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WorksheetsGCC 776 - 800
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
Following eruption of the primary teeth, the mother can promote chewing by giving the toddler:
a)
Pieces of hot dog
b)
Celery sticks
c)
Melba toast
d)
Grapes
e)
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2.
A client with a femur fracture is exhibiting shortness of breath, pain upon deep breathing, and a cough that produces blood-tinged sputum. The nurse would determine that these clinical manifestations are indicative of which of the following?
a)
Congestive heart failure
b)
Pulmonary embolus
c)
Adult respiratory distress syndrome
d)
Tension pneumothorax
e)
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3.
During discharge teaching, which instruction should the nurse give to a patient diagnosed with pancreatitis?
a)
Consume high-fat meals.
b)
Consume low-calorie meals.
c)
Limit daily alcohol intake.
d)
Avoid foods and beverages that contain caffeine.
e)
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4.
A night shift nurse receives shift report from the day shift nurse when the day nurse states, "I have an appointment and I need to leave. Can you get the rest of the clients' information from the medical records?" Which client right is violated by the day nurse?
a)
The clients' right to reasonable continuity of care.
b)
The clients' right to confidentiality.
c)
The clients' right to considerate and respectful care.
d)
The clients' right to make decisions about the plan of care and proposed treatment.
e)
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5.
The nurse caring for a client with anemia recognizes which clinical manifestation as the one that is specific for a hemolytic type of anemia?
a)
Jaundice
b)
Anorexia
c)
Tachycardia
d)
Fatigue
e)
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6.
The nurse is ready to begin an exam on a 9-month-old infant. The child is sitting in his mother's lap. What should the nurse do first?
a)
Check the Babinski reflex
b)
Listen to the heart and lung sounds
c)
Palpate the abdomen
d)
Check tympanic membranes
e)
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7.
A patient, age 23, underwent a rhinoplasty 6 hours ago. After administering his pain medication, the nurse notes that he is swallowing frequently. What is the most likely cause of the swallowing?
a)
Oral dryness caused by nasal packing
b)
Bleeding posterior to the nasal packing
c)
An adverse reaction to the analgesic
d)
A normal response to the analgesic
e)
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8.
An infant with respiratory syncytial virus has been started on Virazole (ribavirin). When caring for the infant receiving Virazole, the nurse should:
a)
Discontinue isolation precautions while the medication is being administered
b)
Use contact precautions only when opening the mist tent
c)
Temporarily stop administration of the medication when the mist tent needs to be opened
d)
Increase the rate of medication administration when the mist tent needs to be opened
e)
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9.
During the first few days of recovery from ostomy surgery for ulcerative colitis, which aspect of patient care should take priority?
a)
Body image
b)
Ostomy care
c)
Sexual concerns
d)
Skin care
e)
-
10.
The nurse is aware that the best way to prevent post-operative wound infection in the surgical client is to:
a)
Administer a prescribed antibiotic
b)
Wash her hands for 2 minutes before care
c)
Wear a mask when providing care
d)
Ask the client to cover her mouth when she coughs
e)
-
11.
The nurse is caring for a client with myasthenia gravis who is having trouble breathing. Which position would assist the client to breathe best?
a)
Supine with no pillow, to maintain patent airway
b)
Side lying with back support
c)
Prone with head turned to one side
d)
Sitting or in high Fowler's
e)
-
12.
Which information obtained from the visit to a client with hemophilia would cause the most concern? The client:
a)
Likes to play football
b)
Drinks several carbonated drinks per day
c)
Has two sisters with sickle cell trait
d)
Is taking acetaminophen to control pain
e)
-
13.
The nurse cares for a client diagnosed with left-sided heart failure. The nurse knows that one of the symptoms of left-sided heart failure is:
a)
Pulmonary edema
b)
Hepatomegaly
c)
Jugular venous distension
d)
Abdominal pain
e)
-
14.
