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WorksheetsGCC 201 - 225
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
The mother of a child with cystic fibrosis tells the nurse that her child makes "snoring" sounds when breathing. The nurse is aware that many children with cystic fibrosis have:
a)
Choanal atresia
b)
Nasal polyps
c)
Septal deviations
d)
Enlarged adenoids
2.
Which is a familial factor that most accurately places a family at risk for child abuse and neglect?
a)
The child has a difficult personality.
b)
The family has no history of abuse.
c)
The family is socially isolated.
d)
The parent experiences tremendous stress.
3.
One theory commonly used in family mental health nursing is Bowen's family systems theory. The central assumption in this theory is that chronic anxiety is the underlying basis for dysfunction. The theory consists of eight interlocking concepts that address anxiety and emotional processes. This includes:
a)
Differentiation of self.
b)
Quadriceps.
c)
The family process system.
d)
The nuclear family spiritual system.
4.
Which of the following observations in a 4-year-old suggests the possibility of child abuse?
a)
The presence of "rainbow" bruises
b)
Sucking the thumb when going to sleep
c)
Crying during painful procedures
d)
Eagerness to talk to strangers
5.
Standard orders on the nurse's unit include an intravenous infusion of 1000 mL normal saline with 20 mEq potassium chloride to run at 100 mL per hour. In which client should this order be questioned?
a)
42-year-old female diagnosed with Addison's disease.
b)
56-year-old male diagnosed with hypertension.
c)
32-year-old male diagnosed with abdominal cramping.
d)
52-year-old female diagnosed with Graves' disease.
6.
The nurse changes a wet-to-dry dressing for a client who has a pressure ulcer with infected, necrotic tissue. The nurse knows the purpose of the wet-to-dry dressing is to:
a)
Prevent extensive infection.
b)
Reduce pain.
c)
Debride the wound.
d)
Keep the wound moist.
7.
The nurse assesses a client who is in an arm cast. The client complains of severe pain, decreased motion and sensation, and swelling in the fingers. Which action should the nurse take first?
a)
Notify the physician.
b)
Remove the cast.
c)
Elevate the arm.
d)
Administer analgesics.
8.
Lipid emulsions are part of total parenteral nutrition (TPN) and partial parenteral nutrition (PPN). What do lipid emulsions supply?
a)
Proteins.
b)
Carbohydrates.
c)
Electrolytes.
d)
Fats.
9.
Which nursing diagnoses is most appropriate for the client as she completes the latent phase of labor?
a)
Impaired gas exchange related to hyperventilation
b)
Alteration in oxygen perfusion related to maternal position
c)
Impaired physical mobility related to fetal-monitoring equipment
d)
Potential fluid volume deficit related to decreased fluid intake
10.
A client has come to the physician's office complaining of recent constipation. The nurse takes a health history. Which statement made by the client suggests a likely cause of the constipation?
a)
I walk with a group of friends every day at the mall for an hour.
b)
My spouse died 20 years ago, but my family is very loving and supportive. They live just around the corner and come over a few times a week to visit.
c)
The fast food place near my home has really good food. I eat there most of the time.
d)
What is a laxative?
11.
A male client asks the nurse about the use of withdrawal (coitus interruptus) as a method for birth control. The nurse advises the client:
a)
To use this method as a reliable form of birth control.
b)
That the effectiveness of this method is poor.
c)
That the sexual experience will not be altered.
d)
That coitus interruptus prevents sexually transmitted infections.
12.
The most effective method to decrease morbidity and mortality of stroke is prevention. What is the most effective method of stroke prevention?
a)
Administering platelet inhibitors to prevent clot formation.
b)
Undergoing transluminal angioplasty to open a stenosed artery and improve blood flow.
c)
Maintaining normal weight, exercising, and controlling comorbid conditions.
d)
Administering tissue plasminogen activator (tPA).
13.
