Here are the Answers to NCLEX Preparation Course - Critical Thinking VI (1-10) -->
1. Which of the following is inappropriate nursing action when caring for a client with multiple myeloma?
a) give calcium supplement
b) increase client's fluid intake
c) prevent falls
d) protect the client from infection
2. A client has an AV-fistula on the right arm. The RN would intervene if the CNA performs which of the following?
a) listens for bruits
b) palpates for thrill
c) takes the BP on the right arm
d) takes the BP on the left arm
3. Which of the following conditions is Hawthorn indicated?
a) insomnia
b) hypertension
c) urinary tract infection
d) diarrhea
4. Eschinacea is used to treat which of the following conditions?
a) urinary tract infections
b) sunburns
c) migraine headache
d) arthritis
5. The client is for Caloric testing. The test primarily involves which of the following:
a) introducing hot water into the ear
b) introducing warm water into the ear
c) introducing cold water into the ear
d) introducing tap water into the ear
6. The client was pronounced dead by the physician. When the RN performs post-mortem care to the client, which of the following is appropriate nursing action?
a) place the client's arms across his chest
b) place the client's arms over his abdomen
c) place the client's arms on the side and wrap the client
d) remove the client's gown and change linen to cover the body
7. The client is 66 years old, and is having diarrhea and vomiting. How would you evaluate dehydration on the patient?
a) assess for poor skin turgor
b) check for dry mucous membrane
c) note for dark, concentrated urine
d) monitor vital signs
8. The client has been diagnosed to have thrombocytopenia. The R.N. will administer heparin subcutaneously to the client. Which of the following is appropriate nursing action?
a) aspirate before injecting the medication
b) massage the site of injection after introduction of the medication
c) inspect the site for hematoma
d) use syringe with needle gauge 22
9. The client who went on a mountain climbing was bitten by a rattle snake. While waiting for the emergency rescue team, what is the most appropriate immediate action for the client?
a) suck the area bitten by the rattle snake
b) apply tourniquet above the bitten area
c) cover the area with clean clothing
d) elevate the area above the level of the heart
10. The client is diagnosed to have systemic lupus erythematosus. Which of the following assessment should be given highest priority by the nurse?
a) butterfly rash over the cheek and nose
b) elevated BP
c) tachycardia
d) pericardial friction rub
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NCLEX Preparation Course - Critical Thinking Exercises VI (Questions 1-10)
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