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Saunder's Comprehensive NCLEX Review Practice Questions
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Saunder's Comprehensive NCLEX Review Practice Questions
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Saunder's Comprehensive NCLEX Review Practice Questions1. Which teaching method is most effective when providing instruction to
members of special populations?
1. Teach-back
2. video instruction
3. written materials
4. verbal explanation: 1. Teach-back
Rationale: When providing education to members of special populations, return
explanation and demonstration (teach-back) of are particular importance to ensure
safety and mutual understanding. This method is the most reliable in confirming
the client understands the instructions.
2. Which health concerns should the nurse be aware of as risk factors when
caring for clients of African American descent? Select all that apply:
1. cancer
2. obesity
3. hypertension
4. heart disease
5. hypothyroidism
6. diabetes mellitus: 1, 2, 3, 4, 6
Rationale: obesity, diabetes mellitus, hypertension, heart disease, asthma, and
cancer are prevalent among African Americans.
3. The nurse is planning care for a client of Native Hawaiian descent who
recently had a baby. The nurse develops a teaching plan and includes
info about which measure that's related to a newborn complication within
this ethnic group? 1. safe sleeping
2. car seat safety
3. breast-feeding
4. baby-proofing: 1. Safe sleeping
Rationale: The native Hawaiian population has a disproportionately higher rate of
infant mortality compared with other ethnic groups. Sudden Infant Death
Syndrome (SIDS) is a major cause of infant mortality. Safe sleeping is an
important measure to prevent this newborn complication.
, Saunder's Comprehensive NCLEX Review Practice Questions
4. The nurse is planning care for an assigned client. The nurse should
include info in the plan of care about the prevention of HIV for which
individuals specifically at risk? 1. lesbian persons
2. men-who-have-sex-with-men (MSM)
3. women-who-have-sex-with-women (WSW)
4. Female-To-Male (FTM) transgender persons: 2. MSM
Rationale: MSM (men who have sex with men) are at a higher risk for HIV and
AIDS.
5. Which therapeutic communication technique is most helpful when
working with transgender persons? 1. using open-ended questions
2. using their first name to address them
3. using pronouns associated with birth sex
4. anticipating the client's needs and making suggestions: 1. Using open-
ended questions
Rationale: The use of open-ended questions is the most helpful in communicating
with transgender persons because it assists in refraining from judgment and
allows the client the opportunity to express their thoughts and feelings.
6. Which special population should be targeted for breast cancer screening
by way of mammography? Select all that apply:
1. male-to-female (MTF)
2. female-to-male (FTM)
3. men-who-have-sex-with-men (MSM)
4. women-who-have-sex-with-men (WSM)
5. women-who-have-sex-with-women (WSW): 1, 2, 4, 5
Rationale: Transgender persons who have undergone sexual reassignment
surgery should have the respective preventive screenings. WSW and WSM
should also have screenings.
7. The nurse is volunteering with an outreach program to provide basic
healthcare for homeless people. Which finding, if noted, should be
addressed first?
1. BP 154/72
2. visual acuity of 20/200 in both eyes3. random blood
glucose level of 206
, Saunder's Comprehensive NCLEX Review Practice Questions
4. complaints of pain associated with numbness and tingling in both feet: 4.
complaints of pain associated with numbness and tingling in both feet
Rationale: With this population, the complaints of pain associated with numbness
and tingling should be addressed first. If the client perceives value to the service
provided, they will be likely to provide follow-up care. While the bp, blood glucose,
and vision are concerning, the client's stated concern should be addressed first.
8. The nurse is preparing discharge resources for a client being discharged
to the homeless shelter. When looking at the discharge medication
reconciliation form, the nurse determines there is a need for follow-up if
which medication was prescribed?
1. Glipizide
2. Lisinopril
3. Metformin
4. Beclomethasone: 1. Glipizide
Rationale: Glipizide is an oral hypoglycemic medication and is classified as a
sulfonylurea. A major side effect of this medication is hypoglycemia, which is a
safety risk to the homeless population. Lisinopril is an angiotensin-converting
enzyme inhibitor. Although there are side effects that should be included in
discharge instructions, there is less of a threat to safety with this medication and
the benefits to it are important. Metformin is an oral biguanide and is used for type
2 diabetes mellitus. Hypoglycemia is less of a concern with this medication
compared with other oral hypoglycemics. Beclomethasone is an inhaled
corticosteroid used for obstructive lung disease, and although there are side
effects the client should know about, there is not a particular safety risk associated
with this medication for the homeless person.
9. The nurse is completing the admission assessment for a client who is
intellectually disabled. Which part of the client encounter may require more
time to complete?
1. the history
2. the physical assessment
3. the nursing plan of care
4. the readmission risk assessment: 1. the history
Rationale: intellectually disabled clients tend to be poor historians, and it may take
more time to ask questions in different ways when collecting the history data.
, Saunder's Comprehensive NCLEX Review Practice Questions
10. The nurse working in a correctional facility is caring for a new prisoner.
The client asks about health risks associated with living in a prison. How
should the nurse respond?
1. "health care is very limited in the prison setting"
2. "living in a prison isn't different than living at home"
3. "living in a prison can predispose a person to different health
conditions"4. "living in a prison is similar to living in a condominium
complex or dorm": 3. "living in a prison can predispose a person to different
health conditions"
Rationale: the environment of a prison can predispose a person to different health
conditions. Option 1 does not address the client's question and options 2 and 4
convey incorrect information.
11. A nurse working in a community outreach program for foster children
plans care knowing that which health conditions are common in this
population? Select all that apply:
1. asthma
2. claustrophobia
3. sleep problems
4. bipolar disorder
5. aggressive behavior
6. ADHD: 3, 4, 5, 6
Rationale: foster children are at risk for a variety of health conditions later in life,
including ADHD, aggressive behavior, anxiety disorder, bipolar disorder,
depression, mood disorder, PTSD, reactive detachment disorder, sleep problems,
prenatal drug and alcohol exposure, and personality disorder. Claustrophobia and
asthma are not specifically associated with foster children.
12. The nurse is caring for a female client in the ED who presents with a
complaint of fatigue and SOB. Which physical assessment findings, if noted
by the nurse, warrant a need for follow up?
1. reddened sclera of the eyes
2. dry flaking noted on the scalp
3. a reddish-purple mark on the neck
4. a scaly rash noted on the elbows and knees: 3. a reddish-purple mark on the
neck
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