NCLEX Preparation Course - Critical Thinking Exercises VI (Questions 21-30)

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21.Prior to tonsillectomy in a child, which of the following laboratory results should be reported to the physician immediately?

a) prothrombin time of 25 seconds
b) hemoglobin of 10 mg/Dl
c) WBC 0f 15,000/cu. mm
d) platelet count of 200,000/cu. mm

22. An emergency department has emergency drill. Which of the following should be given highest priority?

a) a child with bloody face and with fixed, dilated pupils
b) a patient with Glascow coma scale of 13
c) a woman with fracture of legs and swelling
d) a patient with no breath sounds on the affected side of the chest

23. Which among the following patients needs follow-up care?

a) a patient who has status epilepticus with gingival hyperplasia
b) a patient taking rifampicin with red-orange urine
c) a patient taking iron supplement with dark stools
d) a patient taking digoxin whose apical rate decreased from 90 beats per minutes to 80 beats per minute

24. A 76-year old man is to be discharged with his adult child and will stay with him. What will be the nurse's advice?

a) inform the adult child on the nearest health service facility
b) tell the patient that elder abuse is common
c) advice for stay on a long-term healthcare facility
d) inform the patient on availability of hospice care

25. The client had head injury due to vehicular accident. He is experiencing Cushing's reflex. Which of the following would be manifested by the client? Select all that apply

a) increased body temperature
b) decreased respiratory rate
c) increased systolic pressure
d) decreased diastolic pressure
e) restlessness
f) widening of pulse pressure

26. Which of the following is a characteristic lesion of Psoriasis?

a) silvery white scales
b) linear burrows
c) maculo-papular lesions
d) clusters of vesicles

27. Which of the following interventions should be included in the care of the client with myasthenia gravis?

a) start the client's meals with hot soup
b) administer mestinon (pyridostigmine) before feeding
c) place the client in isolation
d) cover the eyes with eye patch

28. Which of the following is not a manifestation of SIADH (Syndrome of Inappropriate ADH)?

a) hyponatremia
b) high specific gravity of urine
c) polyuria
d) hypertension

29. Which of the following should be included in the nursing interventions of the client after tonsillectomy?

a) assess for frequent swallowing
b) include ice cream in the diet
c) apply ice collar on the neck
d) provide non-citrus, non-red, cold beverages
e) encourage to do deep breathing and coughing exercises

30. A registered nurse (RN) on a medical-surgical unit is preparing the assignment for the day shift. The RN is working with a licensed practical (vocational) nurse (LPN/LVN). and a nursing assistant. The RN most appropriately assigns which client to the LPN/LVN?

a) a client who needs preoperative teaching for colectomy
b) a client with a leg wound requiring a dressing change
c) an elderly client who needs assistance with ambulation
d) a client with a 24-hour urine collection process

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