Which question will the nurse ask a client when assessing their abstract thinking and judgment?

"What would you do if a small child was lost in the store?"

"What city were you born in?"

"Can you tell me what you had for breakfast this morning?"

"Who is the president of the United States?"

Answer and Explanation

The Correct Answer is A

Choice A reason: This question assesses abstract thinking and judgment by asking the client to consider a hypothetical situation and propose a solution.

Choice B reason: Asking about the city of birth is a fact-based question and does not assess abstract thinking or judgment.

Choice C reason: Inquiring about breakfast is a recall question and does not evaluate abstract thinking or judgment.

Choice D reason: Asking who the president is tests knowledge of current events, not abstract thinking or judgment.

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Correct Answer is D

Explanation

Choice A reason: Applying gentle pressure on the exposed organs is not recommended as it can cause further damage.

Choice B reason: Having the client lie supine with legs straight is part of the correct positioning, but it does not address the need to protect the exposed organs.

Choice C reason: Suctioning secretions from the wound bed is not the immediate priority and can be harmful to the exposed tissues.

Choice D reason: Covering the area with saline-soaked sterile dressings is the correct intervention to keep the organs moist and reduce the risk of organ damage until surgical repair can be performed.

A. Provide ordered enteral nutrition. B. Monitor ordered IV fluids. C. Obtain blood cultures before antibiotics. D. Give broad-spectrum antibiotics within one hour of septic shock diagnosis.

Correct Answer is D

Explanation

Choice A reason: While nutrition is important, it is not the immediate priority in the management of septic shock.

Choice B reason: Monitoring IV fluids is important, but the initial priority is to treat the infection causing the septic shock.

Choice C reason: Obtaining blood cultures is important, but it should not delay the administration of antibiotics.

Choice D reason: The administration of broad-spectrum antibiotics within one hour of diagnosing septic shock is critical to improve outcomes and is considered a priority action.

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Which question will the nurse ask a client when assessing their abstract thinking and judgment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is 5 days postoperative after abdominal surgery. The client reports a sudden pulling sensation and pain in his surgical incision. Upon examination, the nurse finds an evisceration. Which of the following interventions is appropriate?

Correct Answer is D

Explanation

Which of these would the nurse implement as the priority action for the patient with newly diagnosed septic shock?

Correct Answer is D

Explanation

Which of the following are NOT nursing interventions for people with anxiety disorders? Select all that apply.

The mental status examination takes place during which part of the nursing process?

During general surgery, a nurse observes tachycardia, muscle rigidity, respiratory acidosis, and hyperthermia in a patient. Which complication of surgery does the nurse suspect?

A nurse is caring for a client who has schizophrenia. The client states, "They lie about me all the time and are trying to poison my food." Which of the following responses should the nurse make?

A nurse is reinforcing teaching with a client who is preoperative following abdominal surgery about deep breathing and coughing exercises. Which of the following client statements should indicate to the nurse an understanding of the instructions?

A nurse is caring for a client who has paranoid delusions and believes the hospital food is being poisoned by the staff. Which meal presentation should the nurse consider to be an effective method of encouraging nutritional intake?

The nurse is reviewing lab data of a Stage 4 breast cancer patient. Which lab data may indicate further metastasis?

A nurse in an acute care mental health facility is sitting with a client who has schizophrenia. The client whispers to the nurse, "I'm being kept in this prison against my will. Please try to get me out." Which of the following responses should the nurse make?