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NCLEX RN SATA QUESTONS AND ANSWERS 2025 WITH RATIONALES. WITH THIS YOU WILL PASS. DO NOT PANIC
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NCLEX RN SATA QUESTONS AND ANSWERS 2025 WITH RATIONALES. WITH THIS YOU WILL PASS. DO NOT PANIC
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NCLEX RN SATA QUESTONS AND ANSWERS2024
Question 1:
A nurse is caring for a client with diabetes mellitus who is prescribed insulin therapy.
Which interventions should the nurse implement when administering insulin? Select
all that apply.
a. Shake the insulin vial vigorously before drawing up the medication.
b. Administer the insulin using a 25-gauge needle.
c. Rotate injection sites within the same anatomical area.
d. Administer regular insulin 30 minutes before meals.
e. Massage the injection site after administering insulin.
Answer:
c. Rotate injection sites within the same anatomical area.
d. Administer regular insulin 30 minutes before meals.
Rationale:
Rotating injection sites within the same anatomical area helps prevent
lipodystrophy. Administering regular insulin 30 minutes before meals corresponds
with the natural peak action of this type of insulin, optimizing blood glucose control.
Question 2:
A client is receiving intravenous (IV) therapy with potassium chloride (KCl). Which
assessments should the nurse prioritize to prevent complications related to
potassium administration? Select all that apply.
a. Blood pressure monitoring.
b. Urine output monitoring.
c. Electrocardiogram (ECG) monitoring.
,d. Assessment of bowel sounds.
e. Monitoring for peripheral edema.
Answer:
a. Blood pressure monitoring.
c. Electrocardiogram (ECG) monitoring.
Rationale:
Monitoring blood pressure is essential to detect any signs of hyperkalemia, which
can lead to cardiovascular complications. ECG monitoring is crucial to identify cardiac
arrhythmias associated with potassium imbalances.
Question 3:
A postoperative client is prescribed pain management with opioids. Which nursing
interventions should be implemented to address potential adverse effects of opioid
therapy? Select all that apply.
a. Administer laxatives or stool softeners as ordered.
b. Monitor respiratory rate regularly.
c. Encourage increased fluid intake.
d. Administer naloxone for sedation.
e. Assess for signs of urinary retention.
Answer:
a. Administer laxatives or stool softeners as ordered.
b. Monitor respiratory rate regularly.
e. Assess for signs of urinary retention.
Rationale:
Opioids can cause constipation, respiratory depression, and urinary retention.
Administering laxatives or stool softeners helps prevent constipation. Regular
,monitoring of respiratory rate is essential to detect respiratory depression, and
assessing for signs of urinary retention is crucial to prevent complications.
These sample questions cover various nursing topics and are designed to assess your
critical thinking skills and knowledge of nursing principles.
Question 4:
A client with heart failure is prescribed digoxin. Which assessments should the nurse
prioritize to monitor for potential digoxin toxicity? Select all that apply.
a. Serum potassium levels.
b. Blood pressure monitoring.
c. Apical pulse assessment.
d. Respiratory rate measurement.
e. Assessment of peripheral edema.
Answer:
a. Serum potassium levels.
c. Apical pulse assessment.
Rationale:
Digoxin toxicity can be influenced by low potassium levels. Monitoring serum
potassium levels is important to prevent toxicity. Additionally, assessing the apical
pulse before administering digoxin helps identify bradycardia, a sign of toxicity.
Question 5:
A client with a history of peptic ulcer disease is prescribed ranitidine (Zantac). What
nursing interventions should the nurse implement when administering ranitidine?
Select all that apply.
a. Administer ranitidine with meals.
b. Monitor for signs of gastrointestinal bleeding.
, c. Assess liver function regularly.
d. Encourage the client to report black, tarry stools.
e. Administer ranitidine on an empty stomach.
Answer:
a. Administer ranitidine with meals.
b. Monitor for signs of gastrointestinal bleeding.
d. Encourage the client to report black, tarry stools.
Rationale:
Administering ranitidine with meals enhances its effectiveness in reducing gastric
acid secretion. Monitoring for signs of gastrointestinal bleeding, such as black, tarry
stools, is essential due to the risk of complications. Regular liver function
assessments are not typically required with ranitidine.
Question 6:
A pregnant client is prescribed prenatal vitamins containing iron. What education
should the nurse provide regarding iron supplementation during pregnancy? Select
all that apply.
a. Take iron supplements with a glass of milk.
b. Increase dietary intake of vitamin C-rich foods.
c. Expect stools to turn dark green.
d. Take iron supplements on an empty stomach.
e. Report signs of iron toxicity, such as nausea and vomiting.
Answer:
b. Increase dietary intake of vitamin C-rich foods.
c. Expect stools to turn dark green.
Rationale:
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