nclex SATA questions with correct answers
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:<\/p>\n\n\n\n
<\/p>\n\n\n\n
SATA nclex questions with correct answers
The nurse is preparing a teaching plan for a client who is undergoing cataract
extraction with intraocular
implant. Which home care measures will the nurse include in the plan? Select all
that apply.<\/p>\n\n\n\n
A nurse in a medical unit is caring for a client with heart failure. The client
suddenly develops extreme
dyspnea, tachycardia, and lung crackles, and the nurse suspects pulmonary edema.
The nurse immediately
notifies the registered nurse and expects which interventions to be prescribed?
Select all that apply.<\/p>\n\n\n\n
response to treatment is successful
A nurse is caring for an infant with a diagnosis of tetralogy of Fallot. The infant
suddenly becomes
cyanotic and the oxygen saturation reading drops to 60%. Choose the interventions
that the nurse should
perform. Select all that apply.<\/p>\n\n\n\n
amounts of highly saturated blood reach the heart. Toddlers and children squat to
get into this position
and relieve chronic hypoxia. There is no reason to call a code blue unless
respirations cease. Additional
interventions include administering 100% oxygen by face mask, morphine sulfate,
and intravenous fluids,
as prescribed.
A client with carcinoma of the lung develops the syndrome of inappropriate
antidiuretic hormone
(SIADH) as a complication of the cancer. The nurse anticipates that which of the
following may be
prescribed? Select all that apply.<\/p>\n\n\n\n
SATA NCLEX SAUNDERS REVIEW
questions with correct answers
Rifabutin (Mycobutin) is prescribed for a client with active Mycobacterium avium
complex (MAC) disease and tuberculosis. The nurse monitors for which side
effects of the medication? Answer\u2714\u2714 Signs of hepatitis
Flu-like syndrome
Low neutrophil count
Ocular pain or blurred vision
A nurse in a medical unit is caring for a client with heart failure. The client
suddenly develops extreme dyspnea, tachycardia, and lung crackles, and the nurse
suspects pulmonary edema. The nurse immediately notifies the registered nurse
and expects which interventions to be prescribed? Answer\u2714\u2714 Administering
oxygen
Inserting a Foley catheter
Administering furosemide (Lasix)
Administering morphine sulfate intravenously
A client with coronary artery disease complains of substernal chest pain. After
checking the client’s heart rate and blood pressure, a nurse administers
nitroglycerin, 0.4 mg, sublingually. After 5 minutes, the client states, “My chest
still hurts.” Select the appropriate actions that the nurse should take. Answer\u2714\u2714
Assess the client’s pain level.
Check the client’s blood pressure.
Administer a second nitroglycerin, 0.4 mg, sublingually.
Contact the registered nurse.<\/p>\n\n\n\n
The nurse monitoring a client receiving peritoneal dialysis notes that the client’s
outflow is less than the inflow. The nurse should take which actions? Answer\u2714\u2714
Check the level of the drainage bag.
Reposition the client to his or her side.
Place the client in good body alignment.
Check the peritoneal dialysis system for kinks.
The nurse is preparing a teaching plan for a client who is undergoing cataract
extraction with intraocular implant. Which home care measures will the nurse
include in the plan? Answer\u2714\u2714 To avoid activities that require bending over
To place an eye shield on the surgical eye at bedtime
To contact the surgeon if a decrease in visual acuity occurs
To take acetaminophen (Tylenol) for minor eye discomfort
The nurse is preparing to administer eye drops. Select the interventions that the
nurse takes to administer the drops Answer\u2714\u2714 Wash hands.
Put on gloves.
Place the drop in the conjunctival sac.
Pull the lower lid down against the cheek bone.
A client is receiving meperidine hydrochloride (Demerol) for pain. Which of the
following are side effects of this medication Answer\u2714\u2714 Hypotension
Tremors
Drowsiness
A nurse is preparing a list of cast care instructions for a client who just had a
plaster cast applied to his right forearm. Which instructions should the nurse
include on the list? Answer\u2714\u2714 Keep the cast and extremity elevated.<\/p>\n\n\n\n
The cast needs to be kept clean and dry.
Allow the wet cast 24 to 72 hours to dry.
