NCLEX SATA Exam Questions with 100% Correct Answers

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 overload 5. Uterine tetany 6. Bradycardia Correct Answer 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. The 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) Correct Answer 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 allowed 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 Correct Answer 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 to 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. Correct Answer 1, 2, 5