Update): Critical Thinking for the
Practical Nurse | Questions and Verified Answers |
100 out of 100 (Grade A) – Hondros.
A nurse is evaluating a patient understanding of proper treatment of hypoglycemia.
Which of the following measures indicates effective teaching? Select all that apply.
- CORRECT ANS: I will drink 120 mL of orange juice
D. I will drink a regular 150 mL of Coca Cola
When considering patient teaching about glargine insulin (Lantus), the nurse should
include which of the following information?
- CORRECT ANS: This insulin is designed to provide a basal rate of insulin for 24 hours
A nurse at the clinic speaks to a diabetic patient on the phone who reports symptoms
of nausea and vomiting. What priority instruction should the nurse tell this patient?
- CORRECT ANS: B. "Try to eat or drink small amounts of carbohydrates every 1-2
hours, if possible, to keep your BGL in the target range"
The goal of insulin therapy is to regulate insulin and blood sugar as would the normal
pancreas. This goal is best achieved by:
- CORRECT ANS: B. Using a combination of Aspart or Lispro insulin with Glargine
insulin
One day after cataract surgery, the client is having discomfort from bright light. The
nurse would advise the client to:
- CORRECT ANS: C. Use sunglasses that wrap around the side of the face when in
bright light
A client has been diagnosed with an acute episode of angle-closure glaucoma. The
nurse plans the clients nursing care with the understanding that acute angle-closure
glaucoma:
- CORRECT ANS: C. Is a medical emergency that can rapidly lead to blindness
A client has vertigo. Which goal would be most appropriate to prevent injury related to
altered immobility and gait disturbances? Select all that apply.
- CORRECT ANS: The client assumes a safe position when dizzy
The client experiences no falls
The client performs vestibular/balance exercises
E. The client keep the head still when dizzy
, When receiving a patients lab work, the nurse notes the following values. Which value
would require immediate action by the nurse?
- CORRECT ANS: A. Magnesium 1.2 mEq/L
Which of the following dietary choices would best indicate that a patient understands
the lifestyle management of hypertension?
- CORRECT ANS: B. Broiled shrimp, Caesar salad and garlic roasted potatoes
The home health nurse is visiting a patient diagnosed with peripheral arterial disease.
Upon entering the patient’s home, the nurse finds the patient sitting upright in a chair
(picture). What action is best for the nurse at this time?
- CORRECT ANS: A. Assess the vital signs and begin assessment
As the nurse is ambulating a patient diagnosed with vascular insufficiency, the patient
complains of pain in the lower extremities. The nurse would document this finding as:
- CORRECT ANS: C. Intermittent claudication
A patina tis diagnosed with an iron-deficiency anemia and has a hemoglobin of 9.0
mg/dL. Which of the following foods would be most appropriate for this patient to
consume? Select all that apply.
- CORRECT ANS: A. Roast beef
B. Liver with onions
D. Kale
A nurse is providing education about hypertension to a community group. One client
reports that his doctor has diagnosed him with hypertension, but he feels he is just
fine. He asks, "What would happen if I did not treat my hypertension?" Which of the
following are possible consequences of untreated hypertension? Select all that apply.
- CORRECT ANS: Myocardial infarction
Stroke
E. Coronary artery disease
Your patient is admitted with peritonitis secondary to peritoneal dialysis. What order
from the physical would you question?
- CORRECT ANS: A. Place patient on a clear liquid diet
Which statement from the client shows understanding of their diagnosis of ulcerative
colitis?
- CORRECT ANS: D. "I may see blood in my stool"
The nurse is educating a postoperative client about prevention of DVT. Which of the
following statements made by the client indicates that teaching was effective?
- CORRECT ANS: "I will perform leg exercises every half hour while I am awake"