WorksheetsGCC Mock Test 3
Total questions: 100
Worksheet time: 2hrs 40mins
Name
Class
Date
1.
A client has been receiving Rheumatrex (methotrexate) for severe rheumatoid arthritis. The nurse should tell the client to avoid taking:
a)
Aspirin
b)
Multivitamins
c)
Omega 3 and omega 6 fish oils
d)
Acetaminophen
e)
-
2.
A client's platelet count is 70,000/mm3. The nurse instructs the client to:
a)
Avoid crowds.
b)
Use an electric razor to shave.
c)
In rease al ium intake.
d)
Drink plenty of fluids.
e)
-
3.
As a nurse working in a chronic obstructive pulmonary disease (COPD) clinic, you advise clients daily about health care matters. The most important factor in prevention and treatment of COPD is:
a)
Controlling asthma.
b)
Receiving an influenza shot annually.
c)
Taking a daily multivitamin ontaining antioxidants.
d)
Ceasing cigarette smoking.
e)
-
4.
When performing a physical examination on an elderly client, the nurse:
a)
Assesses the musculoskeletal system by asking the client to hop on one foot and perform deep knee bends.
b)
Limits distractions ecause of the client's sensory deficits in vision and hearing.
c)
Evaluates the pulmonary status with deep breaths, breath holding, and for ed expirations.
d)
Focuses on different walking maneuvers (heelto- toe, tandem, heel walking) to evaluate neuromuscular function.
e)
-
5.
Which food is the best source of calcium and potassium?
a)
Broccoli
b)
Sweet potato
c)
Spina h
d)
Avocado
e)
-
6.
A patient is taking isoniazid to treat TB. Which instruction should the nurse give him about this drug?
a)
Drinking alcohol daily can cause drug-induced hepatitis.
b)
Taking isoniazid with aluminum hydroxide minimizes GI upset.
c)
Isoniazid is best absorbed when taken on an empty stoma h.
d)
Prolonge use of isoniazi causes dark, concentrate urine.
e)
-
7.
An elderly client is approaching death and expresses intense despair and anxiety. Based on Erikson's theory of ego integrity versus despair, this client's despair and anxiety may be based on:
a)
An inappropriate desire for youthfulness and staying young.
b)
The decision to never marry.
c)
La k of a sense of wholeness, purpose, and a life well lived.
d)
The fear of experiencing a painful death.
e)
-
8.
The nurse is reviewing the chart of a multigravid client at 39 weeks' gestation with suspected HELLP syndrome. The nurse should notify the health care provider about which of the following test results?
a)
Platelets 200,000 mm3.
b)
Lactate dehydrogenase (LDH) > 200 units/L.
c)
Uri a id 3 mg/dL.
d)
Aspartate aminotransferase (AST) 15 units/L.
e)
-
9.
The 5-year-old is being tested for pinworms. To collect a specimen for assessment of pinworms, the nurse should teach the mother to:
a)
Examine the perianal area with a flashlight 2-3 hours after the child is asleep and to collect any eggs on a clear tape
b)
Scrape the skin with a piece of card oard and ring it to the clinic
c)
Obtain a stool spe imen in the afternoon
d)
Bring a hair sample to the clinic for evaluation
e)
-
10.
The client is admitted to the chemical dependence unit with an order for continuous observation. The nurse is aware that the doctor has ordered continuous observation because:
a)
Hallucinogenic drugs create both stimulant and depressant effects.
b)
Hallucinogenic drugs induce a state of altered perception.
c)
Hallu inogeni drugs produ e severe respiratory depression.
d)
Hallucinogenic drugs induce rapi physical dependence.
e)
-
11.
The nurse cares for a client suspected of having hypothyroidism.Which test can the nurse expect the physician to order?
a)
Complete blood count.
b)
T4 and thyroid-stimulating hormone.
c)
Serum ele trolytes.
d)
Liver function tests.
e)
-
12.
A patient diagnosed with chronic renal failure is told he must start hemodialysis. During patient teaching, the nurse should instruct the patient to:
a)
follow high-potassium diet.
b)
strictly follow the hemodialysis schedule.
c)
re ognize that the disorder will ause lifestyle hanges.
d)
use alcohol to clean the skin because of integumentary changes.
e)
-
13.
