WorksheetsGCC 751 - 775
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
A patient with AIDS is prescribed zidovudine (Retrovir), 200 mg by mouth every 4 hours. When teaching the patient about this drug, the nurse should provide which instruction?
a)
Take zidovudine with meals.
b)
Take zidovudine on an empty stomach.
c)
Take zidovudine every 4 hours around the clock.
d)
Take OTC drugs to treat minor adverse reactions.
e)
-
2.
The nurse is formulating a plan of care for a client with a cognitive disorder. Which activity is most appropriate for the client with confusion and short attention span?
a)
Taking part in a reality-orientation group
b)
Participating in unit community goal setting
c)
Going on a field trip with a group of clients
d)
Meeting with an assertiveness training group
e)
-
3.
Which client is least likely to develop third spacing?
a)
The client with a diagnosis of cirrhosis.
b)
The client with a diagnosis of diabetes mellitus.
c)
The client with a diagnosis of chronic kidney disease.
d)
The client with a diagnosis of end-stage liver disease.
e)
-
4.
The doctor has ordered 80mg of furosemide (Lasix) two times per day. The nurse notes the patient's potassium level to be 2.5meq/L. The nurse should:
a)
Administer the Lasix as ordered
b)
Administer half the dose
c)
Offer the patient a potassium-rich food
d)
Withhold the drug and call the doctor
e)
-
5.
The nurse instructs a client diagnosed with chronic obstructive pulmonary disease (COPD) about positions to use during times of dyspnea. The nurse recognizes further teaching is necessary when the client states:
a)
I will lie flat on my back.
b)
I will sit up and rest my elbows on my knees.
c)
I will lean up against a wall.
d)
I will sit up and lean over a table.
e)
-
6.
The nurse is reading an admission history for a client recovering from a stroke. Medication history reveals the drug clopidogrel (Plavix). Which clinical manifestation alerts the nurse to an adverse effect of this drug?
a)
Epistaxis
b)
Abdominal distention
c)
Nausea
d)
Hyperactivity
e)
-
7.
Which activity is best suited to the 12-year-old with juvenile rheumatoid arthritis?
a)
Playing video games
b)
Swimming
c)
Working crossword puzzles
d)
Playing slow-pitch softball
e)
-
8.
Chronic alcohol abuse, rapid administration of citrated blood products, or treatment with total parenteral nutrition puts the client at risk for which condition?
a)
Hyperkalemia
b)
Hypomagnesemia
c)
Hypokalemia
d)
Hypomagnesemia
e)
-
9.
One week after her prenatal visit, a primigravid client at 38 weeks' gestation diagnosed with mild pre-eclampsia calls the clinic nurse complaining of a continuous headache for the past 2 days accompanied by nausea. The client does not want to take aspirin. The nurse should tell the client:
a)
Take two acetaminophen tablets. They aren't as likely to upset your stomach.
b)
I think the doctor should see you today. Can you come to the clinic this morning?
c)
You need to lie down and rest. Have you tried placing a cool compress over your head?
d)
I'll ask the doctor to call in a prescription for aspirin with codeine. What's your pharmacy's number?
e)
-
10.
A client weighing 120 pounds has received burns over 40% of his body at 1200 hours. Using the Parkland formula, calculate the expected amount of fluid that the client should receive by 2000 hours as fluid-replacement therapy?
a)
2160
b)
4320
c)
6480
d)
8640
e)
-
11.
The nurse notices that a client's bedside privacy curtain has been left partially open during the client's bath. Which is the best action for the nurse to take to ensure the client's right to privacy?
a)
Inform the client that the curtain was left partially open and that the client may have been exposed at some point during the bath.
b)
Close the privacy curtain to protect the client's right to privacy.
c)
No action is necessary. The client did not notice the open privacy curtain.
d)
No action is necessary. There are only a few visitors on the unit during this time of the morning.
e)
-
12.
The nurse knows that risk factors for glaucoma include:
a)
Asian-American race.
b)
Decreased intraocular pressure.
c)
Diabetes.
d)
Younger age.
e)
-
13.
The physician has prescribed nitroglycerin buccal tablets as needed for a client with angina. The nurse should tell the client to take the tablets:
a)
After engaging in strenuous activity
b)
Every 4 hours to prevent chest pain
c)
When he first feels chest discomfort
d)
At bedtime to prevent nocturnal angina
e)
-
14.