A nurse is preparing a list of cast care instructions for a client who just had a
plaster cast applied to his right forearm. Which instructions should the nurse
include on the list? Answer\u2714\u2714 Symptom control during periods of emotional
stress
Normal white blood cell counts, platelet, and neutrophil counts
Radiological findings that show nonprogression of joint degeneration
An increased range of motion in the affected joints 3 months into therapy
Which interventions would apply in the care of a client at high risk for an allergic
response to a latex allergy. Answer\u2714\u2714 Use non-latex gloves.
Use medications from glass ampules
Keep a latex-safe supply cart available in the client’s area.
Do not puncture rubber stoppers with needles
Ketoconazole is prescribed for a client with a diagnosis of candidiasis. Select the
interventions that the nurse includes when administering this medication
Answer\u2714\u2714 Monitor hepatic and liver function studies.
Instruct the client to avoid alcohol.
Instruct the client to avoid exposure to the sun.
A client with human immunodeficiency virus is taking nevirapine (Viramune). The
nurse should monitor for which adverse effects of the medication? Answer\u2714\u2714
Hepatotoxicity
Rash<\/p>\n\n\n\n
The nurse in the mental health unit reviews the therapeutic and nontherapeutic
communication techniques with a nursing student. Which of the following are
therapeutic communication techniques? Answer\u2714\u2714 Restating
Listening
Maintaining neutral responses
Providing acknowledgment and feedback
Which nursing interventions are appropriate for a hospitalized client with mania
who is exhibiting manipulative behavior? Answer\u2714\u2714 Assist the client in
developing means of setting limits on personal behavior.
Follow through about the consequences of behavior in a nonpunitive manner.
Be clear with the client regarding the consequences of exceeding limits set
regarding behavior.
Communicate expected behaviors to the client.
Which of the following are appropriate interventions for caring for the client in
alcohol withdrawal Answer\u2714\u2714 Monitor vital signs.
Provide a safe environment.
Address hallucinations therapeutically.
Provide reality orientation as appropriate.
A nurse is preparing to care for a dying client, and several family members are at
the client’s bedside. Which therapeutic techniques should the nurse use when
communicating with the family. Answer\u2714\u2714 Extend touch and hold the client’s or
family member’s hand if appropriate.
Be honest and truthful and let the client and family know that you will not abandon
them
Encourage expression of feelings, concerns, and fears.<\/p>\n\n\n\n
SATA questions with correct answers
Which best describes how a legal nurse consultant (LNC) would best prepare for
testifying in court as an expert witness? (Select all that apply.)
a. By carefully analyzing the client’s medical record and related documents
b. By creating a PowerPoint slide presentation to help educate the jury
c. By helping to examine all the witnesses in preparation for the court trial
d. By personally doing or observing the autopsy on the deceased
e. By preparing charts and tables illustrating the important legal points
f. By summarizing the literature regarding the standard of care Answer\u2714\u2714 a. By
carefully analyzing the client’s medical record and related documents
f. By summarizing the literature regarding the standard of care
CH. 21:1. A nurse is caring for an individual with intellectual and developmental
disabilities (IDD). Which findings would be most concerning to the nurse? (Select
all that apply.)
a. Poor skin turgor
b. Decreased appetite
c. Increased urination
d. No bowel movement for the past 3 days
e. Symptoms of choking after taking a sip of water
f. Recent seizure Answer\u2714\u2714 a. Poor skin turgor
d. No bowel movement for the past 3 days
e. Symptoms of choking after taking a sip of water
f. Recent seizure<\/p>\n\n\n\n
CH. 21: Which are strategies the nurse should practice to provide effective care for
persons with disabilities? (Select all that apply.)
A. Apologize for slips of the tongue such as saying “Do you see?” to a blind
person.
B. Don’t assume the client has a physical or cognitive deficit until you have
validated it.
C. Allocate additional time for care.
D. Take hold of a blind person’s arm to assist them in dangerous situations, such as
crossing a busy street.
E. Volunteer the most recent research findings related to the person’s disability.
F. Adopt the client’s perspective as to what works best without bias. Answer\u2714\u2714 B.
Don’t assume the client has a physical or cognitive deficit until you have validated
it.
C. Allocate additional time for care.
F. Adopt the client’s perspective as to what works best without bias.
CH. 22: Which best describes the military culture? (Select all that apply.)
a. A strong sense of service
b. Altruism
c. Egalitarianism
d. A hierarchal class system
e. Problem-focused actions
f. Solutions-focused actions Answer\u2714\u2714 a. A strong sense of service
d. A hierarchal class system
f. Solutions-focused actions<\/p>\n\n\n\n
CH. 22: A spouse of a veteran inquires as to if he will qualify for the Civilian
Health and Medical Program of the Department of Veteran’s Affairs (CHAMPVA).
