WorksheetsGCC Mock Test 12
Total questions: 100
Worksheet time: 2hrs 40mins
Name
Class
Date
1.
A client has been given the drug Neulasta (pegfilgastrin). Which laboratory value indicates that the drug is producing the desired effect?
a)
Hemoglobin of 13.5g/dL
b)
White blood cell count of 6,000/mm
c)
Platelet count of 300,000/mm
d)
HCT 39%
e)
-
2.
A client has a vagal nerve stimulator in place to prevent seizures. Which would indicate that the device is working properly?
a)
The client’s voice changes when operating.
b)
Hiccups occur with each stimulation.
c)
The client can feel vibrations in the area of the vagal nerve stimulator when operational.
d)
The client’s radial pulse obliterates when the stimulator is activated.
e)
-
3.
When locating Erb’s point to hear aortic and pulmonic sounds, the nurse should place the stethoscope at the:
a)
fifth intercostal space near the midclavicular line.
b)
fifth intercostal space along the left sternal border.
c)
second intercostal space at the left sternal border.
d)
third intercostal space at the left sternal border.
e)
-
4.
The nurse is caring for a client with chest trauma. Which finding would be most indicative of a tension pneumothorax?
a)
Frothy hemoptysis
b)
Trachea shift toward unaffected side of the chest
c)
Subcutaneous emphysema noted anterior chest
d)
Opening chest wound with a whistle sound emitting from the area
e)
-
5.
The nurse is assessing the client with a total knee replacement 2 hours post-operative. Which information requires notification of the doctor?
a)
Bleeding on the dressing is 2cm in diameter.
b)
The client has a low-grade temperature.
c)
The client’s hemoglobin is 6g/dL.
d)
The client voids after surgery
e)
-
6.
The nurse is caring for a client with chest trauma. Which finding would be most indicative of a tension pneumothorax?
a)
Frothy hemoptysis
b)
Trachea shift toward unaffected side of the chest
c)
Subcutaneous emphysema noted anterior chest
d)
Opening chest wound with a whistle sound emitting from the area
e)
-
7.
A client has been given the drug Neulasta (pegfilgastrin). Which laboratory value indicates that the drug is producing the desired effect?
a)
Hemoglobin of 13.5g/dL
b)
White blood cell count of 6,000/mm
c)
Platelet count of 300,000/mm
d)
HCT 39%
e)
-
8.
A patient has undergone a radical cystectomy and has an ileal conduit for the treatment of bladder cancer. Which postoperative assessment finding should the nurse report to the physician immediately?
a)
A red, moist stoma
b)
A dusky stoma
c)
Urine output of more than 30 mL/hour
d)
Slight bleeding from the stoma when changing the appliance
e)
-
9.
The nurse is assisting the physician with removal of a central venous catheter. To facilitate removal, the nurse should instruct the client to:
a)
Perform the Valsalva maneuver as the catheter is advanced
b)
Turn his head to the left side and hyperextend the neck
c)
Take slow, deep breaths as the catheter is removed
d)
Turn his head to the right while maintaining a sniffing position
e)
-
10.
A client has been given the drug Neulasta (pegfilgastrin). Which laboratory value indicates that the drug is producing the desired effect?
a)
Hemoglobin of 13.5g/dL
b)
White blood cell count of 6,000/mm
c)
Platelet count of 300,000/mm
d)
HCT 39%
e)
-
11.
The nurse has inserted an NG tube for enteral feedings. Which assessment result is the best indication that an NG tube is properly placed in the stomach?
a)
Aspiration of tan-colored mucus
b)
Green aspirate with a pH of 3
c)
A swish auscultated with the injection of air
d)
Bubbling in a cup of NS when the end of the tube is placed in the cup
e)
-
12.
The physician has ordered Parnate (tranylcypromine) for a client with depression. The nurse should tell the client to avoid foods containing tryamine because it can result in:
a)
Elevations in blood pressure
b)
Decreased libido
c)
Elevations in temperature
d)
Increased depression
e)
-
13.
