Here are the Answers to NCLEX Preparation Course - Critical thinking I (11-20) -->
11. A fiberoptic phototherapy blanket is used to manage hyperbilirubinemia in a 2-day old infant. Which of the following interventions should the nurse include in the nursing care plan for the child?
a) cover the child's eye with eye patch
b) check the number of wet diapers and stools of the child
c) keep the child in one position during the treatment
d) cover the entire body with two layers of clothing during the treatment
12. The nurse attended a conference on care of clients with Communicable diseases. Which of the following statements when made by the nurse indicates that she has learned from the conference?
a) all communicable diseases are contagious
b) I should always wear mask, gloves, gown when caring for clients with communicable diseases
c) I should report communicable diseases to local health authorities
d) I should implement strict isolation technique for all clients with communicable diseases
13. Which of the following herbal medicines may be used to treat premenstrual syndrome (PMS)?
a) st. john's wort
b) gingko
c) black cohosh
d) ginger
14. A home care nurse is assigned to visit a Mexican-American client to perform an admission assessment. On initial meeting with the client, the nurse should plan to:
a) greet the client with handshake
b) avoid touching the client
c) avoid any affirmative nod during the conversations with the client
d) smile and use humor throughout the entire admission assessment
15. The nurse has received report from the previous shift. On making her rounds, which patient should the nurse assess first?
a) a 2-day post-TURP patient who has not voided for 6 hours since the 3-way foley catheter was removed
b) a patient with myasthenia gravis whose secretions is increasing and is feeling weak
c) a 1-day post-appendectomy patient with temperature of 37.8 C
d) a patient with Parkinson's disease who is experiencing rigidity and non-intentional tremors
16. Which anatomical area will provide the best data regarding presence of jaundice in a child with hepatitis?
a) the skin in the abdominal area
b) the nailbeds
c) the skin in sacral area
d) the membranes in the ear canal
17. A nurse attends the unit conference on the care of the clients with airborne infections. Which of the following statements indicates that the nurse understands the care of these clients.
a) the nurse suggests that the client wear surgical masks all the times
b) the nurse suggests that these clients be confined in negative-airflow room
c) the nurse suggests that these client should not be transported to any department in the hospital
d) the nurse suggests that all caregivers of these clients must wear gloves at all times
18. A registered nurse (RN) supervises a licensed vocational nurse (LVN) when caring for client with communicable diseases. Which of the following actions by the LVN needs intervention by the RN?
a) the LVN washes her hands before and after removing the gloves
b) the LVN avoids touching with bare hands anything that is wet coming from a body surface
c) the LVN removes the mask, then the gown, then the gloves, and then the cap and shoe cover after caring with the client with extensive body burns
d) the LVN discards uncapped needles and syringes into a puncture-proof, leak-proof container
19.Which of the following laboratory test results should be checked by the nurse prior to endotracheal suctioning?
a) platelet count
b) serum potassium
c) blood urea nitrogen (BUN)
d) blood uric acid (BUA)
20. Which of the following is the priority nursing diagnosis for the client who does not want to comply with therapeutic regimen and states, "I will not recover anymore, anyway. So why should I bother?"
a) powerlessness
b) knowledge deficit
c) self-care deficit
d) disturbed thought process
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NCLEX Preparation Course - Critical Thinking Exercises I (Questions 11-20)
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