Here are the Answers to NCLEX Preparation Course - Critical Thinking V (21-30) -->
21. The patient is suffering from hypomagnesemia. Which of the following foods is appropriate for this client?
a) chicken
b) egg
c) nuts
d) green beans
22. Which of the following clients should the nurse assess first?
a) a post-thyroidectomy client with tremors in the fingers
b) a diabetic client with blood glucose of 204 mg/dl
c) a postoperative client complaining of pain on incision site
d) an elderly client with urinary incontinence
23. The client will undergo Schilling's test. Which of the following statements when made by the client indicates an understanding of the procedure?
a) blood will be drawn from me in the morning
b) I will be given vitamin B12 preparation
c) A medication will be instilled into my eyes
d) I will not eat anything for 8 hours before the test
24. A client has been diagnosed to have multiple myeloma. Which of the following should be included in the nursing care of the client?
a) give ASA for pain
b) remove all loose rugs on the floor
c) increase milk intake of the client
d) encourage walking a mile each morning
25. Which of these clients is highest risk for falls?
a) a 65-year old client who walks with a three-pointed cane
b) a 60-year old client who asks for sedative-hypnotic at bedtime
c) a 71-year old client who has glaucoma and is receiving a miotic
d) a 68-year old client using walker
26. Which of the following clients should the nurse attend to first?
a) a client with hyperthyroidism whose temperature is 39.4C
b) a diabetic client with blood glucose of 365 mg/dl
c) a client who is waiting for blood transfusion in which the blood arrived the unit 10 minutes ago
d) a client with myocardial infarction who experiences 2 to 4 premature ventricular contractions per minute
27. The client has a WBC level of 13,000/cumm. Which of the following would the nurse give as health teachings? Select all that apply
a) eat raw fruits and vegetables
b) practice hand washing before and after using the bathroom
c) avoid crowded places like shopping malls
d) eat in a disposable plate and throw them after use
e) avoid people with cough and colds
f) avoid exposure to cold and dampness
28. Which of the following precautions should the nurse observe when caring for a client with MRSA?
a) putting mask on the client when he is transported to another department
b) keeping the client's room closed at all times
c) wearing gloves when caring for the client
d) wearing mask and gloves when performing procedures to the client
29. Which of the following clients should be assigned to an expert nursing assistant?
a) a client who needs enema
b) a client who needs enteral feeding
c) a client who needs dressing changes every 4 hours
d) a client who needs assistance in bathing and complained of an incompetent nursing assistant the previous shift
30. Which of the following is the most important nursing intervention in a client with platelet count of 90,000/cumm?
a) bleeding precaution
b) isolation precaution
c) reverse isolation
d) strict isolation
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NCLEX Preparation Course - Critical Thinking Exercises V (Questions 21-30)
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