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Worksheets

GCC 651 - 675

Total questions: 25

Worksheet time: 25mins

Name
Class
Date
1.
The nurse is asked by the nurse aide, "Are peptic ulcers really caused by stress?" The nurse would be correct in replying with which of the following:
a)
Peptic ulcers result from overeating fatty foods.
b)
Peptic ulcers are always caused from exposure to continual stress.
c)
Peptic ulcers are like all other ulcers, which all result from stress.
d)
Peptic ulcers are associated with H. pylori, although there are other ulcers that are associated with stress.
e)
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2.
The nurse is caring for an infant following a cleft lip repair. While comforting the infant, the nurse should avoid:
a)
Holding the infant
b)
Offering a pacifier
c)
Providing a mobile
d)
Offering sterile water
e)
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3.
For a patient with peritonitis, which aspect of nursing care takes priority?
a)
Fluid and electrolyte balance
b)
Gastric irrigation
c)
Pain management
d)
Psychosocial care
e)
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4.
A client has just returned from a bronchoscopy. Which safety measure is most important for the nurse to implement?
a)
Maintaining the client in the supine position
b)
Providing the client with saline gargles every 15 minutes for 2 hours
c)
Monitoring the client for return of the gag reflex before PO intake
d)
Splinting the abdomen when coughing
e)
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5.
A client receives a unit of packed red blood cells. Which is appropriate nursing care for this client?
a)
Give a bolus of 50 mL of blood to start the process.
b)
Take vital signs prior to the start of administering blood and again in 15 minutes.
c)
Measure the client's blood pressure, pulse, and pulse oximetry only.
d)
A nurse and nurse's aide can check the blood prior to administration.
e)
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6.
The nurse is providing care for a patient following right cataract removal surgery. In which position should the nurse place the patient?
a)
Right-side lying
b)
Prone
c)
Supine
d)
Trendelenburg's
e)
-
7.
The nurse is administering preoperative medication to a patient going to the operating room for an aortobifemoral bypass. After administering preoperative medication to the patient, the nurse should:
a)
Allow him to walk to the bathroom unassisted.
b)
Place the bed in low position with the side rails up.
c)
Tell him that he'll be asleep before he leaves for surgery.
d)
Take his vital signs.
e)
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8.
The nurse reviews arterial blood gas results for his client with chronic obstructive pulmonary disease (COPD). The pH is 7.3, PaCO2 is 56 mm Hg, and HCO3 is 24 mEq/L. Which acid-base imbalance is this client experiencing?
a)
Respiratory acidosis
b)
Metabolic acidosis
c)
Respiratory alkalosis
d)
Metabolic alkalosis
e)
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9.
Which clinical manifestation during a bone marrow transplant alerts the nurse to the possibility of an adverse reaction?
a)
Fever
b)
Red urine
c)
Hypertension
d)
Shortness of breath
e)
-
10.
A client, approximately 11 weeks pregnant, and her husband are seen in the antepartal clinic. The client's husband tells the nurse that he has been experiencing nausea and vomiting and fatigue along with his wife. The nurse interprets these findings as suggesting that the client's husband is experiencing which of the following?
a)
Ptyalism
b)
Mittelschmerz
c)
Couvade syndrome
d)
Pica
e)
-
11.
A client with pancreatitis has been transferred to the intensive care unit. Which order would the nurse anticipate?
a)
Blood pressure every 15 minutes
b)
Insertion of a Levine tube
c)
Cardiac monitoring
d)
Dressing changes two times per day
e)
-
12.
The nurse is obtaining information to support the need for improved prenatal care services in the community. Which of the following information is most important to include?
a)
The maternal mortality rate.
b)
The infant mortality rate.
c)
The perinatal mortality rate.
d)
The neonatal mortality rate.
e)
-
13.
A 70-year-old male who is recovering from a stroke exhibits signs of unilateral neglect. Which behavior is suggestive of unilateral neglect?
a)
The client is observed shaving only one side of his face.
b)
The client is unable to distinguish between two tactile stimuli presented simultaneously.
c)
The client is unable to complete a range of vision without turning his head side to side.
d)
