WorksheetsGCC 626 - 650
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
The nurse is caring for a client with a diagnosis of hepatitis who is experiencing pruritis. Which would be the most appropriate nursing intervention?
a)
Suggest that the client take warm showers B.I.D.
b)
Add baby oil to the client's bath water
c)
Apply powder to the client's skin
d)
Suggest a hot-water rinse after bathing
e)
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2.
Which would be an expected finding during injection of dye with a cardiac catheterization?
a)
Cold extremity distant to the injection site
b)
Warmth in the extremity
c)
Extreme chest pain
d)
Itching in the extremities
e)
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3.
While caring for a 24-year-old primigravid client scheduled for emergency surgery because of a probable ectopic pregnancy, the nurse should:
a)
Prepare to witness an informed consent for surgery
b)
Assess the client for massive external bleeding
c)
Explain that the fallopian tube can be salvaged
d)
Monitor the client for uterine contractions
e)
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4.
A client has just been admitted to the medical surgical floor after having a total knee replacement. The nurse is reviewing the admission orders from the surgeon and notes the following order: "Please set up trapeze bar on hospital bed." What is the best definition of a trapeze bar?
a)
A bar that hangs from a frame fastened to the bed that is used by the nurse and assistive personnel to help the client turn in bed
b)
A bar that helps prevent external rotation of the hips when the client is lying supine in bed and can be positioned at various points to promote positioning or promote bone alignment
c)
A bar that hangs from a frame fastened to the bed that is used by the client for pulling with the arms to raise the trunk off of the mattress to assist with repositioning, upper body exercises, and with transfers to a bedside chair
d)
A bar that is triangular in shape and is used to maintain the legs in abduction after surgery
e)
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5.
Following a cesarean delivery for abruptio placentae, a multigravid client tells the nurse, "I feel like such a failure. None of my other deliveries were like this." The nurse's response to the client is based on the understanding of which of the following?
a)
The client will most likely have postpartum blues
b)
Maternal-infant bonding is likely to be difficult
c)
The client's feeling of grief is a normal reaction
d)
This type of delivery was necessary to save the client's life
e)
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6.
The nurse is instructing a client in the use of a cane. Which is the best description of correct cane technique?
a)
Place the cane on the weaker side of the body to help support the weaker leg. Using the cane for support, step forward with the good leg, and then move the weaker leg and the cane forward to the good leg.
b)
Place the cane on the stronger side of the body. The cane is placed forward 6 to 10 inches while the client stands with the body weight divided between the two legs. Then the weaker leg is advanced to the cane, with the body weight divided between the good leg and the cane. Finally, the stronger leg is advanced past the cane and the weaker leg, with the body weight divided between the cane and the weaker leg.
c)
Place the cane on the weaker side of the body. The cane is placed forward 6 to 10 inches while the client stands with the body weight divided between the two legs. The weaker leg is then advanced to the cane, with the body weight divided between the good leg and the cane. Finally, the stronger leg is advanced past the cane and the weaker leg, with the body weight divided between the cane and the weaker leg.
d)
Place the cane on the stronger side of the body to help support the weaker leg. Using the cane for support, step forward with the good leg and then move the weaker leg and the cane forward to the good leg.
e)
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7.
A papular lesion is noted on the perineum of the laboring client. Which initial action is most appropriate?
a)
Document the finding
b)
Report the finding to the doctor
c)
Prepare the client for a C-section
d)
Continue primary care as prescribed
e)
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8.
The nurse uses an intradermal injection to administer a tuberculin test. Which statement indicates the injection is administered correctly?
a)
An area of redness is present at the injection site
b)
A small bleb or wheal is seen at the site of injection
c)
The client states the site itches slightly
d)
The bevel of the needle points downward as it is withdrawn
e)
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9.
The physician has ordered an injection of Demerol (meperidine) for a client with pancreatitis. The nurse should:
a)
Administer the injection using the Z track method
b)
Hold pressure on the injection site for 3–5 minutes
c)
Administer the medication subcutaneously in the arm
d)
Prep the skin using a betadine wipe
e)
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10.
A client is admitted to the hospital with a Lanoxin (digoxin) level of 5.6 mg/mL. Digoxin immune fab (Digibind) is ordered. If the client weighs 185 pounds, how many vials should the nurse give?
a)
2 vials
b)
4 vials
c)
5 vials
d)
10 vials
e)
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11.
The nurse is visiting a home health client with osteoporosis. The client has a new prescription for alendronate (Fosamax). Which instruction should be given to the client?
a)
Rest in bed after taking the medication for at least 30 minutes
b)
Avoid rapid movements after taking the medication
c)
Take the medication with water only
d)
Allow at least 1 hour between taking the medicine and taking other medications
e)
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12.
