Saunders NCLEX PN NGN Newest Test Bank
SAUNDERS NCLEX PN NGN NEWEST TEST BANK 2025/2026 WITH
COMPLETE 500 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW VERSION!!
Which of the following falls under the right time of the 8 rights of medication administration?
Select all that apply.
A. Have a second nurse independently calculate the medication dosage.
B. Double-check the last time that the medication was administered.
C. Verify the frequency with which the medication is ordered.
D. Document the pertinent vital signs. - ANSWER-Choices B and C are correct.
B is correct. Double-checking the last time the medication was administered is a part of the
right time step in the 8 rights of medication administration. This is important because the nurse
needs to verify that she is giving the dose correctly and that it is not being administered too
frequently based upon the previous administration.
C is correct. Verifying the frequency with which the medication is ordered is a part of the right
time step in the 8 rights of medication administration. The nurse needs to verify that the
frequency with which the medication is being ordered will be safe not just for this dose but for
the cumulative dosage if the medication is being administered more than once. For example,
with acetaminophen, one dose of 1,000 mg may be appropriate, but administering this dosage
q4 would result in a daily intake of 6,000 mg of acetaminophen, far above the maximum of
4,000 mg. This is why the right frequency is a part of the right time step in the 8 rights of
medication administration.
The nurse is caring for a primigravida patient with the following clinical data. The nurse should
take which of the following actions based on the result?
See the exhibit.-> Test: Nonstress test Result: Reactive
A. Inform the patient of the normal finding.
B. Prepare the patient for a contraction stress test.
1|Page
, Saunders NCLEX PN NGN Newest Test Bank
C. Arrange for a repeat test.
D. Inquire if the patient ate prior to the test. - ANSWER-Choice A is correct.
A reactive NST is an expected finding and indicates fetal well-being.
Steroids have many different effects on the body. Which of the following are potential effects of
glucocorticoids?
Select all that apply.
A. Psychosis
B. Immunosuppression
C. Hypoglycemia
D. Hyperkalemia - ANSWER-Choices A and B are correct.
A is correct. Glucocorticoids can have severe effects on your patient's mood. Some of the
potential mood changes you may observe in your patient are depression, psychosis, euphoria,
and insomnia. It is essential to know your patients' baseline and warn them of the potential
changes they will experience while taking these medications.
B is correct. Glucocorticoids alter the body's defense mechanism, making them
immunosuppressed. This puts them at risk for infections. While your patient is taking
glucocorticoids, it is essential to monitor them for infection by watching their temperatures,
WBC counts, and CRP. Any indication of infection should be taken seriously, as it is quite
common for these patients to develop infections quickly.
You are caring for a 14-month-old diagnosed with severe iron deficiency anemia. She is
admitted for a blood transfusion and is started on oral iron supplementation. When you change
her diaper, you note a dark black stool. What are the appropriate nursing actions?
Select ALL
A. Notify the healthcare provider.
B. Document the finding.
C. Continue with your assessment.
2|Page
, Saunders NCLEX PN NGN Newest Test Bank
D. Administer the oral iron supplement as prescribed - ANSWER-Choices B, C, and D are correct.
B is correct. Black stools are an expected response to iron supplementation. It is an appropriate
nursing action to document this finding in the chart, but no further action is needed.
C is correct. Black stools are an expected response to iron supplementation. It is an appropriate
nursing action to continue with your assessment. Since the finding is expected, no other steps
are necessary.
D is correct. Black stools are an expected response to iron supplementation. It is an appropriate
nursing action to administer the oral iron supplement as prescribed.
Choice A is incorrect. Black stools are an expected response to iron supplementation. The nurse
doesn't need to notify the healthcare provider of this.
NCSBN Client Need Topic: Physiological Integrity, Subtopic: Pharmacological therapies,
Pediatrics Hematology
The nurse is re-educating on discharge instructions to a patient who has chronic diabetes
insipidus (DI). Which of the following patient statements would indicate a correct understanding
of the discharge instructions?
A. "I will need to drink no more than 800 ml per day."
B. "I will need to weigh myself at the same time every day."
C. "I should increase salty snacks in my diet."
D. "I need to log my fluid intake and urine output." - ANSWER-Choice B is correct.
A patient with chronic diabetes insipidus (DI) is instructed to weigh themselves daily. This
weight should be taken with the same scale and obtained after the first-morning void.
