NCLEX-RN
NCLEX RN SATA Questions Questions
Extract:
Question 1 of 5
A client with emphysema is receiving continuous oxygen therapy. Depressed ventilation is likely to occur unless the nurse ensures that the oxygen is administered in which of the following ways?
Correct Answer: C
Rationale: Low flow rate oxygen prevents CO2 retention in emphysema clients, reducing the risk of depressed ventilation.
Question 2 of 5
How many mL of a liquid medication would you administer intramuscularly using the below information? Doctor's order: 10 mg of medication BID Medication label: 1 mL = 12 mg
Correct Answer: A
Rationale:
To calculate: 10 mg ÷ 12 mg/mL = 0.833 mL, rounded to 0.8 mL for practical administration.
Question 3 of 5
A client is receiving total parenteral nutrition (TPN). The nurse notices that the bag of TPN solution has been infusing for 24 hours but has $300 \mathrm{~mL}$ of solution left. The nurse should:
Correct Answer: D
Rationale: TPN solutions should not hang for more than 24 hours due to infection risk. The nurse should discontinue the current bag, change the tubing, and hang a new bag. Continuing or altering the rate is unsafe.
Question 4 of 5
During your system specific assessment of your client's peripheral pulses, you note that the client's posterior tibia pulse is weak and thready. You would document this finding as:
Correct Answer: C
Rationale: A weak and thready pulse is documented as 1+ on a 0-4+ scale, indicating diminished pulse strength.
Question 5 of 5
A client has been diagnosed with atrial fibrillation. The physician ordered warfarin (Coumadin) to be taken on a daily basis. The nurse instructs the client to avoid using which of the following over-the-counter medications while taking warfarin?
Correct Answer: A
Rationale: Aspirin increases bleeding risk when taken with warfarin, a blood thinner, and should be avoided. Other listed medications have less significant interactions with warfarin.