A client takes the following medications: labetolol hydrochloride (Normodyne) 100 milligrams twice a day, ketorolac tromethamine (Toradol) 10 milligrams as needed, and mirtazapine (Remeron) 15 milligrams at bedtime.Which nursing diagnosis is most appropriate for this client?
a)
Risk for traum related to drug-induced hypotension.
b)
Risk for fluid volume deficit related to adverse reactions.
c)
Risk for trauma related to lowered seizure threshold.
d)
Risk for impaire skin integrity relate to dermatologic reactions.
e)
-
14.
Which one of the following assessment findings is within normal expectations for a post-operative craniotomy client?
a)
decrease in responsiveness the third post-op day
b)
Sluggish pupil reaction the first 24-48 hours
c)
. Dressing hanges 3-4 times a day for the first 3 days
d)
Temperature range of 98.8ºF-99.6ºF the first 2-3 days
e)
-
15.
Which of the following meal selections is appropriate for the client with celiac disease?
a)
Toast, jam, and apple juice
b)
Peanut utter cookies and milk
c)
Ri e Krispies bar and milk
d)
Cheese pizza an Kool-Aid
e)
-
16.
A client with a femoral popliteal bypass graft is assigned to a semiprivate room. The most suitable roommate for this client is the client with:
a)
Hypothyroidism
b)
Dia etic ulcers
c)
Ul erative olitis
d)
Pneumonia
e)
-
17.
The client is admitted to the emergency room with shortness of breath, anxiety, and tachycardia. His ECG reveals atrial fibrillation with a ventricular response rate of 130 beats per minute. The doctor orders quinidine sulfate. While he is receiving quinidine, the nurse should monitor his ECG for:
a)
Peaked P wave
b)
Elevated ST segment
c)
Inverted T wave
d)
Prolonge QT interval
e)
-
18.
The nurse is teaching the client with insulin-dependent diabetes the signs of hypoglycemia. Which of the following signs is associated with hypoglycemia?
a)
Tremulousness
b)
Slow pulse
c)
Nausea
d)
Flushe skin
e)
-
19.
A client has been receiving Rheumatrex (methotrexate) for severe rheumatoid arthritis. The nurse should tell the client to avoid taking:
a)
Aspirin
b)
Multivitamins
c)
Omega 3 and omega 6 fish oils
d)
Acetaminophen
e)
-
20.
Which type of diet is implicated in the development of diverticulosis?
a)
low-fiber diet
b)
high-fi er diet
c)
high-protein diet
d)
low-carbohydrate diet
e)
-
21.
A high school student returns to school following a 3-week absence due to mononucleosis. The school nurse knows it will be important for the client:
a)
To drink additional fluids throughout the day
b)
To avoid contact sports for 1-2 months
c)
To have a snack twice a day to prevent hypoglycemia
d)
To continue antibiotic therapy for 6 months
e)
-
22.
A client is receiving Theodur. The nurse monitors the theophylline blood level and assesses that the level is within therapeutic range when it is at what level?
a)
5ug/mL
b)
8ug/mL
c)
15ug/mL
d)
25ug/mL
e)
-
23.
The nurse is assessing a client who has undergone a right lobectomy. Which assessment should alert the nurse to the possibility of internal bleeding?
a)
Urinary output of 200mL during the past 3 hours
b)
Sanguineous chest tube drainage at a rate of 50mL per hour for the past 3 hours
c)
Restless and shortness of breath
d)
Decreased pulse rate and decreased respirations
e)
-
24.
A 55-year-old black male is found to have a blood pressure of 150/90 mm Hg during a work site health screening. What should the nurse do?
a)
Consider this to be a normal finding for his age and race.
b)
Recommend he have his blood pressure rechecked in 1 year.
c)
Recommend he have his blood pressure rechecked within 2 weeks.
d)
Recommend he go to the emergency department for further evaluation.
e)
-
25.
