NCLEX-RN
NCLEX RN SATA Questions Questions
Extract:
Question 1 of 5
Which of the following client statements indicates that the client with hepatitis B understands his discharge teaching?
Correct Answer: A
Rationale: Avoiding alcohol for at least 1 year supports liver recovery in hepatitis B.
Question 2 of 5
The nurse is assessing a client with a suspected urinary tract infection. Which of the following symptoms is most likely to be present?
Correct Answer: A
Rationale: Flank pain is a common symptom of a urinary tract infection, especially if it involves the kidneys.
Question 3 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 4 of 5
A client has received electroconvulsive therapy (ECT). What intervention should the nurse perform first in the posttreatment area and upon the client's awakening?
Correct Answer: B
Rationale: The nurse should first monitor vital signs, orient the client, and review with the client that he or she just received an ECT treatment. The posttreatment area should include accessibility to the anesthesia staff, oxygen, suction, pulse oximeter, vital sign monitoring, and emergency equipment. The nursing interventions outlined in the remaining options will follow accordingly.
Question 5 of 5
Which action is included in the accurate procedure for administering heparin sodium subcutaneously?
Correct Answer: D
Rationale: Aspiration before administration of heparin sodium, an anticoagulant, should be avoided. Heparin administered by the subcutaneous route does not require an infusion device. The injection site is above the iliac crest or in the abdominal fat layer. It is injected at least 2 inches from the umbilicus. After administration, the needle is withdrawn, pressure is applied to the injection site, but the site is not massaged. Injection sites are rotated.