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WorksheetsGCC 426 - 450
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
An infant is in need of intravenous access. The nurse makes an observation about scalp veins. Which statement indicates the nurse is knowledgeable about this type of venous access?
a)
The vein has to be cannulated in a downward fashion toward the neck.
b)
These veins are good to have, but I can’t give anything very fast through them.
c)
I remember that you are not supposed to use a tourniquet on these veins.
d)
Once I see a flash of blood, I need to advance the needle and cannula 1/8 inch.
e)
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2.
The nurse leaves a patient who is elderly and confused to find someone to assist with transferring the patient to bed. While the nurse is gone, the patient falls and hurts herself. The nurse is at fault because she hasn't:
a)
Properly educated the patient about safety measures.
b)
Restrained the patient.
c)
Documented that she left the patient.
d)
Arranged for continual care of the patient.
e)
-
3.
Damage to the VII cranial nerve results in:
a)
Facial pain
b)
Absence of ability to smell
c)
Absence of eye movement
d)
Tinnitus
e)
-
4.
Which patient has the highest risk of developing anemia?
a)
A patient with a colostomy following colon resection
b)
A patient with gastroesophageal reflux disease (GERD)
c)
A patient who has had a gastrectomy
d)
A patient with frequent bouts of dumping syndrome
e)
-
5.
Perineal pain in the absence of any observable cause suggests which condition?
a)
Endometriosis
b)
Internal hemorrhoids
c)
Prostatitis
d)
Renal calculi
e)
-
6.
A client with an above-the-knee amputation is being taught methods to prevent hip-flexion deformities. Which instruction should be given to the client?
a)
Lie supine with the head elevated on two pillows.
b)
Lie prone every 4 hours during the day for 30 minutes.
c)
Lie on your side with your head elevated.
d)
Lie flat during the day.
e)
-
7.
A client who is being discharged home will be giving his own enoxaparin sodium (Lovenox) subcutaneously. Which statement by the client indicates the need for further education?
a)
I remember that I need to hold the needle at a 45 degree angle.
b)
I know to pinch the skin up for the injection.
c)
I will not pull back on the plunger before injecting the medicine.
d)
I am going to use the right side of my lower abdomen all the time.
e)
-
8.
A client with cancer develops xerostomia. The nurse can help alleviate the discomfort associated with xerostomia by:
a)
Offering hard candy
b)
Administering analgesic medications
c)
Splinting swollen joints
d)
Providing saliva substitute
e)
-
9.
Which of the following test should be performed before beginning a prescription of Accutane?
a)
Check the calcium level
b)
Perform a pregnancy test
c)
Monitor apical pulse
d)
Obtain a creatinine level
e)
-
10.
The physician writes the following order: Give 20 mL per kg bolus of normal saline over 60 minutes. The client, a child, weighs 32 pounds. What number of drops should be delivered per minute? The tubing has a drip factor of 10.
a)
30 drops.
b)
50 drops.
c)
110 drops.
d)
150 drops.
e)
-
11.
The nurse is reviewing the chart of a multigravid client at 39 weeks’ gestation with suspected HELLP syndrome. The nurse should notify the health care provider about which of the following test results?
a)
Platelets 200,000 mm3.
b)
Lactate dehydrogenase (LDH) > 200 units/L.
c)
Uric acid 3 mg/dL.
d)
Aspartate aminotransferase (AST) 15 units/L.
e)
-
12.
Elderly clients who take several medications are at risk for adverse drug reactions and interactions. The most important nursing action to prevent such risk is:
a)
Implementing a thorough client assessment.
b)
Instructing the client about adverse drug reactions.
c)
Explaining to the client that approximately 12% of hospital admissions of older adults are due to a drug reaction.
d)
Teaching the client that the chances of adverse drug reactions are directly proportional to the number of medications taken.
e)
-
13.
