NCLEX-RN
NCLEX RN SATA Questions Questions
Extract:
Question 1 of 5
The nurse is evaluating the client's potential for development of a pressure sore. Which of the following individual characteristics would be the best indicator of risk for the client's developing a pressure sore?
Correct Answer: C
Rationale: Immobility is the primary risk factor for pressure sores, as it leads to prolonged pressure on tissues.
Question 2 of 5
The nurse is assessing the leg pain of a client who has just undergone right femoral-popliteal artery bypass grafting. Which question would be most useful in determining whether the client is experiencing graft occlusion?
Correct Answer: D
Rationale: The most frequent indication that a graft is occluding is the return of pain that is similar to that experienced preoperatively. Standard pain assessment techniques also include the items described in the remaining options, but these will not help differentiate current pain from preoperative pain.
Question 3 of 5
The client has sore nares while a nasogastric (NG) tube is in place. Which of the following nursing measures would be most appropriate to help alleviate the client's discomfort?
Correct Answer: C
Rationale: Applying a water-soluble lubricant to the nares reduces irritation and discomfort caused by the NG tube.
Question 4 of 5
A client with a history of gout is prescribed colchicine. The nurse should instruct the client to take the medication:
Correct Answer: B
Rationale: Colchicine is most effective when taken at the onset of a gout attack to reduce inflammation and pain.
Question 5 of 5
A client is ready to be discharged from same-day surgery following an inguinal hernia repair. Which criteria must the client meet before the nurse can discharge the client?
Correct Answer: C
Rationale: The ability to walk to the bathroom indicates sufficient recovery of mobility and stability, a key discharge criterion. Pain control and urination are also important, but mobility is critical.