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WorksheetsGCC 451 - 475
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
After conducting a presentation to a group of adolescent parents on the topic of adolescent pregnancy, the nurse determines that one of the parents needs further instruction when the parent says that adolescents are at greater risk for which of the following?
a)
Denial of the pregnancy.
b)
Low-birth-weight infant.
c)
Cephalopelvic disproportion.
d)
Congenital anomalies.
e)
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2.
A patient is taking isoniazid to treat TB. Which instruction should the nurse give him about this drug?
a)
Drinking alcohol daily can cause drug-induced hepatitis.
b)
Taking isoniazid with aluminum hydroxide minimizes GI upset.
c)
Isoniazid is best absorbed when taken on an empty stomach.
d)
Prolonged use of isoniazid causes dark, concentrated urine.
e)
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3.
Which information obtained from the mother of a child with cerebral palsy most likely correlates to the diagnosis?
a)
She was born at 42 weeks gestation.
b)
She had meningitis when she was 6 months old.
c)
She had physiologic jaundice after delivery.
d)
She has frequent sore throats.
e)
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4.
At 32 weeks’ gestation, a 15-year-old primigravid client who is 5 feet, 2 inches tall has gained a total of 20 lb, with a 1-lb gain in the last 2 weeks. Urinalysis reveals negative glucose and a trace of protein. The nurse should advise the client that which of the following factors increases her risk for preeclampsia?
a)
Total weight gain.
b)
Short stature.
c)
Adolescent age group.
d)
Proteinuria.
e)
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5.
The nurse collects a urine specimen from a client’s indwelling urinary catheter. Which method is the correct procedure for obtaining a urine specimen from an indwelling urinary catheter?
a)
Place a new drainage bag on the catheter and collect the specimen from the bag.
b)
Disconnect the catheter tubing from the drainage bag and drain urine from the tubing into a specimen cup.
c)
Remove the catheter and insert a straight catheter to collect the specimen.
d)
Clean the sampling port on the catheter with an alcohol pad and insert a sterile needle with syringe into the port.
e)
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6.
A client with a femoral popliteal bypass graft is assigned to a semiprivate room. The most suitable roommate for this client is the client with:
a)
Hypothyroidism
b)
Diabetic ulcers
c)
Ulcerative colitis
d)
Pneumonia
e)
-
7.
Which laboratory values will a nurse interpret as confirming a patient’s diagnosis of pancreatitis?
a)
Elevated amylase, elevated lipase, elevated serum glucose, and decreased serum calcium levels
b)
Elevated amylase, elevated lipase, decreased serum glucose, and decreased serum calcium levels
c)
Decreased amylase, decreased lipase, elevated serum glucose, and increased serum calcium levels
d)
Decreased amylase, decreased lipase, decreased serum glucose, and increased serum calcium levels
e)
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8.
A client complains of progressively worsening shortness of breath since cutting the grass 3 days ago. The client has a history of asthma. The nurse knows this client is having a severe exacerbation and should immediately receive:
a)
High doses of inhaled short-acting beta2-agonist.
b)
Intravenous fluids.
c)
Oxygen.
d)
Systemic corticosteroids.
e)
-
9.
The nurse explains the complications of pregnancy that occur with diabetes to a primigravid client at 10 weeks’ gestation who has a 5-year history of insulin-dependent diabetes. Which of the following, if stated by the client as a complication, indicates the need for additional teaching?
a)
Candida albicans infection.
b)
Twin-to-twin transfer.
c)
Polyhydramnios.
d)
Preeclampsia.
e)
-
10.
A client arrives after a house fire. What clinical manifestation is most indicative of possible carbon monoxide poisoning?
a)
Pulse oximetry reading of 80%
b)
Expiratory stridor and nasal flaring
c)
Cherry-red color to the mucous membranes
d)
Presence of carbonaceous particles in the sputum
e)
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11.
A client is to undergo a bone marrow aspiration. The nurse plans to include which statement in the client preparation?
a)
You will be sitting on the side of the bed during the procedure.
b)
Portions of the procedure will cause pain or discomfort.
c)
You will be given some medication to cause amnesia of the test.
d)
You will not be able to drink fluids for 24 hours before the study.
e)
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12.
