©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
SATA NCLEX SAUNDERS REVIEW Exam
Questions and Answers 100% Solved |
Rated A+
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
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)
,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
Administering morphine sulfate intravenously
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.
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.
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
,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
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
The nurse is preparing to administer eye drops. Select the interventions
that the nurse takes to administer the drops - ✔✔Wash hands.
Put on gloves.
Place the drop in the conjunctival sac.
Pull the lower lid down against the cheek bone.
A client is receiving meperidine hydrochloride (Demerol) for pain. Which of
the following are side effects of this medication - ✔✔Hypotension
Tremors
Drowsiness
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.
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
, ©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
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
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
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.
A client with human immunodeficiency virus is taking nevirapine
(Viramune). The nurse should monitor for which adverse effects of the
medication? - ✔✔Hepatotoxicity
Rash
SATA NCLEX SAUNDERS REVIEW Exam
Questions and Answers 100% Solved |
Rated A+
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
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)
,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
Administering morphine sulfate intravenously
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.
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.
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
,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
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
The nurse is preparing to administer eye drops. Select the interventions
that the nurse takes to administer the drops - ✔✔Wash hands.
Put on gloves.
Place the drop in the conjunctival sac.
Pull the lower lid down against the cheek bone.
A client is receiving meperidine hydrochloride (Demerol) for pain. Which of
the following are side effects of this medication - ✔✔Hypotension
Tremors
Drowsiness
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.
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
, ©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
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
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
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.
A client with human immunodeficiency virus is taking nevirapine
(Viramune). The nurse should monitor for which adverse effects of the
medication? - ✔✔Hepatotoxicity
Rash