A client returns from surgery after having a transurethral prostatic resection (TURP) due to benign prostatic hyperplasia. The client has an indwelling urinary catheter in place. Which type of drainage should the nurse expect to see during the immediate postoperative period?
a)
Scant urinary drainage
b)
Serous urinary drainage
c)
Bloody urinary drainage
d)
Clear, yellow urinary drainage
e)
-
15.
The nurse caring for a client in shock recognizes that the glomerular filtration rate of the kidneys will remain intact if the client's mean arterial pressure remains above which minimal value?
a)
80
b)
70
c)
60
d)
50
e)
-
16.
A pneumonectomy is performed on a client with lung cancer. Which of the following would not be an expected prescription?
a)
Closed-chest drainage
b)
Pain-control measures
c)
Supplemental oxygen
d)
Coughing and deep-breathing exercises
e)
-
17.
The nurse is preparing a client for a colonoscopy the following morning. The nurse should expect to administer which medication to the client?
a)
Vitamin K
b)
Warfarin (Coumadin)
c)
Polyethylene glycol electrolyte solution (GoLytely)
d)
Calcium carbonate (Tums)
e)
-
18.
An infant in the nursery is 48 hours old and has not passed meconium. The nurse suspects which of the following?
a)
Coarctation of the aorta
b)
Tetralogy of Fallot
c)
Hyperbilirubinemia
d)
Cystic fibrosis
e)
-
19.
Which nursing intervention should take priority when caring for a patient with appendicitis?
a)
Assessing for pain
b)
Encouraging oral intake of clear fluids
c)
Providing discharge teaching
d)
Assessing for signs and symptoms of peritonitis
e)
-
20.
Following a heart transplant, a client is started on medication to prevent organ rejection. Which category of medication prevents the formation of antibodies against the new organ?
a)
Antivirals
b)
Antibiotics
c)
Immunosuppressants
d)
Analgesics
e)
-
21.
The nurse is caring for a patient who was given pain medication before leaving the PACU. Upon returning to her room, the patient states that she is experiencing pain and requests more pain medication. Which is the best action for the nurse to take?
a)
Tell the patient that she must wait 4 hours for more pain medication
b)
Give one-half of the ordered as-needed dose
c)
Document the patient's pain
d)
Notify the practitioner that the patient is continuing to experience pain
e)
-
22.
The nurse is preparing a client for cataract surgery. The nurse is aware that the procedure will use:
a)
Mydriatics to facilitate removal
b)
Miotic medications such as Timoptic
c)
A laser to smooth and reshape the lens
d)
Silicone oil injections into the eyeball
e)
-
23.
The nurse is assisting in the care of a patient who is 2 days postoperative from a hemorrhoidectomy. The nurse would be correct in instructing the patient to:
a)
Avoid a high-fiber diet because this can hasten the healing time
b)
Continue to use ice packs until discharge and then when at home
c)
Take 200mg of Colace bid to prevent constipation
d)
Use a sitz bath after each bowel movement to promote cleanliness and comfort
e)
-
24.
In the multidisciplinary approach to client care, all members of the health care team have the goal of collaborative client care. Which member of the multidisciplinary team oversees and coordinates the care delivery process and organizes the delivery of health care services to the client?
a)
The clinical nutritionist
b)
The primary nurse each shift
c)
The primary care physician
d)
The case manager
e)
-
25.
At a health fair, a nurse encourages an older adult male to be screened for prostate cancer. The client is apprehensive and asks the nurse about the methods used to detect prostate cancer. The nurse explains that the detection process involves:
a)
An abdominal x-ray to detect lesions and masses
b)
A serum calcium test to detect elevated levels, which may indicate bone metastasis
c)
A digital rectal exam (DRE) and prostate-specific antigen (PSA) test to evaluate the prostate
d)
A magnetic resonance image (MRI) study to detect tumors and other abnormal growths
e)
-
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