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WorksheetsGCC 126 - 150
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
A mother of a 3-year-old hospitalized with lead poisoning asks the nurse to explain the treatment for her daughter. The nurse's explanation is based on the knowledge that lead poisoning is treated with:
a)
Gastric lavage
b)
Chelating agents
c)
Antiemetics
d)
Activated charcoal
e)
-
2.
Objectives for treating diabetic ketoacidosis (DKA) include administering which of the following?
a)
Glucagon
b)
Blood products
c)
Glucocorticoids
d)
Insulin and I.V. fluids
e)
-
3.
A client with diabetes has an order for ultrasonography. Preparation for an ultrasound includes:
a)
Increasing fluid intake
b)
Limiting ambulation
c)
Administering an enema
d)
Withholding food for 8 hours
e)
-
4.
When developing a teaching plan for a client who is 8 weeks pregnant, which of the following foods would the nurse suggest to meet the client's need for increased folic acid?
a)
Spinach.
b)
Bananas.
c)
Seafood.
d)
Yogurt.
e)
-
5.
A woman who has delivered a healthy newborn is being discharged. As a part of the discharge teaching, the nurse should instruct the client to observe vaginal discharge for postpartum hemorrhage and notify the healthcare provider about?
a)
Bleeding that becomes lighter each day
b)
Clots the size of golf balls
c)
Saturating a pad in an hour
d)
Lochia that last longer than 1 week
e)
-
6.
A client is admitted to the hospital after being bitten by a bat. Rabies immune globulin, human (BayRab) is ordered as an injection. The drug leaflet instructs to administer 20 IU/kg. This medication comes in vials of 150 IU/mL. The client weighs 220 pounds. How many milliliters should the nurse administer?
a)
4.6 mL.
b)
9.2 mL.
c)
13.3 mL.
d)
29.3 mL.
e)
-
7.
The nurse is discussing pain from cholecystitis with a client. Which statement made by the client most accurately describes the typical pain of this disorder?
a)
The pain is usually below my sternum.
b)
Eating food makes the pain better.
c)
The pain gets worse after I eat fatty foods.
d)
The pain is usually related to constipation.
e)
-
8.
In planning care for the patient with ulcerative colitis, the nurse identifies which nursing diagnoses as a priority?
a)
Anxiety
b)
Impaired skin integrity
c)
Fluid volume deficit
d)
Nutrition altered, less than body requirements
e)
-
9.
The nurse is teaching a client with a history of obesity and hypertension regarding dietary requirements during pregnancy. Which statement indicates that the client needs further teaching?
a)
I need to reduce my daily intake to 1,200 calories a day.
b)
I need to drink at least a quart of milk a day.
c)
I shouldn't add salt when I am cooking.
d)
I need to eat more protein and fiber each day.
e)
-
10.
A client has just been admitted to the intensive care unit (ICU) and is chemically sedated and paralyzed. What is the best description of the precautions that need to be taken to prevent skin breakdown in this client?
a)
No precautions are needed. This client is too critically ill to be moved. Keep the client supine to promote circulation to all areas of the body.
b)
The client needs to be turned at least every 2 hours and should be placed in a 30-degree lateral position if the client becomes too unstable to be turned for more than two hours.
c)
No precautions are needed. The client is in the ICU and is not at risk for skin breakdown.
d)
The client needs to be turned at least every 2 hours.
e)
-
11.
How much of the total body weight is composed of water?
a)
80% to 90%.
b)
70% to 80%.
c)
60% to 70%.
d)
50% to 60%.
e)
-
12.
Heart failure post myocardial infarction is most commonly caused by:
a)
Impaired contractile function secondary to the damaged myocardium.
b)
Increased workload on the myocardium.
c)
Increased oxygen demands of the myocardium.
d)
Ventricular hypertrophy.
e)
-
13.
