WorksheetsGCC Mock Test 4
Total questions: 100
Worksheet time: 2hrs 40mins
Name
Class
Date
1.
The nurse is caring for a new mother. The mother asks why her baby has lost weight since he was born. The best explanation of the weight loss is:
a)
The baby is dehydrated due to polyuria.
b)
The baby is hypoglycemic due to lack of glucose.
c)
The baby is allergic to the formula the mother is giving him.
d)
The baby can lose up to 10% of weight due to meconium stool, loss of extracellular fluid, and initiation of breast-feeding.
e)
-
2.
While caring for a 24-year-old primigravid client scheduled for emergency surgery because of a probable ectopic pregnancy, the nurse should:
a)
Prepare to witness an informed consent for surgery.
b)
Assess the client for massive external bleeding.
c)
Explain that the fallopian tube can be salvaged.
d)
Monitor the client for uterine contractions.
e)
-
3.
A client with Type II diabetes has an order for regular insulin 10 units SC each morning. The client's breakfast should be served within:
a)
15 minutes
b)
20 minutes
c)
30 minutes
d)
45 minutes
e)
-
4.
A client is admitted to the hospital with a Lanoxin (digoxin) level of 5.6 mg/mL. Digoxin immune fab (Digibind) is ordered. Since the digoxin level is known, the formula to determine the number of vials needed is: digoxin level times client weight in kilograms divided by 100 (digoxin level x kg/100). If the client weighs 185 pounds, how many vials should the nurse give?
a)
2 vials
b)
4 vials
c)
5 vials
d)
10 vials
e)
-
5.
The mother of a 3-month-old with esophageal reflux asks the nurse what she can do to lessen the baby's reflux. The nurse should tell the mother to:
a)
Feed the baby only when he is hungry
b)
Burp the baby after the feeding is completed
c)
Place the baby supine with head elevated
d)
Burp the baby frequently throughout the feeding
e)
-
6.
The physician has ordered an injection of Demerol (meperidine) for a client with pancreatitis. The nurse should:
a)
Administer the injection using the Z track method
b)
Hold pressure on the injection site for 3-5 minutes
c)
Administer the medication subcutaneously in the arm
d)
Prep the skin using a betadine wipe
e)
-
7.
Studies show that collaboration between the members of a multidisciplinary health care team improves quality of client care, decreases length of stay in health care facilities, and decreases the cost of health care to the client. Which members of the multidisciplinary team are responsible for collaboration in client care?
a)
The primary care physician and the case manager.
b)
The primary nurse and the case manager.
c)
All members of the multidisciplinary health care team.
d)
The primary care physician, all consulting physicians, and the case manager.
e)
-
8.
Before administering Methytrexate orally to the client with cancer, the nurse should check the:
a)
IV site
b)
Electrolytes
c)
Blood gases
d)
Vital signs
e)
-
9.
The nurse caring for a client in shock recognizes that the glomerular filtration rate of the kidneys will remain intact if the client's mean arterial pressure remains above which minimal value?
a)
80
b)
70
c)
60
d)
50
e)
-
10.
The nurse cares for a client diagnosed with left-sided heart failure. The nurse knows that one of the symptoms of left-sided heart failure is:
a)
Pulmonary edema.
b)
Hepatomegaly.
c)
Jugular venous distension.
d)
Abdominal pain.
e)
-
11.
A physician is preparing to perform a chest tube placement on a client with a pneumothorax. The client's nurse informs a recently hired nurse on the unit that the chest tube placement is about to begin and gives the new hire nurse the opportunity to observe and assist with the procedure. The client's nurse has just engaged in which form of staff education?
a)
Informal staff education and development.
b)
Formal staff education and development.
c)
Delegation of client care.
d)
Quality improvement.
e)
-
12.
While caring for a 24-year-old primigravid client scheduled for emergency surgery because of a probable ectopic pregnancy, the nurse should:
a)
Prepare to witness an informed consent for surgery.
b)
Assess the client for massive external bleeding.
c)
Explain that the fallopian tube can be salvaged.
d)
Monitor the client for uterine contractions.
e)
-
13.
A 70-year-old male who is recovering from a stroke exhibits signs of unilateral neglect. Which behavior is suggestive of unilateral neglect?
a)
The client is observed shaving only one side of his face.
b)
The client is unable to distinguish between two tactile stimuli presented simultaneously.
c)
The client is unable to complete a range of vision without turning his head side to side.
d)
The client is unable to carry out cognitive and motor activity at the same time.
e)
-
14.
