NCLEX Critical Thinking Student Workbook 2021

By: Regina M.
Callion MSN, RN
Critical Thinking Workshop Goals
Regina M. Callion MSN, RN – ReMarNurse.com
Your success in nursing is determined by your ability to think, plan, decide, and act based on
knowing the fundamental practices of the field. These same skills are necessary when preparing
to take NCLEX®. The stronger you are with the fundamentals, the faster you will learn how to
critically think.
I’m so glad that you have found ReMar! I will be an Instructor and mentor for the rest of your
NCLEX journey and help you achieve your goal of passing NCLEX in the next 4 to 6 weeks or
less! You are on the right track to achieve the same types of results as our students who have
passed NCLEX® and are now living out their dreams.
Whether you graduated from nursing school years ago, or took NCLEX 18 times, I want to
encourage you to stay focused because you are on the right track now!
Let’s put pride to the side, cast away doubt, feelings of inadequacy, and anything that does not
support this one effort here and now. I have personally beaten the odds and have helped
thousands of nurses just like you to do the same. Now, it’s your turn. This is your time.
I’ve created several resources to help you along this journey including my NCLEX VIRTUAL
TRAINER that you can join by visiting www.ReMarNurse.com and exclusive access to the ReMar
Nurse NCLEX Study Group on Facebook with a worldwide community of ReMar Nurses that have
used the same resources to pass NCLEX!
During this event you will be able to take advantage of two very special offers to help you advance
your nurse goals and take your carrier to the next level as a ReMar Nurse!
Special Opportunity #1 – Prepare for NCLEX with the #1 Instructor on the planet and take
advantage of a special one-time discount on our comprehensive NCLEX training system.
Join the NCLEX Virtual Trainer by Friday, October 29th to save $140 off your 3-month subscription
and get free shipping anywhere around the world (a $60 - $120 added value).
Special Opportunity #2 – Take advantage of the ReMar Nurse Scholarship through Grand
Canyon University to go back to school online to obtain your BSN, MSN, or DNP nursing license!
(Use your iPhone camera or Android scan app to scan and learn more about your special offers)
I NCLEX Critical Thinking Workshop by Regina M. Callion MSN, RN

Pass NCLEX in 4-6 weeks at ReMarNurse.com
From ADN to BSN to MSN to DNP all Online!
Hey guys, it’s Regina MSN, RN, CEO for ReMar Review.
ReMar Review has partnered with Grand Canyon University to offer a

special scholarship to ReMar Nurses who would like to continue their
higher education! If you would like to know more about going from your
ADN to BSN degree, to MSN, or DNP, I want you to give Nattie a call or
email with her contact information provided below.
Let her know that you are studying with me as a ReMar Nurse to confirm
your eligibility for this special ReMar Nurse scholarship opportunity
through Grand Canyon University!
Learn more by calling or texting Nattie directly at, 602-247-4978.
MEET YOUR LOCAL

GCU COUNSELOR
As your local university development counselor, I’m here to help you learn
more about Grand Canyon University and start your college journey!
Let’s connect to discuss these opportunities and benefits available to you:
• Faculty are academically-prepared nursing professionals
• Flexible scheduling for working nurses
• Attend class 100% online (clinical, practicum and immersion hours
completed locally)
Nattie Loverin
• Complimentary Lopes Credit Evaluation that transfers
602-247-4978
every credit possible
nattie.loverin@gcu.edu
• Expert step-by-step guidance along the way
gcu.edu/c/nattie.loverin
E
CALL M !
TODAY Together, we can get you started on the
path to achieving your goals!
For more information on the accreditation of nursing programs and other university licensures, please visit our University Accreditation and Regulations page at gcu.edu/CONHCPAccreditation.
Grand Canyon University is accredited by the Higher Learning Commission (hlcommission.org), an institutional accreditation agency recognized by the U.S. Department of Education.
Please note, not all GCU programs are available in all states and in all learning modalities. Program availability is contingent on student enrollment. Important policy information is available
in the University Policy Handbook at gcu.edu/academicpolicies. The information printed in this material is accurate as of OCTOBER 2021. For the most up-to-date information about admission
requirements, tuition, scholarships and more, visit gcu.edu ©2021 Grand Canyon University 21CONE0465
II NCLEX Critical Thinking Workshop by Regina M. Callion MSN, RN

