NCLEX Practice Exam/Test - Critical Thinking Exercises IV (Questions 1-10)

Here are the Answers to NCLEX Critical Thinking IV (1-10) -->

1. The client is complaining of confusion, tachycardia, serum sodium level is 150 mEq/L, BUN is 30 mg/dl. Which of the following problems should the nurse watch for?

a) fluid volume excess
b) fluid volume deficit
c) ineffective tissue perfusion
d) risk for injury

2. Which of the following health teachings should be included by the nurse for a client on prolonged Dilantin treatment?

a) wear long-sleeved clothing
b) use soft-bristled toothbrush
c) notify physician if urine becomes reddish brown
d) take the medication one hour before meals

3. The client has severe wound from a vehicular accident. His tetanus immunization status is unknown. Which of the following is the most appropriate nursing action?

a) do not give tetanus immunization
b) give tetanus immune globulin
c) give tetanus toxoid
d) give tetanus toxoid immediately, then etanus globulin after one week

4. Which of the following laboratory findings support the diagnosis of disseminated intravascular coagulopathy (DIC)?

a) elevated factor assays (II, V, and VII)
b) increased platelet count
c) elevated RBC, WBC, platelets
d) prolonged prothrombin time and partial thromboplastin time

5. Which of the following drugs are contraindicated in a client with multiple sclerosis?

a) tetracycline and neomycin
b) penicillins and cephalosporins
c) aminoglycerides and vancomycins
d) quinolones and cephalosphorins

6. Which of the following actions by the registered nurse needs intervention by the charge nurse?

a) the nurse applies compression stockings to a client with leg edema
b) the nurse applies ice pack over the abdomen of the client with appendicitis
c) the nurse serves the bedside commode to the client with myocardial infarction
d) the nurse is about to five IM injection to a client with hemophilia

7. Who among these patients should the nurse see first after signing in?

a) a depressed client curled in a fetal position at a corner in his room
b) a 16-year old girl with anorexia nervosa sitting quietly in her bed
c) a manic patient standing on the chair and threatening to beat or slap another patient with post traumatic stress disorder
d) a 24-year old patient with obsessive-compulsive disorder who keeps on putting on and off his socks

8. 60-year old man is receiving Tagamet/IV. After 30 minutes of infusion, he complains of headache and dizziness. Which of the following actions should the nurse take first?

a) stop infusion
b) call the physician
c) take vital signs
d) elevate the head of bed

9. Who among these clients should be roomed-in with a 6-year old boy for splenectomy?

a) the 5-year old boy who had gastric surgery
b) the 7-year old boy with asthma and streptococcal infection
c) the 6-year old boy with pneumonia
d) the 6-year old boy with amoebiasis

10. The client is receiving Gentamycin sulfate (garamycin), an amoniglycoside. Which of the following laboratory tests should the nurse monitor?

a) BUN, serum creatinine
b) SGOT, SGPT
c) serum glucose levels
d) complete blood count


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