A client delivered a healthy newborn. As part of discharge teaching the nurse informs the client about the need for well child check-ups. The client asks for an explanation. A well child check-up is:
a)
A clinic visit of a sick child in an attempt to return her to health.
b)
A rapid in-and-out visit where only the child's weight and height are determined and plotted on a growth chart.
c)
The administration of routine childhood vaccinations.
d)
Regularly scheduled clinic visits encompassing various aspects of health promotion.
e)
-
26.
A hospitalized client with severe anemia is to receive a unit of blood. Which facet of care is most appropriate for the newly licensed practical nurse?
a)
Initiating the IV of normal saline
b)
Monitoring the client's vital signs
c)
Initiating the blood transfusion
d)
Notifying the physician of a reaction
e)
-
27.
The nurse notes variable decelerations on the fetal monitor strip. The most appropriate initial action would be to:
a)
Notify her doctor
b)
Document the finding
c)
Reposition the client
d)
Readjust the monitor
e)
-
28.
Which observation in the newborn of a mother who is alcohol dependent would require immediate nursing intervention?
a)
Crying
b)
Wakefulness
c)
Jitteriness
d)
Yawning
e)
-
29.
Which patient has the highest risk of developing anemia?
a)
A patient with a colostomy following colon resection
b)
A patient with gastroesophageal reflux disease (GERD)
c)
A patient who has had a gastrectomy
d)
A patient with frequent bouts of dumping syndrome
e)
-
30.
After conducting a presentation to a group of adolescent parents on the topic of adolescent pregnancy, the nurse determines that one of the parents needs further instruction when the parent says that adolescents are at greater risk for which of the following?
a)
Denial of the pregnancy.
b)
Low-birth-weight infant.
c)
Cephalopelvic disproportion.
d)
Congenital anomalies.
e)
-
31.
The doctor has ordered a Transcutaneous Electrical Nerve Stimulation (TENS) unit for the client with chronic back pain. The nurse teaching the client with a TENS unit should tell the client:
a)
You may be electrocuted if you use water with this unit.
b)
Please report skin irritation to the doctor.
c)
The unit may be used anywhere on the body without fear of adverse reactions.
d)
A cream should be applied to the skin before applying the unit.
e)
-
32.
A client at 36 weeks' gestation with eclampsia begins to exhibit signs of labor after an eclamptic seizure. The nurse should assess the client for:
a)
Abruptio placentae.
b)
Transverse lie.
c)
Placenta accreta.
d)
Uterine atony.
e)
-
33.
When assessing the patient, the nurse knows that the body system least affected by multiple myeloma is the:
a)
skeletal system.
b)
renal system.
c)
nervous system.
d)
cardiovascular system.
e)
-
34.
The mother of a child with chickenpox wants to know if there is a medication that will shorten the course of the illness. Which medication is sometimes used to speed healing of the lesions and shorten the duration of fever and itching?
a)
Zovirax (acyclovir)
b)
Varivax (varicella vaccine)
c)
VZIG (varicella-zoster immune globulin)
d)
Periactin (cyproheptadine)
e)
-
35.
Which observation in the newborn of a mother who is alcohol dependent would require immediate nursing intervention?
a)
Crying
b)
Wakefulness
c)
Jitteriness
d)
Yawning
e)
-
36.
A client has recently undergone central line placement. The client complains of shortness of breath and right-sided chest pain. Vital signs are blood pressure 98/50 mm Hg, pulse rate 110 beats/ minute, and respiratory rate 36 breaths/minute. Which action should the nurse take first?
a)
Gather supplies for chest tube insertion.
b)
Notify the physician immediately.
c)
Order a chest x-ray.
d)
Administer oxygen.
e)
-
37.
The nurse is assessing a patient who may be in the early stages of dehydration. Early signs and symptoms of dehydration include:
a)
coma and seizures.
b)
sunken eyeballs and poor skin turgor.
c)
increased heart rate with hypotension.
d)
thirst and confusion.
e)
-
38.
The physician has prescribed Cytoxan (cyclophosphamide) for a client with nephotic syndrome. The nurse should:
a)
Encourage the client to drink extra fluids
b)
Request a low-protein diet for the client
c)
Bathe the client using only mild soap and water
d)
Provide additional warmth for swollen, inflarned joints
e)
-
39.
