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WorksheetsGCC 726 - 750
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
A suitable diet for a client with cirrhosis and abdominal ascites is one that is:
a)
High in sodium, low in calories
b)
Low in potassium, high in calories
c)
High in protein, high in calories
d)
Low in calcium, low in calories
e)
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2.
The nurse cares for a client who returns from gastric resection surgery. Which nursing intervention is a priority?
a)
Assessing for flatus
b)
Monitoring for symptoms of hemorrhage
c)
Monitoring patency of the nasogastric tube
d)
Encouraging ambulation
e)
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3.
A client with tuberculosis who has been receiving combined therapy with INH and Rifampin asks the nurse how long he will have to take medication. The nurse should tell the client that:
a)
Medication is rarely needed after 2 weeks
b)
He will need to take medication the rest of his life
c)
The course of combined therapy is usually 6 months
d)
He will be re-evaluated in 1 month to see if further medication is needed
e)
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4.
The mother of a 3-month-old with esophageal reflux asks the nurse what she can do to lessen the baby's reflux. The nurse should tell the mother to:
a)
Feed the baby only when he is hungry
b)
Burp the baby after the feeding is completed
c)
Place the baby supine with head elevated
d)
Burp the baby frequently throughout the feeding
e)
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5.
The nurse knows that case management is:
a)
The process of managing the outcomes of client care by quality improvement measures and involvement of the interdisciplinary team
b)
The process of client assessment and direct client care by the primary nurse, utilizing the nursing process and nursing diagnoses to guide delivery of care
c)
The process used by the health care facility's legal or risk management department to evaluate legal claims filed against the facility or employees of the facility
d)
The process of overseeing and organizing client care in collaboration with the client's primary health care provider and consulting physicians
e)
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6.
The nurse is palpating the fontanels of a 2-month-old. The fontanels should feel:
a)
Tense and bulging
b)
Soft and sunken
c)
Flat and firm
d)
Flat and tense
e)
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7.
The nurse performs an admission assessment on a client who is directly admitted to the hospital from the physician's office. The client is worried and distracted, and explains to the nurse that because of the direct admission from the physician's office there was no preparation to be away from home. The client is concerned about the length of stay, pets that need care, and bills that require payment. Which response from the nurse would be most helpful to this client?
a)
An unexpected hospital admission can be very stressful. I will notify the case manager who specializes in helping clients with situations like yours. There is a telephone here beside your bed so that you can contact your family and friends. Is there anything that I can do for you right now to help you?
b)
I know how you feel. I will be sure to tell your night nurse in shift report that you will probably need something to help you sleep tonight.
c)
An unexpected hospital admission can be very stressful. Is there anyone who I can call for you? You also have a telephone here at your bedside so that you can contact your family and friends.
d)
I can call your physician for you and ask if you could go home today, then schedule another date for your hospital admission.
e)
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8.
Which post-operative assessment finding on a client with a femoral popliteal graft of the right leg would require immediate charge nurse notification?
a)
Edema of the right extremity and pain at the incision site
b)
A temperature of 99.6ºF and redness of the incision
c)
Serous drainage noted at the surgical area
d)
A loss of posterior tibial and dorsalis pedis pulses on the right leg
e)
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9.
During client care rounds with the multidisciplinary team, the nurse reports that a client coughs frequently after taking anything by mouth. The dietician recommends a swallow evaluation for the client, in which the physician participating in rounds writes the order. This is an example of:
a)
Collaboration of client care with the ancillary care providers.
b)
Collaboration of client care between the physician and the dietary department.
c)
Collaboration of care with the risk management team because of the client's risk for aspiration.
d)
Collaboration of care among members of the multidisciplinary team.
e)
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10.
A patient develops a small-bowel obstruction 5 days after undergoing surgery. A Miller-Abbott tube is inserted for bowel decompression. Which nursing diagnosis takes priority?
a)
Imbalanced nutrition: Less than body requirements
b)
Acute pain
c)
Deficient fluid volume
d)
Excess fluid volume
e)
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11.
The nurse cares for a client who is status post right above-knee amputation. The client complains of severe pain below the level of the amputation. The nurse realizes that the client is experiencing:
a)
Narcotic withdrawal
b)
Phantom pain
c)
Hallucinations
d)
Denial
e)
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12.
A client at 15 weeks' gestation is admitted with dark brown vaginal bleeding and continuous nausea and vomiting. Her blood pressure is 142/98 and fundal height is 19 cm. The nurse should prepare to do which of the following?
a)
Transfer the client to the antenatal unit
b)
Keep the client NPO for 24 hours
c)
Administer magnesium sulfate
d)
Obtain an ultrasound
e)
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13.
