NCLEX-RN
NCLEX RN SATA Questions Questions
Extract:
Question 1 of 5
A 72-year-old client is referred for counseling. During the initial nursing assessment, the client denies the need for counseling. The nurse would agree with the client if she made which of the following comments?
Correct Answer: C
Rationale: Increased energy and activity post-grief suggest the client is coping well, supporting her denial of needing counseling.
Question 2 of 5
A client with a history of heart failure is prescribed losartan (Cozaar). The nurse should monitor the client for which of the following side effects?
Correct Answer: A
Rationale: Losartan, an ARB, can cause hyperkalemia, requiring monitoring of potassium levels.
Question 3 of 5
A client tells the nurse that he is going to harm his brother-in-law, who called the police on him for threatening to hurt his ex-wife. The nurse should notify which of the following persons? Select all that apply.
Correct Answer: C,D
Rationale: The nurse has a duty to warn the intended victim (brother-in-law) and notify the police due to the credible threat of harm. Notifying administrators or social services may be secondary, and the ex-wife is not the current target.
Question 4 of 5
Which of the following is an effective security plan that you may most likely want to consider for implementation within your facility?
Correct Answer: C,D
Rationale: Restricting visitors in special care areas and using bar-coded client identification bands are effective security measures to enhance safety and protect client identity, respectively.
Question 5 of 5
A client with a new diagnosis of hypothyroidism is prescribed levothyroxine. What should the nurse include in the teaching plan?
Correct Answer: C
Rationale: Palpitations or chest pain may indicate overmedication or cardiac effects, requiring prompt reporting to adjust the levothyroxine dose.