ACTUAL NCLEX RN SATA QUESTONS AND ANSWERS 2024

ACTUAL NCLEX RN SATA QUESTONS AND ANSWERS 2024 Question: A client diagnosed with heart failure is prescribed a diuretic. What nursing interventions should the nurse implement? Select all that apply. A. Monitor daily weights. B. Encourage a low-sodium diet. C. Administer the diuretic in the evening. D. Encourage increased fluid intake. E. Assess for signs of hypokalemia. Answer: A. Monitor daily weights. B. Encourage a low-sodium diet. C. Administer the diuretic in the evening. E. Assess for signs of hypokalemia. Rationale: Monitoring daily weights helps evaluate fluid retention. Encouraging a low-sodium diet helps reduce fluid retention. Administering the diuretic in the evening minimizes nocturnal fluid overload. Assessing for signs of hypokalemia is crucial due to potential potassium loss with diuretic therapy. Question: The nurse is caring for a client with diabetes mellitus who is prescribed insulin. Which actions should the nurse take? Select all that apply. A. Administer insulin via IV push. B. Rotate injection sites regularly. C. Store insulin at room temperature. D. Administer regular insulin 30 minutes before meals. E. Monitor blood glucose levels regularly. Answer: B. Rotate injection sites regularly. E. Monitor blood glucose levels regularly. Rationale: Administering insulin via IV push is not recommended. Rotating injection sites helps prevent lipodystrophy. Storing insulin in the refrigerator is recommended. Regular insulin should be administered 30 minutes before meals. Monitoring blood glucose levels regularly is essential for insulin dose adjustment.