A client’s physician writes the order to “obtain consent for a bronchoscopy and possible lung biopsy.” When the nurse presents the consent form to the client, the client states, “I don’t know what a bronchoscopy is.” Which is the best action by the nurse?
a)
The nurse should explain the bronchoscopy procedure to the client and inform the client of the risks, benefits, and treatment alternatives.
b)
The nurse should immediately inform the physician that the client requests additional information related to the bronchoscopy procedure.
c)
The nurse should give the client an information pamphlet on the bronchoscopy procedure, and tell the client to sign the consent after reading the pamphlet.
d)
The nurse should instruct the client to sign the informed consent form. The physician will answer any additional questions right before the procedure is performed.
e)
-
14.
A client involved in a major vehicle accident has type O blood. Which blood types can this client receive?
a)
Type A.
b)
Type B.
c)
Type AB.
d)
Type O.
e)
-
15.
For the drugs Tamiflu and Relenza to be the most effective in eliminating the influenza virus, they should be administered within which time period?
a)
3 days of the client becoming ill
b)
7 days of the client becoming ill
c)
10 days of exposure to influenza
d)
14 days of exposure to influenza
e)
-
16.
A client with human immunodeficiency syndrome has gastrointestinal symptoms, including diarrhea. The nurse should teach the client to avoid:
a)
Calcium-rich foods
b)
Canned or frozen vegetables
c)
Processed meat
d)
Raw fruits and vegetables
e)
-
17.
An elderly client is admitted with a fractured left hip. Which type of traction will be used to immobilize the client’s left extremity?
a)
90–90 traction
b)
Buck’s traction
c)
Bryant’s traction
d)
Dunlop’s traction
e)
-
18.
A 28-year-old multigravida at 37 weeks’ gestation arrives at the emergency department with a blood pressure of 160/104 mm Hg and +3 reflexes without clonus. The client is diagnosed with severe preeclampsia. The nurse collaborates with the health care provider to develop a plan of care that care will first include:
a)
Administration of glucocorticoids (Betamethasone).
b)
Vaginal or cesarean delivery of the fetus.
c)
Prevention of seizures with phenytoin (Dilantin).
d)
Reduction of fluid retention with thiazides.
e)
-
19.
It is the nurse’s responsibility to act as client advocate. What is the definition of client advocacy?
a)
Advocacy is to inform the client to accept medical treatments that conflict with the client’s beliefs or health care wishes because the health care team knows what is best for the client.
b)
Advocacy is the act of arguing or negotiating on behalf of a particular issue, idea, or person.
c)
Advocacy is providing assurance to the client that a surgical procedure will be successful and will achieve the desired outcome.
d)
Advocacy is informing the client that the client does not have the right to refuse medical treatment in certain circumstances where doing so is detrimental to the client’s health.
e)
-
20.
During the change of shift, the oncoming nurse notes a discrepancy in the number of Percocet (Oxycodone) listed and the number present in the narcotic drawer. The nurse’s first action should be to:
a)
Notify the hospital pharmacist
b)
Notify the nursing supervisor
c)
Notify the Board of Nursing
d)
Notify the director of nursing
e)
-
21.
After instructing a female client about the radioimmunoassay pregnancy test, the nurse determines that the client understands the instructions when the client states that which of the following hormones is evaluated by this test?
a)
Prolactin.
b)
Follicle-stimulating hormone.
c)
Luteinizing hormone.
d)
Human chorionic gonadotropin (hCG).
e)
-
22.
The nurse is caring for a client who is of the Islam religious group. Which food selection would be inappropriate to offer to this client?
a)
Jell-O
b)
Chicken
c)
Milk
d)
Broccoli
e)
-
23.
A client with nontropical sprue has an exacerbation of symptoms. Which meal selection is responsible for the recurrence of the client’s symptoms?
a)
Tossed salad with oil and vinegar dressing
b)
Baked potato with sour cream and chives
c)
Cream of tomato soup and crackers
d)
Mixed fruit and yogurt
e)
-
24.
In a patient with meningitis, irritation to which CN could cause photophobia?
a)
III
b)
IV
c)
V
d)
VI
e)
-
25.
Which laboratory test would be the least effective in making the diagnosis of a myocardial infarction?
a)
AST
b)
Troponin
c)
CK-MB
d)
Myoglobin
e)
-
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