The success of treatment of local radiation depends upon:
a)
Extent of tissue injury.
b)
Rate of therapy.
c)
The designated area.
d)
Use of systemic medications.
e)
-
13.
Which observation in the newborn of a mother who is alcohol dependent would require immediate nursing intervention?
a)
Crying
b)
Wakefulness
c)
Jitteriness
d)
Yawning
e)
-
14.
A client with diabetes asks the nurse for advice regarding methods of birth control. Which method of birth control is most suitable for the client with diabetes?
a)
Intrauterine device
b)
Oral contraceptives
c)
Diaphragm
d)
Contraceptive sponge
e)
-
15.
A client elects to have epidural anesthesia to relieve the discomfort of labor. Following the initiation of epidural anesthesia, the nurse should give priority to:
a)
Checking for cervical dilation
b)
Placing the client in a supine position
c)
Checking the client's blood pressure
d)
Obtaining a fetal heart rate
e)
-
16.
Which discharge instruction should the nurse give to a patient after a prostatectomy?
a)
Avoid straining at stool.
b)
Report clots in the urine right away.
c)
Soak in a warm tub daily for comfort.
d)
Return to your usual activities in 3 weeks.
e)
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17.
The nurse is teaching a group of new graduates about the safety needs of the client receiving chemotherapy. Before administering chemotherapy, the nurse should:
a)
Administer a bolus of IV fluid
b)
Administer pain medication
c)
Administer an antiemetic
d)
Allow the patient a chance to eat
e)
-
18.
An elderly client with abdominal surgery is admitted to the unit following surgery. In anticipation of complications of anesthesia and narcotic administration, the nurse should:
a)
Administer oxygen via nasal cannula
b)
Have Narcan (naloxone) available
c)
Prepare to administer blood products
d)
Prepare to do cardioresuscitation
e)
-
19.
A client with sickle cell disease is admitted with pneumonia. Which nursing intervention would be most helpful to prevent a sickling crisis?
a)
Obtaining blood pressures every 2 hours
b)
Administering pain medication every 3–4 hours as ordered
c)
Assessing breath sounds once a shift
d)
Monitoring IV fluids at ordered rate of 200mL/hr.
e)
-
20.
When assessing a laboring client, the nurse finds a prolapsed cord. The nurse should:
a)
Attempt to replace the cord
b)
Place the client on her left side
c)
Elevate the client’s hips
d)
Cover the cord with a dry, sterile gauze
e)
-
21.
Hypocalcemia can occur when large amounts of blood are used in critical patient situations. Which statement is true regarding the cause of hypocalcemia?
a)
The citrate contained in the blood bags combines with calcium ions making them unusable.
b)
The pH of banked blood is alkalinic creating an environment that is not stable for the calcium ions.
c)
A shift to the right on the oxyhemoglobin dissociation curve occurs causing calcium to be excreted more quickly from the renal system.
d)
Increased amounts of 2,3 DPG is found in banked blood, which antagonizes calcium.
e)
-
22.
A client is perimenopausal. She asks the nurse about the need for birth control. The nurse knows:
a)
Birth control should continue until menstrual periods have been absent for at least 1 year.
b)
The client requires evaluation of follicle stimulating and leutinizing hormone levels.
c)
Estrogen replacement therapy is warranted.
d)
Sexual activity should be avoided during this time.
e)
-
23.
A multigravid client at 32 weeks’ gestation has experienced hemolytic disease of the newborn in a previous pregnancy. The nurse should prepare the client for frequent antibody titer evaluations obtained from which of the following?
a)
Placental blood.
b)
Amniotic fluid.
c)
Fetal blood.
d)
Maternal blood.
e)
-
24.
The physician has prescribed tranylcypromine sulfate (Parnate) 10mg bid. The nurse should teach the client to refrain from eating foods containing tyramine because it may cause:
a)
Hypertension
b)
Hyperthermia
c)
Melanoma
d)
Urinary retention
e)
-
25.
The nurse has just received shift report and is preparing to make rounds. Which client should be seen first?
a)
The client who has a history of a cerebral aneurysm with an oxygen saturation rate of 99%
b)
The client who is three days post–coronary artery bypass graft with a temperature of 100.2°F
c)
The client who was admitted 1 hour ago with shortness of breath
d)
The client who is being prepared for discharge following a femoral popliteal bypass graft
e)
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