Here are the Answers to NCLEX Preparation Course - Critical thinking I (21-30) -->
21. The client states, "I don't want to talk to anybody." The appropriate response by the nurse would be:
a) if you talk to me, you will feel better
b) okay the. I will leave you now, but once you feel like talking, you can call me anytime
c) you seem upset. Would you like to talk how you feel?
d) why don't you want to talk to me? I'm your nurse
22. The elderly client has varying stages of decubitus ulcer in the different parts of her body. Which of the following diet is best recommended for the client?
a) steamed chicken with pudding
b) peanut butter sandwich and skim milk
c) macaroni with cheese and orange slices
d) roasted beef with mashed potatoes
23. The nurse is assigned to take good care of 4 clients. Who among the following clients should the nurse assess first?
a) the client with WBC level of 11,000/cu.mm
b) the client with hemoglobin level of 10g/dL
c) the client with cholesterol level of 280 mg/dL
d) the client with oxygen concentration of 90%
24. Who among these clients is prone to hepatitis C?
a) the client undergoing hemodialysis
b) the client who has diabetes mellitus
c) the client who has hypertension
d) the client who has cushing's disease
25.Which of the following should the nurse assess in a client receiving steroid?
a) hyponatremia
b) hyperkalemia
c) hyperglycemia
d) weight loss
26. A client does not respond when called by name. The next nursing action would be:
a) open the airway by head-tilt, chin-lift maneuver
b) provide rescue breathing
c) start external chest compression
d) tap the client by the shoulder
27. In the medical area, one RN, one LVN, and one CNA are on duty. Which patient is appropriate for the CNA to care?
a) a patient, who is dyspneic, admitted for asthma one hour ago
b) a patient with cast on the right arm, who complains of numbness and pain in the area
c) a 2-day post-appendectomy patient who needs assistance for ambulation
d) a patient with decubitus ulcer who needs dressing changes
28. A resident who is newly admitted to a nursing home seems slightly confused. Which of these measures is likely to assist in the client's initial adjustment?
a) encourage family or friends to bring in familiar objects
b) provide the resident with few choices in making decisions regarding care
c) keep stimuli in the environment to a minimum
d) remind the staff not to answer the same questions repeatedly
29. A hospitalized client had surgery and is in pain. She is drinking herbal tea brought in from home. She refuses the prescribed pain medication because she says in her culture she learned to drink herbal tea and to avoid all medications. Which of these actions by the nurse is best?
a) explain that herbal tea is not effective and may be harmful
b) insist she take the pain medication along with the tea
c) offer to position her more comfortably so she can drink the tea
d) tell her the physician wants her to take the pain medication
30. A client frequently refuses to follow the physician's orders and tries to dominate every situation. In planning for his care, which of these actions would be best initially?
a) allow him to make some decisions to promote a sense of control
b) be a good listener to help meet his need for affection
c) encourage family and friends to visit to satisfy his need for intimacy
d) provide information and explanations to help him feel worthwhile
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NCLEX Preparation Course - Critical Thinking Exercises I (Questions 21-30)
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