WorksheetsGCC 251 - 275
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
What information should the nurse give a new mother regarding the introduction of solid foods for her infant?
a)
Solid foods should not be given until the extrusion reflex disappears, at 8-10 months of age.
b)
Solid foods should be introduced one at a time, with 4- to 7-day intervals.
c)
Solid foods can be mixed in a bottle or infant feeder to make feeding easier.
d)
Solid foods should begin with fruits and vegetables.
2.
The LPN is preparing to administer an injection of vitamin K to the newborn. The nurse should administer the injection in the:
a)
Rectus femoris muscle
b)
Vastus lateralis muscle
c)
Deltoid muscle
d)
Dorsogluteal muscle
3.
Immediately following the removal of a chest tube, the nurse would:
a)
Order a chest x-ray
b)
Take the blood pressure
c)
Cover the insertion site with a Vaseline gauze
d)
Ask the client to perform the Valsalva maneuver
4.
When planning to teach an adolescent female patient about PID, which of the following statements should the nurse include?
a)
Good hygiene practices prevent the development of PID.
b)
The use of hormonal contraceptives decreases the risk of PID.
c)
PID can lead to long-term complications of the reproductive tract.
d)
Infants born to adolescents with PID are at risk for birth defects.
5.
The nurse is preparing a client for a lumbar puncture. Which is the appropriate position for the client?
a)
Prone with a pillow under the abdomen.
b)
Side-lying.
c)
Side-lying with chin to chest and knees pulled up to chest.
d)
Side-lying in semi-Fowler's position.
6.
A client is admitted with a Ewing's sarcoma. Which symptoms would be expected due to this tumor's location?
a)
Hemiplegia
b)
Aphasia
c)
Nausea
d)
Bone pain
7.
Which parameter should the nurse monitor frequently while a patient receives pentamidine isethionate?
a)
Heart rate
b)
Electrolyte levels
c)
Blood sugar levels
d)
CBC
8.
Which of the following instructions should be included in the nurse's teaching regarding oral contraceptives?
a)
Weight gain should be reported to the physician.
b)
An alternate method of birth control is needed when taking antibiotics.
c)
If the client misses one or more pills, two pills should be taken per day for 1 week.
d)
Changes in the menstrual flow should be reported to the physician.
9.
The nurse is monitoring a client admitted with an overdose of Phenobarbital (phenobarbital). The nurse should carefully observe the client for signs of:
a)
Hyperthermia
b)
Decreased respirations
c)
Increased blood pressure
d)
Dysuria
10.
The nurse cares for a client who has a continuous passive motion (CPM) machine in place after a total knee replacement. The physician writes orders for the degree of flexion and hours per day of CPM use. Which intervention should the nurse perform?
a)
Turn off the CPM machine when the client is eating.
b)
Check the flexion settings every morning.
c)
Educate the family on how to change the degree of flexion.
d)
Increase the degree of flexion per the client's tolerance.
11.
While assessing a patient with disseminated intravascular coagulation (DIC), the nurse suspects the patient has developed internal bleeding. Which of the following signs indicates this condition?
a)
Hypertension
b)
Petechiae
c)
Increasing abdominal girth
d)
Bradycardia
12.
The nurse is assigning staff for the day. Which assignment should be given to the nursing assistant?
a)
Taking the vital signs of the 5-month-old with bronchiolitis
b)
Taking the vital signs of the 10-year-old with a 2-day post-appendectomy
c)
Administering medication to the 2-year-old with periorbital cellulites
d)
Adjusting the traction of the 1-year-old with a fractured tibia
13.
A client presents in the emergency department with acute onset of fever, headache, stiff neck, nausea/vomiting, and mental status changes. From which condition is the client most likely suffering?
a)
Bacterial meningitis.
b)
Peritonsillar abscess.
c)
Pharyngitis.
d)
Rhinosinusitis.
14.
The nurse recognizes that it would be contraindicated to induce vomiting if someone had ingested which of the following?
a)
Ibuprofen
b)
Aspirin
c)
Vitamins
d)
Gasoline
15.
An 18-month-old is being discharged following hypospadias repair. Which instruction should be included in the nurse's discharge teaching?
a)
The child should not play on his rocking horse.
b)
Applying warm compresses to decrease pain.
c)
Diapering should be avoided for 1-2 weeks.
d)
The child will need a special diet to promote healing.
16.