Critical Thinking Workshop
Benefits of this critical thinking workshop include:
Solve NCLEX problems ____________________________________________.
Make better _____________________________________________________.
Recognize your own ______________________________________________.
Develop independent ____________________ ________________________.
What is critical thinking?
NCLEX Critical Thinking helps you to:
1. Understand issues
2. Ask relevant questions
3. Assess information accurately
4. Arrive at reasonable conclusions
5. Be open minded and
6. Communicate
1 NCLEX Critical Thinking Workshop by Regina M. Callion MSN, RN

Critical thinking is not ________________________________________!
How to Critically Think?
1. Recognize the
2. Determine necessary
3. Formulate potential
4. Draw a valid
Patient Donna Jones
Age 44
Diagnosis Obstructive Bowel Disease
When anxiety and doubt start to kick in, say this a few times!
“I can. I will. I must pass NCLEX!”
I personally like to add, because with God it’s Possible!

Healthcare Provider Order
Morphine sulfate 2-6 mg IV every 2h PRN pain.
Give 2 mg for first dose. Reassess within 30 minutes.
If adequate relief, reassess within next 2 hours. If no side effects but

inadequate relief – may give 4 mg more in 30 minutes or when time to
peak effect has passed from first dose. Total dose therefore is 6 mg in a 2-
hour period.
What are 3 other effects that could happen to the client within 24 hours?
1.
2.
3.
Which kind of nurse detective will you be?

3 Steps to Become More Adaptable
1. Consider the
2. Formulate
3. Think through
Why is critical thinking necessary?
Patient Jamal
Jones Admission Notes: 10/25/2021 - The client
Male
Age 62
reports to the wellness nurse for a follow-up
health visit. The client states he has been
fully compliant with his diabetic diet. The
client reports daily exercise in the form of
jogging and stretching for thirty minutes. The
client verbalizes improvement in his capillary
glucose levels. Upon my assessment the
client has gained 14 pounds in the last 2
months. The client appears to have 3
wounds on the right leg and 1 on the left foot.
See the skin assessment form for more
detail. The client’s current capillary blood
glucose level is 343. Doctor Kemble notified
of findings. Awaiting orders. Will continue to
monitor. - J. Candace, RN
What critical thinking ___________________________ does the nurse need to ask?

Write down at least 3 _____________________________ to ask.
1.
2.
3.

ReMar’s Critical Thinking Questions
What happens when nursing students do not critically think?
They believe everything
They become looking for constant
They fail to catch in the client’s
They do not ask
*Stay away from nurses who say this*
1. I have always done it this way

2. This is the way my preceptor taught me
3. I can’t keep up with all the policy changes
*Critical thinking nurses say things like*
1. Why
2. What
3. Is

Case Study
A client in the second trimester of pregnancy is being assessed at the health care
clinic. The nurse performing the assessment notes that the fetal heart rate is 100
beats per minute with normal activity.
Always critical think by:
What you need to know? What you are given?
1. Which nursing action would be most appropriate?

1. Continue to perform the setup for an amniocentesis.
2. Inform the mother of results and document the findings.
3. Notify the healthcare provider.
4. Document the findings first for collaborative communication.
Case Study
A nurse is caring for a child who parents are mandated for a physical evaluation.
The parents primary report to the nurse is the child has frequent temper tantrums
that they are unable to control. The child is 3 years of age and notably afraid.

1. A nurse instructs the parents regarding the appropriate actions to take when
the toddler has a temper tantrum. Which statement by the parents indicate a
successful outcome of the teaching?
1. I will send my child to a room alone for 5 minutes after every tantrum.
2. I will reward my child with candy at the end of each day without a tantrum.
3. I will give frequent reminders that only bad children have tantrums.
4. I will ignore the tantrums as long as there is no physical danger.
2. The nurse notices that while within the father’s arms the child looks down and refuses
to make eye contact. Upon height assessment, the child is unable to bear weight on the
left leg. The left femur appears to have a bruise. Which of the following medical
interventions are most appropriate? Select all that apply.
1. Complete blood count
2. Skeletal survey
3. PT/PTT
4. 1,000 mL of LR at 85 ml per hour
5. MRI of soft tissues
3. Which of the following are objective examples of physical abuse? Select all that apply.
1. Delay in seeking medical care
2. Child does not turn to caregivers for comfort
3. Handprints on the skin
4. Mongolian spots
5. Bruises in various stages of healing

