NEW
Font size
S
M
L
XL
WorksheetsGCC 276 - 300
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
The median vein is often used in the placement of intravenous access. Which is a true statement regarding the use of this vein?
a)
There is increased difficulty with maintaining an intact system due to constant flexion of the site.
b)
This is a difficult vein to utilize in the older client due to decreased amounts of collagen and fatty tissue.
c)
This is a good vein to use because it provides stability and anatomical splinting of the area.
d)
This is not recommended in the adult patient due to decreased lower extremity circulation.
2.
The nurse is caring for a client following removal of the thyroid. Immediately post-op, the nurse should:
a)
Maintain the client in a semi-Fowler's position with the head and neck supported by pillows
b)
Encourage the client to turn her head side to side, to promote drainage of oral secretions
c)
Maintain the client in a supine position with sandbags placed on either side of the head and neck
d)
Encourage the client to cough and breathe deeply every 2 hours, with the neck in a flexed position
3.
The nurse is caring for a client 1 week post-burn injury. The nurse should expect the client to benefit from a diet that is:
a)
High in protein, low in sodium, and low in carbohydrates
b)
Low in fat, low in sodium, and high in calories
c)
High in protein, high in carbohydrates, and high in calories
d)
High in protein, high in fat, and low in calories
4.
The nurse assesses his client's dorsalis pedis and posterior tibial pulses. The nurse understands that this assessment is an important part of the physical exam because:
a)
It determines heart rate.
b)
It examines pulse rate.
c)
It monitors perfusion of the lower extremities.
d)
It assesses adequacy of oxygenation.
5.
The nurse is reviewing results for clients who are having antenatal testing. The assessment data from which client warrants prompt notification of the health care provider and a further plan of care?
a)
Primigravida who reports fetal movement 6 times in 2 hours.
b)
Multigravida who had a positive oxytocin challenge test.
c)
Primigravida whose infant has a biophysical profile of 9.
d)
Multigravida whose infant has a reactive nonstress test.
6.
Which electrolyte imbalances should be of concern for the client taking digoxin (Lanoxin)?
a)
Hypokalemia.
b)
Hyponatremia.
c)
Hypomagnesemia.
d)
Hypocalcemia.
7.
A client with a gastrointestinal bleed has an NG tube to low continuous wall suction. To assess bowel sounds, the nurse should perform which of the following procedures?
a)
Insert 10ml of air in NG tube and listen over the abdomen with a stethoscope
b)
Clamp the tube while listening to the abdomen with a stethoscope
c)
Irrigate the tube with 30ml of NS while auscultating the abdomen
d)
Turn the suction on high and auscultate over the naval area
8.
A 2-year-old is admitted for repair of a fractured femur and is placed in Bryant's traction. Which finding by the nurse indicates that the traction is working properly?
a)
The infant no longer complains of pain.
b)
The buttocks are 15° off the bed.
c)
The legs are suspended in the traction.
d)
The pins are secured within the pulley.
9.
The client with an ileostomy is being discharged. Which teaching should be included in the plan of care?
a)
Use Karaya powder to seal the bag.
b)
Irrigate the ileostomy daily.
c)
Stomahesive is the best skin protector.
d)
Neosporin ointment can be used to protect the skin.
10.
A patient in balanced suspension traction for a fractured femur needs to be repositioned toward the head of the bed. During repositioning, the nurse should:
a)
place slight additional tension on the traction cords.
b)
release the weights, and replace them immediately after positioning.
c)
lift the traction and the patient during repositioning.
d)
maintain the same degree of traction tension.
11.
The physician has ordered Dilantin (phenytoin) for a client with generalized seizures. When planning the client's care, the nurse should:
a)
Maintain strict intake and output
b)
Check the pulse before giving the medication
c)
Administer the medication 30 minutes before meals
d)
Provide oral hygiene and gum care every shift
12.
Effective communication between members of the multidisciplinary health care team ensures which important aspect of a safe client care environment?
a)
The confidentiality of health information.
b)
Reasonable continuity of care.
c)
The right to self-determination.
d)
Considerate and respectful care.
13.
The nurse asks a nursing assistant to administer a preoperative bath to a client using special soap designed to decrease the bacteria count on the client's skin. The nursing assistant has no experience with this type of preoperative bath and asks the nurse for instructions. The nurse replies, "Just read the directions on the soap bottle. You will figure it out." Which "right" of delegation did the nurse fail to perform while delegating the preoperative bath to the nursing assistant?
a)
Right client.
b)
Right circumstances.
c)
Right person.
d)
Right communication.
