Saunder's Comprehensive NCLEX Review Practice Questions

1. 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

Answer: 1. Teach-back

Rationale: When providing education to members of special populations, return explanation and demonstration (teach-back) are of 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

Answer: 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

Answer: 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.

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

Answer: 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

Answer: 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

Answer: 1, 2, 4, 5

Rationale: Transgender persons who have undergone