CRITICAL THINKING (WITH THE CORRECT ANSWERS BRUH)

1. The Patient: A 65-year- old male. The Situation: The family brings the patient to the emergency room because he just took an entire bottle of pills. The Question: What action should the nurse take first?

A. Prescribe medicine to induce vomiting.

B. Determine the patient's level of consciousness.

C. Ask the family why he may have taken an entire bottle of pills.

B. Determine the patient's level of consciousness.

2. The Patient: An 80-year-old male who has used continuous oxygen for the past three years. The Situation: While making a home visit, the wife tells the nurse that her husband was doing well on 2 liters of oxygen per minute until late last night when he developed severe shortness of breath on the way to the bathroom. The Question: What action should the nurse take first?

A. Assess the patient's oxygen saturation by a pulse oximeter.

B. Ask the patient to lie down and wait to see if it happens again.

C. Begin administering 2.5 liters of oxygen per minute.

A. Assess the patient's oxygen saturation by a pulse oximeter.

3. The Patient: A 41-year-old male. The Situation: The patient is complaining of severe stomach pain and states that he has been "vomiting all the time."

The Question: What should the nurse do first?

A. Prescribe an anti-vomiting medication

B. Administer a prescribed pain medication

C. Check for dehydration from vomiting.

C. Check for dehydration from vomiting.

4. The Patient: The wife of a wealthy owner of the town's bank. The Situation: The patient and her husband arrive on the unit. While orienting the patient to the hospital room, the nurse notices that the patient has placed a large amount of cash and some expensive earrings in the drawer of the bedside table. The Question: What is the best action for the nurse to take?

A. Advise the patient to have her husband take the items home when he leaves.

B. Offer to put the items in a safe downstairs.

C. Offer to put the items in the nurses' station.

A. Advise the patient to have her husband take the items home when he leaves.

5. The Patient: A 45-year-old female who is 5' 2" tall, weighs 200 pounds, and has smoked since age 21. The Situation: The patient comes to the clinic with a complaint of "leg pain." The Question: It is most important for the nurse to obtain information about which previous occurrence?

A. Ask when the patient smoked her last cigarette.

B. When did her leg hurt last,

C. A previous blood clot in the leg

C. A previous blood clot in the leg

6. The Patient: A 61-year-old female. The Situation: The patient has a fever of unknown origin. The nurse administered a fever-reducing medication 30 minutes ago. At this time there has been no decrease in the patient's fever. The Question: What action would be best for the nurse to take?

A. Give the patient more fever-reducing medication.

B. Sponge the patient with cool water.

C. Wait thirty more minutes for the medicine to kick in.

B. Sponge the patient with cool water.

7. The Patient: A 70-year-old male who is relatively healthy. The Situation: A liquid mediation is prescribed for this patient. The Question: Prior to administering the prescribed medication, what intervention has the highest priority?

A. Determine if the patient is allergic to the medication

B. Ask if the patient has taken any similar medications to that one.

C. Determine the exact dosage needed.

A. Determine if the patient is allergic to the medication

8. The Patient: A fifty-eight-year-old female. The Situation: While the nurse is offering the patient her morning medications, she tells the nurse that she does not recall ever taking a pill that was pink-colored. The Question: What should the nurse do in response to this patient's comment?

A. Assume she is confused and continue to offer the medication.

B. Withhold the medication until the patient's prescription is verified.

C. Discard the medication.

B. Withhold the medication until the patient's prescription is verified.

9. The Patients: 1. A 63-year-old with a burn on the left lower leg is complaining of pain. 2. A 45-year-old with pneumonia, complaining of shortness of breath. 3. A 31-year-old with abdominal pain who has just vomited blood. 4. An 88-year-old who has right-sided paralysis and wants to be helped to the bathroom immediately. The Situation: The nurse is caring for these patients. The Question: Whom should the nurse see first?A. The 45-years old with pneumonia and shortness of breath.

B. A 63-year-old with a burn on the left lower leg who is complaining of pain.

C. A 31-year-old with abdominal pain who has just vomited blood.

D. An 88-year-old who has right-sided paralysis and wants to be helped to the bathroom immediately.

C. A 31-year-old with abdominal pain who has just vomited blood.

10. The Patients: 1. A 13-year-old female with a kidney infection reports that there is "lots of blood" in her urine. 2. An 18-year-old male with acute alcohol poisoning who is seeing "bugs on the walls." 3. A 21-year-old female with inflammatory bowel disease who has soaked a dressing three hours after surgery. 4. A 25-year old male is sobbing in his room after being told that he has testicular cancer. The Situation: The nurse is caring for these four patients. The Question: Whom should the nurse see first?A. A 13-year-old female with a kidney infection reports that there is "lots of blood" in her urine.

