NCLEX-RN
NCLEX RN SATA Questions Questions
Extract:
Question 1 of 5
A client with a diagnosis of bipolar disorder is prescribed lithium. The nurse should monitor the client for which of the following early signs of toxicity?
Correct Answer: A
Rationale: Tremors are an early sign of lithium toxicity, requiring prompt monitoring and potential dose adjustment.
Question 2 of 5
Which statement about environmental safety is accurate?
Correct Answer: D
Rationale: Advising clients to have an ABC fire extinguisher is accurate, as it is versatile for multiple fire types. Opening windows may worsen a fire, aiming the extinguisher follows pulling the pin, and rapid lifting risks injury.
Question 3 of 5
You have loosely applied a bed sheet around your client's waist to prevent a fall from the chair. What have you done?
Correct Answer: D
Rationale: Applying a bed sheet around the client's waist without a proper restraint order constitutes an illegal restraint, which is a crime , as it restricts freedom without proper authorization or consent.
Question 4 of 5
A 62-year-old client with a 29-pack per year history is admitted with a diagnosis of the blood pressure. She reports having 'no appetite' and exhibits symptoms of anorexia. The client is 5 feet, 8 inches tall and weighs 112 lb. The client is now scheduled for a left lung lobectomy. Which of the following increases the client's risk of developing postoperative pulmonary complications?
Correct Answer: D
Rationale: Low body weight (112 lb for 5'8') indicates malnutrition, increasing the risk of postoperative pulmonary complications.
Question 5 of 5
A client with a urinary tract infection is prescribed ciprofloxacin. What should the nurse include in the teaching?
Correct Answer: B
Rationale: Ciprofloxacin can cause tendonitis or tendon rupture, so reporting tendon pain or swelling is critical.