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GCC 1 - 25

Authored by Srividya K

Health Sciences

Professional Development

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GCC 1 - 25
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25 questions

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1.

MULTIPLE CHOICE QUESTION

1 min • 1 pt

For a patient whose ICP fluctuates between 20 and 25 mm Hg, which nursing intervention would be most appropriate?

Ensure that the patient’s mean arterial pressure (MAP) is less than 90 mm Hg.
Lower the head of the bed to less than 15 degrees.
Encourage visitation.
Reassess the patient’s ABCs (airway, breathing, and circulation).

Answer explanation

Option 1: Ensure that the patient’s mean arterial pressure (MAP) is less than 90 mm Hg.

Option 2: Lower the head of the bed to less than 15 degrees.

Option 3: Encourage visitation.

Option 4: Reassess the patient’s ABCs (airway, breathing, and circulation).

Correct Option: 4

Explanation: The nurse should always reassess the patient's ABCs when ICP is elevated (normal 0–15 mm Hg). The MAP should be maintained ≥90 mm Hg, head elevated 15–30°, and visitors may increase ICP.

2.

MULTIPLE CHOICE QUESTION

1 min • 1 pt

The nurse is assessing an infant with coarctation of the aorta. The nurse can expect to find:

Deep cyanosis
Clubbing of the fingers and toes
Loud cardiac murmur
Diminished femoral pulses

Answer explanation

Option 1: Deep cyanosis

Option 2: Clubbing of the fingers and toes

Option 3: Loud cardiac murmur

Option 4: Diminished femoral pulses

Correct Option: 4

Explanation: Coarctation is acyanotic, characterized by diminished femoral and bounding upper pulses. Cyanosis and clubbing suggest cyanotic defects.

3.

MULTIPLE CHOICE QUESTION

1 min • 1 pt

While caring for a client with cervical cancer, the nurse notes that the radioactive implant is lying in the bed. The nurse should:

Place the implant in a biohazard bag and return it to the lab
Give the client a pair of gloves and ask her to reinsert the implant
Use tongs to pick up the implant and return it to a lead-lined container
Discard the implant in the commode and double-flush

Answer explanation

Option 1: Place the implant in a biohazard bag and return it to the lab

Option 2: Give the client a pair of gloves and ask her to reinsert the implant

Option 3: Use tongs to pick up the implant and return it to a lead-lined container

Option 4: Discard the implant in the commode and double-flush

Correct Option: 3

Explanation: Radioactive implants must be picked up with tongs and returned to lead-lined containers; client must not handle them.

4.

MULTIPLE CHOICE QUESTION

1 min • 1 pt

The nurse calculates the amount of an antibiotic for injection to be given to an infant. The amount of medication to be administered is 1.25mL. The nurse should:

Divide the amount into two injections and administer in each vastus lateralis muscle
Give the medication in one injection in the dorsogluteal muscle
Divide the amount in two injections and give one in the ventrogluteal muscle and one in the vastus lateralis muscle
Give the medication in one injection in the ventrogluteal muscle

Answer explanation

Option 1: Divide the amount into two injections and administer in each vastus lateralis muscle

Option 2: Give the medication in one injection in the dorsogluteal muscle

Option 3: Divide the amount in two injections and give one in the ventrogluteal muscle and one in the vastus lateralis muscle

Option 4: Give the medication in one injection in the ventrogluteal muscle

Correct Option: 1

Explanation: Vastus lateralis is appropriate in infants; no more than 1 mL per injection. Dorsogluteal and ventrogluteal sites are avoided in infants.

5.

MULTIPLE CHOICE QUESTION

1 min • 1 pt

When assessing the skin of a patient with deep partial-thickness burns, what would the nurse expect to find?

Dry, pale areas with no blister formation
Blisters of varying sizes, with areas of charred tissue
Cherry-red areas with weeping blisters
Pearly-white areas with charred tissue

Answer explanation

Option 1: Dry, pale areas with no blister formation

Option 2: Blisters of varying sizes, with areas of charred tissue

Option 3: Cherry-red areas with weeping blisters

Option 4: Pearly-white areas with charred tissue

Correct Option: 3

Explanation: Deep partial-thickness burns appear cherry-red with fluid-oozing blisters. Pale/charred tissue is full-thickness; superficial burns have smaller blisters.

6.

MULTIPLE CHOICE QUESTION

1 min • 1 pt

The nurse is caring for a client with hyperthyroidism. Which clinical manifestation should be reported to the physician immediately?

Urinary retention
Heart failure
Drowsiness
Sedation

Answer explanation

Option 1: Urinary retention

Option 2: Heart failure

Option 3: Drowsiness

Option 4: Sedation

Correct Option: 2

Explanation: Heart failure is a life-threatening complication of hyperthyroidism. Sedation and drowsiness are less typical; urinary retention isn’t associated.

7.

MULTIPLE CHOICE QUESTION

1 min • 1 pt

A client with rheumatoid arthritis is receiving Methotrexate. After reviewing the client’s chart, the physician orders Wellcovorin (leucovorin calcium). The rationale for administering leucovorin calcium to a client receiving Methotrexate is to:

Treat iron-deficiency anemia caused by chemotherapeutic agents
Create a synergistic effect that shortens treatment time
Increase the number of circulating neutrophils
Reverse drug toxicity and prevent tissue damage

Answer explanation

Option 1: Treat iron-deficiency anemia caused by chemotherapeutic agents

Option 2: Create a synergistic effect that shortens treatment time

Option 3: Increase the number of circulating neutrophils

Option 4: Reverse drug toxicity and prevent tissue damage

Correct Option: 4

Explanation: Methotrexate is a folic acid antagonist; leucovorin reverses its toxicity and limits tissue damage.

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