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Other than the usual multiple choice question formats, the NCLEX has also alternate format
questions like the Select All That Apply or SATA. Unfortunately, SATA questions are what
many test candidates fear the most. Whether you like it or not, the NCLEX will have these
type of questions. To help you prepare and at least ease the anxiety, here are 30 Select All
That Apply practice questions.
If you need help answering SATA questions, be sure to read: 12 Tips to Answer NCLEX
Select All That Apply (SATA) Questions.
Topics
Guidelines
Follow the guidelines below to make the most out of this exam:
Questions
EXAM MODE
PRACTICE MODE
TEXT MODE
In Text Mode: All questions and answers are given for reading and answering at your own
pace. You can also copy this exam and make a print out.
1. A patient is admitted to the same day surgery unit for liver biopsy. Which of the
following laboratory tests assesses coagulation? Select all that apply.
1. Weight loss.
2. Increased clotting time.
3. Hypertension.
4. Headaches.
3. The nurse is teaching the client how to use a metered dose inhaler (MDI) to
administer a Corticosteroid drug. Which of the following client actions indicates that
he is using the MDI correctly? Select all that apply.
1. Hearing loss
2. Visual disturbance
3. Headache
4. Orthopnea
5. Gout
6. Weight loss
5. Which of the following would be priority assessment data to gather from a client
who has been diagnosed with pneumonia? Select all that apply.
6. The nurse is teaching a client who has been diagnosed with TB how to avoid
spreading the disease to family members. Which statement(s) by the client
indicate(s) that he has understood the nurses instructions? Select all that apply.
1. Thirst
2. Palpitations
3. Diaphoresis
4. Slurred speech
5. Hyperventilation
8. Which adaptations should the nurse caring for a client with diabetic
ketoacidosis expect the client to exhibit? Select all that apply:
1. Sweating
2. Low PCO2
3. Retinopathy
4. Acetone breath
5. Elevated serum bicarbonate
9. When planning care for a client with ulcerative colitis who is experiencing
symptoms, which client care activities can the nurse appropriately delegate to a
unlicensed assistant? Select all that apply.
10. Which of the following nursing diagnoses would be appropriate for a client
with heart failure? Select all that apply.
1. Ineffective tissue perfusion related to decreased peripheral blood flow secondary
to decreased cardiac output.
2. Activity intolerance related to increased cardiac output.
3. Decreased cardiac output related to structural and functional changes.
4. Impaired gas exchange related to decreased sympathetic nervous system activity.
11. When caring for a client with a central venous line, which of the following nursing
actions should be implemented in the plan of care for chemotherapy administration?
Select all that apply.
1. Verify patency of the line by the presence of a blood return at regular intervals.
2. Inspect the insertion site for swelling, erythema, or drainage.
3. Administer a cytotoxic agent to keep the regimen on schedule even if blood return is not
present.
4. If unable to aspirate blood, reposition the client and encourage the client to cough.
5. Contact the health care provider about verifying placement if the status is questionable.
12. A 20-year old college student has been brought to the psychiatric hospital by her
parents. Her admitting diagnosis is borderline personality disorder. When talking
with the parents, which information would the nurse expect to be included in the
client’s history? Select all that apply.
1. Impulsiveness
2. Lability of mood
3. Ritualistic behavior
4. psychomotor retardation
5. Self-destructive behavior
13. When assessing a client diagnosed with impulse control disorder, the nurse
observes violent, aggressive, and assaultive behavior. Which of the following
assessment data is the nurse also likely to find? Select all that apply.
1. The client functions well in other areas of his life.
2. The degree of aggressiveness is out of proportion to the stressor.
3. The violent behavior is most often justified by the stressor.
4. The client has a history of parental alcoholism and chaotic, abusive family life.
5. The client has no remorse about the inability to control his anger.
14. Which of the following nursing interventions are written correctly? (Select all that
apply.)
15. The nurse is monitoring a client receiving peritoneal dialysis and nurse notes that
a client’s outflow is less than the inflow. Select actions that the nurse should take.