The nurse is teaching circumcision care to the mother of a newborn. Which statement indicates that the mother needs further teaching?
a)
I will apply a petroleum gauze to the area once a day.
b)
I will clean the area carefully with each diaper change.
c)
I can place a heat lamp next to the area to speed up the healing process.
d)
I should carefully observe the area for signs of infection.
e)
-
15.
A physician writes an order for total parenteral nutrition (TPN) to be discontinued for a client who has been receiving it for one month. The nurse knows which statement is true regarding this order?
a)
Stopping total parenteral nutrition (TPN) can cause hyperglycemia in the client.
b)
Reducing the drip rate gradually is necessary for client safety.
c)
Weighing the client before and immediately after the feeding ensures nutrition.
d)
Assessing the client for cerebral edema is important after discontinuing the feeding.
e)
-
16.
A client with type A positive blood receives type A negative blood. Which action should the nurse take when this discrepancy is noted?
a)
The blood bank and the physician should be notified, but there is no danger in Rh-positive individuals receiving Rh-negative blood.
b)
Blood should be drawn immediately from the client, and the blood bag sent to the blood bank.
c)
Oxygen should be given by partial rebreather mask at 10 liters per minute so the adverse effects from this incident can be reversed.
d)
The client needs to be closely monitored for the next 24 hours with attention to vital signs and level of consciousness.
e)
-
17.
The nurse is assessing a 32-year-old patient with otosclerosis. The nurse should be aware that the patient's hearing loss:
a)
will resolve in 4 to 6 weeks without intervention.
b)
typically affects both ears.
c)
occurred suddenly.
d)
is associated with ear pain.
e)
-
18.
The nurse is applying a Transderm Nitro (nitroglycerin) patch to a client with angina. When applying the patch, the nurse should:
a)
Shave the area before applying a new patch
b)
Remove the old patch and clean the skin with alcohol
c)
Cover the patch with plastic wrap and tape it in place
d)
Avoid cutting the patch because it will alter the dose
e)
-
19.
The nurse cares for a client receiving a blood transfusion. The nurse notes that the client has become hypotensive and febrile since the transfusion began. Which is the most appropriate nursing action?
a)
Stop the transfusion.
b)
Notify the physician.
c)
Decrease the rate of the transfusion.
d)
Continue to monitor for signs and symptoms of a transfusion reaction.
e)
-
20.
A pregnant client with a positive history for untreated gonorrheal infection delivers a full-term infant. Initially, the most important nursing action is to:
a)
Notify the health department of this reportable sexually transmitted infection (STI).
b)
Determine all sexual contacts of the infected client.
c)
Instill erythromycin (0.5%) ophthalmic ointment or silver nitrate (0.1%) aqueous solution into the infant's eyes.
d)
Administer prescribed antibiotics to the mother.
e)
-
21.
The doctor has ordered 80mg of furosemide (Lasix) two times per day. The nurse notes the patient's potassium level to be 2.5meq/L. The nurse should:
a)
Administer the Lasix as ordered
b)
Administer half the dose
c)
Offer the patient a potassium-rich food
d)
Withhold the drug and call the doctor
e)
-
22.
The nurse is assisting in the care of a patient who is 2 days postoperative from a hemorroidectomy. The nurse would be correct in instructing the patient to:
a)
Avoid a high-fiber diet because this can hasten the healing time
b)
Continue to use ice packs until discharge and then when at home
c)
Take 200mg of Colace bid to prevent constipation
d)
Use a sitz bath after each bowel movement to promote cleanliness and comfort
e)
-
23.
A physician writes an order for total parenteral nutrition (TPN) to be discontinued for a client who has been receiving it for one month. The nurse knows which statement is true regarding this order?
a)
Stopping total parenteral nutrition (TPN) can cause hyperglycemia in the client.
b)
Reducing the drip rate gradually is necessary for client safety.
c)
Weighing the client before and immediately after the feeding ensures nutrition.
d)
Assessing the client for cerebral edema is important after discontinuing the feeding.
e)
-
24.
A patient with a subdural hematoma becomes restless and confused, with dilation of the ipsilateral pupil. The physician orders mannitol for which reason?
a)
To reduce intraocular pressure
b)
To prevent acute tubular necrosis
c)
To promote osmotic diuresis to decrease ICP
d)
To draw water into the vascular system to increase blood pressure
e)
-
25.