A client is being treated with carbamazepine (Tegretol). Which laboratory value might indicate a side effect of this drug?
a)
BUN 10mg/dL
b)
Hemoglobin 13.0gm/dL
c)
WBC 4,000/mm3
d)
Platelets 200,000/mm3
e)
-
14.
The nurse is teaching a pregnant client about nutritional needs during pregnancy. Which menu selection will best meet the nutritional needs of the pregnant client?
a)
Hamburger pattie, green beans, French fries, and iced tea
b)
Roast beef sandwich, potato chips, baked beans, and cola
c)
Baked chicken, fruit cup, potato salad, coleslaw, yogurt, and iced tea
d)
Fish sandwich, gelatin with fruit, and coffee
e)
-
15.
Infants born to diabetic mothers are often described as large for gestational age. The primary reason for the infant’s large size is:
a)
Overstimulation of the thyroid
b)
Maternal hyperglycemia
c)
Improved maternal nutrition
d)
Increased production of the pituitary
e)
-
16.
When locating Erb’s point to hear aortic and pulmonic sounds, the nurse should place the stethoscope at the:
a)
fifth intercostal space near the midclavicular line.
b)
fifth intercostal space along the left sternal border.
c)
second intercostal space at the left sternal border.
d)
third intercostal space at the left sternal border.
e)
-
17.
The nurse is assisting the physician with removal of a central venous catheter. To facilitate removal, the nurse should instruct the client to:
a)
Perform the Valsalva maneuver as the catheter is advanced
b)
Turn his head to the left side and hyperextend the neck
c)
Take slow, deep breaths as the catheter is removed
d)
Turn his head to the right while maintaining a sniffing position
e)
-
18.
A client is being treated with carbamazepine (Tegretol). Which laboratory value might indicate a side effect of this drug?
a)
BUN 10mg/dL
b)
Hemoglobin 13.0gm/dL
c)
WBC 4,000/mm3
d)
Platelets 200,000/mm3
e)
-
19.
The nurse is assessing the client with a total knee replacement 2 hours post-operative. Which information requires notification of the doctor?
a)
Bleeding on the dressing is 2cm in diameter.
b)
The client has a low-grade temperature.
c)
The client’s hemoglobin is 6g/dL.
d)
The client voids after surgery
e)
-
20.
The nurse is assisting the physician with removal of a central venous catheter. To facilitate removal, the nurse should instruct the client to:
a)
Perform the Valsalva maneuver as the catheter is advanced
b)
Turn his head to the left side and hyperextend the neck
c)
Take slow, deep breaths as the catheter is removed
d)
Turn his head to the right while maintaining a sniffing position
e)
-
21.
The nurse is assessing the client admitted for possible oral cancer. The nurse identifies which of the following as a late-occurring symptom of oral cancer?
a)
Warmth
b)
Odor
c)
Pain
d)
Ulcer with flat edges
e)
-
22.
A patient has undergone a radical cystectomy and has an ileal conduit for the treatment of bladder cancer. Which postoperative assessment finding should the nurse report to the physician immediately?
a)
A red, moist stoma
b)
A dusky stoma
c)
Urine output of more than 30 mL/hour
d)
Slight bleeding from the stoma when changing the appliance
e)
-
23.
A patient has undergone a radical cystectomy and has an ileal conduit for the treatment of bladder cancer. Which postoperative assessment finding should the nurse report to the physician immediately?
a)
A red, moist stoma
b)
A dusky stoma
c)
Urine output of more than 30 mL/hour
d)
Slight bleeding from the stoma when changing the appliance
e)
-
24.
Infants born to diabetic mothers are often described as large for gestational age. The primary reason for the infant’s large size is:
a)
Overstimulation of the thyroid
b)
Maternal hyperglycemia
c)
Improved maternal nutrition
d)
Increased production of the pituitary
e)
-
25.
