WorksheetsGCC 401 - 425
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
After instructing a primigravid client about desired weight gain during pregnancy, the nurse determines that the teaching has been successful when the client states which of the following?
a)
“A total weight gain of approximately 20 lb (9 kg) is recommended.”
b)
“A weight gain of 6.6 lb (3 kg) in the second and third trimesters is considered normal.”
c)
“A weight gain of about 12 lb (5.5 kg) every trimester is recommended.”
d)
“Although it varies, a gain of 25 to 35 lb (11.4 to 14.5 kg) is about average.”
e)
-
2.
The nurse is assessing a patient who may be in the early stages of dehydration. Early signs and symptoms of dehydration include:
a)
coma and seizures.
b)
sunken eyeballs and poor skin turgor.
c)
increased heart rate with hypotension.
d)
thirst and confusion.
e)
-
3.
A hospitalized client with severe anemia is to receive a unit of blood. Which facet of care is most appropriate for the newly licensed practical nurse?
a)
Initiating the IV of normal saline
b)
Monitoring the client’s vital signs
c)
Initiating the blood transfusion
d)
Notifying the physician of a reaction
e)
-
4.
The nurse is reinforcing teaching of a client with diverticulitis about appropriate foods. Which food would be avoided?
a)
Bran
b)
Fresh peach
c)
Cucumber salad
d)
Dinner roll
e)
-
5.
A patient becomes angry attending a treatment group and complains about it to the nurse. Which response could the nurse give that would best demonstrate clarification?
a)
“Can you tell me what about the treatment group made you angry?”
b)
“Why are you upset? Attending the treatment group will help you get well.”
c)
“It sounds like group today was pretty upsetting.”
d)
“Treatment groups have been carefully planned by the staff to help patients.”
e)
-
6.
The nurse prepares to administer a subcutaneous injection of 0.3 mL of epinephrine to a client. Which syringe should the nurse use?
a)
3-mL syringe.
b)
Tuberculin syringe.
c)
Insulin syringe.
d)
Carpuject syringe.
e)
-
7.
A client uses budesonide (Pulmocort Turbuhaler) twice a day. Why should the nurse give instruction for the client to rinse the mouth out after each use?
a)
To aid in the absorption of the medication.
b)
To prevent the development of oral fungal infections.
c)
To decrease the negative taste of medication.
d)
To enhance the effects of the medication.
e)
-
8.
A 55-year-old black male is found to have a blood pressure of 150/90 mm Hg during a work site health screening. What should the nurse do?
a)
Consider this to be a normal finding for his age and race.
b)
Recommend he have his blood pressure rechecked in 1 year.
c)
Recommend he have his blood pressure rechecked within 2 weeks.
d)
Recommend he go to the emergency department for further evaluation.
e)
-
9.
Which client has the greatest need for perineal care?
a)
An elderly client who needs assistance with ADL and has a catheter.
b)
A male client who is very independent, well groomed, and is uncircumcised.
c)
A female client who is 2 days postpartum and ready for discharge to home.
d)
A paraplegic female client who is currently menstruating.
e)
-
10.
A client at 36 weeks’ gestation with eclampsia begins to exhibit signs of labor after an eclamptic seizure. The nurse should assess the client for:
a)
Abruption placentae.
b)
Transverse lie.
c)
Placenta accreta.
d)
Uterine atony.
e)
-
11.
The nurse is caring for a 3-year-old in a wet hip spica cast made from plaster of Paris. When turning the 3-year-old with a wet cast, the nurse should:
a)
Grasp the cast by the hand
b)
Use an assistive sling
c)
Use the palms of the hands
d)
Obtain a lifting device
e)
-
12.
The belief that one’s own cultural values and beliefs are superior or the only correct values and beliefs is:
a)
Cultural competency.
b)
Cultural diversity.
c)
Ethnocentrism.
d)
Cultural sensitivity.
e)
-
13.