14.
The client with AIDS tells the nurse that he has been using acupuncture to help with his pain. The nurse should question the client regarding this treatment because acupuncture:
a)
Uses pressure from the fingers and hands to stimulate the energy points in the body
b)
Uses oils extracted from plants and herbs
c)
Uses needles to stimulate certain points on the body to treat pain
d)
Uses manipulation of the skeletal muscles to relieve stress and pain
15.
The first exercise that should be performed by the client who had a mastectomy is:
a)
Walking the hand up the wall
b)
Sweeping the floor
c)
Combing her hair
d)
Squeezing a ball
16.
A newborn weighed 7 pounds at birth. At 6 months of age, the infant could be expected to weigh:
a)
14 pounds
b)
18 pounds
c)
25 pounds
d)
30 pounds
17.
Which client would most benefit from an integrative medicine health care strategy?
a)
A client with chronic fatigue syndrome who has had no relief of fatigue.
b)
A client with diabetes whose blood sugars are out of control and refuses to take the prescribed oral and injection medications.
c)
A client with cholecystitis who wants surgery to definitively treat the symptoms.
d)
A client with a history of a cough for 4 days with green sputum production, fever of 104.2 degrees Fahrenheit, and chest pain with inspiration.
18.
The nurse cares for a client with a diagnosis of chronic kidney disease. Which nursing intervention is appropriate for this client?
a)
Weigh the client at the same time every day.
b)
Serve the client three large meals and a bedtime snack.
c)
Offer food high in calcium and phosphorus.
d)
Encourage fluid intake.
19.
The nurse educator knows that a client will understand and recall material better if the learning environment includes problem-based as well as knowledge-based activities. Which is an example of a problem-based activity?
a)
The client recalls the symptoms of the client’s disease.
b)
The client comprehends the client’s medication regimen.
c)
The client can analyze the client’s glucometer value and determine what action is needed.
d)
The client performs a self-care activity accurately.
20.
A client in the cardiac step-down unit requires suctioning for excess mucous secretions. The nurse should be most careful to monitor the client for which dysrhythmia during this procedure?
a)
Bradycardia
b)
Tachycardia
c)
Premature ventricular beats
d)
Heart block
21.
Which of the following statements about a fetal biophysical profile would be incorporated into the teaching plan for a primigravid client with insulin-dependent diabetes?
a)
It determines fetal lung maturity.
b)
It is noninvasive using real-time ultrasound.
c)
It will correlate with the newborn’s Apgar score.
d)
It requires the client to have an empty bladder.
22.
The client is taking rifampin 600mg po daily to treat his tuberculosis. Which action by the nurse indicates understanding of the medication?
a)
Telling the client that the medication will need to be taken with juice
b)
Telling the client that the medication will change the color of the urine
c)
Telling the client to take the medication before going to bed at night
d)
Telling the client to take the medication if night sweats occur
23.
A patient, age 52, is admitted with a diagnosis of Cushing’s syndrome. When analyzing the patient’s laboratory data, what would the nurse expect to find?
a)
Hyperglycemia, an increased white blood cell (WBC) count, and elevated cortisol and 17-ketosteroid levels
b)
A decreased WBC count, hyponatremia, metabolic acidosis, and hyperglycemia
c)
Glycosuria, hyperkalemia, a decreased cortisol level, and metabolic alkalosis
d)
Decreased 17-ketosteroid levels, an elevated serum glucose level, hypocalcemia, and hyponatremia
24.
An 82-year-old male patient with Parkinson’s disease experiences frequent urinary incontinence. The nurse should perform which intervention first?
a)
Diaper the patient.
b)
Apply a condom catheter.
c)
Insert an indwelling urinary catheter.
d)
Provide skin care every 4 hours.
25.
With plans to breast-feed her neonate, a pregnant client with insulin-dependent diabetes asks the nurse about insulin needs during the postpartum period. Which of the following statements about postpartum insulin requirements for breastfeeding mothers should the nurse include in the explanation?
a)
They fall significantly in the immediate postpartum period.
b)
They remain the same as during the labor process.
c)
They usually increase in the immediate postpartum period.
d)
They need constant adjustment during the first 24 hours.
Reset