Which describes what criteria will need to be met? (Select all that apply.)
a. The veteran has been rated permanently and totally disabled for aserviceconnected disability by a VA regional office
b. The spouse is a survivor of a veteran who died from a VA-rated serviceconnected disability
c, The veteran has been diagnosed with PTSD by a VA regional office
d. The spouse is a survivor of a veteran who died in the line of duty
e. The spouse has been diagnosed with a terminal illness
f. The veteran has been diagnosed with a terminal illness Answer\u2714\u2714 a. The
veteran has been rated permanently and totally disabled for aservice-connected
disability by a VA regional office
b. The spouse is a survivor of a veteran who died from a VA-rated serviceconnected disability
d. The spouse is a survivor of a veteran who died in the line of duty
CH. 22: A veteran has been diagnosed with a mild traumatic brain injury (mTBI).
Which symptoms would most likely be reported to the nurse? (Select all that
apply.)
a. Diarrhea
b. Headaches
c. Appetite loss
d. Dizziness
e. Increased thirst
f. Memory problems Answer\u2714\u2714 b. Headaches
d. Dizziness
f. Memory problems<\/p>\n\n\n\n
SATA NCLEX Sample questions with
correct answers<\/p>\n\n\n\n
Mental Health SATA questions with correct
answers
A nurse is discussing unit expectations with a newly admitted patient diagnosed
with poor impulse control. The nurse shows an understanding of the use of body
language to convey feelings when documenting that the patient is angry and
resistant to authority based on which of the following? Select all that apply.
a. Patients reluctance to make eye contact
b. Crossed-arm posture the patient assumes
c. Quizzical expression on the patients face
d. Sharp rapping of the patients fingers against the table
e. Patients tendency to lean forward when seated in the chair Answer\u2714\u2714 b.
Crossed-arm posture the patient assumes
d. Sharp rapping of the patients fingers against the table
The nurse is planning approaches to use to begin the establishment of the nursepatient relationship. Which therapeutic communication techniques will be most
useful to achieve this goal? Select all that apply.
a. Attentively listening as the patient describes their obsessive compulsive rituals<\/p>\n\n\n\n
b. Asking the anxious patient if they have a plan for controlling their current
anxiety
c. Encouraging the depressed patient to come and talk with me whenever you want
d. Sitting quietly in the room while the non-communicating patient unpacks their
belongings
e. Responding to the patients feelings of loss by stating, I know that must have
made you very sad. Answer\u2714\u2714 a. Attentively listening as the patient describes
their obsessive compulsive rituals
c. Encouraging the depressed patient to come and talk with me whenever you want
d. Sitting quietly in the room while the non-communicating patient unpacks their
belongings
e. Responding to the patients feelings of loss by stating, I know that must have
made you very sad.
The nurse has been working for several weeks with a single mom who has been
both verbally and physically abused by her childrens father. Which nursing actions
are appropriate for this stage of treatment? Select all that apply.
a. Asking, How does it make you feel when he hits you?
b. Providing information regarding womens shelters in the local area<\/p>\n\n\n\n
c. Assuring the patient that her children can visit when she wants to see them
d. Sharing that, I know leaving him is difficult but you need a plan if he abuses you
again.
e. Responding, Youve certainly become more assertive; dont be afraid to stand up
for yourself. Answer\u2714\u2714 a. Asking, How does it make you feel when he hits you?
b. Providing information regarding womens shelters in the local area
d. Sharing that, I know leaving him is difficult but you need a plan if he abuses you
again.
The nurse shows an understanding of an essential purpose of therapeutic
communication when (select all that apply):
a. Asking the patient, How did it make you feel when your son died?