The nurse is preparing a client with cirrhosis for a paracentesis. How will the nurse position the client for this procedure?
a)
Trendelenburg
b)
Lying on the right side
c)
Lying on the left side
d)
Sitting position
e)
-
40.
An elderly client is approaching death and expresses intense despair and anxiety. Based on Erikson's theory of ego integrity versus despair, this client's despair and anxiety may be based on:
a)
An inappropriate desire for youthfulness and staying young.
b)
The decision to never marry.
c)
Lack of a sense of wholeness, purpose, and a life well lived.
d)
The fear of experiencing a painful death.
e)
-
41.
A client at 36 weeks' gestation with eclampsia begins to exhibit signs of labor after an eclamptic seizure. The nurse should assess the client for
a)
Abruptio placentae
b)
Transverse lie
c)
Placenta accreta
d)
Uterine atony
e)
-
42.
The physician has prescribed tranylcypromine sulfate (Parnate) 10mg bid. The nurse should teach the client to refrain from eating foods containing tyramine because it may cause
a)
Hypertension
b)
Hyperthermia
c)
Melanoma
d)
Urinary retention
e)
-
43.
Damage to the VII cranial nerve results in
a)
Facial pain
b)
Absence of ability to smell
c)
Absence of eye movement
d)
Tinnitus
e)
-
44.
A patient with cirrhosis complains that his skin always feels itchy. The nurse recognizes that the itching results from which abnormality associated with cirrhosis
a)
Prolonged prothrombin time
b)
Decreased protein level
c)
Increased bilirubin level
d)
Increased aspartate aminotransferase level
e)
-
45.
The doctor has ordered a Transcutaneous Electrical Nerve Stimulation (TENS) unit for the client with chronic back pain. The nurse teaching the client with a TENS unit should tell the client
a)
You may be electrocuted if you use water with this unit.
b)
Please report skin irritation to the doctor.
c)
The unit may be used anywhere on the body without fear of adverse reactions.
d)
A cream should be applied to the skin before applying the unit.
e)
-
46.
A 55-year-old black male is found to have a blood pressure of 150/90 mm Hg during a work site health screening. What should the nurse do
a)
Consider this to be a normal finding for his age and race
b)
Recommend he have his blood pressure rechecked in 1 year
c)
Recommend he have his blood pressure rechecked within 2 weeks
d)
Recommend he go to the emergency department for further evaluation
e)
-
47.
Assessment of a 16-year-old nulligravid client who visits the clinic and asks for information on contraceptives reveals a menstrual cycle of 28 days. The nurse formulates a nursing diagnosis of Deficient knowledge related to ovulation and fertility management. Which of the following would be important to include in the teaching plan for the client
a)
The ovum survives for 96 hours after ovulation, making conception possible during this time
b)
The basal body temperature falls at least 0.2º F after ovulation has occurred
c)
Ovulation usually occurs on day 14, plus or minus 2 days, before the onset of the next menstrual cycle
d)
Most women can tell they have ovulated because of severe pain and thick, scant cervical mucus
e)
-
48.
A client with cancer develops xerostomia. The nurse can help alleviate the discomfort associated with xerostomia by
a)
Offering hard candy
b)
Administering analgesic medications
c)
Splinting swollen joints
d)
Providing saliva substitute
e)
-
49.
A patient diagnosed with chronic renal failure is told he must start hemodialysis. During patient teaching, the nurse should instruct the patient to
a)
follow a high-potassium diet
b)
strictly follow the hemodialysis schedule
c)
recognize that the disorder will cause lifestyle changes
d)
use alcohol to clean the skin because of integumentary changes
e)
-
50.
The nurse is assessing a patient who may be in the early stages of dehydration. Early signs and symptoms of dehydration include
a)
coma and seizures
b)
sunken eyeballs and poor skin turgor
c)
increased heart rate with hypotension
d)
thirst and confusion
e)
-
51.
The nurse wants to promote comfort and relaxation after giving the client a bed bath. Which action best meets this goal?
a)
Providing the client with a back rub
b)
Dimming the lights in the room
c)
Providing warm milk and cookies
d)
Playing soft music
e)
-
52.
