NCLEX RN SATA Questions

NCLEX RN SATA Questions Related

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A client has been scheduled for a barium swallow (esophagography). The nurse determines that the client understands preprocedure instructions when the client states the intention to take which action before the test?

  • A. Take all oral medications as scheduled.
  • B. Eat a regular breakfast on the day of the test.
  • C. Monitor own bowel movement pattern for constipation.
  • D. Remove metal objects and jewelry, especially from the neck and chest area.
Correct Answer: D

Rationale: A barium swallow, or esophagography, is a radiograph that uses a substance called barium for contrast to highlight abnormalities in the gastrointestinal (GI) tract. The client is told to remove metal objects such as medals and jewelry before the test so that they will not interfere with radiographic visualization of the field. Some oral medications are withheld before the test, and the client should follow the primary health care provider's instructions regarding medication administration. The client should fast for a minimum of 8 hours before the test, depending on primary health care provider's instructions. It is important after the procedure to monitor for constipation, which can occur as a result of the presence of barium in the GI tract.

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A client has been diagnosed with atrial fibrillation. The physician ordered warfarin (Coumadin) to be taken on a daily basis. The nurse instructs the client to avoid using which of the following over-the-counter medications while taking warfarin?

  • A. Aspirin
  • B. Diphenhydramine (Benadryl)
  • C. Digoxin (Lanoxin)
  • D. Pseudoephedrine (Sudafed)
Correct Answer: A

Rationale: Aspirin increases bleeding risk when taken with warfarin, a blood thinner, and should be avoided. Other listed medications have less significant interactions with warfarin.

You are a registered nurse who is performing the role of a case manager in your hospital. You have been asked to present a class to newly employed nurses about your role, your responsibilities and how they can collaborate with you as the case manager. Which of the following is a primary case management responsibility associated with reimbursement that you should include in this class?

  • A. The case manager's role in terms of organization wide performance improvement activities
  • B. The case manager's role in terms complete, timely and accurate documentation
  • C. The case manager's role in terms of the clients' being at the appropriate level of care
  • D. The case manager's role in terms of contesting denied reimbursements
Correct Answer: C

Rationale: A primary case management responsibility related to reimbursement is ensuring that clients are at the appropriate level of care , which directly impacts reimbursement by ensuring services match medical necessity and payer requirements.

What is the primary goal of nursing care during the emergent phase after a burn injury?

  • A. Replace lost fluids.
  • B. Prevent infection.
  • C. Control pain.
  • D. Promote wound healing.
Correct Answer: A

Rationale: Replacing lost fluids is the primary goal in the emergent phase to prevent hypovolemic shock due to fluid loss from burns.

The nurse is caring for a client who has just undergone a liver biopsy. Which of the following interventions is most important in the immediate post-procedure period?

  • A. Keep the client on the right side for 2 hours.
  • B. Encourage early ambulation.
  • C. Administer oral fluids immediately.
  • D. Apply heat to the biopsy site.
Correct Answer: A

Rationale: Keeping the client on the right side for 2 hours post-liver biopsy applies pressure to the site, reducing the risk of bleeding.

A child with meningococcal meningitis is being admitted to the pediatric unit. In preparation for the child's arrival, the nurse should first?

  • A. Institute droplet precautions.
  • B. Obtain the child's vital signs.
  • C. Ask the parent about medication allergies.
  • D. Inquire about the health of siblings at home.
Correct Answer: A

Rationale: Meningococcal meningitis is transmitted via droplets, so instituting precautions is the priority to prevent spread.

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