WorksheetsGCC 351 - 375
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
During an assessment of a patient with a duodenal ulcer, the nurse finds that the patient experiences:
a)
early satiety.
b)
pain when he eats.
c)
dull upper epigastric pain.
d)
pain when he has an empty stomach.
e)
-
2.
When teaching a multigravid client diagnosed with mild preeclampsia about nutritional needs, which of the following types of diet should the nurse discuss?
a)
High-residue diet.
b)
Low-sodium diet.
c)
Regular diet.
d)
High-protein diet.
e)
-
3.
The nurse places an overweight client on a bedpan and notices that the plastic bedpan does not retain its shape under the client’s weight. The bedpan flattens, spilling the contents into the client’s bed, and necessitating an additional bed bath for the client. The nurse must place three bedpans together in order for the bedpan to be used effectively by the overweight client. What action by the nurse would demonstrate good resource management practice?
a)
The nurse should pass on in shift report that the bedpans currently purchased by the facility do not hold their shape under heavier clients and that multiple bedpans must be used together for the bedpans to retain their shape and be used correctly.
b)
The nurse should notify the unit supervisor or manager of the problem with the bedpans not supporting the weight of the clients and that multiple bedpans must be stacked together in order for the bedpans to be used effectively.
c)
The nurse should call the facility’s distribution department and report the defective or weak bedpan issue.
d)
The nurse should remember to stack three bedpans together before placing them under a client to increase the strength and retain the shape of the bedpans while in use.
e)
-
4.
An 8-month-old infant has been diagnosed with iron deficiency anemia. What food should be added to the infant’s diet?
a)
Orange juice
b)
Fortified rice cereal
c)
Whole milk
d)
Strained meat
e)
-
5.
A client with a past medical history of ventricular septal defect repaired in infancy is seen at the prenatal clinic. She is complaining of dyspnea with exertion and being very tired. Her vital signs are 98, 80, 20, BP 116/72. She has + 2 pedal edema and clear breath sounds. As the nurse plans this client’s care, which of the following is her cardiac classification according to the New York Heart Association Cardiac Disease classification?
a)
Class I.
b)
Class II.
c)
Class III.
d)
Class IV.
e)
-
6.
A client with gestational diabetes who is entering her third trimester is learning how to monitor her fetus’s movements. After teaching the client about the kick count, the nurse should provide further instruction if the client makes which of the following statements?
a)
“The baby may be more active at different times of the day.”
b)
“How I feel my baby move is different than my friend.”
c)
“The baby should be moving less than 10 times in 3 hours.”
d)
“The baby may not move at times because it is asleep.”
e)
-
7.
The nurse is caring for an 8-year-old following a routine tonsillectomy. Which finding should be reported immediately?
a)
Reluctance to swallow
b)
Drooling of blood-tinged saliva
c)
An axillary temperature of 99°F
d)
Respiratory stridor
e)
-
8.
The nurse is assessing the chart of a client admitted for surgery when an order is noted to administer Atropine 2mg IM as a pre-operative medication to a 40-year-old client. What initial nursing action is most appropriate?
a)
Clarifying the order with the physician
b)
Administering the medication deep IM
c)
Checking the chart for client allergies
d)
Performing the mathematical calculation to determine dosage due
e)
-
9.
A patient’s history reveals that he suffers from daytime symptoms of asthma that occur 3 to 6 days a week. How would his asthma severity be described?
a)
Mild intermittent
b)
Mild persistent
c)
Moderate persistent
d)
Severe persistent
e)
-
10.
A multigravid client will be using medroxyprogesterone acetate (Depo-Provera) as a family planning method. After the nurse instructs the client about this method, which of the following client statements indicates effective teaching?
a)
“This method of family planning requires monthly injections.”
b)
“I should have my first injection during my menstrual cycle.”
c)
“One possible adverse effect is absence of a menstrual period.”
d)
“This drug will be given by subcutaneous injections.”
e)
-
11.
The nurse is performing a physical assessment on a client. The nurse places the client in a sitting position and observes that the extension of the knee is limited due to pain. Which sign is associated with limited extension of the knee when the hip is flexed?
a)
Brudzinski’s sign.
b)
Homan’s sign.
c)
Kernig’s sign.
d)
Peter’s sign.
e)
-
12.
