WorksheetsGCC 501 - 525
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
Which one of the following assessment findings is within normal expectations for a post-operative craniotomy client?
a)
A decrease in responsiveness the third post-op day
b)
Sluggish pupil reaction the first 24–48 hours
c)
Dressing changes 3–4 times a day for the first 3 days
d)
Temperature range of 98.8°F–99.6°F the first 2–3 days
e)
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2.
The nurse inserts an indwelling urinary catheter in a client. Which nursing intervention is most likely to prevent a urinary tract infection?
a)
Restricting fluid intake.
b)
Cleaning the perineal area and urinary meatus twice a day and as needed.
c)
Obtaining specimens by disconnecting the tube from the drainage bag.
d)
Irrigating the catheter with saline twice a day and as needed.
e)
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3.
A woman who is Rh-negative has delivered an Rh-positive infant. The nurse explains to the client that she will receive RhoGAM. The nurse determines that the client understands the purpose of RhoGAM when she states:
a)
“RhoGAM will protect my next baby if it is Rh-negative.”
b)
“RhoGAM will prevent antibody formation in my blood.”
c)
“RhoGAM will be given to prevent German measles.”
d)
“RhoGAM will be used to prevent bleeding in my newborn.”
e)
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4.
What would the nurse expect to see included in the treatment plan of a 14-year-old with scoliosis and an 18° curvature of the spine?
a)
Application of a Milwaukee brace
b)
Electrical stimulation to the outward side of the curve
c)
Re-evaluation with no treatment at this time
d)
Surgical realignment of the spine
e)
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5.
The nurse is caring for a client with a T4 spinal cord injury when he begins to have symptoms of autonomic dysreflexia. After placing the client in high Fowler’s position, the nurse should:
a)
Administer a prescribed analgesic
b)
Check for patency of the catheter
c)
Tell the client to breathe slowly
d)
Check the temperature
e)
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6.
A 66-year-old patient has marked dyspnea at rest, is thin, and uses accessory muscles to breathe. He is tachypneic, with a prolonged expiratory phase. He has no cough. He leans forward with his arms braced on his knees to support his chest and shoulders for breathing. This patient has signs and symptoms of which respiratory disorder?
a)
ARDS
b)
Asthma
c)
Chronic obstructive bronchitis
d)
Emphysema
e)
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7.
A client with acute pancreatitis has requested pain medication. Which pain medication is indicated for the client with acute pancreatitis?
a)
Demerol (meperidine)
b)
Toradol (ketorolac)
c)
Morphine (morphine sulfate)
d)
Codeine (codeine)
e)
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8.
The nurse notes variable decelerations on the fetal monitor strip. The most appropriate initial action would be to:
a)
Notify her doctor
b)
Document the finding
c)
Reposition the client
d)
Readjust the monitor
e)
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9.
A patient, age 39, has type 1 diabetes mellitus. When he arrives at the ED complaining of dizziness, the nurse notes that he seems weak, confused, and disoriented. His wife states that he took his usual morning dose of 6 units of regular insulin and 15 units of NPH insulin, but ate little of his breakfast. What is the most likely cause of the patient’s signs and symptoms?
a)
Ketoacidosis
b)
Hyperglycemia
c)
Hyperlipidemia
d)
Hypoglycemia
e)
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10.
The nurse is caring for a patient with active upper-GI bleeding. What is the appropriate diet for this patient during the first 24 hours after admission?
a)
Regular diet
b)
Skim milk
c)
Nothing by mouth
d)
Clear liquids
e)
-
11.
While caring for a primigravid client with class II heart disease at 28 weeks’ gestation, the nurse would instruct the client to contact her physician immediately if the client experiences which of the following?
a)
Mild ankle edema.
b)
Emotional stress on the job.
c)
Weight gain of 1 lb in 1 week.
d)
Increased dyspnea at rest.
e)
-
12.
A newborn with narcotic abstinence syndrome is admitted to the nursery. Nursing care of the newborn should include:
a)
Teaching the mother to provide tactile stimulation
b)
Wrapping the newborn snugly in a blanket
c)
Placing the newborn in the infant seat
d)
Initiating an early infant-stimulation program
e)
-
13.
