SATA Questions: Select All That Apply, Made Simpler
Select All That Apply questions feel intimidating because there's no single right answer to hunt for. But with one consistent strategy, they become some of the most predictable items on the exam.
Why SATA feels hard
A standard multiple-choice question has one correct answer, so you can eliminate your way to it. A SATA item gives you five, six, or more options where any number can be correct. There's nothing to "narrow down to," which is why guessing patterns fail. The good news: that also makes them logical and learnable.
The one strategy that works: true / false each option
Ignore the other options entirely and ask of each one, individually: "If this were the only choice on the screen, would I select it as correct?" Decide a clean yes or no. Then move to the next. You are converting one hard SATA into several easy true/false questions.
Do not try to land on a specific number of selections. There's no rule that "three are usually right." Let your reasoning decide how many.
How SATA is scored on the NGN
This changes your strategy. Many Next Generation NCLEX SATA items use partial-credit scoring — often a Plus/Minus model where each correct selection earns a point and each incorrect one loses a point (your score can't drop below zero). The practical consequence:
- Selecting everything is a trap. Wrong selections cost you points, so "just click them all" can score worse than a careful partial answer.
- Confident partial answers are rewarded. Pick only the options you can justify and leave the rest.
Worked example
A client with heart failure is prescribed furosemide. Which findings should the nurse monitor? (Select all that apply.)
- Serum potassium — Yes. Furosemide is a loop diuretic that causes potassium loss; hypokalemia is a key risk.
- Daily weight — Yes. Weight is the most reliable measure of fluid status in heart failure.
- Blood pressure — Yes. Diuresis and the drug's effect can cause hypotension.
- Blood glucose for hypoglycemia — No. Furosemide can raise glucose, not lower it; hypoglycemia isn't the concern.
- Signs of fluid volume excess relief (e.g., reduced crackles, edema) — Yes. This evaluates whether the drug is working.
Notice each option was judged on its own merits — never against a target count.
Drill SATA with instant rationales
Asaclex Review includes thousands of practice questions — SATA and every NGN item type — each with a detailed rationale that shows exactly why each option is or isn't correct.
Start your 7-day free trialFrequently asked questions
- Is there partial credit on SATA?
- On NGN items, many SATA questions use partial-credit (e.g. Plus/Minus). Some traditional SATA items remain all-or-nothing.
- What's the best strategy?
- Treat each option as its own true/false question and decide independently. Don't aim for a set number.
- Should I select every option?
- No — with Plus/Minus scoring, wrong picks subtract points. Choose only what you can justify.