nclex SATA Questions Graded A+ With Correct Solutions

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 - ANS 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) - ANS 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 - ANS 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. - ANS 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. Corticosteroid therapy 5. Antidiarrheal medications - ANS 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 participation in Alcoholics Anonymo