NCLEX-RN
NCLEX RN SATA Questions Questions
Extract:
Question 1 of 5
Which of the following is a commonality that is shared in terms of both restraints and urinary catheters?
Correct Answer: A
Rationale: Both restraints and urinary catheters can lead to infections restraints via skin breakdown and catheters via urinary tract infections if not properly managed.
Question 2 of 5
A client has been given a prescription to begin using nitroglycerin transdermal patches. The nurse instructs the client about this medication administration system and tells the client to expect which side effect?
Correct Answer: B
Rationale: Nitroglycerin is a coronary vasodilator used in the management of coronary artery disease. A common side effect of this medication is an intense headache. Clients should be instructed about this side effect and that acetaminophen can be helpful in alleviating discomfort. The remaining options are not associated with the use of this medication.
Question 3 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 4 of 5
For which of the following should the nurse closely assess a client who is reversing from halothane (Fluothane) general anesthesia and receiving clindamycin (Cleocin)?
Correct Answer: B
Rationale: Halothane, a general anesthetic, can cause respiratory depression during recovery, which is a critical condition to monitor. Clindamycin is not strongly associated with these other effects in this context.
Question 5 of 5
The nurse walks into the room of a client who has a 'do not resuscitate' order and finds the client without a pulse, respirations, or blood pressure. What is the most appropriate action?
Correct Answer: D
Rationale: For a DNR client, no resuscitation is performed. The nurse should respectfully leave the room after ensuring privacy, notifying the team as needed for post-mortem care.