NCLEX RN SATA Questions
Question 1 of 5.
A client is receiving total parenteral nutrition (TPN). The nurse notices that the bag of TPN solution has been infusing for 24 hours but has $300 \mathrm{~mL}$ of solution left. The nurse should:
A. Continue the infusion until the remaining 300mL is infused
B. Change the filter on the tubing and continue with the infusion
C. Notify the physician and obtain orders to alter the rate of the solution
D. Discontinue the current solution, change the tubing, and hang a new bag of TPN solution
Explanation: TPN solutions should not hang for more than 24 hours due to infection risk. The nurse should discontinue the current bag, change the tubing, and hang a new bag. Continuing or altering the rate is unsafe.
Question 2 of 5.
Select the types and stages of conflict that are accurately paired with their description. Select all that apply.
A. Frustration: The phase of conflict that is characterized with personal agendas and obstruction
B. Conceptualization: The phase of conflict that occurs when contending parties have developed a clear and objective understanding of the nature of the conflict and factors that have led to it
C. Taking action: The phase of conflict that is characterized with individual responses to and feelings about the conflict
D. Resolution: The type of conflict that can be resolved
E. Avoidance-Avoidance: A stage of conflict that occurs when there are NO alternatives that are acceptable to the contending parties
F. Approach- Approach Conflicts: The type of conflict that occurs when the people involved in the conflict want more than one alternatives or actions that could resolve the conflict.
G. Approach-Avoidance Conflicts: The type of conflict that occurs when the people involved in the conflict believe that all of the alternatives are NEITHER completely satisfactory nor completely dissatisfactory.
Explanation: Conceptualization is correctly described as understanding the conflict's nature. Resolution refers to conflicts that can be resolved. Approach-Approach (F) involves choosing between desirable alternatives, and Approach-Avoidance (G) involves alternatives with both positive and negative aspects. Frustration is not about personal agendas but emotional responses, Taking action involves implementing solutions, not just feelings, and Avoidance-Avoidance is a type, not a stage, of conflict.
Question 3 of 5.
Which of these skills is most closely related to successfully meeting the established priority needs of a group of clients?
A. Time management skills
B. Communication skills
C. Collaboration skills
D. Supervision skills
Explanation: Time management skills are critical for prioritizing and addressing the needs of multiple clients efficiently, ensuring that high-priority tasks are completed in a timely manner.
Question 4 of 5.
You have loosely applied a bed sheet around your client's waist to prevent a fall from the chair. What have you done?
A. Ensured the client's safety which is a high patient care priority
B. Violated Respondeat Superior
C. Violated the client's right to dignity
D. Committed a crime
Explanation: Applying a bed sheet around the client's waist without a proper restraint order constitutes an illegal restraint, which is a crime , as it restricts freedom without proper authorization or consent.
Question 5 of 5.
Which statement about environmental safety is accurate?
A. The nurse should advise clients in a smoke filled room to open the windows.
B. The first thing that the nurse should do when using a fire extinguisher to put out a small fire is to aim the fire extinguisher at the base of the fire.
C. Rapidly lift and move a client away from the source of the fire when their slippers are on fire.
D. The home health care nurse should advise the client that the best fire extinguisher to have in the home is an ABC fire extinguisher.
Explanation: Advising clients to have an ABC fire extinguisher is accurate, as it is versatile for multiple fire types. Opening windows may worsen a fire, aiming the extinguisher follows pulling the pin, and rapid lifting risks injury.
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