons for avoiding blind finger sweeps.
1|Page
, Saunders NCLEX Review Exam Prep
The nurse witnesses the collapse of a victim in her neighborhood and suspects
cardiac arrest. Which action should the nurse take first?
1. Initiate rescue breathing
2. Begin giving chest compressions
3. Activate the emergency response system
4. Obtain an automated external defibrillator - Correct Answer-3
If a collapse is witnessed and the nurse suspects cardiac arrest, the nurse should
first activate the emergency response systems. Next, the nurse should obtain an
automated external defibrillator, followed by initiation of CPR, beginning with
chest compressions.
The nursing instructor asks a nursing student to describe the procedure for
performing abdominal thrusts on an unconscious pregnant woman at 32 weeks'
gestation. The student describes a component of the procedure correctly if the
student states that he will take which action?
1. Place his hands on the pelvis to perform the thrusts
2. Perform abdominal thrusts until the object is dislodged
3. Perform left lateral abdominal thrusts until the object is dislodged
4. Place a rolled blanket under the right abdominal flank and hip area - Correct
Answer-3
If an unconscious woman in an advanced gestational stage of pregnancy has a
foreign body airay obstruction, the woman is placed on her back. A wedge, such as
a pillow or rolled blanket, is placed udbder the right abdominal flank and hip to
displace the uterus to the left side of the abdomen. This prevents supine
hypotension that can occur if the gravid uterus rests on the vena cava. The rescuer
then attemps ventilations, if ventilation is unsuccessful, the rescuer positions the
2|Page
, Saunders NCLEX Review Exam Prep
hands as for chest compressions and delivers firm chest thrusts to remove the
obstruction. Placing the hands on the pelvis or abdomen and performing left
lateral abdominal thrusts are ineffective and could be harmful.
The nurse is performing CPR on an adult client. When performing chest
compressions, the nurse should depress the sternum by how many inch(es)?
1. 1/4 inch
2. 1 inch
2. 2 inches
3. 3 inches - Correct Answer-3
When performing CPR on an adult client, the sternum is depressed 2 inches. The
depth for the adult and the child is 2 inches whereas for the infant it is 1 1/2
inches.
The nurse has just reassessed the condition of a postoperative client who was
admitted 1 hour ago to the surgical unit. The nurse plans to monitor which
parameter most carefully during the next hour?
1. Urinary output of 20 mL/hr
2. Temperature of 37.6 C (99.6 F)
3. Blood pressure of 100/70 mmHg
4. Serous drainage on the surgical dressing - Correct Answer-1
Urine output should be maintained at a minimum of 30 mL/hr for an adult. An
output of less than 30 mL for each of 2 consecutive hours should be reported to
the health care provider. A temperature higher than 37.7 C (100 F) or lower than
36.1 C (97 F) and a falling systolic blood pressure, lower than 90 mmHg are usually
considered reportable immediately. The client's preoperative or baseline blood
3|Page
, Saunders NCLEX Review Exam Prep
pressure is used to make informed postoperative comparisons. Moderate or light
serous drainage from the surgical site is considered normal.
A postoperative client asks the nurse why it is so important to deep-breathe and
cough after surgery. When formulating a response, the nurse incorporates the
understanding that retained pulmonary secretions in a postoperative client can
lead to which condition?
1. Pneumonia
2. Hypoxemia
3. Fluid imbalance
4. Pulmonary embolism - Correct Answer-1
Postoperative respiratory problems are atelectasis pneumonia, and pulmonary
emboli. Pneumonia is the inflammation of lung tissue that causes productive
cough, dyspnea, and lung crackles and can be caused by retained pulmonary
secretions. Hypoxemia is an inadequate concentration of oxygen in arterial blood.
Fluid imbalance can be deficit or excess related to fluid loss or overload.
Pulmonary embolus occurs as a result of a blockage of the pulmonary artery that
disrupts blood flow to one or more lobes of the lung; this is usually due to clot
formation
The nurse is developing a plan of care for a client scheduled for surgery. The nurse
should include which activity in the nursing care plan for the client on the day of
the surgery?
1. Avoid oral hygiene and rinsing with mouthwash
2. Verify that the client has not eaten for the last 24 hours
3. Have the client void immediately before going into surgery
4|Page