While assessing a patient with dilated cardiomyopathy, the nurse notices that the ECG no longer has any P waves, only a fine wavy line. The ventricular rhythm is irregular, with a QRS duration of 0.08 second, and the heart rate is 110 beats/minute. The nurse interprets this rhythm as:
a)
atrial fibrillation.
b)
ventricular fibrillation.
c)
atrial flutter.
d)
sinus tachycardia.
e)
-
26.
A client is prescribed the following medications: cefprazil (Cefzil) 500 mg PO twice a day, digoxin (Lanoxin) 0.125 mg PO daily, magaldrate (Riopan) 10 mL PO ac meals, and zolpidem tartrate (Ambien) 10 mg HS. Which medications should not be given together?
a)
Digoxin (Lanoxin) and zolpidem tartrate (Ambien).
b)
Digoxin (Lanoxin) and magaldrate (Riopan).
c)
Magaldrate (Riopan) and zolpidem tartrate (Ambien).
d)
Cefprazil (Cefzil) and zolpidem tartrate (Ambien).
e)
-
27.
The nurse overhears the spouse of an alcoholic client telling the client to "be quiet and don't tell the physician anything about your drinking problem." The nurse recognizes:
a)
The spouse is exhibiting codependent behavior.
b)
The spouse is the person of authority in this marriage.
c)
The client has no choice but to follow the spouse's instructions.
d)
The nurse must pretend not to have overheard this private conversation.
e)
-
28.
A client underwent a cholecystectomy and is now complaining of cramping and pain in the left calf. Which action is the nurse's first priority?
a)
Administer pain medication.
b)
Notify the physician.
c)
Assess the client for Homan's sign.
d)
Elevate the client's legs.
e)
-
29.
The nurse is preparing a client for a colonoscopy the following morning. The nurse should expect to administer which medication to the client?
a)
Vitamin K.
b)
Warfarin (Coumadin).
c)
Polyethylene glycol electrolyte solution (GoLytely).
d)
Calcium carbonate (Tums).
e)
-
30.
Which activity is best suited to the 12-year-old with juvenile rheumatoid arthritis?
a)
Playing video games
b)
Swimming
c)
Working crossword puzzles
d)
Playing slow-pitch softball
e)
-
31.
A 33-year-old patient undergoes an L4-L5 laminectomy. Which of the following would work best to prevent postoperative complications?
a)
Encouraging the patient to be out of bed the first postoperative day
b)
Maximizing bracing while in bed
c)
Limiting movement in bed and repositioning only when necessary
d)
Using a soft mattress
e)
-
32.
To ensure safety while administering a nitroglycerine patch, the nurse should:
a)
Wear gloves
b)
Shave the area where the patch will be applied
c)
Wash the area thoroughly with soap and rinse with hot water
d)
Apply the patch to the buttocks
e)
-
33.
Which of the following statements by a primigravid client about the amniotic fluid and sac indicates the need for further teaching?
a)
The amniotic fluid helps to dilate the cervix once labor begins.
b)
Fetal nutrients are provided by the amniotic fluid.
c)
Amniotic fluid provides a cushion against impact of the maternal abdomen.
d)
The fetus is kept at a stable temperature by the amniotic fluid and sac.
e)
-
34.
The nurse cares for a client receiving a blood transfusion. The nurse notes that the client has become hypotensive and febrile since the transfusion began. Which is the most appropriate nursing action?
a)
Stop the transfusion.
b)
Notify the physician.
c)
Decrease the rate of the transfusion.
d)
Continue to monitor for signs and symptoms of a transfusion reaction.
e)
-
35.
A client with acquired immunodeficiency syndrome has begun treatment with Pentam (pentamidine). The nurse recognizes that the medication will help to prevent:
a)
Candida albicans
b)
Pneumocystis carinii
c)
Cryptosporidiosis
d)
Cytomegaloretinitis
e)
-
36.
A client is admitted with complaints of chest pain. Which of the following drug orders should the nurse question?
a)
Nitroglycerin
b)
Ampicillin
c)
Propranolol
d)
Verapamil
e)
-
37.
