NEW
Font size
S
M
L
XL
WorksheetsGCC 851 - 875
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
During a home visit, a client with AIDS tells the nurse that he has been exposed to measles. Which action by the nurse is most appropriate?
a)
Administering an antibiotic
b)
Contacting the physician for an order for immune globulin
c)
Administering an antiviral
d)
Telling the client that he should remain in isolation for 2 weeks
e)
-
2.
A client is admitted to the hospital with a blood pressure of 85/53 mm Hg and is complaining of light-headedness and near syncope. The client’s current medications include carvedilol (Coreg), amiodarone (Cordarone), warfarin (Coumadin), lanoxin (Digoxin), furosemide (Lasix), potassium (K-Dur), and a daily vitamin. The client also reports using both St. John’s wort and cat’s claw. Based upon this information, what is the nurse’s best action?
a)
Notify the physician immediately reporting the client is critically ill and needs transfer to the ICU.
b)
Notify the physician that the client’s use of cat’s claw may interact with some of the other heart medications that the client is taking, resulting in hypotension.
c)
Notify the physician that the client’s use of St. John’s wort may interact with the diuretic the client is taking, resulting in light-headedness.
d)
Notify the physician that the client’s use of cat’s claw may interact with the anticoagulant the client is taking, resulting in near syncope.
e)
-
3.
An elderly client comes to the physician’s office with complaints of sleep deprivation. What is the best action the nurse can take to help the client promote sleep?
a)
Provide the client with a free gym membership trial.
b)
Recommend the client take a mid-afternoon nap.
c)
Instruct the client to decrease oral fluids 2 to 4 hours before bedtime.
d)
Encourage the client to sleep later in the morning.
e)
-
4.
A client is hospitalized with hepatitis A. Which of the client’s regular medications is contraindicated due to the current illness?
a)
Prilosec (omeprazole)
b)
Synthroid (levothyroxine)
c)
Premarin (conjugated estrogens)
d)
Lipitor (atorvastatin)
e)
-
5.
A client who receives a blood transfusion complains of chest and low back pain. Vital signs are blood pressure 94/62 mm Hg, pulse 140 beats/minute, respiratory rate 32 breaths/minute. Which nursing action takes priority?
a)
Contact the physician immediately.
b)
Turn off the blood.
c)
Place the client in Trendelenburg position.
d)
Open the saline on the blood tubing.
e)
-
6.
A removal of the left lower lobe of the lung is performed on a client with lung cancer. Which post-operative measure would usually be included in the plan?
a)
Closed chest drainage
b)
A tracheostomy
c)
A mediastinal tube
d)
Percussion vibration and drainage
e)
-
7.
An elderly client who receives intravenous therapy has a history of a fractured femur, acute myocardial infarction, glaucoma, and hypothyroidism. Which of these conditions most likely influences the rate at which fluids should be infused for this client?
a)
Fractured femur.
b)
Acute myocardial infarction.
c)
Glaucoma.
d)
Hypothyroidism
e)
-
8.
The patient is prescribed metronidazole (Flagyl) for adjunct treatment for a duodenal ulcer. When teaching about this medication, the nurse would say:
a)
“This medication should be taken only until you begin to feel better.”
b)
“This medication should be taken on an empty stomach to increase absorption.”
c)
“While taking this medication, you do not have to be concerned about being in the sun.”
d)
“While taking this medication, alcoholic beverages and products containing alcohol should be avoided.”
e)
-
9.
A client with congestive heart failure loses 4.1kg while hospitalized. The client’s weight loss is approximately:
a)
2 pounds
b)
4 pounds
c)
7 pounds
d)
9 pounds
e)
-
10.
A client diagnosed with a contusion to the brain has an intravenous line. Which solution should be contraindicated for this client?
a)
0.9% normal saline.
b)
Lactated Ringer’s.
c)
5% dextrose and water.
d)
Hartmann’s solution.
e)
-
11.
A patient with a head injury and reduced LOC is placed on a hypothermia blanket and given antipyretic medication. Which statement best describes the therapeutic value of these interventions?
a)
They prevent hypoxia associated with diaphoresis.
b)
They promote the integrity of intracerebral neurons.
c)
They promote equalization of osmotic pressures.
d)
They reduce brain metabolism and limit hypoxia.
e)
-
12.
The nurse is assigned to care for the client with a Steinmen pin. During pin care, she notes that the LPN uses sterile gloves and Q-tips to clean the pin. Which action should the nurse take at this time?
a)
Assist the LPN with opening sterile packages and peroxide
b)
Tell the LPN that clean gloves are allowed
c)
Tell the LPN that the registered nurse should perform pin care
d)
Ask the LPN to clean the weights and pulleys with peroxide
e)
-
13.