The client is unable to carry out cognitive and motor activity at the same time.
e)
-
14.
An adult client presents with a new onset of a chronic disease. The nurse can benefit the client most by:
a)
Teaching the client that the disease will never resolve.
b)
Instructing the client that lifestyle changes must be made.
c)
Treating the client as a competent manager of the disease.
d)
Encouraging the client to prepare for custodial care.
e)
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15.
A patient with anemia from acute blood loss has been admitted to the medical-surgical unit. What assessment findings would the nurse expect to find?
a)
Night sweats, weight loss, and diarrhea
b)
Dyspnea, tachycardia, and pallor
c)
Nausea, vomiting, and anorexia
d)
Itching, rash, and jaundice
e)
-
16.
Which of the following statements by a primigravid client scheduled for chorionic villi sampling indicates effective teaching about the procedure?
a)
A fiberoptic fetoscope will be inserted through a small incision into my uterus.
b)
I can't have anything to eat or drink after midnight on the day of the procedure.
c)
The procedure involves the insertion of a thin catheter into my uterus.
d)
I need to drink 32 to 40 oz of fluid 1 to 2 hours before the procedure.
e)
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17.
To ensure safety while administering a nitroglycerine patch, the nurse should:
a)
Wear gloves
b)
Shave the area where the patch will be applied
c)
Wash the area thoroughly with soap and rinse with hot water
d)
Apply the patch to the buttocks
e)
-
18.
A client with Type II diabetes has an order for regular insulin 10 units SC each morning. The client's breakfast should be served within:
a)
15 minutes
b)
20 minutes
c)
30 minutes
d)
45 minutes
e)
-
19.
When caring for a multigravid client admitted to the hospital with vaginal bleeding at 38 weeks' gestation, which of the following would the nurse anticipate administering intravenously if the client develops disseminated intravascular coagulation (DIC)?
a)
Ringer's lactate solution.
b)
Fresh frozen platelets.
c)
5% dextrose solution.
d)
Warfarin sodium (Coumadin).
e)
-
20.
Which client is at the highest risk for periodontal disease?
a)
An 18-year-old client who reports regularly brushing teeth and has a medical history that includes acne, and asthma.
b)
A 45-year-old client who brushes regularly, does not like flossing, and has a medical history that includes hypertension and an appendectomy.
c)
A 55-year-old client who brushes regularly and has a medical history that includes multiple surgeries for broken bones and one case of pneumonia at age 8.
d)
A 75-year-old client who brushes regularly, has a partial plate, and has a medical history that includes hypertension, diabetes, coronary artery disease, and a CABG 3 years ago.
e)
-
21.
A client is admitted with suspected abdominal aortic aneurysm (AAA). A common complaint of the client with an abdominal aortic aneurysm is:
a)
Loss of sensation in the lower extremities
b)
Back pain that lessens when standing
c)
Decreased urinary output
d)
Pulsations in the periumbilical area
e)
-
22.
The nurse is working in the emergency room when a client arrives with severe burns of the left arm, hands, face, and neck. Which action should receive priority?
a)
Starting an IV
b)
Applying oxygen
c)
Obtaining blood gases
d)
Medicating the client for pain
e)
-
23.
A client experiences partial-thickness burns to both lower extremities and portions of the trunk. Which intravenous fluids should the nurse expect to administer to this client?
a)
Albumin
b)
Dextrose 5% in water (D5W)
c)
Normal saline with potassium
d)
Lactated Ringer's (LR) solution
e)
-
24.
Pulmonary embolism and deep venous thrombosis (DVT) are two manifestations of the same disease. The risk factors for pulmonary embolism are the risk factors for thrombus formation within the venous circulation. These risk factors are known as Virchow's triad and include:
a)
Decreased central venous pressures
b)
Hypocoagulability
c)
Injury to the bone
d)
Venous stasis
e)
-
25.
A 62-year-old male client has nitroglycerin (Nitrostat) added to his medication regimen. Which statement made by this client indicates that further education is needed?
a)
I will take this medication if I have an episode of chest pain.
b)
I will wait at least 1 hour after I take my sildanefil (Viagra) before using Nitrostat.
c)
I can take up to 3 tablets every 5 minutes if my angina occurs.
d)
I know that I must put this tablet under my tongue for it to work.
e)
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