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NCLEX SATA Questions: Psychosocial Integrity
NCLEX SATA Questions: Psychosocial Integrity
1. The nurse is caring for a hospice client who lives at home with an attentive spouse. The client’s spouse quit work to care for the client. During the nurse’s visit, the spouse expresses frustration and hostility toward the nurse. Which of the following are appropriate interventions by the nurse? Select all that apply.*
1. The nurse should encourage the spouse to verbalize feelings.
2. The nurse should encourage the spouse to attend a caregiver support group.
3. The nurse should encourage the spouse to go back to work part-time.
4. The nurse should encourage the spouse not to verbalize negative feelings that may upset the client.

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June 7, 2015
NCLEX SATA Questions: Health Promotion and Maintenance
1. The pediatric nurse is providing discharge instructions to the parents of a newborn. In which of the following situations would the nurse advise the parents to call a physician? Select all that apply.
1. The infant has a temperature higher than 100.4º F (38º C).
2. The infant vomits more than once in 24 hours.
3. The infant’s respirations are even and unlabored.
4. The infant is unable to keep down food or water.
5. The infant has sunken or swollen soft spots on the head.
2. A first-time parent is discussing developmental milestones with the nurse. The nurse tells the client that she can reasonably expect her child to achieve which of the following by the time the child is 1 year old? Select all that apply.
1. Walking
2. Rolling from tummy to side
3. Transferring toys from hand to hand
4. Beginning to respond selectively to words
5. Vocalizing sounds (coos)
3. The nurse is teaching about the challenges of smoking cessation. Which of the following factors will the nurse identify as known challenges that clients face when attempting to quit smoking? Select all that apply.
1. Stress and depression
2. Low level of income
3. High level of education
4. Psychosocial problems
5. Continued exposure to smoking associated stimuli
4. Stress reduction techniques include biofeedback and meditation. The nurse conducting classes on these methods knows that studies have shown a cause-and-effect relationship between stress and which of the following? Select all that apply.
1. Adverse medication effects
2. Infectious diseases
3. Traumatic injuries, such as motor vehicle accidents
4. Some chronic illnesses

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June 6, 2015
NCLEX SATA Quiz: Physiological Adaptation
1. The intensive care nurse is caring for a client requiring mechanical ventilation. Which of the following are interventions the nurse should take to help prevent ventilator-associated pneumonia (VAP)? Select all that apply.*
1. Reposition the client at least every 2 hours and maintain the head of the bed upright at 30–45 degrees.
2. Promote nutrition with the use of a nasogastric tube and high-calorie feedings.
3. Suction oral and pharynx secretions, and provide thorough oral care at least every 2 hours.
4. Assess the client for sedation reduction and weaning/extubation readiness.
5. Perform hand hygiene before and after care of the client, and implement prophylactic intravenous antibiotic therapy.

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June 5, 2015
NCLEX SATA Quiz: Safety and Infection control
1. An elderly client, who is not oriented to time, place, or person, had a total hip replacement. The client is attempting to get out of bed and pull out the IV line that is infusing antibiotics. The client has bilateral soft wrist restraints and a vest restraint. Which of the following interventions by the nurse are appropriate? Select all that apply.*
1. Ask the client if he needs to use the bathroom, and provide range-of-motion exercises every 2 hours.
2. Document the type of restraint used and assess the need for continued use.
3. Tie the restraints to the side rails of the bed.
4. Obtain a new physician order for the restraint every 12 hours.
5. Observe for correct placement of restraints.
6. Tie the restraints in a quick-release knot.
2. The client has a new order for placement of a Foley catheter due to urinary retention. Which of the following should the nurse do before starting the procedure? Select all that apply.*
1. The nurse should confirm the client’s identity, because a procedure requires proper identification.
2. The nurse should confirm the client’s medical record number via the wristband and order.
3. Ask the client his or her name only, because this is a procedure and not a medication administration.
4. The nurse should confirm the client’s name via the wristband and order.

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June 5, 2015
NCLEX SATA Quiz: Reduction of Risk Potential
Reduction of risk potential involves ways in which you can help to reduce the likelihood that clients will develop complications or health problems related to existing conditions, diagnostic tests, treatments, or other procedures.
On the NCLEX-RN®exam, you can expect 12 percent of the questions to relate to Reduction of Risk Potential. Exam content for this category includes, but is not limited to, the following areas:
- Changes/abnormalities in vital signs
- Diagnostic tests
- Laboratory values
- Potential for alterations in body systems
- Potential for complications of diagnostic tests/treatments/procedures
- Potential for complications from surgical procedures and health alterations
- System specific assessments
- Therapeutic procedures
1. An older adult male client with a history of myasthenia gravis is admitted to the medical/surgical unit. Which of the following tests should the nurse expect to see ordered? Select all that apply.*
1. Tensilon test
2. Nerve conduction studies
3. Lumbar puncture
4. EEG
5. Electromyography
2. The laboratory values of an adult male client reveal the presence of hepatitis B surface antigens and hepatitis B antibodies. Which of the following laboratory results should the nurse also expect to see? Select all that apply.*
1. Elevated serum albumin
2. Low serum globulin
3. Elevated serum transaminate (ALT and AST)
4. Prolonged prothrombin time (PT)
5. Low urine bilirubin
3. The nurse is preparing to discharge a client who is stable after a sickle-cell anemia crisis. Which of the following instructions should the nurse provide to the client to avoid future crises? Select all that apply.*
1. Limit your fluid intake.
2. Avoid strenuous exercise.
3. Apply cold compresses to painful areas.
4. Take pain medications as ordered.
5. Avoid tight clothing.
4. The nurse is performing an assessment on a client who has developed cirrhosis. Which of the following signs and symptoms should the nurse expect to see? Select all that apply.*
1. Dull abdominal ache
2. Cyanosis
3. Poor tissue turgor
4. Bruises
5. Fruity breath

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June 4, 2015

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