Choices A, C, and D are incorrect. Fluid restrictions would be appropriate for a patient with
syndrome of inappropriate antidiuretic hormone (SIADH). This would not be appropriate for DI
as the patient will need to consume more fluids to replace those that are lost. Salty snacks are
not encouraged because this may hasten the hypernatremia associated with this disease.
Logging intake and output are not useful because this provides a crude way of assessing fluid
status.
3|Page
, Saunders NCLEX PN NGN Newest Test Bank
This nurse is caring for a patient who is receiving prescribed ketorolac. Which of the following
findings would indicate a therapeutic response?
Select all that apply.
A. Decreased pain
B. Increased urinary output
C. Decreased blood pressure
D. Decreased temperature
E. Increased muscle coordination - ANSWER-Choices A and D are correct
Ketorolac is a medication used to treat pain and pyrexia. A patient exhibiting a decrease in pain
and having a decrease in temperature would be a therapeutic response.
Choices B, C, and E are incorrect. Ketorolac does not therapeutically lower blood pressure,
increase urinary output, or increase muscle coordination. Medications that could be used to
lower blood pressure would be agents such as lisinopril, atenolol, etc. Agents used to increase
urinary output would be diuretics such as furosemide. The improvement in muscle coordination
may be achieved by medications such as levodopa-carbidopa.
The nurse is conducting a health screening at a local health fair. Which of the following should
the nurse recognize as a risk factor for developing testicular cancer? Select all that apply.
A. Cryptorchidism
B. Human immunodeficiency virus (HIV)
C. Vasectomy
D. Family history
E. Herpes simplex virus (HSV) - ANSWER-Choices A, B, and D are correct. Risk factors for
testicular cancer include cryptorchidism, human immunodeficiency virus (HIV), and family
history. Cryptorchidism ( Choice A) refers to undescended testicle where the testicle fails to
descend to its normal position in the scrotum. Undescended testicles are associated with
4|Page
SAUNDERS NCLEX PN NGN NEWEST TEST BANK 2025/2026 WITH
COMPLETE 500 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW VERSION!!
Which of the following falls under the right time of the 8 rights of medication administration?
Select all that apply.
A. Have a second nurse independently calculate the medication dosage.
B. Double-check the last time that the medication was administered.
C. Verify the frequency with which the medication is ordered.
D. Document the pertinent vital signs. - ANSWER-Choices B and C are correct.
B is correct. Double-checking the last time the medication was administered is a part of the
right time step in the 8 rights of medication administration. This is important because the nurse
needs to verify that she is giving the dose correctly and that it is not being administered too
frequently based upon the previous administration.
C is correct. Verifying the frequency with which the medication is ordered is a part of the right
time step in the 8 rights of medication administration. The nurse needs to verify that the
frequency with which the medication is being ordered will be safe not just for this dose but for
the cumulative dosage if the medication is being administered more than once. For example,
with acetaminophen, one dose of 1,000 mg may be appropriate, but administering this dosage
q4 would result in a daily intake of 6,000 mg of acetaminophen, far above the maximum of
4,000 mg. This is why the right frequency is a part of the right time step in the 8 rights of
medication administration.
The nurse is caring for a primigravida patient with the following clinical data. The nurse should
take which of the following actions based on the result?
See the exhibit.-> Test: Nonstress test Result: Reactive
A. Inform the patient of the normal finding.
B. Prepare the patient for a contraction stress test.
1|Page
, Saunders NCLEX PN NGN Newest Test Bank
C. Arrange for a repeat test.
D. Inquire if the patient ate prior to the test. - ANSWER-Choice A is correct.
A reactive NST is an expected finding and indicates fetal well-being.
Steroids have many different effects on the body. Which of the following are potential effects of
glucocorticoids?
Select all that apply.
A. Psychosis
B. Immunosuppression
C. Hypoglycemia
D. Hyperkalemia - ANSWER-Choices A and B are correct.
A is correct. Glucocorticoids can have severe effects on your patient's mood. Some of the
potential mood changes you may observe in your patient are depression, psychosis, euphoria,
and insomnia. It is essential to know your patients' baseline and warn them of the potential
changes they will experience while taking these medications.