A client with a history of supraventricular tachycardia is admitted to the telemetry unit with complaints of dizziness and fainting spells. The client’s heart rate suddenly registers 220 beats/ minute on the telemetry monitor screen and the rhythm shows atrial tachycardia. The client is alert but complaining of shortness of breath and dizziness. The nurse asks the nursing assistant to repeat a set of vital signs while the nurse notifies the primary care physician. The primary care physician states that the client needs synchronized cardioversion and asks the nurse to contact the on-call cardiologist stat. This collaborative care by the nurse and primary care physician resulted in the client receiving the appropriate cardioversion from the on-call cardiologist in a timely manner. The actions by the nurse to procure appropriate care for the client were an example of:
a)
Case management.
b)
Cardioversion.
c)
Consultation.
d)
Delegation.
e)
-
26.
When locating Erb’s point to hear aortic and pulmonic sounds, the nurse should place the stethoscope at the:
a)
fifth intercostal space near the midclavicular line.
b)
fifth intercostal space along the left sternal border.
c)
second intercostal space at the left sternal border.
d)
third intercostal space at the left sternal border.
e)
-
27.
The nurse is assessing the client admitted for possible oral cancer. The nurse identifies which of the following as a late-occurring symptom of oral cancer?
a)
Warmth
b)
Odor
c)
Pain
d)
Ulcer with flat edges
e)
-
28.
A client has been given the drug Neulasta (pegfilgastrin). Which laboratory value indicates that the drug is producing the desired effect?
a)
Hemoglobin of 13.5g/dL
b)
White blood cell count of 6,000/mm
c)
Platelet count of 300,000/mm
d)
HCT 39%
e)
-
29.
A patient has undergone a radical cystectomy and has an ileal conduit for the treatment of bladder cancer. Which postoperative assessment finding should the nurse report to the physician immediately?
a)
A red, moist stoma
b)
A dusky stoma
c)
Urine output of more than 30 mL/hour
d)
Slight bleeding from the stoma when changing the appliance
e)
-
30.
The nurse is assessing the client admitted for possible oral cancer. The nurse identifies which of the following as a late-occurring symptom of oral cancer?
a)
Warmth
b)
Odor
c)
Pain
d)
Ulcer with flat edges
e)
-
31.
When locating Erb’s point to hear aortic and pulmonic sounds, the nurse should place the stethoscope at the:
a)
fifth intercostal space near the midclavicular line.
b)
fifth intercostal space along the left sternal border.
c)
second intercostal space at the left sternal border.
d)
third intercostal space at the left sternal border.
e)
-
32.
A patient has undergone a radical cystectomy and has an ileal conduit for the treatment of bladder cancer. Which postoperative assessment finding should the nurse report to the physician immediately?
a)
A red, moist stoma
b)
A dusky stoma
c)
Urine output of more than 30 mL/hour
d)
Slight bleeding from the stoma when changing the appliance
e)
-
33.
A client has been given the drug Neulasta (pegfilgastrin). Which laboratory value indicates that the drug is producing the desired effect?
a)
Hemoglobin of 13.5g/dL
b)
White blood cell count of 6,000/mm
c)
Platelet count of 300,000/mm
d)
HCT 39%
e)
-
34.
A client has been given the drug Neulasta (pegfilgastrin). Which laboratory value indicates that the drug is producing the desired effect?
a)
Hemoglobin of 13.5g/dL
b)
White blood cell count of 6,000/mm
c)
Platelet count of 300,000/mm
d)
HCT 39%
e)
-
35.
A client is being treated with carbamazepine (Tegretol). Which laboratory value might indicate a side effect of this drug?
a)
BUN 10mg/dL
b)
Hemoglobin 13.0gm/dL
c)
WBC 4,000/mm3
d)
Platelets 200,000/mm3
e)
-
36.
The nurse is assessing the client admitted for possible oral cancer. The nurse identifies which of the following as a late-occurring symptom of oral cancer?
a)
Warmth
b)
Odor
c)
Pain
d)
Ulcer with flat edges
e)
-
37.
During the assessment of a laboring client, the nurse notes that the FHT are loudest in the upper-right quadrant. The infant is most likely in which position?
a)
Right breech presentation
b)
Right occipital anterior presentation
c)
Left sacral anterior presentation
d)
Left occipital transverse presentation
e)
-
38.