Case Study
Jody Grant, 76-year-old female is admitted to the emergency department with a diagnosis
of heart failure. She was discharged from the hospital 8 days ago and states “her legs
weigh 100 pounds” and “she can’t catch her breath.” The nurse learns the client is
following her fluid restriction and low sodium diet appropriately. She reports gaining 1
pound per day since discharge.
1. What error in teaching most likely occurred?
The nurse receives the following
Healthcare Provider Orders
________________________5mg PO BID
Carvedilol 100 mg PO every morning
Glipizide 10 mg PO every morning
_________________80 mg IV Push (IVP) now, then 40 mg/ day IVP
2. Before administering medication which question should the nurse ask?
3. Why is the furosemide amount changed?
4. What are three parameters that are used to monitor the effectiveness of the
___________________________?
5. Upon further assessment the client has systemic congestion, the nurse should expect
which kind of congestive heart failure?

Case Study
Greg Hayes, a 37-year-old man is having difficulty breathing and presents to

the emergency department. He reports chest tightness, dizziness, sweating,
nausea, paresthesia, and feelings of impending doom. He states, “I don’t
think I’m going to make it. I am having a heart attack. Mr. Hayes hands are
trembling.
His vital signs are as follows:
175/93
101
26
98.6 F.
The client was giving a work presentation when the symptoms began. He reported
this event has happened 3 times in the last week. The client has no significant
cardiac history.

What are 5 initial ____________________________________________?
1.
2.
3.
4.
5.
The nurse receives the following order
Administer ______________________________________1mg IV Push
After the medication is administered the shortness of breath resolves itself.
What is the most likely condition of Mr. Hayes based off the medication order?
What is the indication for short term medication use for his condition?
Case Study
Mrs. Peterson is an 83-year-old client. She was admitted last night with a diagnosis of
syncope and change in mental status. She has a history of HTN, CAD, and changes in
mental status. She lives alone 10 minutes away from her daughter. Mrs. Peterson was
found on the floor by her daughter. She was there for an unknown amount of time.
1. What relevant data is missing?
2. Based on the information given does Mrs. Peterson require the following,
Write yes or no beside each answer choice.
Oxygen _________ Cardiac monitoring _____________
An IV Pump ___________ An indwelling catheter ____________

Restricted activity _________

3. What are the 3 sources to retrieve missing information?
a.
b.
c.
4. What is the pertinent legal question that the nurse must ask?
The nurse receives the following orders

Diagnosis:
Medications to Administer
Lisinopril 10 mg PO daily
MVI 1 tab PO daily
Lovenox 40 mg SQ daily
Colace 100 mg PO daily
5. What factors place Mrs. Peterson at risk for her diagnosis?
NCLEX Mistakes that Kill Critical Thinking
• Not knowing -
• Not knowing -
• Not reviewing -
• Test -
• Laziness -
• Over reliance on –

LET’S GO INSIDE REMAR NCLEX VIRTUAL TRAINER!
THERAPEUTIC COMMUNICATION
(9 MINUTE LECTURE TRAINING)
The purpose of using these strategies is to help your client express their feelings more
effectively.
S. Sit in ________________________
O. ____________________ with openness
L. Listen and lean forward
A. __________________ eye level
R. __________________ and rephrase
Don’t Do This:
Giving ___________________________________________opinions
_________________________________________________ the subject
_________________________________________________ reassurance
__________________________________________________with the client
Use words like bad, good, wrong or right
On NCLEX Choose……
1.
2. Never promise:
Look for:
1. Open ended _________________________

2. Answers that focus on feelings
3. Answers that _________________________________________
Therapeutic communication allows clients to make their own choices

______________________________ Parameters
Age Hold
Less than
Less than
Less than
Less than
IMPORTANT Drug Antidotes
Medication Antidote
Magnesium Sulfate Calcium gluconate
Insulin
Protamine sulfate
Vitamin K, Fresh frozen plasma
Needle Information
Route Skin layers Gauge Length
Epidermis, dermis and

SQ into the subcutaneous fat
Intradermal
22 1 Inch
Intramuscular

The NCLEX VIRTUAL TRAINER SALE
Ends this Friday, October 29th 2021
your
Order your NCLEX Virtual Trainer by Friday, October 29th for the special
offer at www.ReMarNurse.com and Pass NCLEX this Year!

