NCLEX-RN
NCLEX RN SATA Questions Questions
Extract:
Question 1 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 2 of 5
A client with a hip fracture is scheduled for surgery. Which preoperative teaching should the nurse include?
Correct Answer: C
Rationale: Incentive spirometry prevents postoperative pulmonary complications like atelectasis, critical for a client with limited mobility post-hip surgery.
Question 3 of 5
To prevent development of peripheral neuropathies associated with isoniazid administration, the nurse should teach the client to:
Correct Answer: D
Rationale: Isoniazid can deplete vitamin B6, leading to neuropathy; supplementation prevents this side effect.
Question 4 of 5
To which of the following unlicensed assistive personnel should the nurse assign an Hispanic male client who needs complete morning care?
Correct Answer: B
Rationale: Joe, with only one other client needing complete care, has the lightest workload, making him the best choice for assigning an additional client requiring complete morning care.
Question 5 of 5
You are caring for a postoperative client who is complaining of abdominal distention and flatus. Which intervention would you most likely do for this client?
Correct Answer: C
Rationale: A return-flow enema is specifically used to relieve abdominal distention and flatus by introducing and then removing fluid to stimulate gas expulsion.