The nurse is assigned to care for an infant with physiologic jaundice. Which action by the nurse would facilitate elimination of the bilirubin?
a)
Increasing the infant's fluid intake
b)
Maintaining the infant's body temperature at 98.6ºF
c)
Minimizing tactile stimulation
d)
Decreasing caloric intake
e)
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13.
The nurse is evaluating a postoperative patient for infection. Which sign or symptom would be most indicative of infection?
a)
Presence of an indwelling urinary catheter
b)
Rectal temperature of 100°F (37.8ºC)
c)
Redness, warmth, and tenderness at the incision site
d)
WBC count of 8,000/ul
e)
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14.
The nurse is teaching circumcision care to the mother of a newborn. Which statement indicates that the mother needs further teaching?
a)
I will apply a petroleum gauze to the area once a day.
b)
I will clean the area carefully with each diaper change.
c)
I can place a heat lamp next to the area to speed up the healing process.
d)
I should carefully observe the area for signs of infection.
e)
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15.
Which information should be reported to the state Board of Nursing?
a)
The facility fails to provide literature in both Spanish and English
b)
The narcotic count has been incorrect on the unit for the past 3 days
c)
The client fails to receive an itemized account of his bills and services received during his hospital stay
d)
The nursing assistant assigned to the client with hepatitis fails to feed the client and give the bath
e)
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16.
Which comment made by a client with congestive heart failure should cause a need for nursing follow-up?
a)
My heart rate has been between 60 and 70 the past week.
b)
My oral temperature was 98ºF yesterday.
c)
I have been urinating every 4 hours for the past 2 days.
d)
I have gained 3 pounds since yesterday.
e)
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17.
The LPN is assigning tasks to the nursing assistant. Which task is beyond the scope of practice for the nursing assistant?
a)
Collecting a stool specimen for occult blood
b)
Obtaining a urine specimen for a routine urinalysis
c)
Performing a tape test for pinworms
d)
Aspirating nasogastric secretions for occult blood
e)
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18.
The nurse is doing bowel and bladder retraining for the client with paraplegia. Which of the following is not a factor for the nurse to consider?
a)
Dietary patterns
b)
Mobility
c)
Fluid intake
d)
Sexual function
e)
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19.
The nurse is checking the fetal heart rates of a client in labor. The normal range for fetal heart rates is:
a)
90–110 beats per minute
b)
110–160 beats per minute
c)
160–200 beats per minute
d)
200–250 beats per minute
e)
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20.
The nurse making rounds prior to shift change realizes that the total parenteral nutrition (TPN) on one client is behind by about 200 mL. Which action should the nurse take?
a)
Increase the rate so that it will catch up faster.
b)
Run in 200 mL of the TPN solution so it will be on time.
c)
Leave the solution running as is and notify the physician.
d)
Slow the rate in an effort to keep the patient from needing more insulin.
e)
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21.
Cardiac enzymes can be divided into cardiac-specific enzymes and nonspecific enzymes. Which nonspecific cardiac enzyme indicates myocardial damage?
a)
Creatine kinase (CK)
b)
Troponin I
c)
CK-MB
d)
Creatinine
e)
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22.
A client with a total knee replacement has a CPM applied during the postoperative period. Which statement made by the nurse indicates understanding of the CPM machine?
a)
Use of the CPM will permit the client to ambulate during the therapy.
b)
The CPM machine controls should be positioned distal to the site.
c)
If the client complains of pain during the therapy, I will turn off the machine and call the doctor.
d)
Use of the CPM machine will alleviate the need for physical therapy after the client is discharged.
e)
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23.
A patient with acute asthma showing inspiratory and expiratory wheezes and a decreased forced expiratory volume should be treated immediately with which class of medication?
a)
Beta-adrenergic blockers
b)
Bronchodilators
c)
Inhaled steroids
d)
Oral steroids
e)
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24.
The influenza vaccine cannot be given to clients in which age group?
a)
Less than 6 months of age
b)
6–23 months
c)
18–35 years
d)
Those over age 50
e)
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25.
The physician has discussed the need for medication with the parents of an infant with congenital hypothyroidism. The nurse can reinforce the physician's teaching by telling the parents that:
a)
The medication will be needed only during times of rapid growth.
b)
The medication will be needed throughout the child's lifetime.
c)
The medication schedule can be arranged to allow for drug holidays.
d)
The medication is given one time daily every other day.
e)
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