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WorksheetsGCC 101 - 125
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
A client is diagnosed with second-degree burns. The nurse expects the physician to order:
a)
Application of cool water or saline-soaked gauze to the burn.
b)
Application of ice to the burn.
c)
Cleansing with betadine.
d)
Cleansing with hydrogen peroxide.
e)
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2.
The nurse is providing dietary teaching for a client with Meniere's disease. Which statement indicates that the client understands the role of diet in triggering her symptoms?
a)
I can expect to see more problems with tinnitus if I eat a lot of dairy products.
b)
I need to limit foods that taste salty or that contain a lot of sodium.
c)
I can help control problems with vertigo if I avoid breads and cereals.
d)
I need to eat fewer foods that are high in potassium, such as raisins and bananas.
e)
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3.
A multigravid client who stands for long periods while working in a factory visits the prenatal clinic at 35 weeks' gestation, stating, "The varicose veins in my legs have really been bothering me lately." Which of the following instructions would be helpful?
a)
Perform slow contraction and relaxation of the feet and ankles twice daily.
b)
Take frequent rest periods with the legs elevated above the hips.
c)
Avoid support hose that reach above the leg varicosities.
d)
Take a leave of absence from your job to avoid prolonged standing.
e)
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4.
A client taking Laniazid (isoniazid) asks the nurse how long she must take the medication before her sputum cultures will return to normal. The nurse recognizes that the client should have a negative sputum culture within:
a)
2 weeks
b)
6 weeks
c)
2 months
d)
3 months
e)
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5.
The nurse is assisting in the care of a patient with diverticulosis. Which of the following assessment findings would necessitate a report to the doctor?
a)
Bowel sounds of 5-20 seconds
b)
Intermittent left lower-quadrant pain
c)
Constipation alternating with diarrhea
d)
Hemoglobin 26% and hematocrit 32
e)
-
6.
Which medication provides artificially acquired passive immunity?
a)
Diptheria and tetanus toxoid.
b)
Snakebite antivenin.
c)
Haemophilus influenzae type B conjugate vaccine.
d)
Influenza virus vaccine.
e)
-
7.
A patient is injected with a radiographic contrast medium and immediately shows signs of dyspnea, flushing, and pruritus. Which intervention should take priority?
a)
Checking his vital signs
b)
Making sure his airway is patent
c)
Applying a cold pack to the I.V. site
d)
Calling the physician
e)
-
8.
A patient, age 32, is admitted with a diagnosis of endometriosis. Which of the following is the nurse most likely to find during an assessment of a patient with endometriosis?
a)
Chronic, severe pain related to menstruation
b)
Loss and grieving associated with infertility problems
c)
Changes in body image, self-concept, and sexuality
d)
High anxiety with a need for perfection and control
e)
-
9.
An elderly client is admitted with dehydration and has a pitcher of water at the bedside. The nurse assesses the client's thirst with every visit to the room and the client denies thirst each time. While calculating the end-of-shift intake and output, the nurse notes the client has had very little to drink. What is the best explanation for this finding?
a)
The client has had enough to drink.
b)
The thirst mechanisms of elderly clients are depressed.
c)
The client does not like the choices of fluids offered.
d)
The client's family is bringing in fluids for the client to drink that are not included in the intake and output totals.
e)
-
10.
A client receives an implanted port. After insertion, an x-ray is performed to determine proper positioning. The tip of the catheter should be located in which vascular structure?
a)
Inferior vena cava.
b)
Superior vena cava.
c)
Left atrium.
d)
Aortic arch.
e)
-
11.
Which nursing action helps to prevent the occurrence of phlebitis due to intravenous line insertion?
a)
Change intravenous sites every 48 hours.
b)
Use large veins to infuse irritating medications.
c)
Utilize veins over areas of flexion.
d)
Carefully advance the catheter during insertion.
e)
-
12.
A client is receiving external radiation for cancer of the larynx. As a result of the treatment, the client will most likely complain of:
a)
Generalized pruritis
b)
Dyspnea
c)
Sore throat
d)
Bone pain
e)
-
13.