B. An 18-year-old male with acute alcohol poisoning who is seeing "bugs on the walls."

C. A 21-year-old female with inflammatory bowel disease who has soaked a dressing three hours after surgery.

D. A 25-year old male is sobbing in his room after being told that he has testicular cancer.

C. A 21-year-old female with inflammatory bowel disease who has soaked a dressing three hours after surgery.

11. The Patients: 1. A 42-year-old with diabetes who is blind and is asking to get up and moved to a chair. 2. An 88-year-old with lower-body paralysis who wants to be turned in bed. 3. A 17-year-old with asthma who smokes and has been in the bathroom for 30 minutes. 4. A 55-year-old with cardiac disease tells the nurse, "Get the TV fixed or I am leaving this place." The Situation: The nurse is caring for these four patients. The Question: Which patient should the nurse see first?

A. The 17-year old with asthma who may be smoking in the bathroom.

B. A 42-year-old with diabetes who is blind and is asking to get up and moved to a chair.

C. An 88-year-old with lower-body paralysis who wants to be turned in bed.

D. A 55-year-old with cardiac disease tells the nurse, "Get the TV fixed or I am leaving this place."

A. The 17-year old with asthma who may be smoking in the bathroom.

12. The Patient: An elderly female accompanied by her middle-aged son. The Situation: The patient is being discharged after a 15-day stay in the medical unit, and the son offers the nurse a box of candy as a gesture of thanks for caring for his mother. The Question: What should the nurse do in response to the offer of this gift?

A. Sincerely thank the son and take the candy home

B. Sincerely thank the son, but tell her you do not eat candy.

C. Sincerely thank the son and share the candy with all staff members on the units.

C. Sincerely thank the son and share the candy with all staff members on the units.

13. The Patient: A 25-year-old female who has smoked since age 12.

The Situation: The patient is complaining of "skipped heartbeats." The Question: Which instruction is most important for the nurse to provide this patient.

A. Call for assistance if she feels week or dizzy when getting out of bed.

B. Try to relax.

C. Don't worry about it.

A. Call for assistance if she feels week or dizzy when getting out of bed.

14. The Patient: A frail 88-year-old male who has recently become slightly confused. The Situation: The nurse is making a home visit and assesses the safety features of the home environment. The Question: Which suggestion would be most important for the nurse to provide the family?

A. Watch him at all times

B. Eliminate any throw rugs from the floor that may cause him to trip.

C. Make sure he has all his belongings are all organized.

B. Eliminate any throw rugs from the floor that may cause him to trip.

15. The Patient: A 55-year-old female with a family history of hypertension. The Situation: The patient is concerned about her health and states, "I have had severe headaches for the last six months. I think I might have high blood pressure." The nurse determines that the woman's blood pressure is 138/86 (high normal). The Question: What action would be best for the nurse to take?

A. Ask the patient about the frequency, timing, and quality of her headaches.

B. Ask the patient if she takes medication for her headaches.

C. Ask the patient if she has other symptoms.

A. Ask the patient about the frequency, timing, and quality of her headaches.

16. The Patient: A 35-year-old female with a history of asthma. The Situation: The patient has been using a steroid inhaler because she is short of breath. However, she states that her shortness of breath is "no better." The Question: What is the most important information for the nurse to obtain?

A. If she takes other asthma medication

B. If she exercises

C. Method of using the inhaler

C. Method of using the inhaler

17. The Patient: An older confused male. The Situation: At 3 a.m. the patient, who thinks he is in the bathroom, defecates in the bed. The bed needs to be changed. However, there are no bedsheets on the nursing unit. The Question: What action should the nurse take first?

A. Leave the bed without sheet

B. Ask a nursing assistant to go to another unit and borrow linen.

B. Ask a nursing assistant to go to another unit and borrow linen.

18. The Patient: A 25-year-old female hospitalized for anorexia. The Situation: The charge nurse denies the patient permission to pass dinner trays. The Question: What is the most important reason for the nurse to deny this anorexic patient permission to pass the dinner trays?

A. There is a chance for bacteria to be spread when passing the dinner tray.

B. Treatment protocol for anorexics mandates that they avoid preoccupation with food.

B. Treatment protocol for anorexics mandates that they avoid preoccupation with food.

19. The Patient: A 75-year-old male who had a heart attack four years ago. The Situation: The patient tells the nurse, "Even though I stopped smoking 10 years ago, I have a terrible cough." The Question: What action should the nurse take first?