The nurse cares for a client who returns from a cystoscopy. The nurse knows that which assessment finding is within normal limits for this client?
a)
Blood-tinged urine.
b)
Decreased urine output.
c)
Severe abdominal or pelvic pain.
d)
Fever.
e)
-
38.
The medication hyaluronidase is sometimes added to the fluid used for subcutaneous therapy (hypodermoclysis). What is the action of this medication?
a)
Hyaluronidase increases absorption of the fluids being given.
b)
Hyaluronidases decreases pain at the injection site.
c)
Hyaluronidase provides protection against an allergic reaction to the fluid administration.
d)
Hyaluronidase prevents infectious processes from developing when the fluids are infused.
e)
-
39.
A client is admitted with complaints of chest pain. Which of the following drug orders should the nurse question?
a)
Nitroglycerin
b)
Ampicillin
c)
Propranolol
d)
Verapamil
e)
-
40.
The nurse is aware that the best way to prevent post-operative wound infection in the surgical client is to:
a)
Administer a prescribed antibiotic
b)
Wash her hands for 2 minutes before care
c)
Wear a mask when providing care
d)
Ask the client to cover her mouth when she coughs
e)
-
41.
The nurse is asked by the nurse aide, "Are peptic ulcers really caused by stress?" The nurse would be correct in replying with which of the following:
a)
Peptic ulcers result from overeating fatty foods.
b)
Peptic ulcers are always caused from exposure to continual stress.
c)
Peptic ulcers are like all other ulcers, which all result from stress.
d)
Peptic ulcers are associated with H. pylori, although there are other ulcers that are associated with stress.
e)
-
42.
The nurse knows that case management is:
a)
The process of managing the outcomes of client care by quality improvement measures and involvement of the interdisciplinary team.
b)
The process of client assessment and direct client care by the primary nurse, utilizing the nursing process and nursing diagnoses to guide delivery of care.
c)
The process used by the health care facility's legal or risk management department to evaluate legal claims filed against the facility or employees of the facility.
d)
The process of overseeing and organizing client care in collaboration with the client's primary health care provider and consulting physicians.
e)
-
43.
The nurse is visiting a home health client with osteoporosis. The client has a new prescription for alendronate (Fosamax). Which instruction should be given to the client?
a)
Rest in bed after taking the medication for at least 30 minutes
b)
Avoid rapid movements after taking the medication
c)
Take the medication with water only
d)
Allow at least 1 hour between taking the medicine and taking other medications
e)
-
44.
A 62-year-old male client has nitroglycerin (Nitrostat) added to his medication regimen. Which statement made by this client indicates that further education is needed?
a)
I will take this medication if I have an episode of chest pain.
b)
I will wait at least 1 hour after I take my sildanefil (Viagra) before using Nitrostat.
c)
I can take up to 3 tablets every 5 minutes if my angina occurs.
d)
I know that I must put this tablet under my tongue for it to work.
e)
-
45.
The nurse overhears the spouse of an alcoholic client telling the client to "be quiet and don't tell the physician anything about your drinking problem." The nurse recognizes:
a)
The spouse is exhibiting codependent behavior.
b)
The spouse is the person of authority in this marriage.
c)
The client has no choice but to follow the spouse's instructions.
d)
The nurse must pretend not to have overheard this private conversation.
e)
-
46.
The nurse is assessing the abdomen. The nurse knows the best sequence to perform the assessment is:
a)
Inspection, auscultation, palpation
b)
Auscultation, palpation, inspection
c)
Palpation, inspection, auscultation
d)
Inspection, palpation, auscultation
e)
-
47.
The nurse is caring for a client with myasthenias gravis who is having trouble breathing. Which position would assist the client to breathe best?
a)
Supine with no pillow, to maintain patent airway
b)
Side lying with back support
c)
Prone with head turned to one side
d)
Sitting or in high Fowler's
e)
-
48.
The nurse is completing an assessment history of a client with pernicious anemia. Which complaint differentiates pernicious anemia from other types of anemia?
a)
Difficulty in breathing after exertion
b)
Numbness and tingling in the extremities
c)
A faster-than-usual heart rate
d)
Feelings of lightheadedness
e)
-
49.
A 62-year-old male client has nitroglycerin (Nitrostat) added to his medication regimen. Which statement made by this client indicates that further education is needed?
a)
I will take this medication if I have an episode of chest pain.
b)
I will wait at least 1 hour after I take my sildanefil (Viagra) before using Nitrostat.
c)
I can take up to 3 tablets every 5 minutes if my angina occurs.
d)
I know that I must put this tablet under my tongue for it to work.
e)
-
50.
