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

Here are the Answers to NCLEX Preparation Course - Critical Thinking V (1-10) -->

1. Which of the following statements when made by the client who had undergone vasectomy indicates understanding of the procedure?

a) it is safe to have unprotected sex a week after the procedure
b) I should have 3 negative semen analysis before being considered sterile
c) I am considered sterile immediately after the procedure
d) I should have protected sex for 6 months after the procedure

2. Septic shock is caused by

a) massive blood loss
b) compromised myocardial contractility
c) interruption of the sympathetic nervous system
d) release of bacterial toxin in the blood vessel

3. The client is unresponsive to being shaken and to loud voice. What is the next nursing action?

a) initiate painful stimuli
b) initiate external chest compression
c) initiate mechanical ventilation
d) initiate rescue breathing

4. Which of the following is a sign of improvement in a client with anasarca?

a) decrease in blood pressure
b) decrease in body temperature
c) decrease in edema
d) decrease in pulse rate

5. The patient with carpal tunnel syndrome is being fitted for splint. What should be the position of the hand?

a) flexed position
b) neutral position
c) hyperextended position
d) supinated position

6. Which of the following laboratory results should be reported to the physician first?

a) serum potassium is 4.0 mEq/L
b) serum calcium is 9 mg/dL
c) serum magnesium is 2.1 mEq/L
d) serum sodium is 165 mEq/L

7. The client had been diagnosed to have systemic lupus erythematosus (SLE). Which of the following assessment findings should the nurse watch out for?

a) pericardial friction rub
b) elevated blood pressure
c) tachycardia
d) hemoptysis

8. Which of the following information is true with sickle cell anemia?

a) it affects the sons only
b) it is inherited from both parents
c) daughters will not develop the disease, they will only be carriers
d) the trait carriers will develop the disease as they grow old

9. Which of the following is an example of breach of a patient's constitutional right to privacy?

a) nurse A discusses a patient's history with other staff to plan for continuity of care
b) nurse B releases information to a patient's employer regarding his condition without the patient's consent
c) nurse C documents in detail a patient's daily behaviors during his hospitalization
d) nurse D asks the patient's family members to share information about his prehospitalization behavior

10. A client has arterial blood gas results of pH=7.30, pO2=58, pCO2=34, HCO3=19. What acid-base imbalance would these results most likely indicate?

a) metabolic acidosis
b) metabolic alkalosis
c) respiratory acidosis
d) respiratory alkalosis


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