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Saunders comprehensive nclex rn midterm Latest Update 2024/2025
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Saunders comprehensive nclex rn midterm Latest Update 2024/2025
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Contentsit I Unit IV
NCLEX-RN® Exam Preparation, 1 Growth and Development Acrossthe
1 Clinical Judgment and the Next Life Span, 234
18 Theories of Growth and Development, 236
Generation NCLEX (NGN)-RN® 19 Growth, Development, and Stages of Life, 244
Examination, 2 20 Care of the Older Client, 266
2 Self-Ef cacy and Pathways to Success,
17
3 The NCLEX-RN® Examination from a Unit V
Graduate’sPerspective, 22
Maternity Nursing, 275
4 Clinical Judgment and Test-
21 Reproductive System, 277
TakingStrategies, 24 22 Prenatal Period, 285
23 Risk Conditions Related to Pregnancy, 300
24 Labor and Birth, 323
Unit II 25 Problems with Labor and Birth, 336
Professional Standards in Nursing, 38 26 Postpartum Period, 343
5 Population Health Nursing, 40 27 Postpartum Complications, 350
6 Ethical and Legal Issues, 53 28 Care of the Newborn, 358
29 Maternity and Newborn Medications, 380
7 Prioritizing Client Care: Leadership,
Delegation,and Emergency Response
Planning, 68 Unit VI
Pediatric Nursing, 391
Unit III 30 Integumentary Problems, 392
31 Hematological Problems, 399
Foundations of Care, 85 32 Oncological Problems, 406
8 Fluids and Electrolytes, 88 33 Metabolic and Endocrine Problems, 416
9 Acid-Base Balance, 106 34 Gastrointestinal Problems, 425
10 Vital Signs and Laboratory Reference 35 Eye, Ear, and Throat Problems, 444
Intervals, 116 36 Respiratory Problems, 451
11 Nutrition, 132 37 Cardiovascular Problems, 467
12 Health and Physical Assessment of the 38 Renal and Genitourinary Problems, 479
Adult 39 Neurological and Cognitive Problems, 487
Client, 143 40 Musculoskeletal Problems, 498
13 Safety and Infection Control, 166 41 Immune Problems and Infectious Diseases, 50
14 Medication Administration and 42 Pediatric Medication
Intravenous Administration and
Therapies, 178
15 Perioperative Nursing Care, 189 Calculations, 520
16 Hygiene, Mobility, and Skin Integrity,
204
17 Urinary and Bowel Elimination, 218
iii
,iv Contents
Unit VII Unit XIV
Integumentary Problems of the AdultClient, Eye and Ear Problems of the AdultClient,
527 821
43 Integumentary Problems, 528 57 Eye and Ear Problems, 822
44 Integumentary Medications, 538 58 Eye and Ear Medications, 842
Unit VIII
Unit XV
Oncological and Hematological
Neurological Problems of the AdultClient,
Problems of the Adult Client, 547 852
45 Oncological and Hematological 59 Neurological Problems, 853
Problems, 549 60 Neurological Medications, 877
46 Oncological and
Hematological
Medications, 587 Unit XVI
Musculoskeletal Problems of the AdultClient,
Unit IX
888
Endocrine Problems of the Adult Client, 598 61 Musculoskeletal Problems, 889
47 Endocrine Problems, 599 62 Musculoskeletal Medications, 910
48 Endocrine Medications, 626
Unit XVII
Unit X
Immune Problems of the Adult
Gastrointestinal Problems of the Adult Client, 918
Client, 641 63 Immune Problems, 919
64 Immune Medications, 933
49 Gastrointestinal Problems, 643
50 Gastrointestinal Medications, 671
Unit XVIII
Unit XI
Mental Health Problems of the AdultClient,
Respiratory Problems of the AdultClient, 940
679 65 Foundations of Psychiatric
51 Respiratory Problems, 680 Mental HealthNursing, 941
52 Respiratory Medications, 701 66 Mental Health Problems, 954
67 Addictions, 975
Unit XII 68 Crisis Theory and Intervention, 987
69 Psychotherapeutic Medications, 1001
Cardiovascular Problems of the AdultClient, 719
53 Cardiovascular Problems, 720
54 Cardiovascular Medications, 760 Unit XIX
Unit XIII Complex Care, 1015
70 Complex Care, 1017
Renal and Urinary Problems of the AdultClient,
778 References, 1088
55 Renal and Urinary Problems, 779 Index, 1090
56 Renal and Urinary Medications, 811
, CHAPTER 8 Fluids and Electrolytes 101
3. Has a history of Addison’s disease
2. Tumor lysis syndrome
4. Uric acid level of 9.4 mg/dL (557 mcmol/L)
3. Increased intake of phosphorus,
including di- etary intake or overuse of 3. The nurse reviews a client’s electrolyte laborato
phosphate-containing laxatives or re- port and notes that the potassium level is
enemas mEq/L (2.5 mmol/L). Which patterns would t
4. Hypoparathyroidism nurse watch for on the electrocardiogram (EC
C. Assessment: (see Table 8.5) as a re- sult of the laboratory value? Select
D. Interventions
that apply.
