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NCLEX RN SATA Questions Questions

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Question 1 of 5

The nurse assesses a client and notes puffy eyelids, swollen ankles, and crackles at both lung bases. The nurse understands that these clinical findings are most specifically associated with fluid excess in which of the following compartments?

Correct Answer: C

Rationale: These symptoms indicate fluid excess in the extracellular compartment, which includes interstitial spaces (edema) and intravascular spaces (contributing to lung crackles).

Question 2 of 5

The nurse is caring for a client receiving chemotherapy. Which precaution is most important?

Correct Answer: D

Rationale: Monitoring for fever is critical, as chemotherapy increases infection risk due to immunosuppression.

Question 3 of 5

A client with a history of cirrhosis is admitted with esophageal varices. The nurse should monitor the client for which of the following complications?

Correct Answer: A, B

Rationale: Esophageal varices can rupture, causing hematemesis and hypotension.

Question 4 of 5

A client with a history of hypothyroidism is admitted with fatigue. The nurse should monitor the client for which of the following laboratory abnormalities?

Correct Answer: A, B

Rationale: Hypothyroidism presents with elevated TSH and decreased free T4.

Question 5 of 5

Sulfadiazine has been ordered for a client who has a urinary tract infection. Which of the following recommend is most appropriate for administering sulfonamides?

Correct Answer: B

Rationale: Adequate hydration (8 glasses of water daily) prevents crystalluria, a complication of sulfonamides.

Similar Questions

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The nurse is to administer a bolus starting dose of heparin to a child who is taking penicillin. What should the nurse do? Select all that apply.
A client has been scheduled for a barium swallow (esophagography). The nurse determines that the client understands preprocedure instructions when the client states the intention to take which action before the test?
A client is prescribed diphenhydramine 1% as a topical agent for allergic dermatosis. The nurse evaluates that the medication is having the intended effect when the client reports relief of what complaint?
The nurse is delivering care to a client who is diagnosed with toxic shock syndrome (TSS). Which complication of this syndrome should the nurse monitor the client for?

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