1
Page | 1 SAUNDERS NCLEX-RN 10TH
EDITION TEST BANK 2025–2026 | 100
VERIFIED QUESTIONS + ANSWERS
+ RATIONALES | GUARANTEED A+
PASS
, 2
1. Which type of drug name is designated by the United States Adopted Names (USAN)
Page | 2
Council and is commonly used for general reference?
a. Brand
b. Trademark
✔ c. Nonproprietary
d. Official
ANS: C
The nonproprietary name, also known as the generic name, is assigned by the USAN Council
and is accepted for general use. This name is not protected by a trademark and is typically
less expensive than the brand name. The brand or trademark name is given by the
manufacturer and is often more recognizable. The official name is the name listed in official
publications, such as the USP, once the drug has been approved.
DIF: Cognitive Level: Knowledge REF: p. 11 OBJ: 2
NAT: NCLEX Client Needs Category: Safe, Effective Care Environment
TOP: Nursing Process Step: Assessment CON: Pharmacologic Principles
2. A client with a new prescription for lisinopril reports a dry, persistent cough. What is the
most appropriate nursing action?
a. Tell the client to continue the medication as prescribed
✔ b. Notify the healthcare provider
, 3
c. Instruct the client to take an over-the-counter cough suppressant
d. Suggest taking the medication at bedtime
Page | 3 ANS: B
A persistent dry cough is a well-known side effect of ACE inhibitors like lisinopril. It is not
life-threatening, but it may be bothersome enough to warrant discontinuation or substitution
with another class of antihypertensives, such as ARBs. The nurse should notify the healthcare
provider so a change can be considered. Suppressing the cough without addressing the cause
is not appropriate.
DIF: Cognitive Level: Application REF: p. 312 OBJ: 5
NAT: NCLEX Client Needs Category: Physiological Integrity – Pharmacological and
Parenteral Therapies
TOP: Nursing Process Step: Implementation CON: Side Effects/Patient Safety
3. Which nursing action is the priority when administering IV potassium chloride (KCl) to a
client with hypokalemia?
✔ a. Use an infusion pump to regulate the rate
b. Administer by IV push in a large vein
c. Mix with dextrose-containing solution
d. Monitor calcium levels every 2 hours
ANS: A
IV potassium chloride must always be administered using an infusion pump to ensure a
controlled rate and prevent potentially fatal arrhythmias. It should never be given IV push as
, 4
this can cause cardiac arrest. It is typically diluted in normal saline, not dextrose, to prevent
shifting potassium intracellularly. Calcium monitoring is not a priority with potassium
administration unless concurrent electrolyte abnormalities exist.
Page | 4
DIF: Cognitive Level: Safety/Application REF: p. 423 OBJ: 4
NAT: NCLEX Client Needs Category: Physiological Integrity – Reduction of Risk Potential
TOP: Nursing Process Step: Implementation CON: Electrolyte Replacement Therapy
4. A postpartum client asks when she can begin breastfeeding her newborn after receiving
morphine during labor. What is the nurse’s best response?
a. “Wait 24 hours to allow the medication to leave your system.”
✔ b. “You may breastfeed now, as morphine has a short half-life.”
c. “Avoid breastfeeding for 12 hours to be safe.”
d. “Pump and discard your milk for the next 3 feedings.”
ANS: B
Morphine is considered safe for use during labor and does not contraindicate immediate
breastfeeding postpartum, especially in typical single-dose administration. Its half-life is
short, and very little passes into breast milk in quantities that would harm a healthy full-term
newborn. The benefits of early breastfeeding outweigh minimal drug exposure.
DIF: Cognitive Level: Comprehension REF: p. 689 OBJ: 6
NAT: NCLEX Client Needs Category: Health Promotion and Maintenance
TOP: Nursing Process Step: Education CON: Maternal and Newborn Care
Page | 1 SAUNDERS NCLEX-RN 10TH
EDITION TEST BANK 2025–2026 | 100
VERIFIED QUESTIONS + ANSWERS
+ RATIONALES | GUARANTEED A+
PASS
, 2
1. Which type of drug name is designated by the United States Adopted Names (USAN)
Page | 2
Council and is commonly used for general reference?
a. Brand
b. Trademark
✔ c. Nonproprietary
d. Official
ANS: C
The nonproprietary name, also known as the generic name, is assigned by the USAN Council
and is accepted for general use. This name is not protected by a trademark and is typically
less expensive than the brand name. The brand or trademark name is given by the
manufacturer and is often more recognizable. The official name is the name listed in official
publications, such as the USP, once the drug has been approved.
DIF: Cognitive Level: Knowledge REF: p. 11 OBJ: 2
NAT: NCLEX Client Needs Category: Safe, Effective Care Environment
TOP: Nursing Process Step: Assessment CON: Pharmacologic Principles
2. A client with a new prescription for lisinopril reports a dry, persistent cough. What is the
most appropriate nursing action?
a. Tell the client to continue the medication as prescribed
✔ b. Notify the healthcare provider
, 3
c. Instruct the client to take an over-the-counter cough suppressant
d. Suggest taking the medication at bedtime
Page | 3 ANS: B
A persistent dry cough is a well-known side effect of ACE inhibitors like lisinopril. It is not
life-threatening, but it may be bothersome enough to warrant discontinuation or substitution
with another class of antihypertensives, such as ARBs. The nurse should notify the healthcare
provider so a change can be considered. Suppressing the cough without addressing the cause
is not appropriate.
DIF: Cognitive Level: Application REF: p. 312 OBJ: 5
NAT: NCLEX Client Needs Category: Physiological Integrity – Pharmacological and
Parenteral Therapies
TOP: Nursing Process Step: Implementation CON: Side Effects/Patient Safety
3. Which nursing action is the priority when administering IV potassium chloride (KCl) to a
client with hypokalemia?
✔ a. Use an infusion pump to regulate the rate
b. Administer by IV push in a large vein
c. Mix with dextrose-containing solution
d. Monitor calcium levels every 2 hours
ANS: A
IV potassium chloride must always be administered using an infusion pump to ensure a
controlled rate and prevent potentially fatal arrhythmias. It should never be given IV push as
, 4
this can cause cardiac arrest. It is typically diluted in normal saline, not dextrose, to prevent
shifting potassium intracellularly. Calcium monitoring is not a priority with potassium
administration unless concurrent electrolyte abnormalities exist.
Page | 4
DIF: Cognitive Level: Safety/Application REF: p. 423 OBJ: 4
NAT: NCLEX Client Needs Category: Physiological Integrity – Reduction of Risk Potential
TOP: Nursing Process Step: Implementation CON: Electrolyte Replacement Therapy
4. A postpartum client asks when she can begin breastfeeding her newborn after receiving
morphine during labor. What is the nurse’s best response?
a. “Wait 24 hours to allow the medication to leave your system.”
✔ b. “You may breastfeed now, as morphine has a short half-life.”
c. “Avoid breastfeeding for 12 hours to be safe.”
d. “Pump and discard your milk for the next 3 feedings.”
ANS: B
Morphine is considered safe for use during labor and does not contraindicate immediate
breastfeeding postpartum, especially in typical single-dose administration. Its half-life is
short, and very little passes into breast milk in quantities that would harm a healthy full-term
newborn. The benefits of early breastfeeding outweigh minimal drug exposure.
DIF: Cognitive Level: Comprehension REF: p. 689 OBJ: 6
NAT: NCLEX Client Needs Category: Health Promotion and Maintenance
TOP: Nursing Process Step: Education CON: Maternal and Newborn Care