The client is admitted for evaluation of aggressive behavior and diagnosed with antisocial personality disorder. A key part of the care of such a client is:
a)
Setting realistic limits
b)
Encouraging the client to express remorse for behavior
c)
Minimizing interactions with other clients
d)
Encouraging the client to act out feelings of rage
e)
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14.
While assessing a patient with dilated cardiomyopathy, the nurse notices that the ECG no longer has any P waves, only a fine wavy line. The ventricular rhythm is irregular, with a QRS duration of 0.08 second, and the heart rate is 110 beats/minute. The nurse interprets this rhythm as:
a)
Atrial fibrillation
b)
Ventricular fibrillation
c)
Atrial flutter
d)
Sinus tachycardia
e)
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15.
A nurse colleague that you work with always appears to be busy and overwhelmed. The nurse leaves late after almost every shift. When you offer assistance, the nurse's reply is invariably, "No, I'm all right. I prefer to do it myself but thank you for asking." This nurse is demonstrating difficulty with what important aspect of multidisciplinary client care?
a)
Delegation
b)
Establishing priorities
c)
Resource management
d)
Advocacy
e)
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16.
A client with type A positive blood receives type A negative blood. Which action should the nurse take when this discrepancy is noted?
a)
The blood bank and the physician should be notified, but there is no danger in Rh-positive individuals receiving Rh-negative blood
b)
Blood should be drawn immediately from the client, and the blood bag sent to the blood bank
c)
Oxygen should be given by partial rebreather mask at 10 liters per minute so the adverse effects from this incident can be reversed
d)
The client needs to be closely monitored for the next 24 hours with attention to vital signs and level of consciousness
e)
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17.
A client is prescribed the following medications: cefprazil (Cefzil) 500 mg PO twice a day, digoxin (Lanoxin) 0.125 mg PO daily, magaldrate (Riopan) 10 mL PO ac meals, and zolpidem tartrate (Ambien) 10 mg HS. Which medications should not be given together?
a)
Digoxin (Lanoxin) and zolpidem tartrate (Ambien)
b)
Digoxin (Lanoxin) and magaldrate (Riopan)
c)
Magaldrate (Riopan) and zolpidem tartrate (Ambien)
d)
Cefprazil (Cefzil) and zolpidem tartrate (Ambien)
e)
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18.
A tuberculin test has been administered to an elderly client in preparation for nursing home placement. Which of these skin reactions at the site of the test could indicate a positive result?
a)
Induration
b)
Ulceration
c)
Rash
d)
Redness
e)
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19.
The nurse is caring for a client with stage III Alzheimer's disease. A characteristic of this stage is:
a)
Memory loss
b)
Failing to recognize familiar objects
c)
Wandering at night
d)
Failing to communicate
e)
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20.
Which lab finding would the nurse expect to find in the client with diverticulitis?
a)
Elevated red cell count
b)
Decreased serum creatinine
c)
Elevated white cell count
d)
Decreased alkaline phosphatase
e)
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21.
After instruction of a primigravid client at 8 weeks' gestation diagnosed with class I heart disease about self-care during pregnancy, which of the following client statements would indicate the need for additional teaching?
a)
I should avoid being near people who have a cold.
b)
I may be given antibiotics during my pregnancy.
c)
I should reduce my intake of protein in my diet.
d)
I should limit my salt intake at meals.
e)
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22.
Which of the following statements by a primigravid client about the amniotic fluid and sac indicates the need for further teaching?
a)
The amniotic fluid helps to dilate the cervix once labor begins.
b)
Fetal nutrients are provided by the amniotic fluid.
c)
Amniotic fluid provides a cushion against impact of the maternal abdomen.
d)
The fetus is kept at a stable temperature by the amniotic fluid and sac.
e)
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23.
The nurse is performing discharge teaching on a client with diverticulitis who has been placed on a low-roughage diet. Which food would have to be eliminated from this client's diet?
a)
Roasted chicken
b)
Noodles
c)
Cooked broccoli
d)
Custard
e)
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24.
A couple is inquiring about vasectomy as a permanent method of contraception. Which teaching statement would the nurse include in the teaching plan?
a)
Another method of contraception is needed until the sperm count is 0.
b)
Vasectomy is easily reversed if children are desired in the future.
c)
Vasectomy is contraindicated in males with prior history of cardiac disease.
d)
Vasectomy requires only a yearly follow-up once the procedure is completed.
e)
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25.
After conducting a class for female adolescents about human reproduction, which of the following statements indicates that the school nurse's teaching has been effective?
a)
Under ideal conditions, sperm can reach the ovum in 15 to 30 minutes, resulting in pregnancy.
b)
I won't become pregnant if I abstain from intercourse during the last 14 days of my menstrual cycle.
c)
Sperm from a healthy male usually remain viable in the female reproductive tract for 96 hours.
d)
After an ovum is fertilized by a sperm, the ovum then contains 21 pairs of chromosomes.
e)
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