Which of the following meal selections is appropriate for the client with celiac disease?
a)
Toast, jam, and apple juice
b)
Peanut butter cookies and milk
c)
Rice Krispies bar and milk
d)
Cheese pizza and Kool-Aid
e)
-
14.
A client takes the following medications: labetalol hydrochloride (Normodyne) 100 milligrams twice a day, ketorolac tromethamine (Toradol) 10 milligrams as needed, and mirtazapine (Remeron) 15 milligrams at bedtime. Which nursing diagnosis is most appropriate for this client?
a)
Risk for trauma related to drug-induced hypotension.
b)
Risk for fluid volume deficit related to adverse reactions.
c)
Risk for trauma related to lowered seizure threshold.
d)
Risk for impaired skin integrity related to dermatologic reactions.
e)
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15.
Which is a potential complication of central line placement?
a)
Hemothorax.
b)
Liver laceration.
c)
Pneumothorax.
d)
Spleen laceration.
e)
-
16.
Which factor most accurately reflects characteristics of the child that place families at risk for child abuse and neglect?
a)
The child is healthy.
b)
The child has a difficult personality.
c)
The family is socially isolated.
d)
The parent believes in physical punishment.
e)
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17.
A client has a Groshong central venous access device. The nurse prepares to flush the device. Which information is correct regarding the flushing?
a)
Administer 10 mL of heparin 100 units/mL on a weekly basis.
b)
Administer normal saline 2 mL on a weekly basis.
c)
Administer 1 to 2 mL of heparin solution 1000 units/mL daily.
d)
Administer normal saline 5 to 10 mL weekly.
e)
-
18.
A client is returning to the room after a thyroidectomy. Which piece of equipment should the nurse place at the bedside?
a)
A tracheotomy set
b)
A hemostat
c)
A chest tube system
d)
Wire cutters
e)
-
19.
A client is scheduled for surgical repair of an abdominal aortic aneurysm. Which assessment is most crucial during the preoperative period?
a)
Assessment of the client’s level of anxiety
b)
Evaluation of the client’s exercise tolerance
c)
Identification of peripheral pulses
d)
Assessment of bowel sounds and activity
e)
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20.
The nurse is teaching the client with AIDS regarding proper food preparation. Which statement indicates that the client needs further teaching?
a)
“I should avoid adding pepper to food after it is cooked.”
b)
“I can still have an occasional medium-rare steak.”
c)
“Eating cheese and yogurt won’t help prevent AIDS-related diarrhea.”
d)
“I should eat fruits and vegetables that can be peeled.”
e)
-
21.
A nurse knows that the kidneys play an important role in regulating blood pressure. When hypertension occurs, which kidney responses help normalize blood pressure?
a)
Retaining sodium and excreting water
b)
Excreting sodium and water
c)
Retaining sodium and water
d)
Excreting sodium and retaining water
e)
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22.
A woman at 22 weeks' gestation has right upper quadrant pain radiating to her back. She rates the pain as 9 on a scale of 1 to 10 and says that it has occurred 2 times in the last week for about 4 hours at a time. She does not associate the pain with food. Which of the following nursing measures is the highest priority for this client?
a)
Educate the client concerning changes occurring in the gallbladder as a result of pregnancy.
b)
Refer the client to her health care provider for evaluation and treatment of the pain.
c)
Discuss nutritional strategies to decrease the possibility of heartburn.
d)
Support the client's use of acetaminophen (Tylenol) to relieve pain.
e)
-
23.
Which adverse reaction can be attributed to a medication in the classification of tricyclic antidepressants?
a)
Increased temperature.
b)
Miosis.
c)
Hypersecretions.
d)
Pallor.
e)
-
24.
As a nurse working in a chronic obstructive pulmonary disease (COPD) clinic, you advise clients daily about health care matters. The most important factor in prevention and treatment of COPD is:
a)
Controlling asthma.
b)
Receiving an influenza shot annually.
c)
Taking a daily multivitamin containing antioxidants.
d)
Ceasing cigarette smoking.
e)
-
25.
Several skin conditions that are of most importance in African-American clients include:
a)
Cardiomyopathy.
b)
Diverticulosis.
c)
Keloids.
d)
Sarcoidosis.
e)
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