2024 NGN CRITICAL THINKING EXAM: Rigorous Assessment of Analytical Skills and Clinical Reasoning with OVER 500 QUESTIONS, Expert-Vetted A+ Answers, Guaranteeing Success for CRITICAL THINKING EXAM

2024 NGN CRITICAL THINKING EXAM:
Rigorous Assessment of Analytical
Skills and Clinical Reasoning with OVER
500 QUESTIONS, Expert-Vetted A+
Answers, Guaranteeing Success for
CRITICAL THINKING EXAM
A nurse is caring for a client who has a new prescription for Lithium Carbonate. When
teaching the client about ways to prevent Lithium toxicity, the nurse should advise the
client to do which of the following?
A. Avoid the use of acetaminophen for headaches.
B. Restrict intake of foods rich in sodium.
C. Decrease fluid intake to less than 1,500 mL daily
D. Limit aerobic activity in hot weather - ANSWER-D. Limit aerobic activity in hot
weather
(The client should avoid activities that have the potential to cause sodium/water
depletion, which can increase the risk for toxicity)
A nurse is assessing a client who takes Lithium Carbonate for the treatment of Bipolar
disorder. The nurse should recognize which of the following findings as a possible
indication of toxicity to this medication?
A. Severe hypertension
B. Coarse tremors
C. Constipation
D. Muscle spasm - ANSWER-B. Coarse tremors
(Coarse tremors are an indication of toxicity)
A nurse is caring for a client who has a new prescription for Valproic Acid. The nurse
should instruct the client that while taking this medication he will need to have which of
the following laboratory tests completed periodically? (Select all that apply.)
A. Thrombocyte count
B. Hematocrit
C. Amylase
D. Liver function tests
E. Potassium - ANSWER-A. Thrombocyte count
C. Amylase
D. Liver function tests
A nurse is preparing a teaching plan for a female client who has Bipolar disorder and a
new prescription for Carbamazepine. Which of the following instructions should the
nurse include in the teaching? (Select all that apply.)
A. "This medication can safely be taken during pregnancy."
B. "Eliminate grapefruit juice from your diet."
C. "You will need to have a complete blood count and carbamazepine levels drawn
periodically."
D. "Notify your provider if you develop a rash."
E. "Avoid driving for the first few days after starting this medication. - ANSWER-B.
"Eliminate grapefruit juice from your diet."
A nurse is teaching a client who has schizophrenia strategies to cope with
anticholinergic effects of Fluphenazine. Which of the following should the nurse suggest
to the client to minimize anticholinergic effects?
A. Take the medication in the morning to prevent insomnia.
B. Chew sugarless gum to moisten the mouth.
C. Use cooling measures to decrease fever.
D. Take an antacid to relieve nausea - ANSWER-B. Chew sugarless gum to moisten
the mouth.
(Chewing sugarless gum can help the client cope with dry mouth, a potential
anticholinergic effect of fluphenazine)
A nurse is assessing a male client who recently began taking Haloperidol. Which of the
following findings is the highest priority to report to the provider?
A. Shuffling gait
B. Neck spasms
C. Drowsiness
D. Impotence - ANSWER-B. Neck spasms
(Neck spasms are an indication of acute dystonia which is a crisis situation requiring
rapid treatment. This is the greatest risk to the client and is therefore the priority finding.)
A nurse is providing discharge teaching to a client who has a new prescription for
Clozapine. Which of the following statements should the nurse include in the teaching?
A. "You should have a high-carbohydrate snack between meals and at bedtime."
B. "You are likely to develop hand tremors if you take this medication for a long period
of time."
C. "You may experience temporary numbness of your mouth after each dose."
D."You should have your white blood cell count monitored every week. - ANSWERD."You should have your white blood cell count monitored every week.
(Due to the risk for fatal agranulocytosis weekly monitoring of the client's WBC count is
recommended while taking clozapine)
A nurse is providing teaching for a male client who has Schizophrenia and is taking
Risperidone. Which of the following instructions should the nurse include in the
teaching?
A. "Add extra snacks to your diet to prevent weight loss."
B. "Notify the provider if you develop breast enlargement."
C. "You may begin to have mild seizures while taking this medication."
D." This medication is likely to increase your libido." - ANSWER-B. "Notify the provider if
you develop breast enlargement."
(Gynecomastia (breast enlargement) and galactorrhea can occur due to an increase in
prolactin levels while taking risperidone. The client should inform the provider if these
manifestations occur.)
A nurse is preparing to perform a follow-up assessment on a client who takes
Chlorpromazine for the treatment of Schizophrenia. The nurse should expect to find the
greatest improvement in which of the following manifestations? (Select all that apply.)
A. Disorganized speech
B. Bizarre behavior
C. Impaired social interactions
D. Hallucinations
E. Decreased motivation - ANSWER-A. Disorganized speech
B. Bizarre behavior
D. Hallucinations
(A. A client who takes a conventional antipsychotic medication, such as chlorpromazine,
should have the greatest improvement in positive symptoms such as disorganized
speech.
B. A client who takes a conventional antipsychotic medication, such as chlorpromazine,
should have the greatest improvement in positive symptoms such as bizarre behavior
D. A client who takes a conventional antipsychotic medication, such as chlorpromazine,
should have the greatest improvement in