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WorksheetsGCC 476 - 500
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
The charge nurse is making assignments for the day. After accepting the assignment to a client with leukemia, the nurse tells the charge nurse that her child has chickenpox. Which action should the charge nurse take?
a)
Change the nurse’s assignment to another client
b)
Explain to the nurse that there is no risk to the client
c)
Ask the nurse if the chickenpox have scabbed
d)
Ask the nurse if she has ever had the chickenpox
e)
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2.
The nurse is preparing to walk the post-operative client for the first time since surgery. Before walking the client, the nurse should:
a)
Give the client pain medication
b)
Assist the client in dangling his legs
c)
Have the client breathe deeply
d)
Provide the client with additional fluids
e)
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3.
Delegation of responsibility between members of the multidisciplinary health care team is essential to provide quality and timely client care. Which statement best describes delegation?
a)
Delegation is the process of overseeing and organizing client care in collaboration with the multidisciplinary team.
b)
Delegation is the reassigning of responsibility for performance of a job or task from one member of the health care team to another.
c)
Delegation of responsibility can only be done by the charge nurse or nurse manager.
d)
Delegation is the process of prioritizing client care to achieve the best possible client outcome.
e)
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4.
On the first day after thoracotomy, the nurse’s assessment of the patient reveals a temperature of 100°F, a heart rate of 96 beats/minute, blood pressure of 136/86 mm Hg, and shallow respirations of 24 breaths/minute, with rhonchi heard at the lung bases. The patient complains of incisional pain. Which nursing action takes priority?
a)
Medicating the patient for pain
b)
Helping the patient out of bed
c)
Administering ibuprofen (Motrin) as ordered to reduce fever
d)
Encouraging the patient to cough and deep-breathe
e)
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5.
A client delivered a healthy newborn. As part of discharge teaching the nurse informs the client about the need for well child check-ups. The client asks for an explanation. A well child check-up is:
a)
A clinic visit of a sick child in an attempt to return her to health.
b)
A rapid in-and-out visit where only the child’s weight and height are determined and plotted on a growth chart.
c)
The administration of routine childhood vaccinations.
d)
Regularly scheduled clinic visits encompassing various aspects of health promotion.
e)
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6.
When performing a physical examination on an elderly client, the nurse:
a)
Assesses the musculoskeletal system by asking the client to hop on one foot and perform deep knee bends.
b)
Limits distractions because of the client’s sensory deficits in vision and hearing.
c)
Evaluates the pulmonary status with deep breaths, breath holding, and forced expirations.
d)
Focuses on different walking maneuvers (heelto- toe, tandem, heel walking) to evaluate neuromuscular function.
e)
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7.
In which of the following maternal locations would the nurse place the ultrasound transducer of the external electronic fetal heart rate monitor if a fetus at 34 weeks’ gestation is in the left occipitoanterior (LOA) position?
a)
Near the symphysis pubis.
b)
Two inches above the umbilicus.
c)
Below the umbilicus on the left side.
d)
At the level of the umbilicus.
e)
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8.
The 5-year-old is being tested for pinworms. To collect a specimen for assessment of pinworms, the nurse should teach the mother to:
a)
Examine the perianal area with a flashlight 2–3 hours after the child is asleep and to collect any eggs on a clear tape.
b)
Scrape the skin with a piece of cardboard and bring it to the clinic.
c)
Obtain a stool specimen in the afternoon.
d)
Bring a hair sample to the clinic for evaluation.
e)
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9.
A nurse in the intensive care unit is caring for a critically ill client with an intra-aortic balloon pump (IABP). An IABP provides mechanical support for the client’s failing heart. Even when inserted properly, the client is at risk for complications. Which complication can result from the use of an IABP?
a)
Aortic dissection.
b)
Cardiac tamponade.
c)
Pneumothorax.
d)
Splenic rupture.
e)
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10.
A patient is admitted to a burn intensive care unit with extensive full-thickness burns. The nurse is most concerned about the patient’s:
a)
fluid and electrolyte status.
b)
risk of infection.
c)
body image.
d)
level of pain.
e)
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11.
A client on the postpartum unit has a proctoepisiotomy. The nurse should anticipate administering which medication?
a)
Dulcolax suppository
b)
Docusate sodium (Colace)
c)
Methylergonovine maleate (Methergine)
d)
Methylphenidate (Ritalin)
e)
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12.
A 22-year-old female client receives Rho(D) immune globulin, human (RhoGam) after a sudden miscarriage. Which statement is true regarding this blood product?
a)
Rhogam should be given to females who are Rh positive after miscarriage or delivery.
b)
Rhogam provides active immunity to women exposed to Rh-positive blood from the fetus.
c)
Epinephrine should be available since Rhogam can cause anaphylaxis.
d)
Rhogam increases antibody response to Rh-negative exposure.
e)
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13.