INSIDE REMAR NCLEX VIRTUAL TRAINER!
DIABETES INSIPIDUS VS. SYNDROME OF
INAPPROPRIATE ANTIDIURETIC HORMONE SECRETION
(6 MINUTE LECTURE TRAINING)
Both are a problem with:
Diabetes Insipidus
1. Diabetes Insipidus is too little _____________.
Signs of diabetes insipidus are:
Will the blood pressure high or low?
Will the Heart rate be increased or decreased?
Treatment:
Syndrome of Inappropriate ADH
2. __________________-is too much __________________________.
Signs of SIADH are: Oliguria
Sodium level up or down?
Treatment:

What’s Your #1 Question about the NCLEX Virtual Trainer?
I want to help you answer this one single question…
Question: Can this Help Me Pass NCLEX and does it work?

Answer: Absolutely yes, it can will work for you!
Every day the test is offered ReMar Nurses are passing NCLEX! It doesn’t matter if it’s your 10th time testing.
It doesn’t matter if you trained outside of the United States, or if this is your 1st time testing! ReMar Nurses
pass NCLEX, because – With God It’s Possible. One of the nurses below failed 9x’s before finding ReMar!
My goal is that SOON - YOUR STORY will also be used to encourage future RNs in the next 4 – 6 weeks once
you pass NCLEX just like our official ReMar Nurses by getting your Virtual Trainer at ReMarNurse.com!
I have a very special $140 off discount plus free shipping anywhere around the world, and I hope you take
full advantage of this special opportunity. If you want to pass NCLEX this year, get the VT and start today!
We passed boards with the NCLEX Virtual Trainer!!!


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By: Regina M.

I NCLEX Critical Thinking Workshop by Regina M. Callion MSN, RN

ReMar Review has partnered with Grand Canyon University to offer a

Learn more by calling or texting Nattie directly at, 602-247-4978.

MEET YOUR LOCAL

II NCLEX Critical Thinking Workshop by Regina M. Callion MSN, RN

Benefits of this critical thinking workshop include:

Solve NCLEX problems ____________________________________________.

Make better _____________________________________________________.

Recognize your own ______________________________________________.

Develop independent ____________________ ________________________.

What is critical thinking?

NCLEX Critical Thinking helps you to:

2. Ask relevant questions

3. Assess information accurately

4. Arrive at reasonable conclusions

5. Be open minded and

1 NCLEX Critical Thinking Workshop by Regina M. Callion MSN, RN

Critical thinking is not ________________________________________!

How to Critically Think?

Patient Donna Jones

Diagnosis Obstructive Bowel Disease

2 NCLEX Critical Thinking Workshop by Regina M. Callion MSN, RN

Healthcare Provider Order

Morphine sulfate 2-6 mg IV every 2h PRN pain.

Give 2 mg for first dose. Reassess within 30 minutes.

If adequate relief, reassess within next 2 hours. If no side effects but

Which kind of nurse detective will you be?

3 NCLEX Critical Thinking Workshop by Regina M. Callion MSN, RN

3 Steps to Become More Adaptable

Why is critical thinking necessary?

What critical thinking ___________________________ does the nurse need to ask?

4 NCLEX Critical Thinking Workshop by Regina M. Callion MSN, RN

What happens when nursing students do not critically think?

They believe everything

They become looking for constant

They fail to catch in the client’s

They do not ask

*Stay away from nurses who say this*

1. I have always done it this way

*Critical thinking nurses say things like*

5 NCLEX Critical Thinking Workshop by Regina M. Callion MSN, RN

Always critical think by:

What you need to know? What you are given?

1. Which nursing action would be most appropriate?

What you need to know? What you are given?

6 NCLEX Critical Thinking Workshop by Regina M. Callion MSN, RN

1. Complete blood count

4. 1,000 mL of LR at 85 ml per hour

5. MRI of soft tissues

1. Delay in seeking medical care

2. Child does not turn to caregivers for comfort

3. Handprints on the skin

5. Bruises in various stages of healing

7 NCLEX Critical Thinking Workshop by Regina M. Callion MSN, RN

What you need to know? What you are given?

1. What error in teaching most likely occurred?

The nurse receives the following

Healthcare Provider Orders

2. Before administering medication which question should the nurse ask?

3. Why is the furosemide amount changed?

8 NCLEX Critical Thinking Workshop by Regina M. Callion MSN, RN

Greg Hayes, a 37-year-old man is having difficulty breathing and presents to

His vital signs are as follows:

Develop independent ____.

Stay away from nurses who say this

Critical thinking nurses say things like

Oxygen _ Cardiac monitoring _____

An IV Pump _ An indwelling catheter __

2. -is too much ________.