After instructing a 40-year-old woman about osteoporosis after menopause, the nurse determines that the client needs further instruction when the client states which of the following?
a)
One cup of yogurt is the equivalent of one glass of milk.
b)
Women who do not eat dairy products should consider calcium supplements.
c)
African American women are at the greatest risk for osteoporosis.
d)
Estrogen therapy at menopause can reduce the risk for osteoporosis.
e)
-
15.
The nurse cares for a client receiving a blood transfusion. The nurse notes that the client has become hypotensive and febrile since the transfusion began. Which is the most appropriate nursing action?
a)
Stop the transfusion.
b)
Notify the physician.
c)
Decrease the rate of the transfusion.
d)
Continue to monitor for signs and symptoms of a transfusion reaction.
e)
-
16.
A primigravida admitted to the hospital with a diagnosis of hyperemesis gravidarum is placed on nothing-by-mouth (NPO) status and is receiving intravenous (IV) fluid replacement therapy. In planning this client's care, the nurse should collaborate with the health care provider (HCP) to carry out which of the following?
a)
Withhold oral fluids indefinitely until acidosis is corrected.
b)
Give oral fluids in small quantities whenever the client desires.
c)
Per HCP orders, provide clear liquids by mouth after 24 hours if vomiting subsides.
d)
Withhold oral fluids until total parenteral nutrition replaces lost electrolytes.
e)
-
17.
A client is admitted with Clostridium difficile. The nurse would expect the client to have:
a)
Diarrhea containing blood and mucus
b)
Cough, fever, and shortness of breath
c)
Anorexia, weight loss, and fever
d)
Development of deep leg ulcers
e)
-
18.
A physician writes an order for total parenteral nutrition (TPN) to be discontinued for a client who has been receiving it for one month. The nurse knows which statement is true regarding this order?
a)
Stopping total parenteral nutrition (TPN) can cause hyperglycemia in the client.
b)
Reducing the drip rate gradually is necessary for client safety.
c)
Weighing the client before and immediately after the feeding ensures nutrition.
d)
Assessing the client for cerebral edema is important after discontinuing the feeding.
e)
-
19.
The nurse is caring for a patient who underwent stapedectomy. To prevent postoperative complications, the nurse should instruct the patient to:
a)
sneeze with her mouth open.
b)
frequently blow her nose.
c)
clean her operated ear with a cotton-tipped applicator twice a day.
d)
resume bending and straining when she's no longer experiencing ear pain.
e)
-
20.
A client comes to the emergency department following a motor vehicle collision with questionable loss of consciousness. To quickly rule out a serious injury, the nurse should first:
a)
Assess airway patency, breathing, and circulation.
b)
Assess level of consciousness.
c)
Measure vital signs.
d)
Stabilize neck and check for signs of neck injury.
e)
-
21.
The nurse is completing an assessment history of a client with pernicious anemia. Which complaint differentiates pernicious anemia from other types of anemia?
a)
Difficulty in breathing after exertion
b)
Numbness and tingling in the extremities
c)
A faster-than-usual heart rate
d)
Feelings of lightheadedness
e)
-
22.
The nurse is assessing the abdomen. The nurse knows the best sequence to perform the assessment is:
a)
Inspection, auscultation, palpation
b)
Auscultation, palpation, inspection
c)
Palpation, inspection, auscultation
d)
Inspection, palpation, auscultation
e)
-
23.
The nurse recognizes that Nimotop (Nimodipine) is given to clients with aneurysms for which of the following reasons?
a)
Prevent the influx of calcium into cells
b)
Restore the client's blood pressure to a normal reading
c)
Prevent the inflammatory process
d)
Dissolve the clot that has formed
e)
-
24.
A patient with a subdural hematoma becomes restless and confused, with dilation of the ipsilateral pupil. The physician orders mannitol for which reason?
a)
To reduce intraocular pressure
b)
To prevent acute tubular necrosis
c)
To promote osmotic diuresis to decrease ICP
d)
To draw water into the vascular system to increase blood pressure
e)
-
25.
The nurse overhears the spouse of an alcoholic client telling the client to "be quiet and don't tell the physician anything about your drinking problem." The nurse recognizes:
a)
The spouse is exhibiting codependent behavior.
b)
The spouse is the person of authority in this marriage.
c)
The client has no choice but to follow the spouse's instructions.
d)
The nurse must pretend not to have overheard this private conversation.
e)
-
100 %
