Here are the Answers to NCLEX Preparation Course - Critical Thinking IV (1-10) -->
1. The client is complaining of confusion, tachycardia, serum sodium level is 150 mEq/L, BUN is 30 mg/dl. Which of the following problems should the nurse watch for?
a) fluid volume excess
b) fluid volume deficit
c) ineffective tissue perfusion
d) risk for injury
2. The client has severe wound from a vehicular accident. His tetanus immunization status is unknown. Which of the following is the most appropriate nursing action?
a) do not give tetanus immunization
b) give tetanus immune globulin
c) give tetanus toxoid
d) give tetanus toxoid immediately, then etanus globulin after one week
3. Which of the following laboratory findings support the diagnosis of disseminated intravascular coagulopathy (DIC)?
a) elevated factor assays (II, V, and VII)
b) increased platelet count
c) elevated RBC, WBC, platelets
d) prolonged prothrombin time and partial thromboplastin time
4. Which of the following drugs are contraindicated in a client with multiple sclerosis?
a) tetracycline and neomycin
b) penicillins and cephalosporins
c) aminoglycerides and vancomycins
d) quinolones and cephalosphorins
5. Which of the following actions by the registered nurse needs intervention by the charge nurse?
a) the nurse applies compression stockings to a client with leg edema
b) the nurse applies ice pack over the abdomen of the client with appendicitis
c) the nurse serves the bedside commode to the client with myocardial infarction
d) the nurse is about to five IM injection to a client with hemophilia
6. Who among these patients should the nurse see first after signing in?
a) a depressed client curled in a fetal position at a corner in his room
b) a 16-year old girl with anorexia nervosa sitting quietly in her bed
c) a manic patient standing on the chair and threatening to beat or slap another patient with post traumatic stress disorder
d) a 24-year old patient with obsessive-compulsive disorder who keeps on putting on and off his socks
7. Who among these clients should be roomed-in with a 6-year old boy for splenectomy?
a) the 5-year old boy who had gastric surgery
b) the 7-year old boy with asthma and streptococcal infection
c) the 6-year old boy with pneumonia
d) the 6-year old boy with amoebiasis
8. The nurse witnessed a vehicular accident on her way home from work. Who among these victims should the nurse attend to first?
a) a 25-year old man with fracture on the leg and bleeding profusely
b) a 4-year old child with fixed and dilated pupil
c) an 80-year old client with fracture on his arm and had petechiae on his chest
d) a 40-year old client who is showing panic anxiety
9. Which of the following is a common potential complication of Chlamydia?
a) sterility
b) peritonitis
c) endocarditis
d) pericarditis
10. Which of the following diseases is a chronic, progressive, hereditary disease of the nervous system that results in progressive involuntary dancelike movement and dementia
a) multiple sclerosis
b) huntington's disease
c) parkinson's disease
d) creutzfeldt-jacob's disease
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NCLEX Preparation Course - Critical Thinking Exercises IV (Questions 1-10)
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