Here are the Answers to NCLEX Preparation Course - Critical Thinking IV (21-30) -->
21. Which of the following laboratory tests may help diagnose presence of spina bifida?
a) kleihaeur-betke test
b) ABO typing
c) HCG levels determination
d) alpha-fetoprotein
22. Which of the following signs and symptoms indicate that a client is on Addison's crisis?
a) hypotension
b) fever
c) severe hypokalemia
d) severe hyperglycemia
23. Which of the following statements made by a 50-year old male indicates that he understands health teachings about disease prevention?
a) I will have an annual digital rectal examination
b) I will go jogging every weekend
c) I will need to minimize my cigarette smoking
d) I will need to drink 4 glasses of whole milk a day
24. The client had been diagnosed to have systemic lupus erythematosus. Which of the following assessment data needs follow-up?
a) alopecia
b) photosensitivity
c) butterfly rash over the nose and face
d) pericardial friction rub
25. The client will undergo mammogram. Which of the following information should be included by the nurse when preparing the client for the procedure?
a) the procedure is painless
b) you should not eat or drink anything 2 hours before the procedure
c) you should not apply cream, powder, or deodorant in the axillae before the procedure
d) you will lie down on a special table during the procedure
26. Which of the following instructions should be included when caring for a client with deep vein thrombosis (DVT)?
a) do not ambulate
b) massage your legs when painful
c) apply compression stockings while in sitting position
d) dangle your legs while sitting at the side of bed several times a day
27. The child with sickle cell anemia is experiencing vaso-occlusive crisis. Which of the following should the nurse include in the nursing care plan of the client?
a) allow active range-of-motion exercises of the legs
b) apply cold over the legs
c) administer IV fluids as ordered
d) place the client in protective isolation
28. A client is started on an IV antibiotic in the emergency department. He calls the nurse and tells her that he is beginning to itch and has a "scratchy throat". Which of the following interventions would the nurse do first?
a) call the attending physician at once
b) call a code
c) stop the infusion
d) take his vital signs and report them immediately
29. After receiving endorsement, which client should the nurse see first?
a) a client who had cholecystectomy one day ago, and had received analgesic 2 hours ago
b) a client with blood sugar of 380 mg/dL and have recieved 20 units of regular insulin 2 hours ago
c) a client who has blood transfusion and whose vital signs are being monitored by a CNA
d) the client with total parenteral nutrition whose urine is positive for glucose
30. The nurse is giving health teachings on diet to several adolescents. Which among these clients need further teachings regarding diet?
a) the adolescent who takes cereal with milks during breakfast, pizza for lunch, vegetable salad and fruits for dinner
b) the adolescent who takes rice and chicken dish for breakfast, burger and orange juice for lunch, green salad and fruits for dinner
c) the adolescent who skips breakfast, takes soda and burger for lunch, green salad for dinner
d) the adolescent who takes mashed potato and sausage for breakfast, rice and roasted beef for lunch, mixed vegetables and fruits for dinner
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NCLEX Preparation Course - Critical Thinking Exercises IV (Questions 21-30)
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