A client at 36 weeks' gestation with eclampsia begins to exhibit signs of labor after an eclamptic seizure. The nurse should assess the client for
a)
Abruptio placentae
b)
Transverse lie
c)
Placenta accreta
d)
Uterine atony
e)
-
53.
The nurse is caring for a client who is nauseated and in danger of aspiration. Which action would the nurse take first?
a)
Administer an ordered antiemetic medication
b)
Obtain an ice bag and apply to the client's throat
c)
Turn the client to one side
d)
Notify the physician
e)
-
54.
The client is admitted to the emergency room with shortness of breath, anxiety, and tachycardia. His ECG reveals atrial fibrillation with a ventricular response rate of 130 beats per minute. The doctor orders quinidine sulfate. While he is receiving quinidine, the nurse should monitor his ECG for
a)
Peaked P wave
b)
Elevated ST segment
c)
Inverted T wave
d)
Prolonged QT interval
e)
-
55.
The nurse is assisting the physician with the insertion of an esophageal tamponade. Before insertion, the nurse should
a)
Inflate and deflate the gastric and esophageal balloons
b)
Measure from the tip of the client's nose to the xiphoid process
c)
Explain to the client that the tube will remain in place for 5–7 days
d)
Insert a nasogastric tube for gastric suction
e)
-
56.
A client has a nasogastric (NG) tube placed after abdominal surgery. Which finding indicates the NG tube may be removed?
a)
Drainage volume decreases
b)
The client experiences flatus
c)
The client no longer feels nauseous
d)
The client is burping
e)
-
57.
Which of the following acts committed by a nurse is an intentional tort?
a)
Battery
b)
Breach of confidentiality
c)
Negligence
d)
Abandonment
e)
-
58.
The mother of a child with chickenpox wants to know if there is a medication that will shorten the course of the illness. Which medication is sometimes used to speed healing of the lesions and shorten the duration of fever and itching?
a)
Zovirax (acyclovir)
b)
Varivax (varicella vaccine)
c)
VZIG (varicella-zoster immune globulin)
d)
Periactin (cyproheptadine)
e)
-
59.
The nurse is caring for a 3-year-old in a wet hip spica cast made from plaster of Paris. When turning the 3-year-old with a wet cast, the nurse should
a)
Grasp the cast by the hand
b)
Use an assistive sling
c)
Use the palms of the hands
d)
Obtain a lifting device
e)
-
60.
The nurse is performing an assessment of an elderly client with a total hip repair. Based on this assessment, the nurse decides to medicate the client with an analgesic. Which finding most likely prompted the nurse to decide to administer the analgesic?
a)
The client's blood pressure is 130/86
b)
The client is unable to concentrate
c)
The client's pupils are dilated
d)
The client grimaces during care
e)
-
61.
A woman at 22 weeks' gestation has right upper quadrant pain radiating to her back. She rates the pain as 9 on a scale of 1 to 10 and says that it has occurred 2 times in the last week for about 4 hours at a time. She does not associate the pain with food. Which of the following nursing measures is the highest priority for this client?
a)
Educate the client concerning changes occurring in the gallbladder as a result of pregnancy
b)
Refer the client to her health care provider for evaluation and treatment of the pain
c)
Discuss nutritional strategies to decrease the possibility of heartburn
d)
Support the client's use of acetaminophen (Tylenol) to relieve pain
e)
-
62.
The nurse is preparing to discharge a client following a laparoscopic cholecystectomy. The nurse should
a)
Tell the client to avoid a tub bath for 5 to 7 days
b)
Tell the client to expect clay-colored stools
c)
Tell the client that she can expect lower abdominal pain for the next week
d)
Tell the client that she can resume a regular diet immediately
e)
-
63.
The technology-driven, critical care environment is fast paced and directed toward monitoring and treating life-threatening changes in client conditions. To the families of critical care clients, four behaviors indicate caring. These include
a)
Closed communication
b)
Open visiting hours
c)
Touch
d)
Withholding information
e)
-
64.
A client scheduled for an exploratory laparotomy tells the nurse that she takes kava-kava (piper methysticum) for sleep. The nurse should notify the doctor because kava-kava
a)
Increases the effects of anesthesia and post-operative analgesia
b)
Eliminates the need for antimicrobial therapy following surgery
c)
Increases urinary output, so a urinary catheter will be needed post-operatively
d)
Depresses the immune system, so infection is more of a problem
e)
-
65.
