NCLEX SATA Practice Test: 5 Questions

1. The nurse is assessing a client newly diagnosed with initial-stage chronic glomerulonephritis. Which of the following findings should the nurse expect to see? Select all that apply.*

1. Hypotension
2. Proteinuria
3. Severe anemia
4. Hematuria
5. Azotemia
6. Nausea

2. A 76-year-old woman has been admitted to a rehabilitation center after a hip replacement. During an episode of confusion in which she became a danger to herself, the client was placed in a vest restraint. The nurse knows that which of the following are also considered types of restraints? Select all that apply.*

1. Administering a haloperidol (Haldol) injection
2. Raising 4 bed side rails
3. Assigning a nurse’s aide to sit and observe the client
4. Applying wrist cuffs and tying them to the bed.
5. Clipping a tray across the front of the client’s wheelchair

3. A 75-year-old client has an unsteady gait and requires assistance with ambulation. The nurse decides to use a gait belt. The nurse knows she should do which of the following when using a gait belt? Select all that apply.*

1. Secure the gait belt loosely around the client’s waist.
2. Twist her upper body to position the client.
3. Remove the gait belt after use.
4. Place the gait belt over the client’s clothes with the clip in front.
5. Use the gait belt to help lift the client from a sitting into a standing position

4. The nurse takes report on a client who underwent a thyroidectomy 24 hours ago. The nurse understands that the client is at risk for hypocalcemia. Which of the following assessment findings indicate the client may be hypocalcemic? Select all that apply.*

1. Positive Trousseau’s sign
2. Negative Chvostek’s sign
3. Numbness around the mouth.
4. Positive Moro reflex test
5. “Pins and needles” sensation in client’s feet

5. The charge RN is preparing assignments on a busy medical unit. For this shift, there are several LPNs, several RNs, and one NAP. Which of the following assignments by the charge RN is appropriate? Select all that apply.*

1. The NAP is assigned to give morning baths.
2. An LPN is assigned to perform an initial assessment on a newly admitted client.
3. An LPN is assigned to clients who are prescribed oral medications, and will do vital signs on those clients.
4. The clients with IV medications are divided among the RNs.
5. AN LPN is assigned to insert a urinary catheter.

NCLEX SATA Practice Test: 5 Questions

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