A patient, age 65, is admitted with thyrotoxicosis. His history reveals hyperthyroidism. Laboratory results show that he has elevated T3 and T4 levels. The nurse would expect to administer which drugs?
a)
Dexamethasone, cortisol, and levothyroxine
b)
Iodine, propylthiouracil, and propranolol
c)
Epinephrine, dopamine, and norepinephrine
d)
Aminophylline, ephedrine, and theophylline
e)
-
51.
Before administering Methytrexate orally to the client with cancer, the nurse should check the:
a)
IV site
b)
Electrolytes
c)
Blood gases
d)
Vital signs
e)
-
52.
Which client is at the highest risk for periodontal disease?
a)
An 18-year-old client who reports regularly brushing teeth and has a medical history that includes acne, and asthma.
b)
A 45-year-old client who brushes regularly, does not like flossing, and has a medical history that includes hypertension and an appendectomy.
c)
A 55-year-old client who brushes regularly and has a medical history that includes multiple surgeries for broken bones and one case of pneumonia at age 8.
d)
A 75-year-old client who brushes regularly, has a partial plate, and has a medical history that includes hypertension, diabetes, coronary artery disease, and a CABG 3 years ago.
e)
-
53.
The nurse is providing care for a patient following right cataract removal surgery. In which position should the nurse place the patient?
a)
Right-side lying
b)
Prone
c)
Supine
d)
Trendelenburg's
e)
-
54.
A primigravid client asks the nurse if she can continue to have a glass of wine with dinner during her pregnancy. Which of the following would be the nurse's best response?
a)
The effects of alcohol on a fetus during pregnancy are unknown.
b)
You should limit your consumption to beer and wine.
c)
You should abstain from drinking alcoholic beverages.
d)
You may have 1 drink or 2 oz of alcohol per day.
e)
-
55.
During client care rounds with the multidisciplinary team, the nurse reports that a client coughs frequently after taking anything by mouth. The dietician recommends a swallow evaluation for the client, in which the physician participating in rounds writes the order. This is an example of:
a)
Collaboration of client care with the ancillary care providers.
b)
Collaboration of client care between the physician and the dietary department.
c)
Collaboration of care with the risk management team because of the client's risk for aspiration.
d)
Collaboration of care among members of the multidisciplinary team.
e)
-
56.
A client weighing 120 pounds has received burns over 40% of his body at 1200 hours. Using the Parkland formula, calculate the expected amount of fluid that the client should receive by 2000 hours as fluid-replacement therapy?
a)
2160
b)
4320
c)
6480
d)
8640
e)
-
57.
A papular lesion is noted on the perineum of the laboring client. Which initial action is most appropriate?
a)
Document the finding
b)
Report the finding to the doctor
c)
Prepare the client for a C-section
d)
Continue primary care as prescribed
e)
-
58.
When performing an abdominal assessment, the nurse should follow which examination sequence?
a)
Auscultation, inspection, percussion, palpation
b)
Inspection, auscultation, percussion, palpation
c)
Palpation, auscultation, percussion, inspection
d)
Percussion, palpation, auscultation, inspection
e)
-
59.
The nurse uses an intradermal injection to administer a tuberculin test. Which statement indicates the injection is administered correctly?
a)
An area of redness is present at the injection site.
b)
A small bleb or wheal is seen at the site of injection.
c)
The client states the site itches slightly.
d)
The bevel of the needle points downward as it is withdrawn.
e)
-
60.
The child with seizure disorder is being treated with Dilantin (phenytoin). Which of the following statements by the patient's mother indicates to the nurse that the patient is experiencing a side effect of Dilantin therapy?
a)
She is very irritable lately.
b)
She sleeps quite a bit of the time.
c)
Her gums look too big for her teeth.
d)
She has gained about 10 pounds in the last 6 months.
e)
-
61.
The physician has ordered Basalgel (aluminum carbonate gel) for a client with recurrent indigestion. The nurse should teach the client common side effects of the medication, which include:
a)
Constipation
b)
Urinary retention
c)
Diarrhea
d)
Confusion
e)
-
62.
