WorksheetsGCC 51 - 75
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
The physician has scheduled a Whipple procedure for a client with pancreatic cancer. The nurse recognizes that the client's cancer is located in:
a)
The tail of the pancreas
b)
The head of the pancreas
c)
The body of the pancreas
d)
The entire pancreas
e)
-
2.
Client incidence of hypermagnesemia is rare in comparison with hypomagnesemia. Hypermagnesemia generally occurs secondary to:
a)
Cardiac contractility.
b)
Hypokalemia.
c)
Liver failure.
d)
Renal insufficiency.
e)
-
3.
The mother of a male child with cystic fibrosis tells the nurse that she hopes her son's children won't have the disease. The nurse is aware that:
a)
There is a 25% chance that his children would have cystic fibrosis.
b)
Most of the males with cystic fibrosis are sterile.
c)
There is a 50% chance that his children would be carriers.
d)
Most males with cystic fibrosis are capable of having children, so genetic counseling is advised.
e)
-
4.
The nurse is performing a self-breast exam when she discovers a mass. Which characteristic of the mass would be most indicative of a malignancy?
a)
Tender to touch
b)
Regular shape
c)
Moves easily
d)
Firm to the touch
e)
-
5.
Which of these tasks would it be most appropriate to assign to a nursing assistant?
a)
Obtaining vital signs on a client with chest pain
b)
Obtaining blood sugars on a newly admitted client with diabetes
c)
Feeding a newly admitted stroke client
d)
Assisting a client 2 days post-operative abdominal surgery
e)
-
6.
The nurse is applying karaya powder to the skin surrounding the client's ilestomy. The purpose of the karaya powder is to:
a)
Prevent the formation of odor
b)
Help form a seal that will protect the skin
c)
Prevent the loss of electrolytes
d)
Increase the time between bag evacuations
e)
-
7.
A 20-year-old female has a prescription for tetracycline. While teaching the client how to take her medicine, the nurse learns that the client is also taking Ortho-Novum oral contraceptive pills. Which instructions should be included in the teaching plan?
a)
The oral contraceptives will decrease the effectiveness of the tetracycline.
b)
Nausea often results from taking oral contraceptives and antibiotics.
c)
Toxicity can result when taking these two medications together.
d)
Antibiotics can decrease the effectiveness of oral contraceptives, so the client should use an alternate method of birth control.
e)
-
8.
The nurse is taking the vital signs of the client admitted with cancer of the pancreas. The nurse is aware that the fifth vital sign is:
a)
Anorexia
b)
Pain
c)
Insomnia
d)
Fatigue
e)
-
9.
The nurse knows that the case management model of client care is:
a)
Implemented throughout a client's entire hospital stay or episode of illness.
b)
Implemented only during a client's acute phase of illness.
c)
Implemented if a client is unable to recover from an episode of illness within the expected time frame of the client's specific disease process.
d)
Focused on the cost of care delivered to a client.
e)
-
10.
Which diagnostic test would be the most important to have for a primigravid client in the second trimester of her pregnancy?
a)
Culdocentesis to detect abnormalities.
b)
Chorionic villus sampling.
c)
Ultrasound testing.
d)
a-fetoprotein (AFP) testing.
e)
-
11.
A client who had an abdominal aortic aneurysm repair is having delayed healing of the wound. Which laboratory test result would most closely correlate to this problem?
a)
Decreased albumin
b)
Decreased creatinine
c)
Increased calcium
d)
Increased sodium
e)
-
12.
A client who receives total parental nutrition (TPN) has an increase in urinary output. The client's pulse is 130 beats/minute and blood pressure is 98/50 mm Hg. The client's mucous membranes are dry. Which circumstance is most likely responsible for the client's symptoms?
a)
Excess insulin.
b)
Increased rate of administration.
c)
Hypocalcemia.
d)
Hypermagnesemia.
e)
-
13.
Which tinea is best described by an annular erythematous patch on the body, hands, or face?
a)
Tinea capitus.
b)
Tinea corporis.
c)
Tinea cruris.
d)
Tinea pedis.
e)
-
14.
A client complains of being stung by a yellow jacket which caused "whelps" on the skin and light-headedness. The nurse knows first-line treatment consists of:
a)
Cool compresses.
b)
Intravenous access.
c)
Supplemental oxygen therapy.
d)
Tetanus injection.
e)
-
15.
A client with gestational diabetes delivers a macrosomic infant. The nurse understands that the most vital component of the infant's assessment is:
a)
Evaluation of the infant for tethered spinal cord.
b)
Determining if the infant sustained a clavicle fracture.
c)
Observing for arm movement to evaluate for Erb's palsy.
d)
Frequent blood glucose monitoring to ensure stable values.
e)
-
16.
Which question best assesses a client for symptoms of insomnia?
a)
Where do you sleep?
b)
How often do you have trouble sleeping?
c)
Do you currently have specific stressors in your life?
d)
What time do you go to bed?
e)
-
17.
A client experiences a transient ischemic attack (TIA). The nurse informs the client upon discharge that which factor is associated with an increased risk of stroke after a TIA?
a)
Clear speech.
b)
Diabetes mellitus.
c)
Symptoms lasting less than 10 minutes.
d)
Younger age.
e)
-
18.
An elderly patient has just suffered a stroke that has left him with amnesia. Amnesia is a symptom associated with damage to which vessel?
a)
Carotid artery
b)
Anterior cerebral arteries
c)
Vertebrobasilar artery
d)
Middle cerebral artery
e)
-
19.
The physician has ordered Stadol (butorphanol) for a postoperative client. The nurse knows that the medication is having its intended effect if the client:
a)
Is asleep 30 minutes after the injection
b)
Asks for extra servings on his meal tray
c)
Has an increased urinary output
d)
States that he is feeling less nauseated
e)
-
20.
Vitamin K (aquamephyton) is administered to a newborn shortly after birth for which of the following reasons?
a)
To prevent dehydration
b)
To treat infection
c)
To replace electrolytes
d)
To facilitate clotting
e)
-
21.
A group of nurses is discussing the benefits of specialized certifications in specific areas of nursing. One of the nurses states, "I believe that the additional knowledge that I acquired by studying for my specialty certification was worth the time and money that I spent. It enhances my client care and benefits my clients every day." Several nurses in the group decide to study for their certifications based on the certified nurse's positive experience. This is an example of which type of staff education and development?
a)
Formal staff education and development.
b)
Mandatory staff education.
c)
Informal staff education and development.
d)
Compliance training.
e)
-
22.
A client visiting a family planning clinic is suspected of having an STI. The most diagnostic test for treponema pallidum is:
a)
Venereal Disease Research Lab (VDRL)
b)
Rapid plasma reagin (RPR)
c)
Florescent treponemal antibody (FTA)
d)
Thayer-Martin culture (TMC)
e)
-
23.
The nurse is planning dietary changes for a client following an episode of pancreatitis. Which diet is suitable for the client?
a)
Low calorie, low carbohydrate
b)
High calorie, low fat
c)
High protein, high fat
d)
Low protein, high carbohydrate
e)
-
24.
The nurse is observing a developmental assessment of an infant. Which of the following is an example of cephalocaudal development?
a)
The infant is able to make rudimentary vocalizations before using language.
b)
The infant can control arm movements before she can control finger movements.
c)
The infant is able to raise her head before sitting.
d)
The infant responds to pain with her whole body before she can localize pain.
e)
-
25.
After surgical repair of a hip, which position is best for a patient's legs and hips?
a)
Abducted
b)
Adducted
c)
Prone
d)
Subluxated
e)
-
100 %
