.png){kind=logo}
Saunders NCLEX-RN® 9th Edition | 2025/2026 Latest Exam Review Real Exam-Based Questions and Verified Rationalized Answers | 100% Accuracy | Comprehensive NCLEX-RN® Prep | Graded A+ Introduction This resource includes comprehensive practice questions and rationalized answers from the latest 9th Edition of the Saunders NCLEX-RN® 2025/2026 Review. Aligned with the current NCLEX-RN® Test Plan, it covers core content areas such as Management of Care, Safety and Infection Control, Pharmacological Therapies, Physiological Adaptation, and Psychosocial Integrity.Answer Format All correct answers are clearly marked in bold and green, and each is supported with concise, evidence-based rationales to strengthen clinical reasoning and exam confidence.
Questions
- A nurse is prioritizing care for multiple patients. Which patient should
the nurse assess first?
a) A patient with a blood pressure of 140/90 mmHg
b) A patient reporting chest pain and shortness of breath
c) A patient with a scheduled dressing change
d) A patient requesting pain medication
b) A patient reporting chest pain and shortness of breath
Rationale: Chest pain and shortness of breath may indicate a life-threatening condition such as myocardial infarction, requiring immediate assessment.
- A nurse is preparing to administer a medication. Which action ensures
safe administration?
a) Administering the medication without checking the order
b) Verifying the patient’s identity using two identifiers
c) Giving the medication to a family member to administer 1 / 4
d) Estimating the dosage based on patient weight
b) Verifying the patient’s identity using two identifiers
Rationale: Using two patient identifiers (e.g., name and date of birth) is a critical safety measure to prevent medication errors.
- A patient is prescribed 10 mg of morphine IV. The vial contains 5
- 1 mL
- 2 mL
- 3 mL
- 4 mL
- 2 mL
mg/mL. How many mL should the nurse administer?
Rationale: 10 mg ÷ 5 mg/mL = 2 mL.
- A nurse is caring for a patient with a new diagnosis of diabetes
mellitus. Which teaching point is most important?
a) The importance of annual eye exams
b) How to monitor blood glucose levels
c) The need for a low-fat diet
d) The benefits of daily exercise
b) How to monitor blood glucose levels
Rationale: Monitoring blood glucose is critical for managing diabetes and preventing complications.
- A nurse is implementing infection control measures for a patient with
MRSA. Which precaution is most appropriate?
a) Droplet precautions
b) Contact precautions
c) Airborne precautions
d) Standard precautions only
b) Contact precautions
Rationale: MRSA requires contact precautions to prevent transmission via direct contact or contaminated surfaces. 2 / 4
- A patient reports feeling anxious about an upcoming surgery. What is
- “There’s nothing to worry about; it’s a common procedure.”
- “Can you describe what’s making you anxious?”
- “You’ll feel better once the surgery is over.”
- “I’ll ask the doctor to prescribe a sedative.”
the nurse’s best response?
b) Can you describe what’s making you anxious?
Rationale: Exploring the patient’s feelings promotes therapeutic communication and helps address specific concerns.
- A patient is receiving 1000 mL of normal saline over 8 hours. What is
- 100 mL/hr
- 125 mL/hr
- 150 mL/hr
- 175 mL/hr
- 125 mL/hr
the IV flow rate in mL/hr?
Rationale: 1000 mL ÷ 8 hours = 125 mL/hr.
- A nurse is caring for a patient with a tracheostomy. What is the
priority nursing action?
a) Suction the tracheostomy as needed
b) Change the tracheostomy dressing daily
c) Monitor for signs of infection
d) Provide oral care every 8 hours
a) Suction the tracheostomy as needed
Rationale: Maintaining airway patency is the priority for a patient with a tracheostomy.
- A patient with heart failure is prescribed furosemide 40 mg IV. Which
finding indicates the medication is effective?
a) Increased blood pressure
b) Decreased edema
c) Increased heart rate
d) Decreased potassium levels
b) Decreased edema 3 / 4
Rationale: Furosemide is a diuretic that reduces fluid overload, leading to decreased edema in heart failure.
- A nurse is delegating tasks to an unlicensed assistive personnel
(UAP). Which task is appropriate to delegate?
a) Administering oral medications
b) Performing a sterile dressing change
c) Taking vital signs
d) Developing a care plan
c) Taking vital signs
Rationale: Taking vital signs is within the UAP’s scope of practice, unlike tasks requiring clinical judgment or sterile technique.
- A patient with a history of seizures is prescribed phenytoin. What
should the nurse monitor for?
a) Hyperglycemia
b) Gingival hyperplasia
c) Hypertension
d) Weight loss
b) Gingival hyperplasia
Rationale: Gingival hyperplasia is a common side effect of phenytoin.
- A nurse is preparing to administer insulin to a patient. Which type of
insulin has the fastest onset?
a) NPH insulin
b) Regular insulin
c) Insulin glargine
d) Insulin aspart
d) Insulin aspart
Rationale: Insulin aspart, a rapid-acting insulin, has the fastest onset (10–20 minutes).
- A patient is to receive 500 mL of D5W over 4 hours. The IV tubing has
- 30 gtt/min
- 31 gtt/min
- / 4
a drop factor of 15 gtt/mL. What is the flow rate in gtt/min?
.png)