WorksheetsGCC 325 - 350
Total questions: 26
Worksheet time: 26mins
Name
Class
Date
1.
Which sign or symptom typically occurs early in the development of multiple sclerosis (MS)?
a)
Diplopia
b)
Grief
c)
Paralysis
d)
Dementia
2.
When preparing the room for admission of a multigravid client at 36 weeks’ gestation diagnosed with severe preeclampsia, which of the following should the nurse obtain?
a)
Oxytocin infusion solution.
b)
Disposable tongue blades.
c)
Portable ultrasound machine.
d)
Padding for the side rails.
3.
The nurse knows which burn involves the entire thickness of the skin?
a)
First degree.
b)
Second degree.
c)
Third degree.
d)
Fifth degree.
4.
A client with a severe corneal ulcer has an order for Gentamycin gtt. q 4 hours and Neomycin 1 gtt q 4 hours. Which of the following schedules should be used when administering the drops?
a)
Allow 5 minutes between the two medications.
b)
The medications may be used together.
c)
The medications should be separated by a cycloplegic drug.
d)
The medications should not be used in the same client.
5.
Diphenoxylate hydrochloride and atropine sulfate (Lomotil) is prescribed for the client with ulcerative colitis. The nurse realizes that the medication is having a therapeutic effect when which of the following is noted?
a)
There is an absence of peristalsis.
b)
The number of diarrhea stools decreases.
c)
Cramping in the abdomen has increased.
d)
Abdominal girth size increases.
6.
A client presents to the emergency department (ED) via ambulance with SOB for the past 3 days. After spending 4 hours in the ED, the client is admitted to the intensive care unit (ICU) with pulmonary edema requiring intubation and ventilation. The ED nurse reports to the ICU nurse that a Foley catheter was placed and that the client has had a total of 25 mL of urine output. The labs from the ED reveal (1) BG of 300, (2) BUN of 100, and (3) creatinine of 5.0. The client has a medical history of CAD, CHF, diabetes, COPD, and asthma. What is the most likely cause of the client’s low urine output?
a)
Acute and chronic renal failure due to diabetes and a decreased blood flow to the kidneys due to heart failure.
b)
Renal failure due to decreased coronary output secondary to heart failure.
c)
Decreased blood flow to the kidneys due to congestive heart failure (CHF) secondary to noncompliance with home fluid restriction.
d)
Severe dehydration.
7.
A nurse is performing the Trendelenburg test for the client with multiple sclerosis. The nurse is aware that this test is used to measure:
a)
Muscle weakness
b)
Fluid retention
c)
Ability to concentrate
d)
Dexterity
8.
A newborn has been diagnosed with exstrophy of the bladder. The nurse should position the newborn:
a)
Prone
b)
Supine
c)
On either side
d)
With the head elevated
9.
When performing Leopold’s maneuvers, which of the following would the nurse ask the client to do to ensure optimal comfort and accuracy?
a)
Breathe deeply for 1 minute.
b)
Empty her bladder.
c)
Drink a full glass of water.
d)
Lie on her left side.
10.
The nurse is caring for a patient admitted to the emergency department after a motor vehicle accident. Under the law, the nurse must obtain informed consent before treatment unless the patient:
a)
is mentally ill.
b)
refuses to give informed consent.
c)
is in an emergency situation.
d)
asks the nurse to give substituted consent.
11.
A client with a history of abusing barbiturates abruptly stops drug use. The nurse should give priority to assessing the client for:
a)
Depression and suicidal ideation
b)
Tachycardia and diarrhea
c)
Muscle cramping and abdominal pain
d)
Tachycardia and euphoric mood
12.
The goals and effects of conscious sedation include the following:
a)
Alteration of personality.
b)
Cooperation.
c)
Lowering of pain threshold.
d)
Major variation of vital signs.
13.
A client with a recent ACL reconstruction has just received education on crutch use and safety. Which statement best indicates that the client has a complete understanding of the education?
a)
During return demonstration of crutch use, the client’s axillas are free of pressure.
b)
The client states principles of crutch safety and use and then demonstrates these principles while using the crutches in the hallway.
c)
The client correctly uses the crutches in the hallway.
d)
The client verbally repeats instructions given regarding the safe use and maintenance of crutches.
14.
A 19-year-old nulligravid client visiting the clinic for a routine examination asks the nurse about cervical mucus changes that occur during the menstrual cycle. Which of the following statements would the nurse expect to include in the client’s teaching plan?
a)
About midway through the menstrual cycle, cervical mucus is thick and sticky.
b)
During ovulation, the cervix remains dry without any mucus production.
c)
As ovulation approaches, cervical mucus is abundant and clear.
d)
Cervical mucus disappears immediately after ovulation, resuming with menses.
15.