A client presents to the emergency department complaining of large amounts of bright red blood in the stool. The client is currently in no apparent distress. Which intervention should be the nurse's first action?
a)
Perform a thorough health history.
b)
Examine the abdomen.
c)
Assess vital signs.
d)
Insert a nasogastric tube.
14.
The physician has ordered atropine sulfate 0.4mg IM before surgery. The medication is supplied in 0.8mg per milliliter. The nurse should administer how many milliliters of the medication?
a)
0.25mL
b)
0.5mL
c)
1mL
d)
1.25mL
15.
A client underwent an abdominal hysterectomy 6 hours ago. The nurse teaches the client to avoid which position?
a)
Side-lying.
b)
High Fowler's.
c)
Supine.
d)
Lateral recumbent.
16.
A 40-year-old client at 8 weeks' gestation has a 3-year-old child with Down syndrome. The nurse is discussing amniocentesis and chorionic villus sampling as genetic screening methods for the expected baby. The nurse is confident that the teaching has been understood when the client states which of the following?
a)
Each test identifies a different part of the infant's genetic makeup.
b)
Chorionic villus sampling can be performed earlier in pregnancy.
c)
The test results take the same length of time to be completed.
d)
Amniocentesis is a more dangerous procedure for the fetus.
17.
The nurse is preparing to administer insulin to a diabetic. Ten units regular and 35 units of NPH are ordered. Which of the following is the proper procedure for drawing up the medications?
a)
Draw up the insulin in two separate syringes, to prevent confusion
b)
Draw up the NPH insulin before drawing up the regular
c)
Inject air into the NPH vial, draw up 35 units, then inject air into the regular insulin vial and withdraw until insulin is at the 45 unit level.
d)
Inject 35 units of air into the NPH, inject 10 units of air into the regular, withdraw 10 units of regular, and then withdraw 35 units of NPH
18.
A patient with SLE who receives immunosuppressants develops a fever. The nurse should:
a)
administer prescribed antipyretics.
b)
place the patient in isolation.
c)
apply cooling measures immediately.
d)
help identify the cause.
19.
After instructing a primigravid client about the functions of the placenta, the nurse determines that the client needs additional teaching when she says that which of the following hormones is produced by the placenta?
a)
Estrogen.
b)
Progesterone.
c)
Human chorionic gonadotropin (hCG).
d)
Testosterone.
20.
A 20-year-old is admitted to the rehabilitation unit following a motorcycle accident. Which would be the appropriate method for measuring the client for crutches?
a)
Measuring five finger breaths under the axilla
b)
Measuring 3 inches under the axilla
c)
Measuring the client with the elbows flexed 10º
d)
Measuring the client with the crutches 20 inches from the side of the foot
21.
A client receives an intravenous fluid infusion at a rate of 20 milliliters per hour. The tubing attached to the bag of fluid is microdrip tubing. How many drops per milliliter does this tubing provide?
a)
10
b)
12
c)
15
d)
60
22.
A client hospitalized with severe depression and suicidal ideation refuses to talk with the nurse. The nurse recognizes that the suicidal client has difficulty:
a)
Expressing feelings of low self-worth
b)
Discussing remorse and guilt for actions
c)
Displaying dependence on others
d)
Expressing anger toward others
23.
Which nursing intervention would be most effective in improving the breathing of a patient with COPD?
a)
Administering oxygen as prescribed
b)
Alternating rest and activity
c)
Teaching pursed-lip breathing
d)
Implementing postural drainage and percussion
24.
A client is admitted with a diagnosis of pernicious anemia. Which of the following signs or symptoms would indicate that the client has been noncompliant with ordered B12 injections?
a)
Hyperactivity in the evening hours
b)
Weight gain of 5 pounds in 1 week
c)
Paresthesia of hands and feet
d)
Diarrhea stools several times a day
25.
The nurse is assessing a primgravida 12 hours after a Caesarean section. The nurse notes that the client's fundus is at the umbilicus and is firm. The nurse should:
a)
Prepare to catheterize the client
b)
Obtain an order for an oxytocic
c)
Chart the finding
d)
Tell the client to remain in bed
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