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WorksheetsGCC 526 - 550
Total questions: 25
Worksheet time: 13mins
Name
Class
Date
1.
The nurse is teaching a group of patient care attendants about infection-control measures. The nurse tells the group that the first line of intervention for preventing the spread of infection is:
a)
wearing gloves.
b)
administering antibiotics.
c)
hand hygiene.
d)
assigning private rooms for patients.
e)
-
2.
A client is 4 hours post-operative left brain cerebral aneurysm clipping. Which assessment finding would cause the nurse the most concern?
a)
Temperature 99.4ºF, heart rate 110, respiratory rate 24
b)
Drowsiness, urinary output of 50mL in the past hour, 1cm blood drainage noted on surgical dressing
c)
BP 120/60, lethargic, right-sided weakness
d)
Alert and oriented, BP 168/96, heart rate 70
e)
-
3.
A patient with an above-the-knee amputation visits the orthopedic surgeon for a follow-up. Which comment to the nurse would indicate the patient is properly caring for the stump and prosthetic leg?
a)
I inspect the stump weekly to look for signs of redness, blistering, or abrasions.
b)
I put my prosthesis on before I get out of bed.
c)
I wash the stump every day with an antiseptic soap.
d)
I wipe out the socket of my prosthesis with a damp, soapy cloth weekly.
e)
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4.
The technology-driven, critical care environment is fast paced and directed toward monitoring and treating life-threatening changes in client conditions. To the families of critical care clients, four behaviors indicate caring. These include:
a)
Closed communication.
b)
Open visiting hours.
c)
Touch.
d)
Withholding information.
e)
-
5.
It is essential that the nurse have which piece of equipment at the bedside of a client on a ventilator?
a)
Cardiac monitor
b)
Intravenous controller
c)
Manual resuscitator
d)
Oxygen by nasal cannula
e)
-
6.
A client has just delivered a baby and is successfully breast-feeding. How many extra kilocalories per day does the client need to consume to compensate for the increased energy requirements of lactation?
a)
1000
b)
300
c)
500
d)
800
e)
-
7.
A patient is admitted with Graves' disease. Which laboratory test should the nurse expect to be ordered?
a)
Serum glucose
b)
Serum calcium
c)
Lipid panel
d)
Thyroid panel
e)
-
8.
The nurse is caring for a client with arteriosclerotic heart disease. The nurse recognizes that a nonmodifiable risk factor in the development of arteriosclerotic heart disease is:
a)
Family history
b)
Hypertension
c)
Diet
d)
Exercise
e)
-
9.
A high school student returns to school following a 3-week absence due to mononucleosis. The school nurse knows it will be important for the client:
a)
To drink additional fluids throughout the day
b)
To avoid contact sports for 1-2 months
c)
To have a snack twice a day to prevent hypoglycemia
d)
To continue antibiotic therapy for 6 months
e)
-
10.
A client has been receiving Rheumatrex (methotrexate) for severe rheumatoid arthritis. The nurse should tell the client to avoid taking:
a)
Aspirin
b)
Multivitamins
c)
Omega 3 and omega 6 fish oils
d)
Acetaminophen
e)
-
11.
The physician has prescribed Cytoxan (cyclophosphamide) for a client with nephotic syndrome. The nurse should:
a)
Encourage the client to drink extra fluids
b)
Request a low-protein diet for the client
c)
Bathe the client using only mild soap and water
d)
Provide additional warmth for swollen, inflamed joints
e)
-
12.
Following a generalized seizure, the nurse can expect the client to:
a)
Be unable to move the extremities
b)
Be drowsy and prone to sleep
c)
Remember events before the seizure
d)
Have a drop in blood pressure
e)
-
13.
The nurse is caring for a patient with a colostomy. The patient asks, "Will I ever be able to swim again?"
a)
The nurse's best response would be:
b)
Yes, you should be able to swim again, even with the colostomy.
c)
You should avoid immersing the colostomy in water.
d)
No, you should avoid getting the colostomy wet.
e)
Don't worry about that. You will be able to live just like you did before.