A client has asthma. The nurse is aware that:
a)
A written asthma plan and peak expiratory flow measurements foster self-care.
b)
Asthma education (information) improves health outcomes in adults.
c)
Regular, ongoing reviews of client education are not necessary or beneficial.
d)
Clients with asthma have the same incidence of hospital admissions, unscheduled physician visits, and missed days of work as clients without asthma.
e)
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14.
Which finding distinguishes rheumatoid arthritis from osteoarthritis and gouty arthritis?
a)
Crepitus with ROM
b)
Symmetry of joint involvement
c)
Elevated serum uric acid levels
d)
Dominance in weight-bearing joints
e)
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15.
An antenatal primigravid client has just been informed that she is carrying twins. The plan of care includes educating the client concerning factors that put her at risk for problems during the pregnancy. The nurse realizes the client needs further instruction when she indicates carrying twins puts her at risk for which of the following?
a)
Preterm labor.
b)
Twin-to-twin transfusion.
c)
Anemia.
d)
Group B Streptococcus.
e)
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16.
A client asks the nurse, 'Will my immune system be weaker by relying on a vaccine for protection?' The nurse informs the client that:
a)
The immune system works in healthy people but not in those with illness.
b)
A vaccine offers some degree of immunity for a limited time.
c)
Exposure to the natural disease strengthens the immune system better than a vaccine.
d)
The immune system makes antibodies against a germ whether the germ is encountered naturally or by receiving a vaccine.
e)
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17.
Which patient is most at risk for developing deep vein thrombosis (DVT)?
a)
A 62-year-old female recovering from a total hip replacement
b)
A 35-year-old female 2 days postpartum
c)
A 33-year-old male runner with Achilles tendonitis
d)
An ambulatory 70-year-old male who is recovering from pneumonia
e)
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18.
A primigravid client with class II heart disease who is visiting the clinic at 8 weeks’ gestation tells the nurse that she has been maintaining a lowsodium, 1,800-calorie diet. Which of the following instructions should the nurse give the client?
a)
Avoid folic acid supplements to prevent megaloblastic anemia.
b)
Severely restrict sodium intake throughout the pregnancy.
c)
Take iron supplements with milk to enhance absorption.
d)
Increase caloric intake to 2,200 calories daily to promote fetal growth.
e)
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19.
A patient diagnosed with chronic renal failure is told he must start hemodialysis. During patient teaching, the nurse should instruct the patient to:
a)
follow a high-potassium diet.
b)
strictly follow the hemodialysis schedule.
c)
recognize that the disorder will cause lifestyle changes.
d)
use alcohol to clean the skin because of integumentary changes.
e)
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20.
A nurse gives a subcutaneous injection of heparin sodium (Heparin). Which is a true statement regarding this injection?
a)
Massage the area after heparin is administered subcutaneously.
b)
Aspiration before injection can cause hematoma formation.
c)
Give the injection each time in the same general area.
d)
Hold the skin taut when giving the injection.
e)
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21.
How should computer monitors that display accessed client health information be positioned to ensure that no visitors to a health care facility or unauthorized persons will be able to view information stored on the facility’s health information system?
a)
Monitors should be positioned facing the client rooms so that health care personnel can access the information easily.
b)
Monitors should face away from any visitor area or client care area where information displayed could possibly be viewed by unauthorized persons.
c)
Monitors should be turned off unless in use.
d)
Monitors should be positioned for quick access. Visitors and unauthorized personnel are responsible not to view information not intended for their knowledge.
e)
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22.
A patient with cirrhosis complains that his skin always feels itchy. The nurse recognizes that the itching results from which abnormality associated with cirrhosis?
a)
Prolonged prothrombin time
b)
Decreased protein level
c)
Increased bilirubin level
d)
Increased aspartate aminotransferase level
e)
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23.
Which one of the following measures decreases abdominal discomfort when the post-operative client is asked to cough?
a)
Exhaling forcefully between coughs
b)
Splinting the incision with a pillow
c)
Maintaining muscle tension in the operative site
d)
Taking panting respirations between coughs
e)
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24.
Which type of diet is implicated in the development of diverticulosis?
a)
A low-fiber diet
b)
High-fiber diet
c)
High-protein diet
d)
Low-carbohydrate diet
e)
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25.
The nurse is teaching the client with insulin-dependent diabetes the signs of hypoglycemia. Which of the following signs is associated with hypoglycemia?
a)
Tremulousness
b)
Slow pulse
c)
Nausea
d)
Flushed skin
e)
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