A patient has an indwelling urinary catheter, and urine is leaking from a hole in the collection bag. Which nursing intervention would be most appropriate?
a)
Cover the hole with tape.
b)
Remove the catheter and collection bag, replace the bag, and insert a new catheter, using sterile technique.
c)
Disconnect the drainage bag from the catheter and replace it with a new bag.
d)
Place a towel under the bag to prevent spillage of urine on the floor, which could cause the patient to slip and fall.
e)
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14.
The nurse gathers supplies needed to access an implanted port in a client. Which equipment is appropriate for use in this client?
a)
19-gauge butterfly needle.
b)
Straight 20-gauge needle.
c)
20-gauge noncoring needle.
d)
20-gauge over-the-needle catheter.
e)
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15.
A 6-year-old with cerebral palsy functions at the level of an 18-month-old. Which finding would support that assessment?
a)
She dresses herself.
b)
She pulls a toy behind her.
c)
She can build a tower of eight blocks.
d)
She can copy a horizontal or vertical line.
e)
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16.
A patient undergoes a surgical procedure that requires the use of general anesthesia. Following general anesthesia, the patient is most at risk for:
a)
atelectasis.
b)
anemia.
c)
dehydration.
d)
peripheral edema.
e)
-
17.
The infant is admitted to the unit with tetrology of Fallot. The nurse would anticipate an order for which medication?
a)
Digoxin
b)
Epinephrine
c)
Aminophylline
d)
Atropine
e)
-
18.
A client with a missed abortion at 29 weeks gestation is admitted to the hospital. The client will most likely be treated with:
a)
Magnesium sulfate
b)
Calcium gluconate
c)
Dinoprostone (Prostin E.)
d)
Bromocriptine (Parlodel)
e)
-
19.
A client is immobile. Which nursing intervention would best improve tissue perfusion to prevent skin problems?
a)
Assessing the skin daily
b)
Massaging any erythematous areas on the skin
c)
Changing incontinence pads as soon as they become soiled
d)
Performing range-of-motion exercises, and turning and repositioning the client
e)
-
20.
As the nurse enters the room of a newly admitted primigravid client diagnosed with severe preeclampsia, the client begins to experience a seizure. Which of the following should the nurse do first?
a)
Insert an airway to improve oxygenation.
b)
Note the time when the seizure begins and ends.
c)
Call for immediate assistance.
d)
Turn the client to her left side.
e)
-
21.
The nurse is providing discharge instructions for a client who requires oxygen therapy at home. The client asks the nurse, "Will Medicare and Medicaid services pay for the oxygen?" The nurse's response is based on the fact that the client's PO2 must have been less than what level on room air for the client to receive financial reimbursement?
a)
40
b)
50
c)
55
d)
65
e)
-
22.
The physician has ordered a daily dose of Tagamet (cimetidine) for a client with gastric ulcers. The nurse should administer the medication:
a)
Before breakfast
b)
After breakfast
c)
At bedtime
d)
At noon
e)
-
23.
The physician has ordered an injection of RhoGam for a client with blood type A negative. The nurse understands that RhoGam is given to:
a)
Provide immunity against Rh isoenzymes
b)
Prevent the formation of Rh antibodies
c)
Eliminate circulating Rh antibodies
d)
Convert the Rh factor from negative to positive
e)
-
24.
A 37-year-old patient complains of muscle weakness, anorexia, and darkening of his skin. The nurse reviews his laboratory data and notes findings of low serum sodium and high serum potassium levels. The nurse recognizes that these signs and symptoms are associated with which condition?
a)
Addison's disease
b)
Cushing's syndrome
c)
Diabetes insipidus
d)
Thyroid storm
e)
-
25.
What nursing action takes priority when caring for a patient hospitalized for acute cholecystitis?
a)
Administering antibiotics
b)
Assessing the patient for complications
c)
Preparing the patient for lithotripsy
d)
Preparing the patient for surgery
e)
-
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