A 40-year-old client with a myocardial infarction tells the nurse, “My father died with a heart attack when he was in his forties, and I guess I will, too.” Which response by the nurse is most appropriate?
a)
“Tell me more about what you are feeling.”
b)
“Are you thinking you won’t recover from this?”
c)
“You have an excellent doctor, so I’m sure everything will be fine.”
d)
“I would think that’s unlikely because we have much better treatment now.”
16.
When caring for a patient with arterial occlusive disease, which of the following home health care instructions is most appropriate for the nurse to give to the patient?
a)
“You should massage your legs to relieve pain.”
b)
“It’s best to sit and rest for several hours a day.”
c)
“Make sure the head of your bed is slightly elevated when sleeping.”
d)
“It’s best to wear tight socks instead of no socks.”
17.
A nurse works in a clinic where the nurse is responsible for client education. Which principle is a factor in client education?
a)
Every client is a learner throughout life.
b)
Learning is difficult for the very young and very old client.
c)
Middle-aged clients are busy with work and family and cannot focus on learning.
d)
Clients learn best when they are faced with a serious illness.
18.
Techniques for empathic listening include:
a)
Assuming an attitude of superiority or savior.
b)
Attending to nonverbal messages as well as verbal messages.
c)
Changing the topic of conversation to avoid emotional discomfort.
d)
Offering responses that preach or attempt to fix the client’s emotional pain.
19.
A 52-year-old patient reports weight gain and fatigue. On assessment, her vital signs are a blood pressure of 120/74 mm Hg, a pulse rate of 52 beats/minute, a respiratory rate of 20 breaths/minute, and a temperature of 98° F (36.7° C). Laboratory results show low T4 and T3 levels. The nurse knows these signs and symptoms are associated with which condition?
a)
Tetany
b)
Hypothyroidism
c)
Hyperthyroidism
d)
Hypokalemia
20.
Which brain structures regulate sleep and wakefulness?
a)
Thalamus and hypothalamus.
b)
Reticular activating system and bulbar synchronizing region.
c)
Cerebral cortex and reticular activating system.
d)
Hypothalamus and bulbar synchronizing region.
21.
A client at the clinic reports to the nurse, “I have trouble seeing signs at a distance, but no trouble seeing things close up.” The nurse identifies the correct term for this vision problem as:
a)
Myopia
b)
Emmetropia
c)
Hyperopia
d)
Astigmatism
22.
The toxic dose of acetaminophen is 140 mg/kg. How many tablets (strength equals 325 milligrams per tablet) would a client weighing 275 pounds need to take to attain a toxic level?
a)
28 tablets.
b)
35 tablets.
c)
54 tablets.
d)
118 tablets.
23.
Two hours after a patient with left-sided stroke in evolution was admitted to the unit, the nurse measures his blood pressure at 170/80 mm Hg, apical pulse at 58 beats/minute and regular, respiratory rate at 14 breaths/ minute, and axillary temperature at 101° F (38.3° C). What is the first action the nurse should take at this time?
a)
Report the patient’s vital signs to the practitioner.
b)
Assess the patient’s vital signs more frequently.
c)
Assess the patient for a distended bladder.
d)
Assess the patient for signs of overhydration.
24.
A new diabetic is learning to administer his insulin. He receives 10U of NPH and 12U of regular insulin each morning. Which of the following statements reflects understanding of the nurse’s teaching?
a)
“When drawing up my insulin, I should draw up the regular insulin first.”
b)
“When drawing up my insulin, I should draw up the NPH insulin first.”
c)
“It doesn’t matter which insulin I draw up first.”
d)
“I cannot mix the insulin, so I will need two shots.”
25.
Which percentage of those with mental illness receive treatment in the health care system?
a)
25%.
b)
33%.
c)
40%.
d)
50%.
26.
An unstable, critically ill client in the intensive care unit has been assigned to a new nurse who has just completed the unit orientation and preceptorship programs. What is the role of the unit charge nurse regarding supervision of the new nurse and the client’s safety?
a)
The unit charge nurse should observe the new nurse for care organization skills, prioritizing of care, nursing judgment and critical thinking, but should not intervene. Client safety is the responsibility of the new nurse caring for the client.
b)
The unit charge nurse should assume care of the client if the new nurse becomes overwhelmed. The client’s safety is ultimately the responsibility of the charge nurse who delegated the client care assignments.
c)
The unit charge nurse should carefully observe the new nurse for client care organization, prioritizing, nursing judgment and critical thinking skills. The charge nurse should offer advice and assistance when necessary. The client’s safety is ultimately the responsibility of the charge nurse who delegated the client care assignments.
d)
The unit charge nurse should trust the judgment, critical thinking and skill level of the new nurse and evaluate the nurse’s client care at the end of the shift.
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