NCLEX questions and answers for critical thinking Graded A

NCLEX questions and answers for critical thinking Graded A A client complaining of extreme low back pain is pale and diaphoretic and walks bent at the waist. Before taking vital signs, the nurse suspects that the blood pressure and heart rate will be elevated. What thought process did the nurse use to come to this conclusion? 1. Fact 2. Inference 3. Judgment 4. Opinion - ANS- 2. Inference A client complaining of shortness of breath has no pallor, cyanosis, or use of accessory muscles with respirations. The clients respiratory rate is 16 breaths per minute. The nurse is concerned that the clients report and the physical findings conflict. Which standard of critical thinking is the nurse using? 1. Clarity 2. Accuracy 3. Logical reasoning 4. Significance - ANS- 3. Logical reasoning A client is experiencing a productive cough, audible coarse crackles, elevated temperature of 102.3F, chills, and body aches. What did the nurse use to determine that this patient is experiencing respiratory compromise? 1. Deductive reasoning 2. Inductive reasoning 3. Socratic questioning 4. Critical analysis - ANS- 1. Deductive reasoning A client recovering from a stroke does not want to perform prescribed shoulder exercises. What should the nurse say to the client that demonstrates critical thinking with creativity? 1. Youll only get worse if you dont do these exercises. 2. As soon as you get these into your routine, youll feel better. 3. Your physician wouldnt have ordered these if they werent important. 4. Heres a marker. See how many circles you can make on this board in 10 minutes. - ANS- 4. Heres a marker. See how many circles you can make on this board in 10 minutes. A client with a PhD in epidemiology has been to numerous physicians and has had numerous laboratory tests, all of which were abnormal, and exploratory surgery, but no one is able to explain the etiology of his problem. The client also states that he has a rare form of a neurological disorder. Which statement should the nurse make that demonstrates critical thinking? 1. Why dont you just tell your physician what you think you have? 2. Did you bring your prior tests and results with you, so we dont repeat anything? 3. If you know what you have, what do you want from us? 4. Describe what tests youve had and explain the symptoms of this disorder - ANS- 4. Describe what tests youve had and explain the symptoms of this disorder A client with unstable cardiac dysrhythmias has orders for medications, one of which is by oral route, the other by IV delivery. The nurse realizes that the IV route would be fastest, but is also concerned about the side effects that this drug may produce and the fact that the client has never taken the drug, so any adverse effect is unknown. Which part of the decision-making process is the nurse using? 1. Identify the purpose 2. Seek alternatives 3. Project 4. Implement - ANS- 2. Seek alternatives A clinical instructor senses that a student has been struggling with clinical skills learned in lab. To combat this, the educator pairs the student with a staff nurse who has clients with a variety of treatments and cares. Which type of problem solving is the instructor using? 1. Trial and error 2. Intuition 3. Research process 4. Experience - ANS- 2. Intuition A nurse educator has always believed that lectures with focused outlines are the best way to present theory content in class. A colleague, who teaches the same group of students, but a different subject, utilizes group work and in-class activities to teach difficult content and finds that students perform as well, or better, on their tests. The first educator in this situation is starting to rethink her position. What behavior is the first educator demonstrating? 1. Integrity 2. Perseverance 3. Fair-mindedness 4. Humility - ANS- 1. Integrity A seasoned nurse uses past experiences and knowledge gained from previous care situations to care for a client with complex health issues. Which attribute of critical thinking is this nurse practicing? 1. Reflection 2. Context 3. Dialogue 4. Time - ANS- 1. Reflection A student nurse resists when encouraged to be creative when providing client care. What should the nurse educator say to encourage this student to be creative? 1. Creativity allows unique solutions to unique problems. 2. Not all your answers are going to be from your textbook. 3. Creativity makes nursing more fun.