WorksheetsGCC 551 - 575
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
Which information should be given to the client taking phenytoin (Dilantin)?
a)
Taking the medication with meals will increase its effectiveness.
b)
The medication can cause sleep disturbances.
c)
More frequent dental appointments will be needed for special gum care.
d)
The medication decreases the effects of oral contraceptives.
e)
-
2.
The nurse is caring for an infant with atopic dermatitis. An important part of the infant's care will be:
a)
Keeping the infant warm
b)
Trimming the fingernails
c)
Using soap for bathing
d)
Applying peroxide to dry areas
e)
-
3.
Hyperosmolar hyperglycemic nonketotic syndrome (HHNS) can be differentiated from diabetic ketoacidosis (DK) by which physiologic finding?
a)
Increased serum osmolarity.
b)
Hypokalemia.
c)
Hyperglycemia.
d)
Absence of ketosis.
e)
-
4.
A postsurgical client requires a blood transfusion. Which disorder is common in critically ill and postsurgical clients requiring blood transfusions?
a)
Hypercalcemia.
b)
Hyperkalemia.
c)
Hypocalcemia.
d)
Hypokalemia.
e)
-
5.
The client is admitted to the chemical dependence unit with an order for continuous observation. The nurse is aware that the doctor has ordered continuous observation because:
a)
Hallucinogenic drugs create both stimulant and depressant effects.
b)
Hallucinogenic drugs induce a state of altered perception.
c)
Hallucinogenic drugs produce severe respiratory depression.
d)
Hallucinogenic drugs induce rapid physical dependence.
e)
-
6.
A monthly testicular self-exam is recommended for males to permit early detection and treatment of testicular cancer. Testicular cancer is more prevalent:
a)
As male clients age with the highest incidence in the elderly.
b)
In male clients who have a second type of cancer.
c)
Among young, adult male clients between 20 and 35 years of age.
d)
In male clients with mental retardation.
e)
-
7.
The mother of a 6-month-old asks when her child will have all his baby teeth. The nurse knows that most children have all their primary teeth by age:
a)
12 months
b)
18 months
c)
24 months
d)
30 months
e)
-
8.
The heart rhythm of a patient in cardiac arrest undergoing cardiopulmonary resuscitation (CPR) deteriorates to ventricular fibrillation. Which action should the nurse take first?
a)
Administer 1 mg of epinephrine I.V.
b)
Defibrillate with a monophasic defibrillator at 360 joules.
c)
Continue CPR.
d)
Administer 40 units of vasopressin I.V.
e)
-
9.
The nurse is performing an assessment of an elderly client with a total hip repair. Based on this assessment, the nurse decides to medicate the client with an analgesic. Which finding most likely prompted the nurse to decide to administer the analgesic?
a)
The client's blood pressure is 130/86.
b)
The client is unable to concentrate.
c)
The client's pupils are dilated.
d)
The client grimaces during care.
e)
-
10.
The physician has ordered Cortisporin ear drops for a 2-year-old. To administer the ear drops, the nurse should:
a)
Pull the ear down and back
b)
Pull the ear straight out
c)
Pull the ear up and back
d)
Leave the ear undisturbed
e)
-
11.
Which assignment should not be performed by the licensed practical nurse?
a)
Inserting a Foley catheter
b)
Discontinuing a nasogastric tube
c)
Obtaining a sputum specimen
d)
Initiating a blood transfusion
e)
-
12.
Which intervention is most important to include in a nursing care plan for a patient with atelectasis?
a)
Give oxygen continuously at 3 L/minute
b)
Have the patient cough and deep-breathe every 4 hours
c)
Have the patient use an incentive spirometer every hour
d)
Get the patient out of bed to a chair every day
e)
-
13.
A client is 2 days post-operative colon resection. After a coughing episode, the client's wound eviscerates. Which nursing action is most appropriate?
a)
Reinsert the protruding organ and cover with 4x4s
b)
Cover the wound with a sterile 4x4 and ABD dressing
c)
Cover the wound with a sterile saline-soaked dressing
d)
Apply an abdominal binder and manual pressure to the wound
e)
-
14.
Which food is the best source of calcium and potassium?
a)
Broccoli
b)
Sweet potato
c)
Spinach
d)
Avocado
e)
-
15.
A client receives a dose of furosemide (Lasix) 120 mg intravenously for treatment of congestive heart failure. Which symptom indicates that an adverse reaction is most likely occurring?
a)
Bradycardia
b)
Weight gain
c)
Hypotension
d)
Crackles
e)
-
16.
The physician's order states: Ceftriaxone sodium (Rocephin) 50 mg/kg IM now. The client, a child, weighs 22.5 pounds. According to the manufacturer's instructions, after adding the appropriate diluent the concentration is 100 mg/mL. Which dose in milliliters should the nurse administer?
a)
2.25 mL
b)
3.0 mL
c)
5.1 mL
d)
11.25 mL
e)
-
17.
The physician has ordered a low-potassium diet for a child with acute glomerulonephritis. Which snack is suitable for the child with potassium restrictions?
a)
Raisins
b)
Oranges
c)
Apricots
d)
Bananas
e)
-
18.
A client's platelet count is 70,000/mm3. The nurse instructs the client to:
a)
Avoid crowds
b)
Use an electric razor to shave
c)
Increase calcium intake
d)
Drink plenty of fluids
e)
-
19.
The nurse cares for a client suspected of having hypothyroidism. Which test can the nurse expect the physician to order?
a)
Complete blood count
b)
T4 and thyroid-stimulating hormone
c)
Serum electrolytes
d)
Liver function tests
e)
-
20.
A client is admitted to the labor and delivery unit complaining of vaginal bleeding with very little discomfort. The nurse's first action should be to:
a)
Assess the fetal heart tones
b)
Check for cervical dilation
c)
Check for firmness of the uterus
d)
Obtain a detailed history
e)
-
21.
A client who will be flying nonstop from New York to Tokyo is seen in the travel clinic today. The nurse knows the client understands the teaching regarding deep vein thrombosis (DVT) prevention when he replies:
a)
I will take an aspirin prior to departure
b)
I need to stretch and move about the plane every 1 to 2 hours
c)
I should drink 8 ounces of water midway through the flight
d)
I should drink an alcoholic beverage to relax
e)
-
22.
The physician has ordered a PSA and acid phosphatase for a client admitted with complaints of dysuria. The nurse knows that a PSA and acid phosphatase are screening tests for:
a)
Cancer of the bladder
b)
Cancer of the prostate
c)
Cancer of the vas deferens
d)
Cancer of the testes
e)
-
23.
The mother of a child with chickenpox wants to know if there is a medication that will shorten the course of the illness. Which medication is sometimes used to speed healing of the lesions and shorten the duration of fever and itching?
a)
Zovirax (acyclovir)
b)
Varivax (varicella vaccine)
c)
VZIG (varicella-zoster immune globulin)
d)
Periactin (cyproheptadine)
e)
-
24.
Which action by the nurse would be most effective in relieving phantom limb pain on a client with an above-the-knee amputation?
a)
Acknowledging the presence of the pain
b)
Elevating the stump on a pillow
c)
Applying ordered transcutaneous nerve stimulator (TENS) unit
d)
Rewrapping the stump
e)
-
25.
Qualitative research emphasizes developing new insights, theories, and knowledge. Which term in qualitative research describes the researcher laying aside what is known about the experience being studied?
a)
Bracketing
b)
Saturation
c)
Intuiting
d)
Theoretical sampling
e)
-
100 %
