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WorksheetsGCC 226 - 250
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
The nurse is reviewing a history on a new admission for surgery in the morning. Which long-term medication in the client's history would be most important to report to the physician?
a)
Prednisone
b)
Lisinopril (Zestril)
c)
Docusate (Colace)
d)
Calcium carbonate (Oscal D)
2.
A client with a deep decubitus ulcer is receiving therapy in the hyperbaric oxygen chamber. Before therapy, the nurse should:
a)
Apply a lanolin-based lotion to the skin
b)
Wash the skin with water and pat dry
c)
Cover the area with a petroleum gauze
d)
Apply an occlusive dressing to the site
3.
A nurse states to a nurse coworker, "The education coordinator and the charge nurse keep asking me for my new CPR and ACLS cards. I suppose that they will let me know when those certifications are about to expire." What is the appropriate response by the nurse coworker regarding the nurse's responsibility for continuing education?
a)
They have a list of when your certifications expire and they continue to remind you until you recertify and bring them the new cards as proof of recertification.
b)
You will not be allowed to work if those certifications expire.
c)
Yes, they remind all of the nurses about certifications that are due to be renewed. You would think that they had more important things to accomplish.
d)
Renewal of certifications required for employment and your nursing license are your responsibility as a nurse. You are fortunate that they care and that they reminded you that your certifications were due for renewal.
4.
A client is being discharged to a rehabilitation facility. The primary nurse caring for the client on the day of discharge carefully inventories the client's belongings and checks the list against the admission list of belongings for accuracy. The nurse then makes a client report for the nurse assuming client care at the receiving rehabilitation facility and answers the receiving nurse's questions before concluding the report. The nurse has demonstrated which element of a safe client care environment?
a)
Continuity of care.
b)
Case management.
c)
Quality improvement.
d)
Courteous and respectful care.
5.
Which component of the multidisciplinary health care team has been shown, in multiple studies, to decrease clients' length of stay in health care facilities, decrease the cost of health care to the client, and improve continuity of care?
a)
Outcomes management.
b)
Risk management.
c)
Case management.
d)
Infection control.
6.
A client with myasthenia gravis is admitted with a diagnosis of cholinergic crisis. The nurse can expect the client to have:
a)
Decreased blood pressure and pupillary meiosis
b)
Increased heart rate and increased respirations
c)
Increased respirations and increased blood pressure
d)
Anoxia and absence of the cough reflex
7.
According to traditional Chinese medicine, what is defined as the vital energy of the human body?
a)
Meridians
b)
Yin and yang
c)
Acupoints
d)
Qi
8.
The nurse is teaching the pregnant client ways to prevent heartburn. The nurse should tell the client to:
a)
Sleep on her right side
b)
Eat dry crackers at bedtime
c)
Sleep on a small pillow
d)
Avoid caffeinated beverages
9.
The chart of a client with schizophrenia states that the client has echolalia. The nurse can expect the client to:
a)
Speak using words that rhyme
b)
Repeat words or phrases used by others
c)
Include irrelevant details in conversation
d)
Make up new words with new meanings
10.
A patient with thrombocytopenia secondary to leukemia develops epistaxis. What should the nurse instruct the patient to do?
a)
Lie supine with his neck extended
b)
Sit upright, leaning slightly forward
c)
Blow his nose and then put lateral pressure on it
d)
Hold his nose while bending forward at the waist
11.
During a routine clinic visit, a 25-year-old multigravid client who initiated prenatal care at 10 weeks' gestation and is now in her third trimester states, "I've been having strange dreams about the baby. Last week I dreamed he was covered with hair." The nurse should tell the mother:
a)
Dreams like the ones that you describe are very unusual. Please tell me more about them.
b)
Commonly when a mother has these dreams, she is trying to cope with becoming a parent.
c)
Dreams about the baby late in pregnancy usually mean that labor is about to begin soon.
d)
It's not uncommon to have dreams about the baby, particularly in the third trimester.
12.
