Here are the Answers to NCLEX Critical Thinking V (11-20) -->
11. Which of the following foods are rich in sodium?
a) salad and cheese
b) baked potato
c) orange slices
d) turnips
12. Which of the following clients should be given highest priority by the Emergency Department nurse?
a) the client with diffuse abdominal pain
b) the client with burns in the face
c) the client with severe diarrhea
d) the client with fracture of the arm
13. The client with multiple sclerosis is experiencing dysphagia. Which of the following foods is most important for the client?
a) vanilla pudding
b) broth
c) sliced fruits
d) spaghetti
14. client is diagnosed to have Addison's crisis. Which of the following assessment findings characterize the condition?
a) hyponatremia, hypotension, hyperglycemia, hyperkalemia
b) hyponatremia, hypotension, hyperglycemia, hypokalemia
c) hyponatremia, hypotension, hypoglycemia, hyperkalemia
d) hyponatremia, hypotension, hypoglycemia, hypokalemia
15. Which of the following statements when made by the client with systemic lupus erythematosus (SLE) indicates the need for further teaching?
a) I will wear long-sleeved clothings when I go walking in the morning
b) I will walk in shaded areas only
c) I will go sunbathing in summer
d) I will wear wide-breamed hat when I go to the beach
16. The client is on heparin therapy. Partial thromboplastin time (PTT) is 2 times the baseline. What is the appropriate nursing action?
a) continue heparin at the same dose
b) notify the physician
c) discontinue heparin
d) reduce the dose of heparin
17. Which of the following are signs and symptoms of dumping syndrome? Select all that apply
a) explosive diarrhea
b) tachycardia
c) hypertension
d) warm, flushed, dry skin
e) dizziness
f) diaphoresis
18. Which of the following is a manifestation of Addison's disease?
a) blood pressure drops upon awakening in the morning
b) arterial blood gas results reveal respiratory alkalosis
c) weight gain of 4 lbs in 2 weeks
d) blood glucose is constantly elevated
19. The nurse takes care of a client with MRSA. Which of the following is the most appropriate action by the nurse to prevent contamination?
a) leave the stethoscope in the client's room
b) keep the client's room closed
c) wear mask when entering the client's room
d) require the client to wear when transporting him to another department
20. Which of the following is the most appropriate nursing action when promoting effective management on safety of clients?
a) the nurse secures the restraints to the siderails in square knot
b) the nurse puts up both siderails on a patient who is disoriented to time and place
c) the nurse gives prescribed valium PRN to a patient who climbs out of bed
d) the nurse applies restraints to the restless client PRN as ordered by the physician
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Related Topics:
NCLEX Practice Exam/Test - Critical Thinking Exercises V (Questions 11-20)
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