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WorksheetsGCC 176 - 200
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
When assessing a patient with glaucoma, the nurse should expect which finding?
a)
Complaints of double vision
b)
Complaints of halos around lights
c)
An intraocular pressure (IOP) of 15 mm Hg
d)
A soft globe on palpation
e)
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2.
Jugular vein distention is most prominent in which disorder?
a)
Abdominal aortic aneurysm
b)
Heart failure
c)
MI
d)
Pneumothorax
e)
-
3.
Examination of a primigravid client complaining of increased vaginal secretions since becoming pregnant reveals clear, highly acidic vaginal secretions. The client denies any perineal itching or burning. The nurse interprets these findings as a response related to which of the following?
a)
A decrease in vaginal glycogen stores.
b)
Development of a sexually transmitted disease.
c)
Prevention of expulsion of the cervical mucus plug.
d)
Control of the growth of pathologic bacteria.
e)
-
4.
The nurse identifies ventricular tachycardia on the heart monitor. Which action should the nurse prepare to take?
a)
Administer atropine sulfate
b)
Check the potassium level
c)
Administer an antiarrhythmic medication such as Lidocaine
d)
Defibrillate at 360 joules
e)
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5.
The LPN is reviewing the lab results of an elderly client when she notes a specific gravity of 1.025. The nurse recognizes that:
a)
The client has impaired renal function.
b)
The client has a normal specific gravity.
c)
The client has mild to moderate dehydration.
d)
The client has diluted urine from fluid overload.
e)
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6.
The nurse is assisting a client with a total hip replacement to a chair. Which type of chair is appropriate for the client following a total hip replacement?
a)
A recliner
b)
A rocking chair
c)
A straight chair
d)
A sofa chair
e)
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7.
To maintain a therapeutic environment with a patient and his family, the nurse can use communication techniques such as clarification. An example of clarification is:
a)
How is it going?
b)
You say you aren't concerned, but you've asked me many questions on this same subject.
c)
What do you mean when you say ...?
d)
For now, I would like to concentrate on ...
e)
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8.
Preoperative teaching for the patient about to have surgery should focus on which area?
a)
Deciding if the patient should have the surgery
b)
Giving emotional support to the patient and his family
c)
Giving minute details of the surgery to the patient and his family
d)
Providing general information to reduce patient and family anxiety
e)
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9.
Which hepatitis virus is most likely to be transmitted through the fecal-oral route?
a)
Hepatitis A.
b)
Hepatitis B.
c)
Hepatitis C.
d)
Hepatitis D.
e)
-
10.
A 24-year-old female client is scheduled for surgery in the morning. Which of the following is the primary responsibility of the nurse?
a)
Taking the vital signs
b)
Obtaining the permit
c)
Explaining the procedure
d)
Checking the lab work
e)
-
11.
The client is newly diagnosed with juvenile onset diabetes. Which of the following nursing diagnoses is a priority?
a)
Anxiety
b)
Pain
c)
Knowledge deficit
d)
Altered thought process
e)
-
12.
A client delivers healthy twin infants. In educating the client on how to care for twins, the nurse:
a)
Teaches the client to feed one infant while propping the bottle for the other infant to minimize feeding time, thus allowing the client more time to rest.
b)
Instructs the client to add cereal to the nighttime bottle so the infants will sleep longer.
c)
Educates the client to feed each infant individually rather than simultaneously.
d)
Informs the client that warming bottles in the microwave is rapid and provides more time to bond with the infant.
e)
-
13.
A 9-year-old is admitted with suspected rheumatic fever. Which finding is suggestive of polymigratory arthritis?
a)
Irregular movements of the extremities and facial grimacing
b)
Painless swelling over the extensor surfaces of the joints
c)
Faint areas of red demarcation over the back and abdomen
d)
Swelling, inflammation, and effusion of the joints
e)
-
14.
Which religious group may decline unnecessary health care procedures on Shabbat?
a)
Christians.
b)
Christian scientists.
c)
Jews.
d)
Mormons.
e)
-
15.
