NCLEX- saunders comprehensive review
Exam 2026 Questions and Answers
the nurse is caring for a patient with a diagnosis of heart failure who suddenly
complains about shortness of breath and dyspnea. the nurse should take which
immediate action - Correct answer-elevate the head of the patients bed
early sign of hypovolemic shock - Correct answer-increased pulse rate
What should you consider when selecting an answer or determining the order of
priority - Correct answer-using ABCs
A-airway
B-breathing
C-circulation
(exception: CPR. then remember CAB- compression, airway, breathing)
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, use maslow hierarchy of needs theory when prioritizing - Correct answer-1). basic
physiological need
2). safety and security
3). love and belonging
4). self esteem
5). self actualization
use the steps of the nursing process to prioritize - Correct answer-assessment
analysis
planning
implementation
evaluation
eliminate options that contain closed ended words- - Correct answer-all, always,
every, must, none
open-ended words could possible be the correct answer - Correct answer-may,
usually, normal, commonly, or generally
look for the umbrella option - Correct answer-a broad or universal option
respect for an individuals right to self-determination - Correct answer-Autonomy
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
Exam 2026 Questions and Answers
the nurse is caring for a patient with a diagnosis of heart failure who suddenly
complains about shortness of breath and dyspnea. the nurse should take which
immediate action - Correct answer-elevate the head of the patients bed
early sign of hypovolemic shock - Correct answer-increased pulse rate
What should you consider when selecting an answer or determining the order of
priority - Correct answer-using ABCs
A-airway
B-breathing
C-circulation
(exception: CPR. then remember CAB- compression, airway, breathing)
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
, use maslow hierarchy of needs theory when prioritizing - Correct answer-1). basic
physiological need
2). safety and security
3). love and belonging
4). self esteem
5). self actualization
use the steps of the nursing process to prioritize - Correct answer-assessment
analysis
planning
implementation
evaluation
eliminate options that contain closed ended words- - Correct answer-all, always,
every, must, none
open-ended words could possible be the correct answer - Correct answer-may,
usually, normal, commonly, or generally
look for the umbrella option - Correct answer-a broad or universal option
respect for an individuals right to self-determination - Correct answer-Autonomy
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
