NCLEX-RN
NCLEX RN SATA Questions Questions
Extract:
Question 1 of 5
A client with rheumatoid arthritis is prescribed methotrexate. Which laboratory value should the nurse monitor?
Correct Answer: A
Rationale: Methotrexate can cause hepatotoxicity, so monitoring liver function tests is essential.
Question 2 of 5
An adult client has bacterial conjunctivitis. What should the nurse teach him to do? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Warm saline soaks, careful antibiotic application, hand washing, and avoiding eye contact prevent spread and promote healing. Isolation is unnecessary unless specified.
Question 3 of 5
A client's laboratory test results reveal a decrease in both serum transferrin and total iron-binding capacity (TIBC). Which disorder is the most likely cause of the client's anemia?
Correct Answer: B
Rationale: Malnutrition can cause reductions in the serum transferrin and the TIBC. Infection is an unrelated option. Iron-deficiency anemia is usually characterized by decreased iron-binding capacity but increased transferrin levels. Additionally, in clinical practice, the hemoglobin level is routinely used to detect iron-deficiency anemia. Sickle cell anemia is diagnosed by determining that the client has hemoglobin S.
Question 4 of 5
The nurse is assessing a client with irreversible shock. The nurse should document which of the following?
Correct Answer: B
Rationale: Irreversible shock is characterized by circulatory collapse, with failure of vital organs due to inadequate perfusion, a critical finding to document.
Question 5 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.