b. Encouraging the patient to assume responsibility for the problems he or she has
c. Attentively listening as the patient describes the reasons he or she is seeking help
d. Providing the patient with feedback regarding how he or she is implementing
stress relief techniques
e. Sharing with the patient the details of several extremely stressful personal events
and how they were managed Answer\u2714\u2714 a. Asking the patient, How did it make
you feel when your son died?<\/p>\n\n\n\n
SATA questions with correct answers<\/p>\n\n\n\n
Possible complications after an ERCP include cholangitis, pancreatitis, perforation,
sepsis, and bleeding. Kidney stones are not a complication of ERCP.<\/p>\n\n\n\n
In adults, the most common cause of anemia is GI bleeding. This is commonly
associated with colon cancer, diverticulitis, inflammatory bowel disease, and
peptic ulcer disease. Pernicious anemia is not associated with
GI bleeding.<\/p>\n\n\n\n
SATA Questions with correct answers
A patient referred to the eating disorders clinic has lost 35 pounds in 3 months and
has developed amenorrhea. For which physical manifestations of anorexia nervosa
should a nurse assess? Select all that apply.
a. Peripheral edema
b. Parotid swelling
c. Constipation
d. Hypotension
e. Dental caries
f. Lanugo Answer\u2714\u2714 A, C, D, F
A patient diagnosed with anorexia nervosa is hospitalized for treatment. What
features should the milieu provide? Select all that apply.
a. Flexible mealtimes
b. Unscheduled weight checks
c. Adherence to a selected menu
d. Observation during and after meals
e. Monitoring during bathroom trips
f. Privileges correlated with emotional expression Answer\u2714\u2714 C, D, E
The admission note indicates a patient diagnosed with major depressive disorder
has anergia and anhedonia. For which measures should the nurse plan? Select all
that apply.
a. Channeling excessive energy
b. Reducing guilty ruminations
c. Instilling a sense of hopefulness<\/p>\n\n\n\n
d. Assisting with self-care activities
e. Accommodating psychomotor retardation Answer\u2714\u2714 C, D, E
A student nurse caring for a patient diagnosed with major depressive disorder reads
in the patient’s medical record, “This patient shows vegetative signs of depression.”
Which nursing diagnoses most clearly relate to the vegetative signs? Select all that
apply.
a. Imbalanced nutrition: less than body requirements
b. Chronic low self-esteem
c. Sexual dysfunction
d. Self-care deficit
e. Powerlessness
f. Insomnia Answer\u2714\u2714 A, C, D, F
A patient diagnosed with major depressive disorder will begin electroconvulsive
therapy tomorrow. Which interventions are routinely implemented before the
treatment? Select all that apply.
a. Administer pretreatment medication 30 to 45 minutes before treatment.
b. Withhold food and fluids for a minimum of 6 hours before treatment.
c. Remove dentures, glasses, contact lenses, and hearing aids.
d. Restrain the patient in bed with padded limb restraints.
e. Assist the patient to prepare an advance directive. Answer\u2714\u2714 A, B, C
A patient diagnosed with major depressive disorder shows vegetative signs of
depression. Which nursing actions should be implemented? Select all that apply.
a. Offer laxatives, if needed.
b. Monitor food and fluid intake.<\/p>\n\n\n\n
c. Provide a quiet sleep environment.
d. Eliminate all daily caffeine intake.
e. Restrict the intake of processed foods. Answer\u2714\u2714 A, B, C
A patient being treated with paroxetine (Paxil) 50 mg\/day orally for major
depressive disorder reports to the clinic nurse, “I took a few extra tablets earlier in
the day and now I feel bad.” Which aspects of the nursing assessment are most
critical? Select all that apply.
a. Vital signs
b. Urinary frequency
c. Increased suicidal ideation
d. Presence of abdominal pain and diarrhea
e. Hyperactivity or feelings of restlessness Answer\u2714\u2714 A, D, E
A patient diagnosed with bipolar disorder is being treated as an outpatient during a
hypomanic episode. Which suggestions should the nurse provide to the family?
Select all that apply.
a. Provide structure
b. Limit credit card access
c. Encourage group social interaction
d. Limit work to half days
e. Monitor the patient’s sleep patterns Answer\u2714\u2714 A, B, E
A nurse prepares the plan of care for a patient having a manic episode. Which
nursing diagnoses are most likely? Select all that apply.
a. Imbalanced nutrition: more than body requirements
b. Disturbed thought processes<\/p>\n","protected":false},"excerpt":{"rendered":"
nclex SATA questions with correct answers1.The nurse is monitoring a client who is receiving oxytocin (Pitocin) to inducelabor. The nurse should be prepared for which maternal adverse reactions?Select all that apply: SATA nclex questions with correct answersThe nurse is preparing a teaching plan for a client who is undergoing cataractextraction with intraocularimplant. Which home care […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-118104","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/118104","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=118104"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/118104\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=118104"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=118104"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=118104"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}