B is correct. Glucocorticoids alter the body's defense mechanism, making them
immunosuppressed. This puts them at risk for infections. While your patient is taking
glucocorticoids, it is essential to monitor them for infection by watching their temperatures,
WBC counts, and CRP. Any indication of infection should be taken seriously, as it is quite
common for these patients to develop infections quickly.
You are caring for a 14-month-old diagnosed with severe iron deficiency anemia. She is
admitted for a blood transfusion and is started on oral iron supplementation. When you change
her diaper, you note a dark black stool. What are the appropriate nursing actions?
Select ALL
A. Notify the healthcare provider.
B. Document the finding.
C. Continue with your assessment.
2|Page
, Saunders NCLEX PN NGN Newest Test Bank
D. Administer the oral iron supplement as prescribed - ANSWER-Choices B, C, and D are correct.
B is correct. Black stools are an expected response to iron supplementation. It is an appropriate
nursing action to document this finding in the chart, but no further action is needed.
C is correct. Black stools are an expected response to iron supplementation. It is an appropriate
nursing action to continue with your assessment. Since the finding is expected, no other steps
are necessary.
D is correct. Black stools are an expected response to iron supplementation. It is an appropriate
nursing action to administer the oral iron supplement as prescribed.
Choice A is incorrect. Black stools are an expected response to iron supplementation. The nurse
doesn't need to notify the healthcare provider of this.
NCSBN Client Need Topic: Physiological Integrity, Subtopic: Pharmacological therapies,
Pediatrics Hematology
The nurse is re-educating on discharge instructions to a patient who has chronic diabetes
insipidus (DI). Which of the following patient statements would indicate a correct understanding
of the discharge instructions?
A. "I will need to drink no more than 800 ml per day."
B. "I will need to weigh myself at the same time every day."
C. "I should increase salty snacks in my diet."
D. "I need to log my fluid intake and urine output." - ANSWER-Choice B is correct.
A patient with chronic diabetes insipidus (DI) is instructed to weigh themselves daily. This
weight should be taken with the same scale and obtained after the first-morning void.
Choices A, C, and D are incorrect. Fluid restrictions would be appropriate for a patient with
syndrome of inappropriate antidiuretic hormone (SIADH). This would not be appropriate for DI
as the patient will need to consume more fluids to replace those that are lost. Salty snacks are
not encouraged because this may hasten the hypernatremia associated with this disease.
Logging intake and output are not useful because this provides a crude way of assessing fluid
status.
3|Page
, Saunders NCLEX PN NGN Newest Test Bank
This nurse is caring for a patient who is receiving prescribed ketorolac. Which of the following
findings would indicate a therapeutic response?
Select all that apply.
A. Decreased pain
B. Increased urinary output
C. Decreased blood pressure
D. Decreased temperature
E. Increased muscle coordination - ANSWER-Choices A and D are correct
Ketorolac is a medication used to treat pain and pyrexia. A patient exhibiting a decrease in pain
and having a decrease in temperature would be a therapeutic response.
Choices B, C, and E are incorrect. Ketorolac does not therapeutically lower blood pressure,
increase urinary output, or increase muscle coordination. Medications that could be used to
lower blood pressure would be agents such as lisinopril, atenolol, etc. Agents used to increase
urinary output would be diuretics such as furosemide. The improvement in muscle coordination
may be achieved by medications such as levodopa-carbidopa.
The nurse is conducting a health screening at a local health fair. Which of the following should
the nurse recognize as a risk factor for developing testicular cancer? Select all that apply.
A. Cryptorchidism
B. Human immunodeficiency virus (HIV)
C. Vasectomy
D. Family history
E. Herpes simplex virus (HSV) - ANSWER-Choices A, B, and D are correct. Risk factors for
testicular cancer include cryptorchidism, human immunodeficiency virus (HIV), and family
history. Cryptorchidism ( Choice A) refers to undescended testicle where the testicle fails to
descend to its normal position in the scrotum. Undescended testicles are associated with
4|Page
