Saunder's NCLEX review-Fundamentals Exam Prep
SAUNDER'S NCLEX REVIEW-FUNDAMENTALS EXAM PREP
NEWEST 2026/2027 ACTUAL EXAM COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) WITH
DETAILED RATIONALES |ALREADY GRADED A+||BRAND NEW
VERSION!!
The nurse is preparing an intravenous (IV) set before starting the infusion. After
removing the cap from the IV tubing port on the IV bag, the nurse removes the
cover from the tubing insertion spike but then touches the spike with a finger.
What should the nurse do next?
1.Discard the IV tubing and use a new set for the infusion.
2.Continue with the procedure and then flush the tubing thoroughly. 3.Clean the
spike with an alcohol swab for 15 seconds and then continue.
4.Clean the spike and the IV bag tubing port with alcohol and then continue. -
Correct Answer-1.Discard the IV tubing and use a new set for the infusion.
The IV tubing's insertion spike must remain sterile. If it is touched during the
preparation of the infusion, the tubing must be discarded and replaced with a
sterile set. Otherwise, the infusion set is contaminated, which could cause infection
in the client. Therefore, the remaining actions are incorrect.
The nurse is preparing to discontinue a client's nasogastric tube. The client is
positioned properly, and the tube has been flushed with 15 mL of air to clear
secretions. Before removing the tube, the nurse should make which statement to
the client?
1."Take a deep breath when I tell you, and hold it while I remove the tube."
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, Saunder's NCLEX review-Fundamentals Exam Prep
2."Take a deep breath when I tell you, and bear down while I remove the tube."
3."Take a deep breath when I tell you, and slowly exhale while I remove the tube."
4."Take a deep breath when I tell you, and breathe normally while I remove the
tube." - Correct Answer-1."Take a deep breath when I tell you, and hold it while I
remove the tube."
The client should take a deep breath because the client's airway will be
temporarily obstructed during tube removal. The client is then told to hold the
breath and the tube is withdrawn slowly and evenly over the course of 3 to 6
seconds (coil the tube around the hand while removing it) while the breath is held.
Bearing down could inhibit the removal of the tube. Exhaling is not possible during
removal because the airway is temporarily obstructed during removal. Breathing
normally could result in aspiration of gastric secretions during inhalation.
The nurse is planning care for a client who has just returned to the nursing unit
after an oral cholecystogram. The nurse should expect to delete which
prescription on the client's care plan?
1.Monitor hydration status.
2.Assess for nausea and vomiting.
3.Monitor for abdominal discomfort.
4.Maintain a clear liquid diet for 72 hours. - Correct Answer-4.Maintain a clear
liquid diet for 72 hours.
The client should be able to resume the usual diet once the nurse is sure that the
client's gastrointestinal (GI) function is normal. It is not necessary to keep the
client on clear liquids for 72 hours after the procedure. The nurse would also
assess hydration status as part of routine care for the client undergoing a GI
diagnostic test. The nurse would monitor the client for complaints of GI discomfort
and nausea and vomiting.
2|Page
, Saunder's NCLEX review-Fundamentals Exam Prep
The nurse provides instructions to a client who is scheduled for an
electroencephalogram. Which statement by the client indicates a need for further
instruction?
1."The test will take between 45 minutes and 2 hours."
2."My hair should be washed the evening before the test."
3."Cola, tea, and coffee are restricted on the day of the test."
4."All medications need to be withheld on the day of the test." - Correct Answer-
4."All medications need to be withheld on the day of the test."The client is
informed that the test will take 45 minutes to 2 hours and that medications usually
are not withheld before the test unless specifically prescribed. Preprocedural
instructions include informing the client that the procedure is painless. Cola, tea,
and coffee are stimulants and need to be restricted on the morning of the test. The
hair should be washed the evening before the test, and gels, hair sprays, and
lotion should be avoided.
The nurse is performing an assessment on an older client who is having difficulty
sleeping at night. Which statement by the client indicates the need for further
teaching regarding measures to improve sleep?
