NCLEX SATA Quiz: Can You Tame Select-All-That-Apply?

1. A patient with acute myocardial infarction (AMI) is admitted to the coronary care unit. Which nursing interventions are appropriate? (Select all that apply)

Administer oxygen to maintain SpO2 >94%

Encourage the patient to ambulate immediately

Monitor cardiac enzymes and troponin levels

Provide continuous cardiac monitoring

Delay pain management until diagnosis confirmed

Submit

2. A 68-year-old client with COPD is experiencing an acute exacerbation. Which actions should the nurse take? (Select all that apply)

Position client upright or semi-Fowler's

Administer supplemental oxygen cautiously

Encourage deep breathing exercises

Restrict fluid intake to

Monitor respiratory rate and breath sounds

Submit

3. A patient receiving intravenous heparin therapy requires which nursing interventions? (Select all that apply)

Monitor activated partial thromboplastin time (aPTT)

Assess for signs of bleeding and bruising

Administer intramuscular injections freely

Check platelet count regularly

Encourage use of a soft toothbrush

Submit

4. Which clinical findings indicate a patient is experiencing septic shock? (Select all that apply)

Tachycardia with heart rate >90 bpm

Body temperature 38.3°C

Systolic blood pressure >140 mmHg

Altered mental status or confusion

Elevated lactate level

Submit

5. A client is prescribed metformin for type 2 diabetes. What should the nurse include in patient education? (Select all that apply)

Take with meals to reduce GI upset

Risk of lactic acidosis with renal impairment

Monitor blood glucose regularly

May cause hypoglycemia as sole agent

Avoid contrast dye procedures without consulting provider

Submit

6. Which interventions are appropriate for a patient with acute stroke in the thrombolytic window? (Select all that apply)

Obtain baseline National Institutes of Health Stroke Scale (NIHSS)

Administer aspirin 325 mg immediately

Establish IV access for medication administration

Keep patient NPO until swallow screen completed

Elevate head of bed 30 degrees

Submit

7. A postoperative patient is at risk for deep vein thrombosis (DVT). Which preventive measures should the nurse implement? (Select all that apply)

Apply sequential compression devices

Encourage early mobilization

Maintain strict bed rest for 48 hours

Ensure adequate hydration

Perform leg exercises and range of motion

Submit

8. Which findings suggest a patient is experiencing anaphylaxis? (Select all that apply)

Urticaria and pruritus

Stridor and wheezing

Hypotension and tachycardia

Bradycardia and hypertension

Angioedema of face and airway

Submit

9. A patient with heart failure is prescribed furosemide. Which nursing considerations apply? (Select all that apply)

Monitor potassium and sodium levels

Assess daily weights for fluid loss

Encourage high-sodium diet

Monitor for orthostatic hypotension

Teach patient to take dose in morning

Submit

10. Which actions are essential when administering IV potassium chloride? (Select all that apply)

Dilute in appropriate volume of normal saline

Administer as rapid IV push

Monitor cardiac rhythm continuously

Verify serum potassium level before administration

Use infusion pump for controlled delivery

Submit

11. A patient with pneumonia requires which nursing interventions? (Select all that apply)

Administer prescribed antibiotics on schedule

Position upright to promote lung expansion

Encourage coughing and deep breathing

Restrict fluid intake to prevent pulmonary edema

Monitor oxygen saturation and respiratory status

Submit

12. Which clinical indicators suggest a patient has acute kidney injury (AKI)? (Select all that apply)

Creatinine level elevated above baseline

Urine output

Increased glomerular filtration rate (GFR)

Hyperkalemia on serum electrolytes

Metabolic alkalosis

Submit

13. A patient receiving chemotherapy develops neutropenia. Which precautions should the nurse implement? (Select all that apply)

Place in private room or positive pressure room

Screen visitors for signs of infection

Allow fresh flowers and potted plants

Ensure meticulous hand hygiene

Monitor temperature frequently

Submit

14. Which interventions are appropriate for a patient with acute pain post-operatively? (Select all that apply)

Assess pain using standardized pain scale

Administer analgesics on fixed schedule

Provide comfort measures like repositioning

Avoid opioids to prevent dependence

Evaluate effectiveness after medication administration

Submit

15. A patient with diabetes is teaching about foot care. Which statements indicate correct understanding? (Select all that apply)

Inspect feet daily for cuts or sores

Soak feet in hot water for 30 minutes daily

Wear properly fitting shoes

Use a heating pad to warm feet

Trim toenails straight across

Submit

NCLEX SATA Quiz: Can You Tame Select-All-That-Apply?

1. A patient with acute myocardial infarction (AMI) is admitted to the coronary care unit. Which nursing interventions are appropriate? (Select all that apply)

2.

What first name or nickname would you like us to use?

2. A 68-year-old client with COPD is experiencing an acute exacerbation. Which actions should the nurse take? (Select all that apply)

3. A patient receiving intravenous heparin therapy requires which nursing interventions? (Select all that apply)

4. Which clinical findings indicate a patient is experiencing septic shock? (Select all that apply)

5. A client is prescribed metformin for type 2 diabetes. What should the nurse include in patient education? (Select all that apply)

6. Which interventions are appropriate for a patient with acute stroke in the thrombolytic window? (Select all that apply)

7. A postoperative patient is at risk for deep vein thrombosis (DVT). Which preventive measures should the nurse implement? (Select all that apply)

8. Which findings suggest a patient is experiencing anaphylaxis? (Select all that apply)

9. A patient with heart failure is prescribed furosemide. Which nursing considerations apply? (Select all that apply)

10. Which actions are essential when administering IV potassium chloride? (Select all that apply)

11. A patient with pneumonia requires which nursing interventions? (Select all that apply)

12. Which clinical indicators suggest a patient has acute kidney injury (AKI)? (Select all that apply)

13. A patient receiving chemotherapy develops neutropenia. Which precautions should the nurse implement? (Select all that apply)

14. Which interventions are appropriate for a patient with acute pain post-operatively? (Select all that apply)

15. A patient with diabetes is teaching about foot care. Which statements indicate correct understanding? (Select all that apply)