A client with schizophrenia is started on Zyprexa (olanzapine). Three weeks later, the client develops severe muscle rigidity and elevated temperature. The nurse should give priority to:
a)
Withholding all morning medications
b)
Ordering a CBC and CPK
c)
Administering prescribed anti-Parkinsonian medication
d)
Transferring the client to a medical unit
13.
A client with AIDS is taking Zovirax (acyclovir). Which nursing intervention is most critical during the administration of acyclovir?
a)
Limiting the client's activity
b)
Encouraging a high-carbohydrate diet
c)
Utilizing an incentive spirometer to improve respiratory function
d)
Encouraging fluids
14.
A client tells the nurse that she plans to use the rhythm method of birth control. The nurse is aware that the success of the rhythm method depends on the:
a)
Age of the client
b)
Frequency of intercourse
c)
Regularity of the menses
d)
Range of the client's temperature
15.
The nursing is participating in discharge teaching for the postpartal client. The nurse is aware that an effective means of managing discomfort associated with an episiotomy after discharge is:
a)
Promethazine
b)
Aspirin
c)
Sitz baths
d)
Ice packs
16.
Which action by the nurse indicates understanding of herpes zoster?
a)
The nurse covers the lesions with a sterile dressing.
b)
The nurse wears gloves when providing care.
c)
The nurse administers a prescribed antibiotic.
d)
The nurse administers oxygen.
17.
The physician has ordered a blood test for H. pylori. The nurse should prepare the client by:
a)
Withholding intake after midnight
b)
Telling the client that no special preparation is needed
c)
Explaining that a small dose of radioactive isotope will be used
d)
Giving an oral suspension of glucose 1 hour before the test
18.
A client with sickle cell anemia is admitted to the labor and delivery unit during the first phase of labor. The nurse should anticipate the client's need for:
a)
Supplemental oxygen
b)
Fluid restriction
c)
Blood transfusion
d)
Delivery by Caesarean section
19.
The nurse is teaching about irritable bowel syndrome (IBS). Which of the following would be most important?
a)
Reinforcing the need for a balanced diet
b)
Encouraging the client to drink 16 ounces of fluid with each meal
c)
Telling the client to eat a diet low in fiber
d)
Instructing the client to limit his intake of fruits and vegetables
20.
A client in the family planning clinic asks the nurse about the most likely time for her to conceive. The nurse explains that conception is most likely to occur when:
a)
Estrogen levels are low.
b)
Lutenizing hormone is high.
c)
The endometrial lining is thin.
d)
The progesterone level is low.
21.
Which statement by the nurse indicates a positive outcome for a client who takes sodium polystyrene sulfonate (Kayexalate)?
a)
The client's urine output is good.
b)
The client's nausea is gone.
c)
The client's affect has improved.
d)
The client's potassium level has decreased.
22.
The nurse knows that a symptom of right-sided heart failure is:
a)
Pulmonary edema.
b)
Hepatomegaly.
c)
Orthopnea.
d)
Rales.
23.
A client with cancer is to undergo an intravenous pyelogram. The nurse should:
a)
Force fluids 24 hours before the procedure
b)
Ask the client to void immediately before the study
c)
Hold medication that affects the central nervous system for 12 hours pre- and post-test
d)
Cover the client's reproductive organs with an x-ray shield
24.
A patient has just had a surgical revision of his intestinal tract. What type of procedure would the patient have undergone if his stools are formed?
a)
Continent ileostomy
b)
Conventional ileostomy
c)
Double-barrel and loop colostomy
d)
Single-barrel, or end, colostomy
25.
A home health nurse visits a recently discharged client with right-sided paresis due to a stroke. The nurse discovers that the spouse has been feeding the client. The nurse:
a)
Instructs the spouse to require the client to feed independently.
b)
Suggests the spouse hire an aide to feed and bathe the client.
c)
Advises the spouse to consider an extended care facility for the client.
d)
Determines why the spouse is not encouraging self-care by the client.
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