1."I swim 3 times a week."
2."I have stopped smoking cigars."
3."I drink hot chocolate before bedtime."
4."I read for 40 minutes before bedtime." - Correct Answer-3."I drink hot
chocolate before bedtime."
Many nonpharmacological sleep aids can be used to influence sleep. However, the
client should avoid caffeinated beverages and stimulants such as tea, cola, and
chocolate. The client should exercise regularly because exercise promotes sleep by
burning off tension that accumulates during the day. A 20- to 30-minute walk,
swim, or bicycle ride 3 times a week is helpful. The client should sleep on a bed
3|Page
, Saunder's NCLEX review-Fundamentals Exam Prep
with a firm mattress. Smoking and alcohol should be avoided. The client should
avoid large meals; peanuts, beans, fruit, raw vegetables, and other foods that
produce gas; and snacks that are high in fat because they are difficult to digest.
The nurse is implementing the complementary therapy of therapeutic touch when
caring for clients. The nurse should implement which action when performing
therapeutic touch?
1.Apply heating pads to the back.
2.Vigorously massage bony prominences.
3.Position hands directly on the client's skin.
4.Position hands 2 to 4 inches (5 to 10 cm) from the body. - Correct Answer-
4.Position hands 2 to 4 inches (5 to 10 cm) from the body.
During therapeutic touch, nurses use their hands to assess the client's energy field.
Hands are positioned 2 to 4 inches (5 to 10 cm) from the body. The energy field is
assessed for bilateral similarities or differences in the flow of energy. The next step
is clearing and balancing the energy field. Nurses then redirect energy through
their own intentionality. The session ends with a smoothing of the energy.
Therefore, the remaining options are incorrect.
The nurse is caring for an older client with dysphagia who is at risk for aspiration.
When preparing the client for eating, the nurse should place the client in which
position to minimize the risk for aspiration?
1.Low Fowler's
2.On the left side
3.Upright in a chair
4.On the right side - Correct Answer-3.Upright in a chair
4|Page
SAUNDER'S NCLEX REVIEW-FUNDAMENTALS EXAM PREP
NEWEST 2026/2027 ACTUAL EXAM COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) WITH
DETAILED RATIONALES |ALREADY GRADED A+||BRAND NEW
VERSION!!
The nurse is preparing an intravenous (IV) set before starting the infusion. After
removing the cap from the IV tubing port on the IV bag, the nurse removes the
cover from the tubing insertion spike but then touches the spike with a finger.
What should the nurse do next?
1.Discard the IV tubing and use a new set for the infusion.
2.Continue with the procedure and then flush the tubing thoroughly. 3.Clean the
spike with an alcohol swab for 15 seconds and then continue.
4.Clean the spike and the IV bag tubing port with alcohol and then continue. -
Correct Answer-1.Discard the IV tubing and use a new set for the infusion.
The IV tubing's insertion spike must remain sterile. If it is touched during the
preparation of the infusion, the tubing must be discarded and replaced with a
sterile set. Otherwise, the infusion set is contaminated, which could cause infection
in the client. Therefore, the remaining actions are incorrect.
The nurse is preparing to discontinue a client's nasogastric tube. The client is
positioned properly, and the tube has been flushed with 15 mL of air to clear
secretions. Before removing the tube, the nurse should make which statement to
the client?
1."Take a deep breath when I tell you, and hold it while I remove the tube."
1|Page
, Saunder's NCLEX review-Fundamentals Exam Prep
2."Take a deep breath when I tell you, and bear down while I remove the tube."
3."Take a deep breath when I tell you, and slowly exhale while I remove the tube."
4."Take a deep breath when I tell you, and breathe normally while I remove the
tube." - Correct Answer-1."Take a deep breath when I tell you, and hold it while I
remove the tube."
The client should take a deep breath because the client's airway will be
temporarily obstructed during tube removal. The client is then told to hold the
breath and the tube is withdrawn slowly and evenly over the course of 3 to 6
seconds (coil the tube around the hand while removing it) while the breath is held.
