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NCLEX SATA Sample Test.
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NCLEX SATA Sample Test.SATA Sample Test
1. The nurse notes that a client is quite suspicious during an assessment interview and
believes that her family is under investigation by the CIA. What would the
appropriate nursing interventions be with this client? Select all that apply:
1. Use active listening skills to seek information from the client.
2. Encourage the client to describe the problem as she sees it.
3. Ask the client to tell you exactly what she thinks is happening.
4. Tell the client that she is delusional and you can help her.
5. Explain to the client that most people are not investigated by the CIA.
6. Reassure the client that you are not with the CIA.
2. Which nursing interventions will assist in reducing pressure points that may lead to
pressure ulcers? Check all that apply:
1. Position the client directly on the trochanter when side lying.
2. Avoid use of donut type devices.
3. Massage bony prominences.
4. Elevate the HOB no more than 30 degrees when possible.
5. When the client is side lying, use the 30 degree lateral inclined position.
6. Avoid uninterrupted sitting in a chair or wheelchair.
3. The nurse is evaluating a client recently diagnosed with primary open angle glaucoma
(POAG). What will an important nursing action be? Select all that apply:
1. Review meds the client is currently on to determine whether any of them cause
an increased intraocular pressure as a side effect.
2. Determine whether the client has any sudden loss of vision accompanied by pain.
3. Discuss with the client the importance of controlling blood pressure to decrease
the potential loss of peripheral vision.
4. Instruct the client to take analgesics as soon as any discomfort occurs in the eye and to
notify clinic if pain is not relieved.
5. Have the client demonstrate the use of eye drops.
6. Assess the client for chronic diseases such as diabetes.
4. A nurse understands that a patient may experience pain during peritoneal dialysis because
of which of the following? Select all that apply:
1. Warming the dialysate
2. Too rapid installation
3. Infiltration of the solution into the bloodstream
4. Accumulation of dialysate solution under the diaphragm
5. Too rapid outflow of the dialysate.
, NCLEX SATA Sample Test.
5. The nurse is evaluating a client's response to hemodialysis. Which lab results
will indicate the dialysis was effective? Select all that apply:
1. Serum potassium level decreases from 5.4 to 4.6 mEq/L
2. Cr decreases from 1.6 to 0.8 mg/dL
3.Hgb increases from 10-12 g/dL
4. WBC increase from 5000 to 8000/mm^3
5. BUN decreases from 110 to 90 mg/dL
6. The nurse is assessing a client who had a fractured femur repaired with an external
fixator device. Which assessment finding would cause the nurse concern regarding
the development of compartment syndrome? Select all that apply:
1. Decrease in pulse rate in affected leg.
2. Paresthesia distal to area of injury.
3. Toes on affected leg cool to touch and edematous.
4. Complaints that pins are hurting.
5. Complaints of leg pain unrelieved by analgesics or repositioning.
6. Client angry and calling loudly to the nurse every ten minutes.
7. The nurse is preparing discharge for a patient with GERD. What would be important
for the nurse to include in this teaching plan? Select all that apply:
1. Elevate the HOB.
2. Decrease intake of caffeine.
3. Discuss strategies for weight loss if overweight.
4. Increase fluid intake with meals.
5. Take ranitidine (Zantac) at hs.
6. Eat a bedtime snack of milk and protein.
8. The nurse is preparing a client for cardiac catheterization. Which nursing
interventions are necessary in preparing the client for this procedure. Select all that
apply:
1. Verify consent has been signed.
2. Explain procedure to client.
3. Provide clear liquid, no caffeine diet.
4. Evaluate peripheral pulses.
5. Obtain a 12 lead ECG
6. Obtain history of shellfish allergy.
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