A. Auscultate all lung fields

B. Get the doctor to prescribe an antibiotic,

A. Auscultate all lung fields

20. The Patient: A 70-year-old man dying of prostate cancer. The Situation: Nurse "A," who is in charge of a medical unit, notices that a dying patient continues to moan in pain after receiving intravenous injections of morphine whenever Nurse "B" is caring for him. Nurse "A" suspects that Nurse "B" may be diluting the patient's dose and taking the morphine to feed an addiction. The Question: What should Nurse "A" do in this situation.

A. Accuse Nurse "B" of stealing morphine.

B. Notify the shift supervisor and unit director of the circumstances before taking action.

B. Notify the shift supervisor and unit director of the circumstances before taking action.

21. The Patient: A 29-year-old male. The Situation: A lower leg cast was applied yesterday to a fractured leg. Today the patient tells the nurse that he is in "terrible pain." The Question: Which action is most important for the nurse to take?

A. Check the patient's toes for adequate circulation.

B. Tell him pain with fractures is normal.

A. Check the patient's toes for adequate circulation.

22. The Patient: A 54-year-old male who weighs 275 pounds. He is 5' 10" tall and has many family members who have died of heart disease. The Situation: He comes to the clinic stating that he has had several episodes of "chest pain" in the last week. The Question: What is the most important action for the nurse to take?

A. Ask the patient to describe the chest pain.

B. Tell the patient it must be heartburn since nothing bad happened.

A. Ask the patient to describe the chest pain.

23. The Patient: A 7-year-old child. The Situation: A nurse arrives with an injection containing preoperative sedation that must be given to the child now. The child asks the nurse if the shot will hurt. The Question: What response should the nurse offer to this child?

A. "Yes, but it won't last very long and soon you will be sleepy"

B. "Yes, but it won't hurt much"

A. "Yes, but it won't last very long and soon you will be sleepy"

24. The Patient: A 35-year-old female. The Situation: The patient is admitted with a diagnosis of abdominal pain and diarrhea. The Question: Which action should the nurse take first?

A. Give the patient an anti-nauseous medication.

B. Initiate Intravenous fluids.

B. Initiate Intravenous fluids.

25. The Patient: A 51-year-old male. The Situation: The patient is pale, has dark circles under his eyes, and responds to questions with a soft, low voice. He tells the nurse that he has not slept well for months, but denies any type of pain. The Question: What information is most important for the nurse to obtain?

A. The existence of a significant life crisis in the last year that has caused anxiety.

B. Ask the patient when they last slept.

A. The existence of a significant life crisis in the last year that has caused anxiety.

26. The Patient: A 19-year-old male who has previously been healthy. The Situation: The patient complains that he is losing weight despite "eating all the time." The Question: Considering this patient's age and complaint, which diagnostic test is likely to provide the most important information?A. An MRI

B. A fingerstick for blood sugar level.

B. A fingerstick for blood sugar level.

27. The Patient: An adult with diabetes mellitus who was just given a morning dose of insulin which lowers the blood sugar. The Situation: The patient's breakfast tray arrives, and the nurse notices that the pancake syrup and sugar packets have not been substituted with products containing artificial sweeteners. The Question: What should the nurse do first in this situation?

A. Send the tray back and ask that they fix it.

B. Remove foods containing sugar and offer sugar substitutes.

B. Remove foods containing sugar and offer sugar substitutes.

28. The Patient: A terminally ill male. The Situation: Nurse "A" and an unidentified woman ride the elevator to the fifth floor, Nurse "B" joins them on the elevator and exclaims that a code has just been called on a male patient on the fifth floor, and he is not expected to live. The Question: What should Nurse "A" do in this situation?

A. Tell Nurse B to stop discussing the client's situation in a public place.

B. Not respond since you do not know the woman in the elevator.

A. Tell Nurse B to stop discussing the client's situation in a public place.

29. The Patient: An elderly confused female in a semi-private room on a hospital medical unit. The Situation: The patient is yelling loudly at 3:30 a.m. and awakens her roommate, who calls the nurse for assistance. The Question: What should the nurse do first in this situation.

A. Move the patient to a different room.

B. Assess the confused patient for causes of her behavior.

B. Assess the confused patient for causes of her behavior.

30. The Patient: A 75-year-old male. The Situation: The family brings the patient to the emergency room because they witnessed him have a seizure. The patient is hallucinating, and loudly cries out to the nurse, "Get those dogs out of here!" The nurse places the patient in a cubicle where he can be seen from the nurse's station. The Question: What action would be best for the nurse to take?

A. Ask the family to remain with the patient.

B. Ask the family to leave the patient alone.

A. Ask the family to remain with the patient.