The physician has ordered an injection of Demerol (meperidine) for a client with pancreatitis. The nurse should:
a)
Administer the injection using the Z track method
b)
Hold pressure on the injection site for 3-5 minutes
c)
Administer the medication subcutaneously in the arm
d)
Prep the skin using a betadine wipe
e)
-
63.
The nurse knows that risk factors for glaucoma include:
a)
Asian-American race.
b)
Decreased intraocular pressure.
c)
Diabetes.
d)
Younger age.
e)
-
64.
A multigravid client thought to be at 14 weeks' gestation reports that she is experiencing such severe morning sickness that "she has not been able to keep anything down for a week." The nurse should assess for signs and symptoms of which of the following?
a)
Hypercalcemia.
b)
Hypobilirubinemia.
c)
Hypokalemia.
d)
Hyperglycemia.
e)
-
65.
The nurse is assessing the laboratory results of a client scheduled to receive phenytoin (Dilantin). The Dilantin level, drawn 2 hours ago, is 30mcg/mL. What is the appropriate nursing action?
a)
Administer the Dilantin as scheduled
b)
Hold the scheduled dose and notify the charge nurse
c)
Decrease the dosage of the Dilantin from 100mg to 50mg
d)
Increase the dosage to 200mg from 100mg
e)
-
66.
The nurse is administering medication to a client with paranoid schizophrenia. The client accepts the medication but does not place it in his mouth. The nurse should:
a)
Tell the client that if he does not take the medication, he will have to get an injection
b)
Tell the client to put the medicine in his mouth and swallow it with the water
c)
Tell a nursing assistant to remain with the client until he takes the medication
d)
Tell the client he will have to take his medication or he cannot go with the others to recreation
e)
-
67.
A client has been on strict bed rest for 6 days and now has orders from the physician to begin getting up to the chair. As the client stands up for the first time at the bedside preparing to pivot to the chair, the client complains of dizziness and "almost passing out." The nurse assists the client back to a supine position and takes a blood pressure reading. The blood pressure is 122/75. The client feels much better after lying down. The nurse once again assists the client to a standing position. The nurse once again takes a blood pressure reading, which is now 89/60. How should the nurse describe the events when informing the physician?
a)
I stood the client up at the bedside. The client had orthostatic hypotension.
b)
I assisted the client to stand at the side of the bed. The client was hypotensive.
c)
I assisted the client to a standing position at the side of the bed. The client complained of dizziness and "almost passing out." I took the client's blood pressure, which was 89/60. The client appears to be hypotensive.
d)
I assisted the client to a standing position at the side of the bed. The client complained of dizziness and "almost passing out." I assisted the client back to a supine position and obtained a set of orthostatic blood pressures. The blood pressures were: 122/75 supine and 89/60 standing. The client appears to have orthostatic hypotension.
e)
-
68.
The best diet for the client with Meniere's syndrome is one that is:
a)
High in fiber
b)
Low in sodium
c)
High in iodine
d)
Low in fiber
e)
-
69.
A nurse colleague that you work with always appears to be busy and overwhelmed. The nurse leaves late after almost every shift. When you offer assistance, the nurse's reply is invariably, "No, I'm all right. I prefer to do it myself but thank you for asking." This nurse is demonstrating difficulty with what important aspect of multidisciplinary client care?
a)
Delegation.
b)
Establishing priorities.
c)
Resource management.
d)
Advocacy.
e)
-
70.
The nurse is caring for a patient who underwent stapedectomy. To prevent postoperative complications, the nurse should instruct the patient to:
a)
sneeze with her mouth open.
b)
frequently blow her nose.
c)
clean her operated ear with a cotton-tipped applicator twice a day.
d)
resume bending and straining when she's no longer experiencing ear pain.
e)
-
71.
The nurse knows that risk factors for glaucoma include:
a)
Asian-American race.
b)
Decreased intraocular pressure.
c)
Diabetes.
d)
Younger age.
e)
-
72.
A patient, age 65, is admitted with thyrotoxicosis. His history reveals hyperthyroidism. Laboratory results show that he has elevated T3 and T4 levels. The nurse would expect to administer which drugs?
a)
Dexamethasone, cortisol, and levothyroxine
b)
Iodine, propylthiouracil, and propranolol
c)
Epinephrine, dopamine, and norepinephrine
d)
Aminophylline, ephedrine, and theophylline
e)
-
73.