A client receiving HydroDIURIL (hydrochlorothiazide) is instructed to increase her dietary intake of potassium. The best snack for the client requiring increased potassium is:
a)
Pear
b)
Apple
c)
Orange
d)
Banana
e)
-
16.
The client is taking prednisone 7.5mg po each morning to treat his systemic lupus erythematosus. Which statement best explains the reason for taking the prednisone in the morning?
a)
There is less chance of forgetting the medication if taken in the morning.
b)
There will be less fluid retention if taken in the morning.
c)
Prednisone is absorbed best with the breakfast meal.
d)
Morning administration mimics the body's natural secretion of corticosteroid.
e)
-
17.
Stranger anxiety is defined as the distress that occurs when the infant is separated from the parents or caregivers. Stranger anxiety first peaks at:
a)
1–3 months of age
b)
3–6 months of age
c)
7–9 months of age
d)
12–15 months of age
e)
-
18.
Supervision is an essential component of the appropriate delegation of client care. Which example demonstrates inappropriate supervision?
a)
The unit charge nurse evaluates each client's acuity level and then makes client care assignments based on the nurses' individual skill and competency levels.
b)
A nurse has enrolled in a post-open heart surgery patient recovery course. The nurse is precepted by an experienced nurse on care and recovery of five post-open heart surgery clients for completion of the clinical portion of the course.
c)
A registered nurse is newly assigned to a telemetry unit. The registered nurse is precepted for the first shift and oriented to the unit including policies, procedures, and safety equipment.
d)
A student nurse in the final semester of nursing school is allowed to give intravenous medications unsupervised by either the nursing instructor or the nurse responsible for the client assignment.
e)
-
19.
The nurse is assessing the laboratory values of a patient with an abdominal wound healing by secondary intention. Which of the following laboratory values indicates that the patient is receiving adequate nutrition?
a)
Serum albumin level of 2.5 g/dL
b)
Prealbumin level of 12 mg/dL
c)
Transferrin level of 190 mg/dL
d)
Total lymphocyte count of 1,900 ul
e)
-
20.
When teaching a newly diagnosed diabetic patient about diet and exercise, the nurse should teach the patient how to:
a)
use fiber laxatives and bulk-forming agents.
b)
manage fluids, proteins, and electrolytes.
c)
reduce calorie intake before exercising.
d)
manage caloric goals, diet, and physical activity.
e)
-
21.
Which of the following tasks is within the developmental norm for the 22-month-old child?
a)
Feeds herself with a spoon
b)
Dresses and undresses without help
c)
Shares her toys with others
d)
Speaks in 8- to 10-word sentences
e)
-
22.
Parents are reluctant to immunize their child. They feel that since the majority of children with whom their child will interact have been vaccinated, there is no need for their child to be immunized. The nurse:
a)
Files a report with social services.
b)
Understands that the organisms which cause disease are still prevalent in the environment and may cause illness in this child.
c)
Counsels the parents that refusal to vaccinate their child may result in legal charges.
d)
Notifies the school system that the child is not in compliance with immunization regulations.
e)
-
23.
The physician has ordered dressings with mafenide acetate (Sulfamylon) cream for a client with full-thickness burns of the hands and arms. Before dressing changes, the nurse should give priority to:
a)
Administering pain medication
b)
Checking the adequacy of urinary output
c)
Requesting a daily complete blood count
d)
Obtaining a blood glucose by finger stick
e)
-
24.
The client has an order for Demerol (meperidine) and Phenergan (promethazine) to be given together. The nurse is aware that the purpose of this order is:
a)
For its synergistic effect
b)
For its agonist effect
c)
For its extrapyramidal effects
d)
For its antagonistic effects
e)
-
25.
Which is an advantage of using packed red cells for a client in need of a blood transfusion?
a)
It provides added clotting factors.
b)
It decreases the chance of overload.
c)
It has a longer shelf life.
d)
It reduces the chance of allergic reactions.
e)
-
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