WorksheetsGCC 376 - 400
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
A patient, age 54, seeks medical attention for low-grade afternoon fevers, night sweats, loss of appetite, and a productive cough. The practitioner suspects pulmonary tuberculosis (TB), especially after the patient remarks that his wife recently was diagnosed with TB. A positive acid-fast bacillus sputum culture confirms that the patient has TB. Which nursing diagnosis has the highest priority?
a)
Deficient knowledge related to spread of the infection
b)
Imbalanced nutrition: Less than body requirements related to not eating
c)
Anxiety related to hearing the diagnosis
d)
Risk for injury related to infection
e)
-
2.
A physician order states: Give bolus of 250 mL normal saline in 45 minutes. What would the drip rate be with tubing that has a drip factor of 10?
a)
10 drops.
b)
45 drops.
c)
60 drops.
d)
80 drops.
e)
-
3.
The nurse is caring for a 10-year-old client scheduled for surgery. The client’s mother tells the nurse that her religion forbids blood transfusions. What nursing action is most appropriate?
a)
Document the mother’s statement in the chart
b)
Encourage the mother to reconsider
c)
Explain the consequences of no treatment
d)
Notify the physician of the mother’s refusal
e)
-
4.
A client who receives total parenteral nutrition (TPN) will most likely require which medication on a routine basis?
a)
Sodium supplementation.
b)
Furosemide (Lasix).
c)
Insulin.
d)
Ceftriaxone (Rocephin).
e)
-
5.
Which treatment is recommended for postoperative management of a patient who has undergone ligation and stripping?
a)
Sitting
b)
Bed rest
c)
Ice packs
d)
Elastic leg compression
e)
-
6.
The nurse is responsible for performing a neonatal assessment on a full-term infant. At 1 minute, the nurse could expect to find:
a)
An apical pulse of 100
b)
Absence of tonus
c)
Cyanosis of the feet and hands
d)
Jaundice of the skin and sclera
e)
-
7.
Which of the following post-operative diets is most appropriate for the client who has had a hemorrhoidectomy?
a)
High-fiber
b)
Low-residue
c)
Bland
d)
Clear-liquid
e)
-
8.
When developing the collaborative plan of care with the health care provider for a multigravid client at 10 weeks’ gestation with a history of cardiac disease who was being treated with digitalis therapy before this pregnancy, the nurse should instruct the client about which of the following regarding the client’s drug therapy regimen?
a)
Need for an increased dosage.
b)
Continuation of the same dosage.
c)
Switching to a different medication.
d)
Addition of a diuretic to the regimen.
e)
-
9.
The nurse should communicate the news about the death of a client to the family:
a)
By voicemail.
b)
By messenger.
c)
By telephone.
d)
In person.
e)
-
10.
A client with a history of alcoholism cannot remember the events of the past week even though he has receipts from various places of business. The client’s inability to recall events is known as:
a)
Alcoholic hallucinosis
b)
A hangover
c)
A blackout
d)
Sunday morning paralysis
e)
-
11.
A client is being discharged on Coumadin after hospitalization for atrial fibrillation. The nurse recognizes that which of the following foods would be restricted while the client is on this medication?
a)
Cabbage
b)
Apples
c)
Potatoes
d)
Macaroni
e)
-
12.
A neurological consult has been ordered for a pediatric client with suspected absence seizures. The client with absence seizures can be expected to have:
a)
Short, abrupt muscle contraction
b)
Quick, bilateral severe jerking movements
c)
Abrupt loss of muscle tone
d)
A brief lapse in consciousness
e)
-
13.
An elderly client is prescribed spironolactone (Aldactone) with the addition of potassium chloride (Kaochlor). Which is a true statement regarding the use of these two medications together?
a)
Spironolactone (Aldactone) should not have potassium chloride (Kaochlor) added to the regimen because it is a potassium-sparing diuretic.
b)
Potassium is necessary when clients are placed on spironolactone (Aldactone) because it is a loop diuretic.
c)
Spironolactone (Aldactone) and potassium chloride (Kaochlor) have no additive or antagonistic effects with each other.
d)
Potassium chloride (Kaochlor) added to spironolactone (Aldactone) causes renal failure.
e)
-
14.