During the assessment of a laboring client, the nurse notes that the FHT are loudest in the upper-right quadrant. The infant is most likely in which position?
a)
Right breech presentation
b)
Right occipital anterior presentation
c)
Left sacral anterior presentation
d)
Left occipital transverse presentation
e)
-
39.
When locating Erb’s point to hear aortic and pulmonic sounds, the nurse should place the stethoscope at the:
a)
fifth intercostal space near the midclavicular line.
b)
fifth intercostal space along the left sternal border.
c)
second intercostal space at the left sternal border.
d)
third intercostal space at the left sternal border.
e)
-
40.
A client with a history of supraventricular tachycardia is admitted to the telemetry unit with complaints of dizziness and fainting spells. The client’s heart rate suddenly registers 220 beats/ minute on the telemetry monitor screen and the rhythm shows atrial tachycardia. The client is alert but complaining of shortness of breath and dizziness. The nurse asks the nursing assistant to repeat a set of vital signs while the nurse notifies the primary care physician. The primary care physician states that the client needs synchronized cardioversion and asks the nurse to contact the on-call cardiologist stat. This collaborative care by the nurse and primary care physician resulted in the client receiving the appropriate cardioversion from the on-call cardiologist in a timely manner. The actions by the nurse to procure appropriate care for the client were an example of:
a)
Case management.
b)
Cardioversion.
c)
Consultation.
d)
Delegation.
e)
-
41.
A client has a vagal nerve stimulator in place to prevent seizures. Which would indicate that the device is working properly?
a)
The client’s voice changes when operating.
b)
Hiccups occur with each stimulation.
c)
The client can feel vibrations in the area of the vagal nerve stimulator when operational.
d)
The client’s radial pulse obliterates when the stimulator is activated.
e)
-
42.
A patient has undergone a radical cystectomy and has an ileal conduit for the treatment of bladder cancer. Which postoperative assessment finding should the nurse report to the physician immediately?
a)
A red, moist stoma
b)
A dusky stoma
c)
Urine output of more than 30 mL/hour
d)
Slight bleeding from the stoma when changing the appliance
e)
-
43.
The nurse is teaching a pregnant client about nutritional needs during pregnancy. Which menu selection will best meet the nutritional needs of the pregnant client?
a)
Hamburger pattie, green beans, French fries, and iced tea
b)
Roast beef sandwich, potato chips, baked beans, and cola
c)
Baked chicken, fruit cup, potato salad, coleslaw, yogurt, and iced tea
d)
Fish sandwich, gelatin with fruit, and coffee
e)
-
44.
When locating Erb’s point to hear aortic and pulmonic sounds, the nurse should place the stethoscope at the:
a)
fifth intercostal space near the midclavicular line.
b)
fifth intercostal space along the left sternal border.
c)
second intercostal space at the left sternal border.
d)
third intercostal space at the left sternal border.
e)
-
45.
A client has a vagal nerve stimulator in place to prevent seizures. Which would indicate that the device is working properly?
a)
The client’s voice changes when operating.
b)
Hiccups occur with each stimulation.
c)
The client can feel vibrations in the area of the vagal nerve stimulator when operational.
d)
The client’s radial pulse obliterates when the stimulator is activated.
e)
-
46.
The physician has ordered Parnate (tranylcypromine) for a client with depression. The nurse should tell the client to avoid foods containing tryamine because it can result in:
a)
Elevations in blood pressure
b)
Decreased libido
c)
Elevations in temperature
d)
Increased depression
e)
-
47.
The nurse is caring for a client with chest trauma. Which finding would be most indicative of a tension pneumothorax?
a)
Frothy hemoptysis
b)
Trachea shift toward unaffected side of the chest
c)
Subcutaneous emphysema noted anterior chest
d)
Opening chest wound with a whistle sound emitting from the area
e)
-
48.
The physician has ordered Parnate (tranylcypromine) for a client with depression. The nurse should tell the client to avoid foods containing tryamine because it can result in:
a)
Elevations in blood pressure
b)
Decreased libido
c)
Elevations in temperature
d)
Increased depression
e)
-
49.