A patient, age 23, underwent a rhinoplasty 6 hours ago. After administering his pain medication, the nurse notes that he is swallowing frequently. What is the most likely cause of the swallowing?
a)
Oral dryness caused by nasal packing
b)
Bleeding posterior to the nasal packing
c)
An adverse reaction to the analgesic
d)
A normal response to the analgesic
e)
-
74.
The nurse is caring for an infant following a cleft lip repair. While comforting the infant, the nurse should avoid:
a)
Holding the infant
b)
Offering a pacifier
c)
Providing a mobile
d)
Offering sterile water
e)
-
75.
A nurse colleague that you work with always appears to be busy and overwhelmed. The nurse leaves late after almost every shift. When you offer assistance, the nurse's reply is invariably, "No, I'm all right. I prefer to do it myself but thank you for asking." This nurse is demonstrating difficulty with what important aspect of multidisciplinary client care?
a)
Delegation.
b)
Establishing priorities.
c)
Resource management.
d)
Advocacy.
e)
-
76.
Which comment made by a client with congestive heart failure should cause a need for nursing follow-up?
a)
My heart rate has been between 60 and 70 the past week.
b)
My oral temperature was 98ºF yesterday.
c)
I have been urinating every 4 hours for the past 2 days.
d)
I have gained 3 pounds since yesterday.
e)
-
77.
The client is admitted from the emergency room with multiple injuries sustained from an auto accident. His doctor prescribes a histamine blocker. The reason for this order is:
a)
To treat general discomfort
b)
To correct electrolyte imbalances
c)
To prevent stress ulcers
d)
To treat nausea
e)
-
78.
The nurse is administering medication to a client with paranoid schizophrenia. The client accepts the medication but does not place it in his mouth. The nurse should:
a)
Tell the client that if he does not take the medication, he will have to get an injection
b)
Tell the client to put the medicine in his mouth and swallow it with the water
c)
Tell a nursing assistant to remain with the client until he takes the medication
d)
Tell the client he will have to take his medication or he cannot go with the others to recreation
e)
-
79.
When caring for a multigravid client admitted to the hospital with vaginal bleeding at 38 weeks' gestation, which of the following would the nurse anticipate administering intravenously if the client develops disseminated intravascular coagulation (DIC)?
a)
Ringer's lactate solution.
b)
Fresh frozen platelets.
c)
5% dextrose solution.
d)
Warfarin sodium (Coumadin).
e)
-
80.
A client has an order to remove the nasogastric tube. Which is the correct nursing action to remove the tube?
a)
Apply sterile gloves and untape the tube from the client's face
b)
Pull the tube out 2 inches, pause for 2 minutes, and repeat until the entire tube is removed
c)
Instill 30mL of normal saline before removing the tube
d)
Pull the tube out steadily and smoothly while keeping it pinched
e)
-
81.
The physician has prescribed nitroglycerin buccal tablets as needed for a client with angina. The nurse should tell the client to take the tablets:
a)
After engaging in strenuous activity
b)
Every 4 hours to prevent chest pain
c)
When he first feels chest discomfort
d)
At bedtime to prevent nocturnal angina
e)
-
82.
The doctor has ordered 80mg of furosemide (Lasix) two times per day. The nurse notes the patient's potassium level to be 2.5meq/L. The nurse should:
a)
Administer the Lasix as ordered
b)
Administer half the dose
c)
Offer the patient a potassium-rich food
d)
Withhold the drug and call the doctor
e)
-
83.
An adult client presents with a new onset of a chronic disease. The nurse can benefit the client most by:
a)
Teaching the client that the disease will never resolve.
b)
Instructing the client that lifestyle changes must be made.
c)
Treating the client as a competent manager of the disease.
d)
Encouraging the client to prepare for custodial care.
e)
-
84.
The nurse is obtaining information to support the need for improved prenatal care services in the community. Which of the following information is most important to include?
a)
The maternal mortality rate.
b)
The infant mortality rate.
c)
The perinatal mortality rate.
d)
The neonatal mortality rate.
e)
-
85.
The physician has ordered Basalgel (aluminum carbonate gel) for a client with recurrent indigestion. The nurse should teach the client common side effects of the medication, which include:
a)
Constipation
b)
Urinary retention
c)
Diarrhea
d)
Confusion
e)
-
86.