The nurse checks the results of a urinalysis performed on a client with dehydration. Which results should the nurse expect to find?
a)
Increased white blood cells.
b)
Presence of protein.
c)
Presence of ketones.
d)
Increased specific gravity.
e)
-
15.
A client has just returned from an EGD, where the client was diagnosed with peptic ulcers. The client does not have a history of taking NSAIDs. During the procedure, biopsies and cultures were taken. What lab results can the nurse anticipate?
a)
Negative biopsies.
b)
Cultures positive for Helicobacter pylori.
c)
Cultures showing normal gastric flora.
d)
Cultures positive for Staphylococcus.
e)
-
16.
A medication is said to have inotropic, chronotropic, or dromotropic effects on cardiac tissue. The nurse knows medications that have a chronotropic effect can cause:
a)
A change in heart rate.
b)
A change in force of cardiac contraction.
c)
A change in conduction of cardiac impulses.
d)
A change in valvular strength.
e)
-
17.
The nurse is assessing pain in a patient with appendicitis. Which initial statement or question will be most effective in eliciting information?
a)
“Tell me how you feel.”
b)
“Point to where you’re feeling pain.”
c)
“Does your pain medication relieve your pain?”
d)
“Coughing makes your pain worse, doesn’t it?”
e)
-
18.
The physician prescribes captopril (Capoten) 25mg po tid for the client with hypertension. Which of the following adverse reactions can occur with administration of Capoten?
a)
Tinnitus
b)
Persistent cough
c)
Muscle weakness
d)
Diarrhea
e)
-
19.
A patient, age 53, comes to the ED short of breath. His respiratory rate is 45 breaths/minute; he cannot speak because of severe dyspnea. The patient’s history reveals an MI and several episodes of heart failure. When auscultating his chest, what would the nurse expect to hear?
a)
A friction rub and clear breath sounds
b)
A murmur and crackles
c)
A friction rub and crackles
d)
An S3 gallop and crackles
e)
-
20.
Instructions for a patient with systemic lupus erythematosus (SLE) should include information about which blood dyscrasia?
a)
Dressler’s syndrome
b)
Polycythemia
c)
Essential thrombocytopenia
d)
von Willebrand’s disease
e)
-
21.
Anxiety elicits changes in the neurohumoral release patterns involving the neurotransmitters, including:
a)
Acetylcholine.
b)
Epinephrine.
c)
Insulin.
d)
Sodium.
e)
-
22.
Which is the best example of a nurse preventing painful stimuli?
a)
Encouraging the client to hit the PCA button before ambulating in the hall.
b)
Instructing the client in deep breathing exercises while the nurse performs a painful dressing change.
c)
Arranging for an elevated toilet seat in the bathroom of a client with knee arthritis.
d)
Placing an ice pack on the hip of a client who recently had a hip replacement.
e)
-
23.
A client arrives at the physician’s office with a history of heart failure, coronary artery disease, fibromyalgia, and hypertension. The client complains of weight gain of 5 pounds in the past week with ankle swelling. The client also reports unresolved pain in the neck, back, shoulders, hips, and knees despite the alternated use of ibuprofen and acetaminophen for pain. The pain has led to feelings of constant fatigue and anxiety.Vital signs are: 130/85-75-24-36.0 degrees centigrade. The physician prescribes additional furosemide (Lasix) and potassium (K-dur) and adds carvedilol (Coreg) to the client’s medication regimen. What suggestion should the nurse make to the physician that would be most helpful in resolving the symptoms listed above which were not addressed by the physician?
a)
Consultation with a cardiologist.
b)
Consultation with a local physician specializing in complementary and alternative medicine (CAM) therapy.
c)
Referral to a local chronic fatigue syndrome support group.
d)
Referral to a pain specialist.
e)
-
24.
During which stage of illness should the nurse orient teaching to meet the client’s family’s needs?
a)
Developing awareness.
b)
Disbelief.
c)
Identifying change.
d)
Reorganization and resolution.
e)
-
25.
A child with cystic fibrosis is being treated with inhalation therapy with Pulmozyme (dornase alfa). A side effect of the medication is:
a)
Weight gain
b)
Hair loss
c)
Sore throat
d)
Brittle nails
e)
-
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