NCLEX SATA ACTUAL QUESTIONS AND ANSWERS 2023.. IT IS NGN
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Course
NCLEX SATA ACTUAL
Institution
NCLEX SATA ACTUAL
NCLEX SATA ACTUAL QUESTIONS AND
ANSWERS 2023.. IT IS NGN
1.The nurse is monitoring a client who is receiving oxytocin (Pitocin) to induce labor. The nurse should
be prepared for which maternal adverse reactions?
Select all that apply:
1. Hypertension
2. Jaundice
3. Dehydration
4. Fluid ov...
NCLEX SATA ACTUAL QUESTIONS AND ANSWERS 2023. . IT IS NGN 1.The nurse is monitoring a client who is receiving oxytocin (Pitocin) to induce labor. The nurse should be prepared for which maternal adverse reactions? Selec t all that apply: 1. Hypertension 2. Jaundice 3. Dehydration 4. Fluid overload 5. Uterine tetany 6. Bradycardia 1, 4, 5 2. A client who is 29 weeks pregnant comes to the labor and delivery unit. She states that she's having contractions every 8 minutes. Th e client is also 3 cm dilated. Which medications can the nurse expect to administer? Select all that apply: 1. Folic acid (Folvite) 2. Terbutaline (Brethine) 3. Betamethasone 4. Rho (D) immune globulin (Rhogam) 5. I.V. fluids 6. Meperidine (Demerol) 2, 3, 5 3. The nurse is evaluating a client who is 34 weeks pregnant for premature rupture of the membranes (PROM). Which findings indicate that PROM has occurred? Select all that apply: 1. Fernlike pattern when vaginal fluid is placed on a glass slide and allow ed to dry 2. Acidic pH of fluid when tested with nitrazine paper 3. Presence of amniotic fluid in the vagina 4. Cervical dilation of 6 cm 5. Alkaline pH of fluid when tested with nitrazine paper 6. Contractions occurring every 5 minutes 1, 3, 5 4. What information should the nurse include when teaching postcircumcision care to parents of a neonate before discharge from the hospital? Select all that apply: 1. The infant must void before being discharged home. 2. Petroleum jelly should be applied t o the glans of the penis with each diaper change. 3. The infant can take tub baths while the circumcision heals. 4. Any blood noted on the front of the diaper should be reported. 5. The circumcision will require care for 2 to 4 days after discharge. 1, 2, 5 5. A 28 -year -old client is admitted with inflammatory bowel syndrome (Crohn's disease). Which therapies should the nurse expect to be part of the care plan? Select all that apply: 1. Lactulose therapy 2. High -fiber diet 3. High -protein milkshakes 4. Cort icosteroid therapy 5. Antidiarrheal medications 4, 5 6. The nurse is assisting in the discharge planning for a client with alcoholism. Which of the following should be included in the discharge plan? Select all that apply: 1. Strongly encourage participati on in Alcoholics Anonymous (AA). 2. Provide nutritional information and counseling. 3. Establish an exercise program. 4. Discuss relapse prevention. 5. Have the client introduce himself slowly to people from his former lifestyle. 1, 2, 3, 4 7. The nurse re ceives a change -of-shift report for a 76 -year -old client who had a total hip replacement. The client is not oriented to time, place, or person and is attempting to get out of bed and pull out an I.V. line that's supplying hydration and antibiotics. The cli ent has a vest restraint and bilateral soft wrist restraints. Which action by the nurse would be appropriate? Select all that apply: 1. Assess and document the behavior that requires continued use of restraints. 2. Tie the restraints in quick -release knots . 3. Tie the restraints to the side rails of the bed. 4. Ask the client if he needs to go to the bathroom and provide range -of-motion exercises every 2 hours. 5. Position the vest restraints so that the straps are crossed in the back. 1, 2, 4 8. The nurse is performing a Denver Developmental Screening Test II on a 4 1/2 -year -old child. What behaviors should the nurse expect the child to demonstrate? Select all that apply: 1. He balances on each foot for at least 6 seconds. 2. He copies a square using straight lines and square corners. 3. He prepares his own cereal without help. 4. He copies a circle that's closed or very nearly closed.
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