A client is scheduled for surgical repair of an abdominal aortic aneurysm. Which assessment is most crucial during the preoperative period?
a)
Assessment of the client's level of anxiety
b)
Evaluation of the client's exercise tolerance
c)
Identification of peripheral pulses
d)
Assessment of bowel sounds and activity
e)
-
66.
Which information should be given to the client taking phenytoin (Dilantin)?
a)
Taking the medication with meals will increase its effectiveness
b)
The medication can cause sleep disturbances
c)
More frequent dental appointments will be needed for special gum care
d)
The medication decreases the effects of oral contraceptives
e)
-
67.
The doctor has ordered a Transcutaneous Electrical Nerve Stimulation (TENS) unit for the client with chronic back pain. The nurse teaching the client with a TENS unit should tell the client
a)
You may be electrocuted if you use water with this unit.
b)
Please report skin irritation to the doctor.
c)
The unit may be used anywhere on the body without fear of adverse reactions.
d)
A cream should be applied to the skin before applying the unit.
e)
-
68.
The nurse is reviewing the chart of a multigravid client at 39 weeks' gestation with suspected HELLP syndrome. The nurse should notify the health care provider about which of the following test results?
a)
Platelets 200,000 mm³
b)
Lactate dehydrogenase (LDH) > 200 units/L
c)
Uric acid 3 mg/dL
d)
Aspartate aminotransferase (AST) 15 units/L
e)
-
69.
A 28-year-old multigravida at 37 weeks' gestation arrives at the emergency department with a blood pressure of 160/104 mm Hg and +3 reflexes without clonus. The client is diagnosed with severe preeclampsia. The nurse collaborates with the health care provider to develop a plan of care that will first include
a)
Administration of glucocorticoids (Betamethasone)
b)
Vaginal or cesarean delivery of the fetus
c)
Prevention of seizures with phenytoin (Dilantin)
d)
Reduction of fluid retention with thiazides
e)
-
70.
The nurse is caring for a client with a basilar skull fracture. Fluid is assessed leaking from the ear. What is the nurse's first action?
a)
Irrigate the ear canal gently
b)
Notify the physician
c)
Test the drainage for glucose
d)
Apply an occlusive dressing
e)
-
71.
The nurse who elicits a positive Chvostek's sign would suspect that the patient has which condition?
a)
Hyperkalemia
b)
Hypocalcemia
c)
Hypercalcemia
d)
Hypernatremia
e)
-
72.
The nurse is teaching a group of new graduates about the safety needs of the client receiving chemotherapy. Before administering chemotherapy, the nurse should
a)
Administer a bolus of IV fluid
b)
Administer pain medication
c)
Administer an antiemetic
d)
Allow the patient a chance to eat
e)
-
73.
The nurse cares for a client suspected of having hypothyroidism. Which test can the nurse expect the physician to order?
a)
Complete blood count
b)
T4 and thyroid-stimulating hormone
c)
Serum electrolytes
d)
Liver function tests
e)
-
74.
At 32 weeks' gestation, a 15-year-old primigravid client who is 5 feet, 2 inches tall has gained a total of 20 lb, with a 1-lb gain in the last 2 weeks. Urinalysis reveals negative glucose and a trace of protein. The nurse should advise the client that which of the following factors increases her risk for preeclampsia?
a)
Total weight gain
b)
Short stature
c)
Adolescent age group
d)
Proteinuria
e)
-
75.
The definition of "family" has evolved as society has changed. The most comprehensive definition of the term includes
a)
A unit of people related by birth or adoption or by marriage
b)
Two or more emotionally involved people
c)
Related people who live in close proximity to each other
d)
A changing group of people
e)
-
76.
An elderly client is approaching death and expresses intense despair and anxiety. Based on Erikson's theory of ego integrity versus despair, this client's despair and anxiety may be based on
a)
An inappropriate desire for youthfulness and staying young
b)
The decision to never marry
c)
Lack of a sense of wholeness, purpose, and a life well lived
d)
The fear of experiencing a painful death
e)
-
77.