1. Interventions entail the management of 1. U waves
hypoc- alcemia. 2. Absent P waves
2. Administer phosphate-binding 3. Inverted T waves
medications that increase fecal 4. Depressed ST segment
excretion of phosphorus by bind- ing 5. Widened QRS complex
phosphorus from food in the
gastrointesti- nal tract.
3. Instruct the client to avoid phosphate-
containing medications, including
laxatives and enemas.
4. Instruct the client to decrease the intake
of food that is high in phosphorus (see
Box 11.2).
5. Instruct the client in medication
administration: Take phosphate-binding
medications, empha- sizing that they
should be taken with meals or
immediately after meals.
PRACTICE QUEST IONS
1. The nurse is caring for a client with heart
failure. On assessment, the nurse notes that
the client is dysp- neic, and crackles are
audible on auscultation. What additional
manifestations would the nurse expect to
note in this client if excess uid volume is
present?
1. Weight loss and dry skin
2. Flat neck and hand veins and decreased
urinary output
3. An increase in blood pressure and
increased res- pirations
4. Weakness and decreased central venous
pressure (CVP)
2. The nurse reviews a client’s record and
determines that the client is at risk for
developing a potassium de cit if which
situation is documented?
1. Sustained tissue damage
2. Requires nasogastric suction
, 4. Potassium chloride intravenously is monitor as a result of the laboratory
prescribed for a client with heart value? Select all that apply.
1. ST depression
failure experiencing hypokalemia. 2. Prominent U wave
Which actions would the nurse take 3. Tall peaked T waves
to plan for preparation and 4. Prolonged ST segment
Foundations of Care
administration of the potassium? 5. Widened QRS complexes
Select all that apply.
1. Obtain an intravenous (IV) infusion 8. Which client is at risk for the development
pump. of a so- dium level at 130 mEq/L (130
2. Monitor urine output during mmol/L)?
administration. 1. The client who is taking diuretics
3. Prepare the medication for bolus 2. The client with hyperaldosteronism
administration. 3. The client with Cushing’s syndrome
4. Monitor the IV site for signs of 4. The client who is taking corticosteroids
in ltration or phlebitis.
5. Ensure that the medication is 9. The nurse is caring for a client with heart
diluted in the appropriate failure who is receiving high doses of a
volume of uid. diuretic. On assessment, the nurse notes
6. Ensure that the bag is labeled that the client has at neck veins,
with the volume of potassium in generalized muscle weakness, and
the solution. diminished deep
5. The nurse is assessing a client with a
lactose intoler- ance disorder for a
suspected diagnosis of hypoc-
alcemia. Which clinical manifestation
would the nurse expect to note in
the client?
1. Twitching
2. Hypoactive bowel sounds
3. Negative Trousseau’s sign
4. Hypoactive deep tendon re exes
6. The nurse is caring for a client with
Crohn’s disease who has a calcium
level of 8 mg/dL (2 mmol/L). Which
patterns would the nurse watch for
on the electrocardiogram? Select all
that apply.
1. Peaked T wave
2. Widened T wave
3. Prominent U wave
4. Prolonged QT interval
5. Prolonged ST segment
7. The nurse reviews the electrolyte
results of a client with chronic
kidney disease and notes that the po-
tassium level is 5.7 mEq/L (5.7
mmol/L). Which patterns would the
nurse watch for on the cardiac
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