16. The nurse is caring for a hospitalized client who has chronic renal failure. Which
of the following nursing diagnoses are most appropriate for this client? Select all that
apply.
1. Head tilt
2. Vomiting
3. Polydipsia
4. Lethargy
5. Increased appetite
6. Increased pulse
18. The nurse is caring for a client with a T5 complete spinal cord injury. Upon
assessment, the nurse notes flushed skin, diaphoresis above the T5, and a blood
pressure of 162/96. The client reports a severe, pounding headache. Which of the
following nursing interventions would be appropriate for this client? Select all that
apply.
19. The nurse is evaluating the discharge teaching for a client who has an ileal
conduit. Which of the following statements indicates that the client has correctly
understood the teaching? Select all that apply.
1. “If I limit my fluid intake I will not have to empty my ostomy pouch as often.”
2. “I can place an aspirin tablet in my pouch to decrease odor.”
3. “I can usually keep my ostomy pouch on for 3 to 7 days before changing it.”
4. “I must use a skin barrier to protect my skin from urine.”
5. “I should empty my ostomy pouch of urine when it is full.”
1. Uterine enlargement
2. Fetal heart rate detected by nonelectric device
3. Outline of the fetus via radiography or ultrasound
4. Chadwick’s sign
5. Braxton Hicks contractions
6. Ballottement
22. A nurse is caring for a pregnant client with severe preeclampsia who is receiving
IV magnesium sulfate. Select all nursing interventions that apply in the care for the
client.
23. When interpreting an ECG, the nurse would keep in mind which of the following
about the P wave? Select all that apply.
24. When caring for a client with a central venous line, which of the following
nursing actions should be implemented in the plan of care for chemotherapy
administration? Select all that apply.
1. Verify patency of the line by the presence of a blood return at regular intervals.
2. Inspect the insertion site for swelling, erythema, or drainage.
3. Administer a cytotoxic agent to keep the regimen on schedule even if blood return is not
present.
4. If unable to aspirate blood, reposition the client and encourage the client to cough.
5. Contact the health care provider about verifying placement if the status is questionable.
25. To assist an adult client to sleep better the nurse recommends which of the
following? (Select all that apply.)
26. The nurse recognizes that a client is experiencing insomnia when the client
reports (select all that apply):
1. Extended time to fall asleep
2. Falling asleep at inappropriate times
3. Difficulty staying asleep
4. Feeling tired after a night’s sleep
27. The nurse teaches the mother of a newborn that in order to prevent sudden infant
death syndrome(SIDS) the best position to place the baby after nursing is (select all
that apply):
1. Prone
2. Side-lying
3. Supine
4. Fowler’s
28. A client has a diagnosis of primary insomnia. Before assessing this client, the
nurse recalls the numerous causes of this disorder. Select all that apply:
1. Chronic stress
2. Severe anxiety
3. Generalized pain
4. Excessive caffeine
5. Chronic depression
6. Environmental noise
29. Select all that apply to the use of barbiturates in treating insomnia:
1. Answer: 1, 2, and 3
Prothrombin time, partial thromboplastin time, and platelet count are all included in
coagulation studies. The hemoglobin level, though important information prior to an invasive
procedure like liver biopsy, does not assess coagulation.
2. Answer: 2, 3, and 4
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Polycythemia vera is a condition in which the bone marrow produces too many red blood
cells. This causes an increase in hematocrit and viscosity of the blood. Patients can
experience headaches, dizziness, and visual disturbances. Cardiovascular effects include
increased blood pressure and delayed clotting time. Weight loss is not a manifestation of
polycythemia vera.
3. Answer: 1 and 4.
4. Answers: 2, 3, 4 and 5.
Polycythemia vera, a condition in which too many RBCs are produced in the blood serum,
can lead to an increase in the hematocrit and hypervolemia, hyperviscosity, and
hypertension. Subsequently, the client can experience dizziness, tinnitus, visual
disturbances, headaches, or a feeling of fullness in the head. The client may also
experience cardiovascular symptoms such as heart failure (shortness of breath and
orthopnea) and increased clotting time or symptoms of an increased uric acid level such as
painful swollen joints (usually the big toe). Hearing loss and weight loss are not
manifestations associated with polycythemia vera.
