Here are the Answers to NCLEX Preparation Course - Critical thinking I (31-40) -->
31. If a nurse finds a client unresponsive, her most appropriate next nursing action is:
a) provide rescue breathing
b) open airway
c) start cardiac compression
d) check the carotid pulse
32. The charge nurse has a registered nurse (RN) and licensed vocational nurse (LVN) in her team. Who among these clients should the charge nurse assign to the RN?
a) the client for colostomy irrigation
b) the client for cleansing of diabetic gangrene
c) the client who requires change of dressing
d) the client who needs reinforcement of predischarge teaching
33. Who among these patients should the nurse prepare for interdisciplinary treatment?
a) an AIDS patient in a long-term care facility
b) a post-partum diabetic patient for home health care
c) a post-operative patient in a surgical unit
d) a patient admitted for pneumonia
34. Echinacea has which of the following actions?
a) immune enhancer
b) relieves migraine headache
c) relieves menstrual cramps
d) lowers cholesterol and triglyceride levels
35. Arterial blood gases are drawn while the client is breathing room air. The results are as follows. pH=7.32; paO2=70mmHg; paCO2=60mmHg. What conclusion does the nurse safely make from these findings?
a) the patient is metabolic acidosis
b) the patient is respiratory acidosis
c) the patient is metabolic alkalosis
d) the patient is respiratory alkalosis
36. The nurse is taking care of a patient immediately before surgery. Before giving the preoperative medications, which of the following actions has the highest priority during this time?
a) allowing the patient to wear his dentures to surgery
b) giving the patient gum to moisten his mouth
c) taping the patient's ring to his fingers
d) having the patient void before going to surgery
37. Three hours post-tonsillectomy, a patient vomits 300 ml brown emesis. Which action is priority for the nurse to take?
a) continue to monitor the patient
b) document the amount and color of the emesis
c) report the emesis to the doctor
d) administer an antiemetic as ordered
38. Following surgery for a total laryngectomy, the patient tells the nurse that his sense of smell seems to have been altered. Which of these responses by the nurse will be best initially?
a) your sense of smell will return after your stoma heals
b) your sense of smell will return after your oxygen is removed
c) breathing through a stoma has altered your sense of smell
d) as your appetite returns, your sense of smell will also return
39. The client has been diagnosed to have SIADH. Which of the following signs and symptoms of the client should be given highest priority by the nurse?
a) serum Na level is 120 mEq/L
b) serum K level is 4.8 mEq/L
c) serum Mg level is 1.8 mEq/L
d) serum Ca level is 5 mEq/L
40. The nurse finds himself feeling angry with a patient. Which of these actions by the nurse is most appropriate?
a) tell the nurse manager to assign the patient to another staff member
b) suppress the angry feelings
c) express the anger openly
d) discuss the anger with a clinician during a supervision session
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NCLEX Preparation Course - Critical Thinking Exercises I (Questions 31-40)
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