The physician has prescribed Cognex (tacrine) for a client with dementia. The nurse should monitor the client for adverse reactions, which include:
a)
Hypoglycemia
b)
Jaundice
c)
Urinary retention
d)
Tinnitus
e)
-
14.
A multigravid client at 34 weeks’ gestation visits the hospital because she suspects that her water has broken. After testing the leaking fluid with nitrazine paper, the nurse confirms that the client’s membranes have ruptured when the paper turns which of the following colors?
a)
Yellow.
b)
Green.
c)
Blue.
d)
Red.
e)
-
15.
The nurse is planning care for the patient with celiac disease. In teaching about the diet, the nurse should instruct the patient to avoid which of the following for breakfast?
a)
Cream of wheat
b)
Banana
c)
Puffed rice
d)
Cornflakes
e)
-
16.
Which hepatitis virus has only one serotype, stimulates antibodies that are thought to result in lifelong immunity, has an incubation period of approximately 28 days, and can unknowingly be passed by the host?
a)
Hepatitis A.
b)
Hepatitis B.
c)
Hepatitis C.
d)
Hepatitis D.
e)
-
17.
The nurse notes that a client has a blood pressure of 102/56 mm Hg, pulse of 94 beats/minute, and respiratory rate of 6 breaths/minute. The client is pale, with cyanotic lips and nail beds. The nurse suspects a reaction to medication. Which medication is most likely the cause of these symptoms?
a)
Morphine sulfate (morphine).
b)
Nalmefene (Revex).
c)
Acetylsalicylic acid (aspirin).
d)
Methylphenidate hydrochloride (Ritalin).
e)
-
18.
Which of the following recommendations would be most helpful to suggest to a primigravid client at 37 weeks’ gestation who is complaining of leg cramps?
a)
Change positions frequently throughout the day.
b)
Alternately flex and extend the legs.
c)
Straighten the knee and flex the toes toward the chin.
d)
Lie prone in bed with the legs elevated.
e)
-
19.
A patient, age 58, is admitted with complaints of anorexia, weight loss, and general body wasting. After a diagnostic workup, he is diagnosed with Addison’s disease. Which statement best describes the pathophysiology of Addison’s disease?
a)
Release of adrenocortical hormones is increased.
b)
Release of adrenocortical hormones is decreased.
c)
Release of adrenal medullary hormones is decreased.
d)
A tumor develops in the adrenal gland.
e)
-
20.
The nurse is providing oral care to an unconscious client. What is the most important step in the care of this client?
a)
Performing hand hygiene.
b)
Pulling the curtain around the bed.
c)
Positioning the client in a side-lying position.
d)
Cleaning the teeth using a soft brush.
e)
-
21.
Which one of the following factors has the greatest influence on the recovery and sobriety of a client with a chemical addiction?
a)
The family’s understanding of the client’s addiction
b)
The quality of the treatment program and follow-up
c)
The client’s own desire to become drug-free
d)
The nursing staff’s attitude toward addiction
e)
-
22.
Many facilities allow the client’s family to be present during resuscitative efforts of the client. What is the advantage to having family present during resuscitation of a client?
a)
Families can interfere with the efforts of the code team.
b)
Families can misinterpret what is happening and become violent.
c)
Families often panic and must be removed from the room.
d)
Families can see that everything possible is being done.
e)
-
23.
Which client statement would be most indicative of the manic phase of bipolar disorder?
a)
I haven’t slept in 4 days because I’ve been solving the world’s problems.
b)
I think the government has cameras in my house and is watching me.
c)
I don’t deserve to live. Everything I do goes wrong.
d)
My life is fine, but I just don’t feel happy anymore.
e)
-
24.
The nurse is caring for a client receiving chemotherapy. Which of the following nursing interventions is most appropriate when the client’s absolute neutrophil count (ANC) drops below 500/mm³?
a)
Encourage fresh fruits and vegetables.
b)
Place the client in protective isolation.
c)
Allow visitors without restriction.
d)
Avoid giving oral hygiene.
e)
-
25.
A 24-year-old primigravida at 38 weeks' gestation is admitted in early labor. Which of the following assessments would indicate that the client is in the latent phase of labor?
a)
Cervical dilation of 8 cm and intense contractions.
b)
Cervical dilation of 3 cm with mild contractions every 5–10 minutes.
c)
Cervical dilation of 6 cm and contractions every 3 minutes.
d)
Complete cervical dilation with an urge to push.
e)
-
Reset