The nurse is making assignments for the day. Which client should be assigned to the pregnant nurse?
a)
The client receiving linear accelerator radiation therapy for lung cancer
b)
The client with a radium implant for cervical cancer
c)
The client who has just been administered soluble brachytherapy for thyroid cancer
d)
The client who returned from placement of iridium seeds for prostate cancer
e)
-
14.
The nurse is caring for a patient who has just been diagnosed with a terminal illness. The patient says to her, "I can't believe this! I feel ... " and pauses. The nurse allows the patient time to gather his thoughts. What type of therapeutic communication is this?
a)
Clarification
b)
Empathy
c)
Reflection
d)
Silence
e)
-
15.
A primigravid client at 28 weeks' gestation tells the nurse that she and her husband wish to drive to visit relatives who live several hundred miles away. Which of the following recommendations by the nurse would be best?
a)
Try to avoid traveling anywhere in the car during your third trimester.
b)
Limit the time you spend in the car to a maximum of 4 to 5 hours.
c)
Taking the trip is okay if you stop every 1 to 2 hours and walk.
d)
Avoid wearing your seat belt in the car to prevent injury to the fetus.
e)
-
16.
The client arrives in the emergency department after a motor vehicle accident. Nursing assessment findings include BP 80/34, pulse rate 120, and respirations 20. Which is the client's most appropriate priority nursing diagnosis?
a)
Alteration in cerebral tissue perfusion
b)
Fluid volume deficit
c)
Ineffective airway clearance
d)
Alteration in sensory perception
e)
-
17.
The nurse auscultates breath sounds in a client. The nurse knows an incorrect method for auscultation is:
a)
Using the diaphragm of the stethoscope.
b)
Placing the diaphragm directly on the client's skin.
c)
Asking the client to breathe deeply and slowly through the mouth.
d)
Ask the client to lie flat in bed.
e)
-
18.
The physician writes an order that states: methimazole (Tapazole) 15 mg daily PO. Which disease process is most likely being treated with this medication?
a)
Addison's disease.
b)
Hyperthyroidism.
c)
Rheumatoid arthritis.
d)
Parkinson's disease.
e)
-
19.
At the beginning of the 20th century the average lifespan was 45 years. One-hundred years later, the average lifespan increased to 78 years. The most accurate reason for this is:
a)
Decreasing infant and childhood mortality.
b)
Improved sanitation.
c)
Better nutrition.
d)
The ability to access health care more easily.
e)
-
20.
Which statement by the client indicates proper knowledge of the use of the medication phenazopyridine hydrochloride (Pyridium)?
a)
Once I have taken this medication for 24 hours, my infection should be gone.
b)
I know I must abstain from sexual intercourse while I am on this medication.
c)
I know that I am not allergic to this particular antibiotic.
d)
This medication will turn my urine orange and will stain fabrics.
e)
-
21.
Which of the following instructions about activities during menstruation would the nurse include when counseling an adolescent who has just begun to menstruate?
a)
Take a mild analgesic if needed for menstrual pain.
b)
Avoid cold foods if menstrual pain persists.
c)
Stop exercise while menstruating.
d)
Avoid sexual intercourse while menstruating.
e)
-
22.
Which blood test is the best indicator of myocardial injury?
a)
Lactate dehydrogenase (LD)
b)
A complete blood count (CBC)
c)
Troponin I
d)
Creatine kinase (CK)
e)
-
23.
The client is admitted for an open reduction internal fixation of a fractured hip. Immediately following surgery, the nurse should give priority to assessing the client for:
a)
Hypovolemia
b)
Pain
c)
Nutritional status
d)
Immobilizer
e)
-
24.
The nurse cares for a client in skin traction. The nurse knows to assess the client frequently for:
a)
Signs of infection around the pin sites.
b)
Skin breakdown.
c)
Bowel incontinence.
d)
Bowel sounds.
e)
-
25.
A client with schizophrenia is receiving depot injections of Haldol Decanoate (haloperidol decanoate). The client should be told to return for his next injection in:
a)
1 week
b)
2 weeks
c)
4 weeks
d)
6 weeks
e)
-
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