The incidence of melanoma rises rapidly in Caucasians after age 20. Clients at high risk require screening. The greatest risk for melanoma development is in clients with:
a)
Fair skin who experience sun exposure.
b)
Pigmented lesions such a dysplastic or atypical nevi.
c)
Several large nondysplastic nevi.
d)
Many small nevi or moderate freckling.
e)
-
13.
The elderly client is admitted to the emergency room. Which symptom is the client with a fractured hip most likely to exhibit?
a)
Pain
b)
Disalignment
c)
Cool extremity
d)
Absence of pedal pulses
e)
-
14.
Which substance enables the transport of oxygen during wound healing?
a)
Zinc
b)
Vitamin B6
c)
Folate
d)
Vitamin C
e)
-
15.
A priority nursing diagnosis for a child being admitted from surgery following a tonsillectomy is:
a)
Body image disturbance
b)
Impaired verbal communication
c)
Risk for aspiration
d)
Pain
e)
-
16.
A child is hospitalized with a fractured femur involving the epiphysis. Epiphyseal fractures are serious because:
a)
Bone marrow is lost through the fracture site.
b)
Normal bone growth is affected.
c)
Blood supply to the bone is obliterated.
d)
Callus formation prevents bone healing.
e)
-
17.
A 165-lb (75 kg) patient with a pulmonary embolus is ordered to receive 20 units/kg/hour of heparin by I.V. infusion. How many units of heparin should he receive each hour?
a)
1000
b)
1200
c)
1500
d)
1700
e)
-
18.
A client recovering from a thyroidectomy tells the nurse, “I feel numbness and my face is twitching.” What is the nurse’s best initial action?
a)
Offer mouth care
b)
Loosen the neck dressing
c)
Notify the physician
d)
Document the finding as the only action
e)
-
19.
The physician prescribes regular insulin, 5 units subcutaneous. Regular insulin begins to exert an effect:
a)
In 5–10 minutes
b)
In 10–20 minutes
c)
In 30–60 minutes
d)
In 60–120 minutes
e)
-
20.
The nurse is caring for a client after a motor vehicle accident. The client has a fractured tibia, and bone is noted protruding through the skin. Which action would be the highest priority?
a)
Provide manual traction above and below the leg
b)
Cover the bone area with a sterile dressing
c)
Apply an ACE bandage around the entire lower limb
d)
Place the client in the prone position
e)
-
21.
The client returns to the recovery room following repair of an intrathoracic aneurysm. Which finding would require further investigation?
a)
Pedal pulses bounding and regular
b)
Urinary output 20mL in the past hour
c)
Blood pressure 108/50
d)
Oxygen saturation 97%
e)
-
22.
A client who has just undergone a laparoscopic tubal ligation complains of “free air pain.” What would be the nurse’s best action?
a)
Ambulate the client
b)
Instruct the client to breathe deeply and cough
c)
Maintain the client on bed rest with her legs elevated
d)
Insert an NG tube to low wall suction
e)
-
23.
The nurse is providing dietary instructions to the mother of an 8-year-old child diagnosed with celiac disease. Which of the following foods, if selected by the mother, would indicate her understanding of the dietary instructions?
a)
Whole-wheat bread
b)
Spaghetti and meatballs
c)
Hamburger on white bread with ketchup
d)
Cheese omelet
e)
-
24.
An ampule of promethazine hydrochloride (Phenergan) is opened by the nurse. Why should the nurse choose to use a filter needle to draw this medication into the syringe?
a)
Light can change this medication chemically and cause precipitates.
b)
Rapidly shaking the vial to bring the medication to the bottom can cause physical property changes.
c)
Very small particles of the glass vial can be drawn through a regular needle.
d)
Particles from the nurse’s hands can drop into the vial when it is opened.
e)
-
25.
A patient with blood type B can receive a transfusion of what type of RBCs?
a)
Type A or type O
b)
Type B or type O
c)
Type AB or type O
d)
Type A or type B
e)
-
100 %