Which of the following acts committed by a nurse is an intentional tort?
a)
Battery
b)
Breach of confidentiality
c)
Negligence
d)
Abandonment
e)
-
78.
According to Erikson's stage of growth and development, the developmental task associated with middle childhood is
a)
Trust
b)
Initiative
c)
Independence
d)
Industry
e)
-
79.
Which one of the following assessment findings is within normal expectations for a post-operative craniotomy client?
a)
A decrease in responsiveness the third post-op day
b)
Sluggish pupil reaction the first 24–48 hours
c)
Dressing changes 3–4 times a day for the first 3 days
d)
Temperature range of 98.8ºF–99.6ºF the first 2–3 days
e)
-
80.
The client is admitted to the emergency room with shortness of breath, anxiety, and tachycardia. His ECG reveals atrial fibrillation with a ventricular response rate of 130 beats per minute. The doctor orders quinidine sulfate. While he is receiving quinidine, the nurse should monitor his ECG for
a)
Peaked P wave
b)
Elevated ST segment
c)
Inverted T wave
d)
Prolonged QT interval
e)
-
81.
The recommended time for daily administration of Tagamet (cimetidine) is
a)
Before breakfast
b)
Mid-afternoon
c)
After dinner
d)
At bedtime
e)
-
82.
Delegation of responsibility between members of the multidisciplinary health care team is essential to provide quality and timely client care. Which statement best describes delegation?
a)
Delegation is the process of overseeing and organizing client care in collaboration with the multidisciplinary team
b)
Delegation is the reassigning of responsibility for performance of a job or task from one member of the health care team to another
c)
Delegation of responsibility can only be done by the charge nurse or nurse manager
d)
Delegation is the process of prioritizing client care to achieve the best possible client outcome
e)
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83.
A patient becomes angry attending a treatment group and complains about it to the nurse. Which response could the nurse give that would best demonstrate clarification?
a)
Can you tell me what about the treatment group made you angry?
b)
Why are you upset? Attending the treatment group will help you get well.
c)
It sounds like group today was pretty upsetting.
d)
Treatment groups have been carefully planned by the staff to help patients.
e)
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84.
A client with a femoral popliteal bypass graft is assigned to a semiprivate room. The most suitable roommate for this client is the client with
a)
Hypothyroidism
b)
Diabetic ulcers
c)
Ulcerative colitis
d)
Pneumonia
e)
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85.
The client is admitted to the emergency room with shortness of breath, anxiety, and tachycardia. His ECG reveals atrial fibrillation with a ventricular response rate of 130 beats per minute. The doctor orders quinidine sulfate. While he is receiving quinidine, the nurse should monitor his ECG for
a)
Peaked P wave
b)
Elevated ST segment
c)
Inverted T wave
d)
Prolonged QT interval
e)
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86.
Which action by the nurse would be most effective in relieving phantom limb pain on a client with an above-the-knee amputation?
a)
Acknowledging the presence of the pain
b)
Elevating the stump on a pillow
c)
Applying ordered transcutaneous nerve stimulator (TENS) unit
d)
Rewrapping the stump
e)
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87.
A client has just delivered a baby and is successfully breast-feeding. How many extra kilocalories per day does the client need to consume to compensate for the increased energy requirements of lactation?
a)
1000
b)
300
c)
500
d)
800
e)
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88.
The nurse is teaching a group of new graduates about the safety needs of the client receiving chemotherapy. Before administering chemotherapy, the nurse should
a)
Administer a bolus of IV fluid
b)
Administer pain medication
c)
Administer an antiemetic
d)
Allow the patient a chance to eat
e)
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89.
The nurse cares for a client suspected of having hypothyroidism. Which test can the nurse expect the physician to order?
a)
Complete blood count
b)
T4 and thyroid-stimulating hormone
c)
Serum electrolytes
d)
Liver function tests
e)
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90.
A nurse in the intensive care unit is caring for a critically ill client with an intra-aortic balloon pump (IABP). An IABP provides mechanical support for the client's failing heart. Even when inserted properly, the client is at risk for complications. Which complication can result from the use of an IABP?
a)
Aortic dissection
b)
Cardiac tamponade
c)
Pneumothorax
d)
Splenic rupture
e)
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91.
