NCLEX Preparation Course - Critical Thinking Exercises II (Questions 1-10)

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1. A nurse is caring for a client whose magnesium level is 3.8 mEq/L. On the basis of this magnesium level, which assessment sign or symptom would the nurse most likely expect to note?

a) tetany
b) twiches
c) positive Trousseau's sign
d) loss of deep tendon reflexes

2. Who among the following persons is at risk for hepatitis D?

a) a person who traveled recently to a country with poor socio-economic conditions
b) a person who was recently diagnosed for hepatitis B
c) a person who loves to eat raw foods
d) a person exposed to a client with hepatitis A

3. A nurse attended a seminar about values. Which of the following is a correct information?

a) roman catholic aged 10 years and above do not eat meat on Fridays
b) Islams do not drink milk
c) Hindus do not eat meat
d) Jehovah's witnesses have a special preparation for meat

4. As a nurse, you have been called to respond at an accident scene. Who among the following victims would you see first?

a) a patient with fractured arm
b) a patient with bleeding scalp
c) a patient who is breathing rapidly
d) a patient with fracture of the lumbar spine

5. An elderly postoperative client has been tolerating a full-liquid diet, and a nurse plans to advance the diet to solid food as prescribed. Which assessment is most important for the nurse to make before advancing the diet to solids?

a) presence of bowel sounds
b) food preferences
c) cultural preferences
d) ability to chew

6. As a home health care nurse, you will make a home visit to several clients. Who among the following clients should you see first?

a) an insulin-dependent diabetic client with blood glucose of 365 mg/dl
b) a client in long-leg cast complaining of numbness
c) a terminally-ill client with respiratory rate of 14 per minute
d) a post-cerebrovascular accident client complaining of headache

7. Which of the following equipment would you prepare for peripheral venous access? Choose all that apply?

a) sterile glove
b) surgical mask
c) tourniquet
d) alcohols swabs
e) container for disposing sharps
f) sutures

8. Which of the following is not a safe nursing action when handling blood products?

a) wear gloves, gown, and goggles
b) discard sharps in leak-proof, puncture-proof containers
c) recap needles before discarding them in the trash can found in the client's room
d) wash hands before and after removing the gloves

9.Which of the following statements are correct about sickle cell crisis? Check all that apply

a) experiences pain in joints, back, and head
b) needs intravenous fluid infusion and hydration
c) usually precipitated by hypoxia
d) joint pain is best relieved by cold application
e) may be precipitated by fever
f) needs strict isolation

10. A male nurse is caring for a client. The client states, "You know, I've never had a male nurse before." The nurse's best reply would be

a) does it bother you to have a male nurse?
b) there aren't many of us, we're a minority
c) how do you feel about having a male nurse
d) you sound upset. Would you prefer a female nurse?

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