14.
A client has recently undergone central line placement. The client complains of shortness of breath and right-sided chest pain. Vital signs are blood pressure 98/50 mm Hg, pulse rate 110 beats/minute, and respiratory rate 36 breaths/minute. Which action should the nurse take first?
a)
Gather supplies for chest tube insertion.
b)
Notify the physician immediately.
c)
Order a chest x-ray.
d)
Administer oxygen.
e)
-
15.
The nurse is giving instructions on the removal of ticks at a Girl Scout meeting. Which information is proper procedure for tick removal?
a)
Use tweezers to remove the tick, disinfecting the area before and after removal.
b)
Apply nail polish to the tick, then remove it with your gloved fingers.
c)
Soak alcohol on a piece of cloth, smothering the tick, and pull it out with the cloth.
d)
Apply a lighted match to the tick and wipe it off.
e)
-
16.
Which oral medication is administered to prevent further thrombus formation?
a)
Warfarin
b)
Heparin
c)
Furosemide
d)
Metoprolol
e)
-
17.
The client is admitted to the emergency room with shortness of breath, anxiety, and tachycardia. His ECG reveals atrial fibrillation with a ventricular response rate of 130 beats per minute. The doctor orders quinidine sulfate. While he is receiving quinidine, the nurse should monitor his ECG for:
a)
Peaked P wave
b)
Elevated ST segment
c)
Inverted T wave
d)
Prolonged QT interval
e)
-
18.
What is the primary reason for a client with COPD to avoid smoking?
a)
It affects peripheral blood vessels.
b)
It causes vasoconstriction.
c)
It destroys the lung parenchyma.
d)
It paralyzes ciliary activity.
e)
-
19.
While reviewing the client's lab report, the nurse notes that the client has a potassium level of 3.0 mEq/L. What is the best source of potassium?
a)
One cup of apple juice
b)
One cup of orange juice
c)
One cup of cranberry juice
d)
One cup of prune juice
e)
-
20.
The nurse cares for a client following cardiac catheterization. The nurse assesses the insertion site and notices that the client is bleeding. What is the best action for the nurse to take?
a)
Obtain the client's vital signs.
b)
Assess pedal pulses of the affected extremity.
c)
Don sterile gloves and place pressure on the insertion site with sterile gauze.
d)
Notify the physician.
e)
-
21.
The recommended time for daily administration of Tagamet (cimetidine) is:
a)
Before breakfast
b)
Mid-afternoon
c)
After dinner
d)
At bedtime
e)
-
22.
The nurse is preparing to discharge a client following a laparoscopic cholecystectomy. The nurse should:
a)
Tell the client to avoid a tub bath for 5 to 7 days
b)
Tell the client to expect clay-colored stools
c)
Tell the client that she can expect lower abdominal pain for the next week
d)
Tell the client that she can resume a regular diet immediately
e)
-
23.
A client in the critical care unit is unresponsive and on a mechanical ventilator. Two of the client's children insist that the client previously expressed the desire not to be placed on any life support. The sibling who is named on the client's Durable Power of Attorney for Health Care refuses to consider discontinuing the mechanical ventilator. This dilemma is causing discontent among the family and an uncomfortable situation for the nurses caring for the client. Which action by the client's nurse would be most appropriate as an attempt to resolve the situation?
a)
Limit visiting until the family resolves the issue
b)
Contact the physician about the family’s behavior
c)
Refer to client-family services for mediation
d)
Refer to the ethics committee
e)
-
24.
Which evaluation statement by the nurse is most accurate for a client who has been taking colchicine (Colgout)?
a)
The client is free of pain.
b)
The client's platelet level is increased.
c)
The client's cardiac output is improved.
d)
The client is free from infection.
e)
-
25.
The nurse is caring for a client with a basilar skull fracture. Fluid is assessed leaking from the ear. What is the nurse's first action?
a)
Irrigate the ear canal gently
b)
Notify the physician
c)
Test the drainage for glucose
d)
Apply an occlusive dressing
e)
-
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