The LPN is assigning tasks to the nursing assistant. Which task is beyond the scope of practice for the nursing assistant?
a)
Collecting a stool specimen for occult blood
b)
Obtaining a urine specimen for a routine urinalysis
c)
Performing a tape test for pinworms
d)
Aspirating nasogastric secretions for occult blood
e)
-
87.
A client weighing 120 pounds has received burns over 40% of his body at 1200 hours. Using the Parkland formula, calculate the expected amount of fluid that the client should receive by 2000 hours as fluid-replacement therapy?
a)
2160
b)
4320
c)
6480
d)
8640
e)
-
88.
Which patient would benefit most from a quad cane?
a)
A recent stroke victim with partial left leg paralysis.
b)
A client with recent right total knee replacement.
c)
A client with an unsteady gait requiring two people to assist with walking.
d)
A recent stroke victim with complete right hemiplegia.
e)
-
89.
The nurse overhears the spouse of an alcoholic client telling the client to "be quiet and don't tell the physician anything about your drinking problem." The nurse recognizes:
a)
The spouse is exhibiting codependent behavior.
b)
The spouse is the person of authority in this marriage.
c)
The client has no choice but to follow the spouse's instructions.
d)
The nurse must pretend not to have overheard this private conversation.
e)
-
90.
Which lab finding would the nurse expect to find in the client with diverticulitis?
a)
Elevated red cell count
b)
Decreased serum creatinine
c)
Elevated white cell count
d)
Decreased alkaline phosphatase
e)
-
91.
The nurse is performing discharge teaching on a client with diverticulitis who has been placed on a low-roughage diet. Which food would have to be eliminated from this client's diet?
a)
Roasted chicken
b)
Noodles
c)
Cooked broccoli
d)
Custard
e)
-
92.
The LPN is assigning tasks to the nursing assistant. Which task is beyond the scope of practice for the nursing assistant?
a)
Collecting a stool specimen for occult blood
b)
Obtaining a urine specimen for a routine urinalysis
c)
Performing a tape test for pinworms
d)
Aspirating nasogastric secretions for occult blood
e)
-
93.
Which comment made by a client with congestive heart failure should cause a need for nursing follow-up?
a)
My heart rate has been between 60 and 70 the past week.
b)
My oral temperature was 98ºF yesterday.
c)
I have been urinating every 4 hours for the past 2 days.
d)
I have gained 3 pounds since yesterday.
e)
-
94.
Which patient would benefit most from a quad cane?
a)
A recent stroke victim with partial left leg paralysis.
b)
A client with recent right total knee replacement.
c)
A client with an unsteady gait requiring two people to assist with walking.
d)
A recent stroke victim with complete right hemiplegia.
e)
-
95.
A patient with rheumatoid arthritis has a history of long-term NSAID use and, consequently, has developed peptic ulcer disease. To treat this condition, the nurse should expect to administer:
a)
cyanocobalamin (vitamin B12).
b)
ticlopidine.
c)
prednisone.
d)
misoprostol.
e)
-
96.
The nurse instructs a client diagnosed with chronic obstructive pulmonary disease (COPD) about positions to use during times of dyspnea. The nurse recognizes further teaching is necessary when the client states:
a)
I will lie flat on my back.
b)
I will sit up and rest my elbows on my knees.
c)
I will lean up against a wall.
d)
I will sit up and lean over a table.
e)
-
97.
The nurse caring for a client in shock recognizes that the glomerular filtration rate of the kidneys will remain intact if the client's mean arterial pressure remains above which minimal value?
a)
80
b)
70
c)
60
d)
50
e)
-
98.
A client is admitted to the labor and delivery unit. The nurse performs a vaginal exam and determines that the client's cervix is 5cm dilated with 75% effacement. Based on the nurse's assessment, the client is in which phase of labor?
a)
Active
b)
Latent
c)
Transition
d)
Early
e)
-
99.
While caring for a 24-year-old primigravid client scheduled for emergency surgery because of a probable ectopic pregnancy, the nurse should:
a)
Prepare to witness an informed consent for surgery.
b)
Assess the client for massive external bleeding.
c)
Explain that the fallopian tube can be salvaged.
d)
Monitor the client for uterine contractions.
e)
-
100.
Following a heart transplant, a client is started on medication to prevent organ rejection. Which category of medication prevents the formation of antibodies against the new organ?
a)
Antivirals
b)
Antibiotics
c)
Immunosuppressants
d)
Analgesics
e)
-
100 %