The nurse is assessing the client admitted for possible oral cancer. The nurse identifies which of the following as a late-occurring symptom of oral cancer?
a)
Warmth
b)
Odor
c)
Pain
d)
Ulcer with flat edges
e)
-
50.
A client with a history of supraventricular tachycardia is admitted to the telemetry unit with complaints of dizziness and fainting spells. The client’s heart rate suddenly registers 220 beats/ minute on the telemetry monitor screen and the rhythm shows atrial tachycardia. The client is alert but complaining of shortness of breath and dizziness. The nurse asks the nursing assistant to repeat a set of vital signs while the nurse notifies the primary care physician. The primary care physician states that the client needs synchronized cardioversion and asks the nurse to contact the on-call cardiologist stat. This collaborative care by the nurse and primary care physician resulted in the client receiving the appropriate cardioversion from the on-call cardiologist in a timely manner. The actions by the nurse to procure appropriate care for the client were an example of:
a)
Case management.
b)
Cardioversion.
c)
Consultation.
d)
Delegation.
e)
-
51.
The physician has ordered Parnate (tranylcypromine) for a client with depression. The nurse should tell the client to avoid foods containing tryamine because it can result in:
a)
Elevations in blood pressure
b)
Decreased libido
c)
Elevations in temperature
d)
Increased depression
e)
-
52.
Infants born to diabetic mothers are often described as large for gestational age. The primary reason for the infant’s large size is:
a)
Overstimulation of the thyroid
b)
Maternal hyperglycemia
c)
Improved maternal nutrition
d)
Increased production of the pituitary
e)
-
53.
The nurse has inserted an NG tube for enteral feedings. Which assessment result is the best indication that an NG tube is properly placed in the stomach?
a)
Aspiration of tan-colored mucus
b)
Green aspirate with a pH of 3
c)
A swish auscultated with the injection of air
d)
Bubbling in a cup of NS when the end of the tube is placed in the cup
e)
-
54.
A client has a vagal nerve stimulator in place to prevent seizures. Which would indicate that the device is working properly?
a)
The client’s voice changes when operating.
b)
Hiccups occur with each stimulation.
c)
The client can feel vibrations in the area of the vagal nerve stimulator when operational.
d)
The client’s radial pulse obliterates when the stimulator is activated.
e)
-
55.
Which snack is best for the child following a tonsillectomy?
a)
Banana popsicle
b)
Chocolate milk
c)
Fruit punch
d)
Cola
e)
-
56.
The nurse has inserted an NG tube for enteral feedings. Which assessment result is the best indication that an NG tube is properly placed in the stomach?
a)
Aspiration of tan-colored mucus
b)
Green aspirate with a pH of 3
c)
A swish auscultated with the injection of air
d)
Bubbling in a cup of NS when the end of the tube is placed in the cup
e)
-
57.
A patient has undergone a radical cystectomy and has an ileal conduit for the treatment of bladder cancer. Which postoperative assessment finding should the nurse report to the physician immediately?
a)
A red, moist stoma
b)
A dusky stoma
c)
Urine output of more than 30 mL/hour
d)
Slight bleeding from the stoma when changing the appliance
e)
-
58.
The nurse is assisting the physician with removal of a central venous catheter. To facilitate removal, the nurse should instruct the client to:
a)
Perform the Valsalva maneuver as the catheter is advanced
b)
Turn his head to the left side and hyperextend the neck
c)
Take slow, deep breaths as the catheter is removed
d)
Turn his head to the right while maintaining a sniffing position
e)
-
59.
During the assessment of a laboring client, the nurse notes that the FHT are loudest in the upper-right quadrant. The infant is most likely in which position?
a)
Right breech presentation
b)
Right occipital anterior presentation
c)
Left sacral anterior presentation
d)
Left occipital transverse presentation
e)
-
60.
The nurse is assisting the physician with removal of a central venous catheter. To facilitate removal, the nurse should instruct the client to:
a)
Perform the Valsalva maneuver as the catheter is advanced
b)
Turn his head to the left side and hyperextend the neck
c)
Take slow, deep breaths as the catheter is removed
d)
Turn his head to the right while maintaining a sniffing position
e)
-
61.