Bearing down could inhibit the removal of the tube. Exhaling is not possible during
removal because the airway is temporarily obstructed during removal. Breathing
normally could result in aspiration of gastric secretions during inhalation.
The nurse is planning care for a client who has just returned to the nursing unit
after an oral cholecystogram. The nurse should expect to delete which
prescription on the client's care plan?
1.Monitor hydration status.
2.Assess for nausea and vomiting.
3.Monitor for abdominal discomfort.
4.Maintain a clear liquid diet for 72 hours. - Correct Answer-4.Maintain a clear
liquid diet for 72 hours.
The client should be able to resume the usual diet once the nurse is sure that the
client's gastrointestinal (GI) function is normal. It is not necessary to keep the
client on clear liquids for 72 hours after the procedure. The nurse would also
assess hydration status as part of routine care for the client undergoing a GI
diagnostic test. The nurse would monitor the client for complaints of GI discomfort
and nausea and vomiting.
2|Page
, Saunder's NCLEX review-Fundamentals Exam Prep
The nurse provides instructions to a client who is scheduled for an
electroencephalogram. Which statement by the client indicates a need for further
instruction?
1."The test will take between 45 minutes and 2 hours."
2."My hair should be washed the evening before the test."
3."Cola, tea, and coffee are restricted on the day of the test."
4."All medications need to be withheld on the day of the test." - Correct Answer-
4."All medications need to be withheld on the day of the test."The client is
informed that the test will take 45 minutes to 2 hours and that medications usually
are not withheld before the test unless specifically prescribed. Preprocedural
instructions include informing the client that the procedure is painless. Cola, tea,
and coffee are stimulants and need to be restricted on the morning of the test. The
hair should be washed the evening before the test, and gels, hair sprays, and
lotion should be avoided.
The nurse is performing an assessment on an older client who is having difficulty
sleeping at night. Which statement by the client indicates the need for further
teaching regarding measures to improve sleep?
1."I swim 3 times a week."
2."I have stopped smoking cigars."
3."I drink hot chocolate before bedtime."
4."I read for 40 minutes before bedtime." - Correct Answer-3."I drink hot
chocolate before bedtime."
Many nonpharmacological sleep aids can be used to influence sleep. However, the
client should avoid caffeinated beverages and stimulants such as tea, cola, and
chocolate. The client should exercise regularly because exercise promotes sleep by
burning off tension that accumulates during the day. A 20- to 30-minute walk,
swim, or bicycle ride 3 times a week is helpful. The client should sleep on a bed
3|Page
, Saunder's NCLEX review-Fundamentals Exam Prep
with a firm mattress. Smoking and alcohol should be avoided. The client should
avoid large meals; peanuts, beans, fruit, raw vegetables, and other foods that
produce gas; and snacks that are high in fat because they are difficult to digest.
The nurse is implementing the complementary therapy of therapeutic touch when
caring for clients. The nurse should implement which action when performing
therapeutic touch?
1.Apply heating pads to the back.
2.Vigorously massage bony prominences.
3.Position hands directly on the client's skin.
4.Position hands 2 to 4 inches (5 to 10 cm) from the body. - Correct Answer-
4.Position hands 2 to 4 inches (5 to 10 cm) from the body.
During therapeutic touch, nurses use their hands to assess the client's energy field.
Hands are positioned 2 to 4 inches (5 to 10 cm) from the body. The energy field is
assessed for bilateral similarities or differences in the flow of energy. The next step
is clearing and balancing the energy field. Nurses then redirect energy through
their own intentionality. The session ends with a smoothing of the energy.
Therefore, the remaining options are incorrect.
The nurse is caring for an older client with dysphagia who is at risk for aspiration.
When preparing the client for eating, the nurse should place the client in which
position to minimize the risk for aspiration?
1.Low Fowler's
2.On the left side
3.Upright in a chair
4.On the right side - Correct Answer-3.Upright in a chair
4|Page