The client has just arrived at the physician's office for follow-up regarding a new colostomy. The client states that the home health nurse changed the pouch 4 days ago. The physician requests that the pouch and skin barrier be removed for a better assessment of the stoma. Which nurse's note contains all of the major elements of assessment for the client's colostomy?
a)
The client has active bowel sounds in all four quadrants. The colostomy bag is removed and noted to contain semi-formed brown stool. The skin barrier is removed per physician request.
b)
There are active bowel sounds in all four quadrants. The colostomy bag is removed. The stoma is moist and dark pink. The skin barrier is removed revealing reddened skin with areas of excoriation.
c)
The abdomen is soft and round with active bowel sounds in all four quadrants. The colostomy is noted in the lower left quadrant. No leakage of feces is noted with intact skin barrier. Semi-formed, brown stool is noted in the pouch. The stoma is budlike, moist, dark pink, oval-shaped, and measures 29 mm by 26 mm. There is a healed midline incision scar noted just below the stoma. The skin under the skin barrier is reddened with areas of excoriation. The client has an adult child who has been helping with colostomy care at home.
d)
The colostomy is noted in the lower left quadrant without leakage of feces. The skin barrier appears to be intact. There is semi-formed, brown stool noted in the pouch. The stoma is budlike, moist, dark pink, oval shaped, and measures 29 mm by 26 mm.
17.
A nurse working on a telemetry unit receives an end-of-shift client care report from the previous nurse. The oncoming nurse receives report on: (1) two stable postcardiac catheterization clients; (2) a client with frequent PVCs who is diaphoretic and complaining of indigestion; and (3) a client admitted the previous shift for observation after presenting to the emergency department with atypical chest discomfort and cardiac enzyme levels that have been within normal range for 12 hours. Which client should the oncoming nurse assess first?
a)
Either of the two clients that are postcardiac catheterization. Even though both clients are stable, there are potential risks after any invasive procedure.
b)
The client with the frequent PVCs who is diaphoretic and complaining of indigestion.
c)
The client admitted from the emergency department the previous shift for observation of atypical chest discomfort and negative cardiac enzymes for 12 hours.
d)
The order the nurse chooses is not important. All four clients appear to be of the same acuity from the information received from the previous nurse in shift report.
18.
A 30-year-old multigravid client at 8 weeks' gestation has a history of insulin-dependent diabetes since age 20. When explaining about the importance of blood glucose control during pregnancy, the nurse should tell the client that which of the following will occur regarding the client's insulin needs during the first trimester?
a)
They will increase.
b)
They will decrease.
c)
They will remain constant.
d)
They will be unpredictable.
19.
The nurse caring for a client with a head injury would recognize which assessment finding as the most indicative of increased ICP?
a)
Nausea and vomiting
b)
Headache
c)
Dizziness
d)
Papilledema
20.
A client is to receive an intravenous injection of radiopaque dye for a diagnostic procedure. The nurse knows which action is most important to take before administering the dye?
a)
Obtaining baseline vital signs.
b)
Obtaining height and weight.
c)
Asking the client about allergies to iodine or shellfish.
d)
Reviewing the client's intake and output.
21.
A client with hypothyroidism frequently complains of feeling cold. The nurse should tell the client that she will be more comfortable if she:
a)
Uses an electric blanket at night
b)
Dresses in extra layers of clothing
c)
Applies a heating pad to her feet
d)
Takes a hot bath morning and evening
22.
The nurse should observe for side effects associated with the use of bronchodilators. A common side effect of bronchodilators is:
a)
Tinnitus
b)
Nausea
c)
Ataxia
d)
Hypotension
23.
A client telephones the emergency room stating that she thinks that she is in labor. The nurse should tell the client that labor has probably begun when:
a)
Her contractions are 2 minutes apart.
b)
She has back pain and a bloody discharge.
c)
She experiences abdominal pain and frequent urination.
d)
Her contractions are 5 minutes apart.
24.
Which of the following is considered identifiable health information?
a)
A photograph of a patient's leg showing a unique tattoo
b)
A patient's chart listing his history of a stroke last year
c)
A blank menu for a regular diet on the patient's over-bed table
d)
A laboratory report with the patient's name, address, Social Security number, date of birth, and room number deleted
25.
During a visit to the prenatal clinic, a pregnant client at 32 weeks' gestation complains of heartburn. The client needs further instruction when she says she must do what?
a)
Avoid highly seasoned foods.
b)
Avoid laying down right after eating.
c)
Eat small, frequent meals.
d)
Consume liquids only between meals.
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