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Sata nclex saunders review 2024
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Sata nclex saunders review 2024
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SATA NCLEX SAUNDERS REVIEW1. Rifabutin (Mycobutin) is prescribed for a client with active Mycobacterium avium complex (MAC)
disease and tuberculosis. The nurse monitors for which side effects of the medication?: Signs of
hepatitis
Flu-like syndrome
Low neutrophil count
Ocular pain or blurred vision
2. A nurse in a medical unit is caring for a client with heart failure. The client suddenly develops
extreme dyspnea, tachycardia, and lung crackles, and the nurse suspects pulmonary edema. The
nurse immediately notifies the registered nurse and expects which interventions to be
prescribed?: Administering oxygen
Inserting a Foley catheter
Administering furosemide (Lasix)
Administering morphine sulfate intravenously
3. A client with coronary artery disease complains of substernal chest pain. After checking the
client's heart rate and blood pressure, a nurse administers nitroglycerin, 0.4 mg, sublingually. After
5 minutes, the client states, "My chest still hurts." Select the appropriate actions that the nurse
should take.: Assess the client's pain level.
Check the client's blood pressure.
Administer a second nitroglycerin, 0.4 mg, sublingually.
Contact the registered nurse.
4. The nurse monitoring a client receiving peritoneal dialysis notes that the client's outflow is less
than the inflow. The nurse should take which actions?: Check the level of the drainage bag.
Reposition the client to his or her side.
Place the client in good body alignment.
Check the peritoneal dialysis system for kinks.
5. The nurse is preparing a teaching plan for a client who is undergoing cataract extraction with
intraocular implant. Which home care measures will the nurse include in the plan?: To avoid
activities that require bending over
To place an eye shield on the surgical eye at bedtime
To contact the surgeon if a decrease in visual acuity occurs
To take acetaminophen (Tylenol) for minor eye discomfort
6. The nurse is preparing to administer eye drops. Select the interventions that the nurse takes to
administer the drops: Wash hands.
Put on gloves.
, SATA NCLEX SAUNDERS REVIEW
Place the drop in the conjunctival sac.
Pull the lower lid down against the cheek bone.
7. A client is receiving meperidine hydrochloride (Demerol) for pain. Which of
the following are side effects of this medication: Hypotension Tremors
Drowsiness
8. A nurse is preparing a list of cast care instructions for a client who just had a plaster cast applied
to his right forearm. Which instructions should the nurse include on the list?: Keep the cast and
extremity elevated.
The cast needs to be kept clean and dry.
Allow the wet cast 24 to 72 hours to dry.
9. A nurse is preparing a list of cast care instructions for a client who just had a plaster cast applied
to his right forearm. Which instructions should the nurse
include on the list?: Symptom control during periods of emotional stress
Normal white blood cell counts, platelet, and neutrophil counts
Radiological findings that show nonprogression of joint degeneration
An increased range of motion in the affected joints 3 months into therapy
10. Which interventions would apply in the care of a client at high risk for an allergic response to
a latex allergy.: Use non-latex gloves.
Use medications from glass ampules
Keep a latex-safe supply cart available in the client's area.
Do not puncture rubber stoppers with needles
11. Ketoconazole is prescribed for a client with a diagnosis of candidiasis. Select the interventions
that the nurse includes when administering this medication: Monitor hepatic and liver function
studies.
Instruct the client to avoid alcohol.
Instruct the client to avoid exposure to the sun.
12. A client with human immunodeficiency virus is taking nevirapine (Viramune). The nurse
should monitor for which adverse effects of the medication?: Hepatotoxicity
Rash
13. The nurse in the mental health unit reviews the therapeutic and nontherapeutic
communication techniques with a nursing student. Which of the
following are therapeutic communication techniques?: Restating Listening
Maintaining neutral responses
Providing acknowledgment and feedback
, SATA NCLEX SAUNDERS REVIEW
14. Which nursing interventions are appropriate for a hospitalized client with mania who is
exhibiting manipulative behavior?: Assist the client in developing means of setting limits on
personal behavior.
Follow through about the consequences of behavior in a nonpunitive manner.
Be clear with the client regarding the consequences of exceeding limits set regarding behavior.
Communicate expected behaviors to the client.
15. Which of the following are appropriate interventions for caring for the client in alcoho
withdrawal: Monitor vital signs.
Provide a safe environment.
Address hallucinations therapeutically.
Provide reality orientation as appropriate.
16. A nurse is preparing to care for a dying client, and several family members are at the client's
bedside. Which therapeutic techniques should the nurse use when communicating with the
family.: Extend touch and hold the client's or family member's hand if appropriate.
Be honest and truthful and let the client and family know that you will not abandon them
Encourage expression of feelings, concerns, and fears.
17. A hospitalized client is started on phenelzine sulfate (Nardil) for the treatment of depression
The nurse instructs the client to avoid consuming which foods while taking this medication?: Figs
Yogurt
Aged cheese
18. A client enters the emergency room confused, twitching, and having seizures. His family states
he recently was placed on corticosteroids for arthritis and was feeling better and exercising daily
Upon assessment, he has flushed skin, dry mucous membranes, an elevated temperature, and poor
skin turgor. His serum sodium level is 172 mEq/L. Choose the interventions that the health care
provider would likely prescribe.: Monitor intake and output. Monitor the vital signs.
Monitor the electrolyte levels.
Increase water intake orally.
Provide a sodium-reduced diet.
19. A nurse is preparing to suction an adult client through the client's tracheostomy tube. Which
intervention(s) would the nurse perform for this procedure?: Apply intermittent suction while
rotating and withdrawing the catheter.
Advance the catheter until resistance is met and then pull the catheter back 1 cm.
Apply suction for up to 10 to 15 seconds.
Hyperoxygenate the client before suctioning.
, SATA NCLEX SAUNDERS REVIEW
20. Which of these clients are most likely to develop fluid (circulatory) overload?: A premature
infant
A 101-year-old man
A client on renal dialysis
A client with congestive heart failure
21. A nurse is assisting with planning care for a client with an internal radiation implant. Which
of the following should be included in the plan of care?: Wearing gloves when emptying the client's
bedpan
Keeping all linens in the room until the implant is removed
Wearing a film (dosimeter) badge when in the client's room
Wearing a lead apron when providing direct care to the client
22. A community health nurse is conducting a teaching session about terrorism with members of
the community and discussing information regarding anthrax. The nurse tells those attending that
anthrax can be transmitted via which route(s)?: Skin
Inhalation
Gastrointestinal
23. The nurse is caring for a client after a supratentorial craniotomy in which a large tumor was
removed from the left side. Choose the positions in which the nurse can safely place the client.: In a
semi-Fowler's position
With the head in a midline position
24. A nurse is assisting with monitoring the functioning of a chest-tube drainage system in a
client who just returned from the recovery room after a thoracotomy with wedge resection. Which
findings would the nurse expect
to note?: 50 mL of drainage in the drainage-collection chamber The drainage
system is maintained below the client's chest.
An occlusive dressing is in place over the chest-tube insertion site.
Fluctuation of water in the tube of the water-seal chamber during inhalation and exhalation
25. A nurse is assisting with monitoring the functioning of a chest-tube drainage system in a
client who just returned from the recovery room after a thoracotomy with wedge resection. Which
findings would the nurse expect to note?: Allows for fetal movement
Is a measure of kidney function
Surrounds, cushions, and protects the fetus Maintains the body
temperature of the fetus
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