5. Answer: 1, 3, 5.
A respiratory assessment, which includes auscultation of breath sounds and assessing the
color of the nail beds, is a priority for clients with pneumonia. Assessing for the presence
of chest pain is also an important respiratory assessment as chest pain can interfere with
the client’s ability to breathe deeply. Auscultating bowel sounds and assessing for
peripheral edema may be appropriate assessments, but these are not priority assessments
for the patient with pneumonia.
6. Answer: 2, 4, 5.
7. Answer: 2, 3, 4.
Palpitations, an adrenergic symptom, occur as the glucose levels fall; the sympathetic
nervous system is activated and epinephrine and norepinephrine are secreted causing this
response. Diaphoresis is a sympathetic nervous system response that occurs as
epinephrine and norepinephrine are released. Slurred speech is a neuroglycopenic
symptom; as the brain receives insufficient glucose, the activity of the CNS becomes
depressed.
8. Answer: 2, 4.
9. Answer: 2, 4, and 5.
The nurse can delegate the following basic care activities to the unlicensed assistant:
providing skin care following bowel movements, maintaining intake and output records, and
obtaining the client’s weight. Assessing the client’s bowel sounds and evaluating the client’s
response to medication are registered nurse activities that cannot be delegated.
HF is a result of structural and functional abnormalities of the heart tissue muscle. The heart
muscle becomes weak and does not adequately pump the blood out of the chambers. As a
result, blood pools in the left ventricle and backs up into the left atrium, and eventually into
the lungs. Therefore, greater amounts of blood remain in the ventricle after contraction
thereby decreasing cardiac output. In addition, this pooling leads to thrombus formation
and ineffective tissue perfusion because of the decrease in blood flow to the other organs
and tissues of the body. Typically, these clients have an ejection fraction of less than 50%
and poorly tolerate activity. Activity intolerance is related to a decrease, not increase, in
cardiac output. Gas exchange is impaired. However, the decrease in cardiac output triggers
compensatory mechanisms, such as an increase in sympathetic nervous system activity.
11. Answer: 1, 2, 4, 5.
12. Answer: 1, 2, 5.
13. Answer: 1, 2, 4.
A client with an impulse control disorder who displays violent, aggressive, and assaultive
behavior generally functions well in other areas of his life. The degree of aggressiveness is
typically out of proportion with the stressor. Such a client commonly has a history of
parental alcoholism and a chaotic family life, and often verbalizes sincere remorse and guilt
for the aggressive behavior.
14. Answer: 3.
15. Answer: 1, 2, 4, 5.
If outflow drainage is inadequate, the nurse attempts to stimulate outflow by changing the
client’s position. Turning the client to the other side or making sure that the client is in good
body alignment may assist with outflow drainage. The drainage bag needs to be lower than
the client’s abdomen to enhance gravity drainage. The connecting tubing and the peritoneal
dialysis system is also checked for kinks or twisting and the clamps on the system are
checked to ensure that they are open. There is no reason to contact the physician.
16. Answer: 1, 2, 3.
Appropriate nursing diagnoses for clients with chronic renal failure include excess fluid
volume related to fluid and sodium retention; imbalanced nutrition, less than body
requirements related to anorexia, nausea, and vomiting; and activity intolerance related
to fatigue. The nursing diagnoses of impaired gas exchange and pain are not commonly
related to chronic renal failure.
17. Answer: 1, 2, 4.
Head tilt, vomiting, and lethargy are classic signs assessed in a child with a brain tumor.
Clinical manifestations are the result of location and size of the tumor.