An elderly client is approaching death and expresses intense despair and anxiety. Based on Erikson’s theory of ego integrity versus despair, this client’s despair and anxiety may be based on:
a)
An inappropriate desire for youthfulness and staying young.
b)
The decision to never marry.
c)
Lack of a sense of wholeness, purpose, and a life well lived.
d)
The fear of experiencing a painful death.
e)
-
14.
The nurse is caring for a client after a tracheostomy procedure. The client is anxious, with a respiratory rate of 32 and an oxygen saturation of 88. The nurse’s first action should be to:
a)
Suction the client
b)
Turn the client to the left Sim’s position
c)
Notify the physician
d)
Recheck the O2 saturation
e)
-
15.
A newly recognized coronavirus has been identified as the causative agent of which disease?
a)
Bronchitis.
b)
Influenza.
c)
Pneumonia.
d)
SARS.
e)
-
16.
Which of the following acts committed by a nurse is an intentional tort?
a)
Battery
b)
Breach of confidentiality
c)
Negligence
d)
Abandonment
e)
-
17.
The nurse caring for a client diagnosed with bone cancer is exhibiting mental confusion and a BP of 150/100. Which laboratory value would correlate with the client’s symptoms reflecting a common complication with this diagnosis?
a)
Potassium 5.2mEq/L
b)
Calcium 13mg/dL
c)
Inorganic phosphorus 1.7mEq/L
d)
Sodium 138mEq/L
e)
-
18.
Several pregnant clients are waiting to be seen in the triage area of the obstetrical unit. Which client should the nurse see first?
a)
A client at 13 weeks’ gestation experiencing nausea and vomiting three times a day with +1 ketones in her urine.
b)
A client at 37 weeks’ gestation who is an insulin-dependent diabetic and experiencing 3 to 4 fetal movements per day.
c)
A client at 32 weeks’ gestation who has preeclampsia and +3 proteinuria who is returning for evaluation of epigastric pain.
d)
A primigravida at 17 weeks’ gestation complaining of not feeling fetal movement at this point in her pregnancy.
e)
-
19.
The doctor has ordered a Transcutaneous Electrical Nerve Stimulation (TENS) unit for the client with chronic back pain. The nurse teaching the client with a TENS unit should tell the client:
a)
“You may be electrocuted if you use water with this unit.”
b)
“Please report skin irritation to the doctor.”
c)
“The unit may be used anywhere on the body without fear of adverse reactions.”
d)
“A cream should be applied to the skin before applying the unit.”
e)
-
20.
A primigravid client with insulin-dependent diabetes tells the nurse that the contraction stress test performed earlier in the day was suspicious. The nurse interprets this test result as indicating that the fetal heart rate pattern showed which of the following?
a)
Frequent late decelerations.
b)
Decreased fetal movement.
c)
Inconsistent late decelerations.
d)
Lack of fetal movement.
e)
-
21.
The nurse is preparing a client with cirrhosis for a paracentesis. How will the nurse position the client for this procedure?
a)
Trendelenburg
b)
Lying on the right side
c)
Lying on the left side
d)
Sitting position
e)
-
22.
Where is a venous ulcer typically found on a patient?
a)
The medial lower leg and ankle
b)
The plantar aspect of foot
c)
On a bony prominence
d)
Under the heels
e)
-
23.
When auscultating the chest of a patient with pneumonia, the nurse should expect to hear which type of sounds over areas of consolidation?
a)
Bronchial
b)
Bronchovesicular
c)
Tubular
d)
Vesicular
e)
-
24.
Which nurse should be assigned to care for the postpartal client with preeclampsia?
a)
The nurse with 2 weeks of experience on postpartum
b)
The nurse with 3 years of experience in labor and delivery
c)
The nurse with 10 years of experience in surgery
d)
The nurse with 1 year of experience in the neonatal intensive care unit
e)
-
25.
The nurse is caring for a client following an exploratory laparotomy. Which of the following assessment findings requires intervention?
a)
The abdominal dressing is clean, dry, and intact.
b)
The hourly urinary output of 20mL is dark amber in color.
c)
The nasogastric tube output of 15mL is bile colored.
d)
The IV is infusing with no signs of infiltration.
e)
-
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