When locating Erb’s point to hear aortic and pulmonic sounds, the nurse should place the stethoscope at the:
a)
fifth intercostal space near the midclavicular line.
b)
fifth intercostal space along the left sternal border.
c)
second intercostal space at the left sternal border.
d)
third intercostal space at the left sternal border.
e)
-
62.
A client has a vagal nerve stimulator in place to prevent seizures. Which would indicate that the device is working properly?
a)
The client’s voice changes when operating.
b)
Hiccups occur with each stimulation.
c)
The client can feel vibrations in the area of the vagal nerve stimulator when operational.
d)
The client’s radial pulse obliterates when the stimulator is activated.
e)
-
63.
Infants born to diabetic mothers are often described as large for gestational age. The primary reason for the infant’s large size is:
a)
Overstimulation of the thyroid
b)
Maternal hyperglycemia
c)
Improved maternal nutrition
d)
Increased production of the pituitary
e)
-
64.
A client is being treated with carbamazepine (Tegretol). Which laboratory value might indicate a side effect of this drug?
a)
BUN 10mg/dL
b)
Hemoglobin 13.0gm/dL
c)
WBC 4,000/mm3
d)
Platelets 200,000/mm3
e)
-
65.
When locating Erb’s point to hear aortic and pulmonic sounds, the nurse should place the stethoscope at the:
a)
fifth intercostal space near the midclavicular line.
b)
fifth intercostal space along the left sternal border.
c)
second intercostal space at the left sternal border.
d)
third intercostal space at the left sternal border.
e)
-
66.
The nurse has inserted an NG tube for enteral feedings. Which assessment result is the best indication that an NG tube is properly placed in the stomach?
a)
Aspiration of tan-colored mucus
b)
Green aspirate with a pH of 3
c)
A swish auscultated with the injection of air
d)
Bubbling in a cup of NS when the end of the tube is placed in the cup
e)
-
67.
Which snack is best for the child following a tonsillectomy?
a)
Banana popsicle
b)
Chocolate milk
c)
Fruit punch
d)
Cola
e)
-
68.
The nurse is assisting the physician with removal of a central venous catheter. To facilitate removal, the nurse should instruct the client to:
a)
Perform the Valsalva maneuver as the catheter is advanced
b)
Turn his head to the left side and hyperextend the neck
c)
Take slow, deep breaths as the catheter is removed
d)
Turn his head to the right while maintaining a sniffing position
e)
-
69.
Infants born to diabetic mothers are often described as large for gestational age. The primary reason for the infant’s large size is:
a)
Overstimulation of the thyroid
b)
Maternal hyperglycemia
c)
Improved maternal nutrition
d)
Increased production of the pituitary
e)
-
70.
A client has a vagal nerve stimulator in place to prevent seizures. Which would indicate that the device is working properly?
a)
The client’s voice changes when operating.
b)
Hiccups occur with each stimulation.
c)
The client can feel vibrations in the area of the vagal nerve stimulator when operational.
d)
The client’s radial pulse obliterates when the stimulator is activated.
e)
-
71.
During the assessment of a laboring client, the nurse notes that the FHT are loudest in the upper-right quadrant. The infant is most likely in which position?
a)
Right breech presentation
b)
Right occipital anterior presentation
c)
Left sacral anterior presentation
d)
Left occipital transverse presentation
e)
-
72.
A client has a vagal nerve stimulator in place to prevent seizures. Which would indicate that the device is working properly?
a)
The client’s voice changes when operating.
b)
Hiccups occur with each stimulation.
c)
The client can feel vibrations in the area of the vagal nerve stimulator when operational.
d)
The client’s radial pulse obliterates when the stimulator is activated.
e)
-
73.
The nurse is assisting the physician with removal of a central venous catheter. To facilitate removal, the nurse should instruct the client to:
a)
Perform the Valsalva maneuver as the catheter is advanced
b)
Turn his head to the left side and hyperextend the neck
c)
Take slow, deep breaths as the catheter is removed
d)
Turn his head to the right while maintaining a sniffing position
e)
-
74.
