COMPILATION OF QUESTIONS: INTL REVIEW

A severely injured client is moved into an examination area of the emergency

department. The family member who accompanied the client to the ED is screaming
at the nurse, saying that someone better start doing something right away. What is
the best response by the nurse?
1. 'I need you to go to the waiting area. You can come back when you're more in
control.'
2. 'I'm going to give you a few minutes alone so you can calm down.'
3. 'I can't think when you are yelling at me. Talk to me in a normal voice.'
4. 'I know you are upset. But please control yourself and sit down. Otherwise I
will have to call security.'
The correct answer is: 'I know you are upset. But please control yourself and sit
down. Otherwise I will have to call security.'
Reference:
Please visit again next Monday for another question taken directly from our online
course for the NCLEX-RN examination.

Neonatal Disorders: Nclex Select All That Applies Questions (SATA)

1. 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
2. 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

3. 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 Anonymous (AA).
2. Provide nutritional information and counseling.
3. Establish an exercise program.
4. Discuss relapse prevention.
5. Have the client introduce himself slowly to people from his former lifestyle.
Ans. 1,2,3,4
4. The nurse receives a change-of-shift report for a 76-year-old client who had
a total hip replacement. The client is not oriented to time, place, or person and
is attempting to get out of bed and pull out an I.V. line that's supplying
hydration and antibiotics. The client has a vest restraint and bilateral soft wrist
restraints. Which action by the nurse would be appropriate?
Select all that apply:
1. Assess and document the behavior that requires continued use of restraints.
2. Tie the restraints in quick-release knots.
3. Tie the restraints to the side rails of the bed.
4. Ask the client if he needs to go to the bathroom and provide range-of-motion
exercises every 2 hours.
5. Position the vest restraints so that the straps are crossed in the back.
Ans. 1,2,4
5. The nurse is performing a Denver Developmental Screening Test II on a 4
1/2-year-old child. What behaviors should the nurse expect the child to
demonstrate?
Select all that apply:
1. He balances on each foot for at least 6 seconds.
2. He copies a square using straight lines and square corners.
3. He prepares his own cereal without help.
4. He copies a circle that's closed or very nearly closed.
5. He speaks clearly.
6. He draws a person with at least three body parts.
Ans. 3,4,5,6

6. The nurse is caring for a 45-year-old married woman who has undergone
hemicolectomy for colon cancer. The woman has two children. Which
concepts about families should the nurse keep in mind when providing care
for this client?
Select all that apply:
1. Illness in one family member can affect all members.

2. Family roles don't change because of illness.

3. A family member may have more than one role at a time in a family.
4. Children typically aren't affected by adult illness.
5. The effects of an illness on a family depend on the stage of the family's life cycle.
6. Changes in sleeping and eating patterns may be signs of stress in a family.
Ans. 1,3,5,6
Neonatal Disorders: Nclex Select All That Applies Questions (SATA) Answer
Key:
1. 1, 2, 5
2. 4, 5
3. 1, 2, 3, 4
4. 1, 2, 4
5. 3, 4, 5, 6
6. 1, 3, 5, 6
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
Maternal & Child Nursing: Intrapartum Disorders Sata Questions For Nclex
Answer Key:
1. 1, 4, 5
2. 2, 3, 5
3. 1, 3, 5