SAUNDER'S COMPREHENSIVE NCLEX REVIEW PRACTICE EXAM PREP NEWEST 2026/2027 ACTUAL EXAM COMPLETE 200 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)WITH DETAILED RATIONALES |ALREADY GRADED A+||BRAND NEW VERSION!!

Saunder's Comprehensive NCLEX Review Practice Exam Prep


SAUNDER'S COMPREHENSIVE NCLEX REVIEW PRACTICE EXAM PREP
NEWEST 2026/2027 ACTUAL EXAM COMPLETE 200 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)WITH DETAILED
RATIONALES |ALREADY GRADED A+||BRAND NEW VERSION!!

The nurse is reading a primary hc provider's progress notes in the client record
and reads that they've documented "insensible fluid loss of 800 mL daily". The
nurse makes a notation that insensible fluid loss occurs through which type of
excretion?
1. urinary output
2. wound drainage
3. integumentary output
4. the GI tract - Correct Answer-3. integumentary output


Rationale: Insensible losses may occur without the person's awareness. Insensible
losses occur daily through the skin and the lungs. Sensible losses are those of
which the person is aware, such as through urination, wound drainage, and GI
tract losses.


The nurse is assigned to care for a group of clients. On review of the client's
medical records, the nurse determines that which client is most likely at risk for a
fluid volume deficit?
1. a client with an ileostomy
2. a client with hf
3. a client on long-term corticosteroid therapy

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, Saunder's Comprehensive NCLEX Review Practice Exam Prep

4. a client receiving frequent wound irrigations - Correct Answer-1. a client with an
ileostomy


Rationale: a fluid volume deficit occurs when the fluid intake is not sufficient to
meet the needs of the body. Causes of a fluid volume deficit include vomiting,
diarrhea, conditions that cause increased respirations or increased urinary output,
insufficient IV fluid replacement, draining fistulas, and the presence of an
ileostomy or colostomy. A client with hf or on long-term corticosteroid therapy or a
client receiving frequent wound irrigations is most at risk for fluid volume excess.


The nurse caring for a client who has been receiving IV diuretics suspects that the
client is experiencing a fluid volume deficit. Which assessment finding would the
nurse note in a client with this condition?
1. weight loss and poor skin turgor
2. lung congestion and increased hr
3. decreased hematocrit and increased urine output
4. increased respirations and increased bp - Correct Answer-1. weight loss and
poor skin turgor


Rationale: a fluid volume deficit occurs when the fluid intake is not sufficient
enough to meet the fluid needs of the body. Assessment findings in a client with
fluid volume deficit include increased respirations, increased HR, decreased CVP,
weight loss, poor skin turgor, dry mucus membranes, decreased urine volume,
increased specific gravity of the urine, increased hematocrit, and altered LOC. Lung
congestion, increased urinary output, and increased BP are all associated with
fluid volume excess.




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, Saunder's Comprehensive NCLEX Review Practice Exam Prep

On review of the client's medical records, the nurse determines that which client
is at risk for fluid volume excess?
1. the client taking diuretics who has tenting of the skin
2. the client with an ileostomy from a recent abdominal surgery
3. the client who requires intermittent GI suctioning
4. the client with kidney disease and a 12-year history of diabetes mellitus -
Correct Answer-4. the client with kidney disease and a 12-year history of diabetes
mellitus


Rationale: a fluid volume excess may be caused by decreased kidney function, HF,
use of hypotonic fluids to replace isotonic fluid losses, excessive irrigation of
wounds and body cavities, and excessive ingestion of sodium. The client taking
diuretics, the client with an Ileostomy, and the client requiring GI suctioning are all
at risk for fluid volume deficit.


Which client is at risk for the development of a K+ level of 5.5 mEq/L?
1. the client with colitis
2. the client with Cushing's syndrome
3. the client who has been overusing laxatives
4. the client who has been sustained in a traumatic burn - Correct Answer-4. the
client who has been sustained in a traumatic burn


Rationale: The normal K+ level is 3.5 to 5.0. A K+ level higher than 5 indicates
hyperkalemia. Hyperkalemia may occur in clients who experience cellular shifting
of K+ in the early stages of massive cell destruction such as with burns, trauma,
sepsis, or metabolic or respiratory acidosis. The client with Cushing's syndrome or
colitis and the client who has been overusing laxatives are at risk for hypokalemia.
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The nurse reviews the arterial blood gas results of a client and notes the following:
pH 7.45, PaCO2 30 mmHg, and HCO-3 of 20 mEq/L. The nurse analyzes these
results as which condition?
1. metabolic acidosis, compensated
2. respiratory alkalosis, compensated
3. metabolic alkalosis, uncompensated
4. respiratory acidosis, uncompensated - Correct Answer-2. respiratory alkalosis,
compensated


Rationale: the normal pH is 7.35 to 7.45. In this condition the pH is on the high end
and the PaCO2 is low. Since the pH is elevated, it is alkalosis. This condition
indicates respiratory alkalosis and because the pH has returned to a normal range,
compensation has occurred.


The nurse is caring for a client with an NG tube attached to low suction. The nurse
monitors the client for manifestations of which disorder that the client is at risk
for?
1. metabolic acidosis
2. metabolic alkalosis
3. respiratory acidosis
4. respiratory alkalosis - Correct Answer-2. metabolic alkalosis


Rationale: metabolic alkalosis is a deficit of hydrogen ions or excess bicarb due to
the accumulation of bicarb or from a loss of acid. This occurs in conditions
resulting in hypovolemia, the loss of gastric fluid, excessive bicarb intake, the

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