A patient, age 39, has type 1 diabetes mellitus. When he arrives at the ED complaining of dizziness, the nurse notes that he seems weak, confused, and disoriented. His wife states that he took his usual morning dose of 6 units of regular insulin and 15 units of NPH insulin, but ate little of his breakfast. What is the most likely cause of the patient's signs and symptoms?
a)
Ketoacidosis
b)
Hyperglycemia
c)
Hyperlipidemia
d)
Hypoglycemia
e)
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92.
The physician's order states: Ceftriaxone sodium (Rocephin) 50 mg/kg IM now. The client, a child, weighs 22.5 pounds. According to the manufacturer's instructions, after adding the appropriate diluent the concentration is 100 mg/mL. Which dose in milliliters should the nurse administer?
a)
2.25 mL
b)
3.0 mL
c)
5.1 mL
d)
11.25 mL
e)
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93.
Which intervention is most important to include in a nursing care plan for a patient with atelectasis?
a)
Give oxygen continuously at 3 L/minute
b)
Have the patient cough and deep-breathe every 4 hours
c)
Have the patient use an incentive spirometer every hour
d)
Get the patient out of bed to a chair every day
e)
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94.
A 28-year-old multigravida at 37 weeks' gestation arrives at the emergency department with a blood pressure of 160/104 mm Hg and +3 reflexes without clonus. The client is diagnosed with severe preeclampsia. The nurse collaborates with the health care provider to develop a plan of care that will first include
a)
Administration of glucocorticoids (Betamethasone)
b)
Vaginal or cesarean delivery of the fetus
c)
Prevention of seizures with phenytoin (Dilantin)
d)
Reduction of fluid retention with thiazides
e)
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95.
The nurse is teaching a group of new graduates about the safety needs of the client receiving chemotherapy. Before administering chemotherapy, the nurse should
a)
Administer a bolus of IV fluid
b)
Administer pain medication
c)
Administer an antiemetic
d)
Allow the patient a chance to eat
e)
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96.
The nurse is preparing to discharge a client following a laparoscopic cholecystectomy. The nurse should
a)
Tell the client to avoid a tub bath for 5 to 7 days
b)
Tell the client to expect clay-colored stools
c)
Tell the client that she can expect lower abdominal pain for the next week
d)
Tell the client that she can resume a regular diet immediately
e)
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97.
A client has asthma. The nurse is aware that
a)
A written asthma plan and peak expiratory flow measurements foster self-care
b)
Asthma education (information) improves health outcomes in adults
c)
Regular, ongoing reviews of client education are not necessary or beneficial
d)
Clients with asthma have the same incidence of hospital admissions, unscheduled physician visits, and missed days of work as clients without asthma
e)
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98.
The physician's order states: Ceftriaxone sodium (Rocephin) 50 mg/kg IM now. The client, a child, weighs 22.5 pounds. According to the manufacturer's instructions, after adding the appropriate diluent the concentration is 100 mg/mL. Which dose in milliliters should the nurse administer?
a)
2.25 mL
b)
3.0 mL
c)
5.1 mL
d)
11.25 mL
e)
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99.
How should computer monitors that display accessed client health information be positioned to ensure that no visitors to a health care facility or unauthorized persons will be able to view information stored on the facility's health information system?
a)
Monitors should be positioned facing the client rooms so that health care personnel can access the information easily
b)
Monitors should face away from any visitor area or client care area where information displayed could possibly be viewed by unauthorized persons
c)
Monitors should be turned off unless in use
d)
Monitors should be positioned for quick access. Visitors and unauthorized personnel are responsible not to view information not intended for their knowledge
e)
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100.
A patient is taking isoniazid to treat TB. Which instruction should the nurse give him about this drug?
a)
Drinking alcohol daily can cause drug-induced hepatitis
b)
Taking isoniazid with aluminum hydroxide minimizes GI upset
c)
Isoniazid is best absorbed when taken on an empty stomach
d)
Prolonged use of isoniazid causes dark, concentrated urine
e)
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100 %