18. Answer: 1, 2, 4, 5.
The client has signs and symptoms of autonomic dysreflexia. The potentially life-threatening
condition is caused by an uninhibited response from the sympathetic nervous system
resulting from a lack of control over the autonomic nervous system. The nurse should
immediately elevate the HOB to 90 degrees and place extremities dependently to decrease
venous return to the heart and increase venous return from the brain. Because tactile
stimuli can trigger autonomic dysreflexia, any constrictive clothing should be loosened. The
nurse should also assess for distended bladder and bowel impaction, which may trigger
autonomic dysreflexia, and correct any problems. Elevated blood pressure is the most life-
threatening complication of autonomic dysreflexia because it can cause stroke, MI, or
seizures. If removing the triggering event doesn’t reduce the client’s blood pressure, IV
antihypertensives should be administered. A fan shouldn’t be used because cold drafts may
trigger autonomic dysreflexia.
19. Answer: 3, 4.
The client with an ileal conduit must learn self-care activities related to care of the stoma
and ostomy appliances. The client should be taught to increase fluid intake to about 3,000
ml per day and should not limit intake. Adequate fluid intake helps to flush mucus from the
ileal conduit. The ostomy appliance should be changed approximately every 3 to 7 days and
whenever a leak develops. A skin barrier is essential to protecting the skin from the irritation
of the urine. An aspirin should not be used as a method of odor control because it can be an
irritant to the stoma and lead to ulceration. The ostomy pouch should be emptied when it is
one-third to one-half full to prevent the weight from pulling the appliance away from the skin.
When caring for a client receiving magnesium sulfate therapy, the nurse would monitor
maternal vital signs, especially respirations, every 30-60 minutes and notify the physician if
respirations are less than 12, because this would indicate respiratory depression. Calcium
gluconate is kept on hand in case of magnesium sulfate overdose, because calcium
gluconate is the antidote for magnesium sulfate toxicity. Deep tendon reflexes are assessed
hourly. Cardiac and renal function is monitored closely. The urine output should be
maintained at 30 ml per hour because the medication is eliminated through the kidneys.
23. Answer: 1, 3, 5.
In a client who has had an ECG, the P wave represents the activation of the electrical
impulse in the SA node, which is then transmitted to the AV node. In addition, the P wave
represents atrial muscle depolarization, not ventricular depolarization. The normal duration
of the P wave is 0.11 seconds or less in duration and 2.5 mm or more in height.
24. Answer: 1, 2, 4, 5.
25. Answer: 3.
These symptoms are often reported by clients with insomnia. Clients report nonrestorative
sleep. Arising once at night to urinate (nocturia) is not in and of itself insomnia.
Acute or primary insomnia is caused by emotional or physical discomfort not caused by the
direct physiologic effects of a substance or a medical condition. Excessive caffeine intake is
an example of disruptive sleep hygiene; caffeine is a stimulant that inhibits sleep.
Environmental noise causes physical and/or emotional and therefore is related to primary
insomnia.
Barbiturates deprive people of REM sleep. When the barbiturate is stopped and REM sleep
once again occurs, a rebound phenomenon occurs. During this phenomenon, the persons
dream time constitutes a larger percentage of the total sleep pattern, and the dreams are
often nightmares.
See Also
These NCLEX practice exams do not have a particular topic to simulate the actual exams.
Nursing Research
If you are looking for practice questions about nursing research, look no further!
One of the most requested type of questions! Here are a few quizzes for the Select All That
Apply (SATA) alternate question format.
Practice nursing questions about prioritization, delegation and assignment. These common
NCLEX questions are difficult to answer but with enough practice using the questions
below, you’ll ace them!
Quizzes about acid-base balance. For tips, read our 8-step Guide to Interpret ABGs using
the Tic-Tac-Toe method.
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NCLEX-RN
Matt Vera is a registered nurse with a bachelor of science in nursing since 2009 and is currently
working as a full-time writer and editor for Nurseslabs. During his time as a student, he knows how
frustrating it is to cram on difficult nursing topics and finding help online is near to impossible. His
situation drove his passion for helping student nurses through the creation of content and lectures
that is easy to digest. Knowing how valuable nurses are in delivering quality healthcare but limited in
number, he wants to educate and inspire students in nursing. As a nurse educator since 2010, his
goal in Nurseslabs is to simplify the learning process, breakdown complicated topics, help motivate
learners, and look for unique ways of assisting students in mastering core nursing concepts
effectively.
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