Here are the Answers to NCLEX Preparation Course - Critical Thinking II (11-20) -->
11. After making your nursing rounds, who among the following patients should you refer to the physician first?
a) a patient with abdominal aneurysm who has blood pressure of 154/96 mmHg
b) a diabetic patient with blood glucose level of 265 mg/dL
c) a patient with renal failure whose serum potassium level is 3.4 mEq/L
d) a client with 18% first and second degree burns in the different parts of body, whose urine output is 35 ml/hour
12. Which of the following is a correct aseptic technique when caring for a clients with communicable diseases?
a) wear gown, mask and gloves in all clients with communicable diseases
b) wear double gown to ensure protection
c) remove gloves before removing gown
d) remove gown first, then gloves
13. A patient was admitted 24 hours ago. Pyloroplasty was done to him 4 hours ago. He is observed by the nurse to have elevated blood pressure, increased pulse rate, tremors, and anxiety. What is more likely the cause of these manifestations?
a) alcohol withdrawal syndrome
b) dumping syndrome
c) postoperative hemorrhage
d) congestive heart failure
14. Which of the following laboratory values should you monitor for a client on loop diuretic therapy?
a) serum potassium of 3.1 mEq/L
b) serum sodium of 135 mEq/L
c) serum magnesium of 2 mEq/L
d) serum calcium of 5 mEq/L
15. Who among these patients should the charge nurse delegate to the registered nurse?
a) patient on morphine sulfate administration through patient-controlled analgesia device
b) patient in insulin
c) patient with abdominal dressings change
d) patient for nasogastric tube feeding
16. Which of the following measures best promotes sleep in a client with insomnia?
a) offering hot tea to the client at bedtime
b) waking up same time everyday
c) taking a 20-minute nap during the day
d) going to bed an hour earlier before the usual bed time
17. Who among these clients do you attend first during a disaster?
a) a 45-year old who is complaining of nausea
b) a 20-year old who has a chest wound and is complaining of pain on inspiration
c) a 10-year old with laceration in the head and face with open fracture on the right arm and is bleeding
d) a 22-year old with open fracture on the right arm and is bleeding
18. Which of the following is a practice of the client who is a member of the Church of the Latter Day Saints (Mormon).
a) does not drink milk when eating meat
b) does not eat scavenger fish
c) does not dairy products
d) does not drink coffee or tea
19. A licensed vocational nurse (LVN) and a certified nursing assistant (CNA) are to be assigned to patients. Which patient is an appropriate assignment for the LVN?
a) a patient who needs his meal tray to be set
b) a patient who has asthma for vital sign taking
c) a patient requiring his NGT to be clamped before ambulating
d) a patient who will have fleet enema
20. A home health nurse needs to make return calls to some patients. Who among these patients should the nurse make a return call first?
a) a patient complaining of abdominal pain
b) a patient who said that her husband confessed that he has been infected with hepatitis B
c) a patient whose blood pressure is still elevated even after taking anti hypertensive
d) a patient who said that her ankle is swollen because she had slipped on the floor one day ago
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NCLEX Preparation Course - Critical Thinking Exercises II (Questions 11-20)
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