The nurse is assisting the physician with removal of a central venous catheter. To facilitate removal, the nurse should instruct the client to:
a)
Perform the Valsalva maneuver as the catheter is advanced
b)
Turn his head to the left side and hyperextend the neck
c)
Take slow, deep breaths as the catheter is removed
d)
Turn his head to the right while maintaining a sniffing position
e)
-
75.
A client has been given the drug Neulasta (pegfilgastrin). Which laboratory value indicates that the drug is producing the desired effect?
a)
Hemoglobin of 13.5g/dL
b)
White blood cell count of 6,000/mm
c)
Platelet count of 300,000/mm
d)
HCT 39%
e)
-
76.
During the assessment of a laboring client, the nurse notes that the FHT are loudest in the upper-right quadrant. The infant is most likely in which position?
a)
Right breech presentation
b)
Right occipital anterior presentation
c)
Left sacral anterior presentation
d)
Left occipital transverse presentation
e)
-
77.
Which snack is best for the child following a tonsillectomy?
a)
Banana popsicle
b)
Chocolate milk
c)
Fruit punch
d)
Cola
e)
-
78.
The nurse has inserted an NG tube for enteral feedings. Which assessment result is the best indication that an NG tube is properly placed in the stomach?
a)
Aspiration of tan-colored mucus
b)
Green aspirate with a pH of 3
c)
A swish auscultated with the injection of air
d)
Bubbling in a cup of NS when the end of the tube is placed in the cup
e)
-
79.
When locating Erb’s point to hear aortic and pulmonic sounds, the nurse should place the stethoscope at the:
a)
fifth intercostal space near the midclavicular line.
b)
fifth intercostal space along the left sternal border.
c)
second intercostal space at the left sternal border.
d)
third intercostal space at the left sternal border.
e)
-
80.
When locating Erb’s point to hear aortic and pulmonic sounds, the nurse should place the stethoscope at the:
a)
fifth intercostal space near the midclavicular line.
b)
fifth intercostal space along the left sternal border.
c)
second intercostal space at the left sternal border.
d)
third intercostal space at the left sternal border.
e)
-
81.
The nurse is teaching a pregnant client about nutritional needs during pregnancy. Which menu selection will best meet the nutritional needs of the pregnant client?
a)
Hamburger pattie, green beans, French fries, and iced tea
b)
Roast beef sandwich, potato chips, baked beans, and cola
c)
Baked chicken, fruit cup, potato salad, coleslaw, yogurt, and iced tea
d)
Fish sandwich, gelatin with fruit, and coffee
e)
-
82.
The nurse is assessing the client with a total knee replacement 2 hours post-operative. Which information requires notification of the doctor?
a)
Bleeding on the dressing is 2cm in diameter.
b)
The client has a low-grade temperature.
c)
The client’s hemoglobin is 6g/dL.
d)
The client voids after surgery
e)
-
83.
A client is being treated with carbamazepine (Tegretol). Which laboratory value might indicate a side effect of this drug?
a)
BUN 10mg/dL
b)
Hemoglobin 13.0gm/dL
c)
WBC 4,000/mm3
d)
Platelets 200,000/mm3
e)
-
84.
Infants born to diabetic mothers are often described as large for gestational age. The primary reason for the infant’s large size is:
a)
Overstimulation of the thyroid
b)
Maternal hyperglycemia
c)
Improved maternal nutrition
d)
Increased production of the pituitary
e)
-
85.
The nurse is assessing the client admitted for possible oral cancer. The nurse identifies which of the following as a late-occurring symptom of oral cancer?
a)
Warmth
b)
Odor
c)
Pain
d)
Ulcer with flat edges
e)
-
86.
The nurse is assessing the client with a total knee replacement 2 hours post-operative. Which information requires notification of the doctor?
a)
Bleeding on the dressing is 2cm in diameter.
b)
The client has a low-grade temperature.
c)
The client’s hemoglobin is 6g/dL.
d)
The client voids after surgery
e)
-
87.
The physician has ordered Parnate (tranylcypromine) for a client with depression. The nurse should tell the client to avoid foods containing tryamine because it can result in:
a)
Elevations in blood pressure
b)
Decreased libido
c)
Elevations in temperature
d)
Increased depression
e)
-
88.
The nurse is assessing the client admitted for possible oral cancer. The nurse identifies which of the following as a late-occurring symptom of oral cancer?
a)
Warmth
b)
Odor
c)
Pain
d)
Ulcer with flat edges
e)
-
89.
Infants born to diabetic mothers are often described as large for gestational age. The primary reason for the infant’s large size is:
a)
Overstimulation of the thyroid
b)
Maternal hyperglycemia
c)
Improved maternal nutrition
d)
Increased production of the pituitary
e)
-
90.
The nurse is teaching a pregnant client about nutritional needs during pregnancy. Which menu selection will best meet the nutritional needs of the pregnant client?
a)
Hamburger pattie, green beans, French fries, and iced tea
b)
Roast beef sandwich, potato chips, baked beans, and cola
c)
Baked chicken, fruit cup, potato salad, coleslaw, yogurt, and iced tea
d)
Fish sandwich, gelatin with fruit, and coffee
e)
-
91.
Which snack is best for the child following a tonsillectomy?
a)
Banana popsicle
b)
Chocolate milk
c)
Fruit punch
d)
Cola
e)
-
92.
Infants born to diabetic mothers are often described as large for gestational age. The primary reason for the infant’s large size is:
a)
Overstimulation of the thyroid
b)
Maternal hyperglycemia
c)
Improved maternal nutrition
d)
Increased production of the pituitary
e)
-
93.
When locating Erb’s point to hear aortic and pulmonic sounds, the nurse should place the stethoscope at the:
a)
fifth intercostal space near the midclavicular line.
b)
fifth intercostal space along the left sternal border.
c)
second intercostal space at the left sternal border.
d)
third intercostal space at the left sternal border.
e)
-
94.
The nurse is assessing the client admitted for possible oral cancer. The nurse identifies which of the following as a late-occurring symptom of oral cancer?
a)
Warmth
b)
Odor
c)
Pain
d)
Ulcer with flat edges
e)
-
95.
Which snack is best for the child following a tonsillectomy?
a)
Banana popsicle
b)
Chocolate milk
c)
Fruit punch
d)
Cola
e)
-
96.
The nurse is teaching a pregnant client about nutritional needs during pregnancy. Which menu selection will best meet the nutritional needs of the pregnant client?
a)
Hamburger pattie, green beans, French fries, and iced tea
b)
Roast beef sandwich, potato chips, baked beans, and cola
c)
Baked chicken, fruit cup, potato salad, coleslaw, yogurt, and iced tea
d)
Fish sandwich, gelatin with fruit, and coffee
e)
-
97.
Infants born to diabetic mothers are often described as large for gestational age. The primary reason for the infant’s large size is:
a)
Overstimulation of the thyroid
b)
Maternal hyperglycemia
c)
Improved maternal nutrition
d)
Increased production of the pituitary
e)
-
98.
A client has been given the drug Neulasta (pegfilgastrin). Which laboratory value indicates that the drug is producing the desired effect?
a)
Hemoglobin of 13.5g/dL
b)
White blood cell count of 6,000/mm
c)
Platelet count of 300,000/mm
d)
HCT 39%
e)
-
99.
A client is being treated with carbamazepine (Tegretol). Which laboratory value might indicate a side effect of this drug?
a)
BUN 10mg/dL
b)
Hemoglobin 13.0gm/dL
c)
WBC 4,000/mm3
d)
Platelets 200,000/mm3
e)
-
100.
A patient has undergone a radical cystectomy and has an ileal conduit for the treatment of bladder cancer. Which postoperative assessment finding should the nurse report to the physician immediately?
a)
A red, moist stoma
b)
A dusky stoma
c)
Urine output of more than 30 mL/hour
d)
Slight bleeding from the stoma when changing the appliance
e)
-
100 %
