WorksheetsGCC 876 - 900
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
Which of the following nursing actions is most important for a client experiencing expressive aphasia following a stroke?
a)
Encourage the client to speak frequently to improve fluency.
b)
Provide a picture board or other communication aids.
c)
Speak loudly and slowly to help the client understand.
d)
Avoid communication until speech returns.
e)
-
2.
The nurse is assessing a client with chronic renal failure. Which of the following findings is most consistent with this condition?
a)
Polycythemia
b)
Hypokalemia
c)
Metabolic acidosis
d)
Hypophosphatemia
e)
-
3.
Which of the following nursing interventions is most important for a client undergoing radiation therapy for cancer of the neck?
a)
Encourage frequent toothbrushing and mouth rinses with hydrogen peroxide.
b)
Apply lotion to the neck area before each radiation treatment.
c)
Assess the oral mucosa for erythema, ulcers, or white patches.
d)
Expose the irradiated area to sunlight to speed healing.
e)
-
4.
A client with a history of alcohol use disorder is admitted for acute pancreatitis. Which laboratory result is most consistent with this diagnosis?
a)
Decreased serum amylase
b)
Elevated serum lipase
c)
Decreased white blood cell count
d)
Increased hemoglobin level
e)
-
5.
The nurse is preparing to discharge a client after a thyroidectomy. Which discharge instruction is most important to prevent complications?
a)
Take thyroid hormone replacement as prescribed.
b)
Avoid strenuous activity for 2 weeks.
c)
Report symptoms of hypocalcemia immediately.
d)
Keep the head of the bed flat at home.
e)
-
6.
After instruction of a primigravid client at 8 weeks’ gestation about measures to overcome early morning nausea and vomiting, which of the following client statements indicates the need for additional teaching?
a)
“I’ll eat dry crackers or toast before arising in the morning.”
b)
“I’ll drink adequate fluids separate from my meals or snacks.”
c)
“I’ll eat two large meals daily with frequent protein snacks.”
d)
“I’ll snack on a small amount of carbohydrates throughout the day.”
e)
-
7.
The client is having fetal heart rates of 100–110bpm during the contractions. The first action the nurse should take is:
a)
Reassess the fetal heart tones in 15 minutes
b)
Turn the client to her left side
c)
Get the client up and walk her in the hall
d)
Move the client to the delivery room
e)
-
8.
An antenatal G 2, T 1, P 0, Ab 0, L 1 client is discussing her postpartum plans for birth control with her health care provider. In analyzing the available choices, which of the following factors has the greatest impact on her birth control options?
a)
Satisfaction with prior methods.
b)
Preference of sexual partner.
c)
Breast- or bottle-feeding plan.
d)
History of clotting disease.
e)
-
9.
A client is admitted with a diagnosis of hypothyroidism. An initial assessment of the client would reveal:
a)
Slow pulse rate, weight loss, diarrhea, and cardiac failure
b)
Weight gain, lethargy, slowed speech, and decreased respiratory rate
c)
Rapid pulse, constipation, and bulging eyes
d)
Decreased body temperature, weight loss, and increased respirations
e)
-
10.
A client with ulcerative colitis has impaired nutrition due to diarrhea. Which diet selection by the client would indicate a need for further teaching about foods that can worsen the diarrhea?
a)
Tossed salad
b)
Baked chicken
c)
Broiled fish
d)
Steamed rice
e)
-
11.
The nurse is caring for a client recovering from a bone fracture. Which diet selection would be best for this client?
a)
Loaded baked potato, fried chicken, and tea
b)
Dressed cheeseburger, French fries, and Coke
c)
Tuna fish salad on sourdough bread, potato chips, and skim milk
d)
Mandarin orange salad, broiled chicken, and milk
e)
-
12.
After instructing a primigravid client at 38 weeks’ gestation about how preeclampsia can affect the client and the growing fetus, the nurse realizes that the client needs additional instruction when she says that preeclampsia can lead to which of the following?
a)
Hydrocephalic infant.
b)
Abruptio placentae.
c)
Intrauterine growth retardation.
d)
Poor placental perfusion.
e)
-
13.
Which of the following play activities is most developmentally appropriate for the toddler?
a)
Watching cartoons
b)
Pulling a toy wagon
c)
Watching a mobile
d)
Coloring with crayons in a coloring book
e)
-
14.
A client has just had a nasogastric tube placed. What is the best method for verifying correct placement of the tube in the stomach?
a)
X-ray.
b)
Gastric aspiration and pH testing.
c)
Auscultation.
d)
Visualization of the tube markings.
e)
-
15.
The chart indicates that a client has expressive aphasia following a stroke. The nurse understands that the client will have difficulty with:
a)
Speaking and writing
b)
Comprehending spoken words
c)
Carrying out purposeful motor activity
d)
Recognizing and using an object correctly
e)
-
16.
Which statement by a 65-year-old male client during a routine check-up indicates a need for further evaluation regarding prostate health?
a)
“I get up a couple of times at night to urinate.”
b)
“It sometimes takes me a while to get started urinating.”
c)
“I often feel like my bladder isn’t completely empty.”
d)
“My urine stream is forceful and uninterrupted.”
e)
-
17.
Which statement by the mother of a 2-year-old would alert the nurse to a potential speech delay?
a)
“My child points to body parts when I name them.”
b)
“My child talks using two-word sentences.”
c)
“My child doesn’t speak as much as the other children in daycare.”
d)
“My child uses gestures and facial expressions to communicate.”
e)
-
18.
A 35-year-old client with a history of alcohol use disorder is admitted with confusion, ataxia, and nystagmus. Which vitamin deficiency is most likely responsible for the client’s symptoms?
a)
Vitamin B1 (thiamine)
b)
Vitamin B12 (cobalamin)
c)
Vitamin D
d)
Vitamin C
e)
-
19.
The nurse is caring for a client with COPD who is receiving oxygen at 2 L/min via nasal cannula. The nurse understands that a higher oxygen flow rate could result in:
a)
Increased respiratory rate
b)
Improved oxygen saturation
c)
Decreased respiratory drive
d)
Hyperventilation
e)
-
20.
A nurse is performing a neurological assessment. Which finding indicates the need for immediate follow-up?
a)
Pupil size of 3 mm bilaterally
b)
Positive Babinski reflex in an adult
c)
Presence of corneal reflex
d)
Symmetrical facial movement
e)
-
21.
The nurse is teaching a group of new parents about infant safety. Which statement requires correction?
a)
“I’ll place the baby on their back to sleep.”
b)
“We’ll use a firm mattress with no pillows or toys.”
c)
“We’ll prop the bottle when the baby is feeding.”
d)
“The car seat will be rear-facing in the back seat.”
e)
-
22.
A client who is postoperative from a hip replacement is being discharged. Which statement by the client indicates a need for further teaching?
a)
“I’ll avoid crossing my legs when sitting.”
b)
“I can use a raised toilet seat at home.”
c)
“I will bend at the waist to pick things up.”
d)
“I’ll use assistive devices to help with mobility.”
e)
-
23.
Which assessment finding indicates effective breastfeeding in a newborn?
a)
The baby falls asleep after 2–3 minutes of sucking.
b)
The baby has six to eight wet diapers per day.
c)
The baby feeds every 6–8 hours.
d)
The baby cries frequently between feedings.
e)
-
24.
Which statement by a client with diabetes mellitus indicates an understanding of foot care instructions?
a)
“I’ll soak my feet in warm water every evening.”
b)
“I’ll go barefoot in the house to keep my feet cool.”
c)
“I’ll inspect my feet daily for any cuts or sores.”
d)
“I’ll use a heating pad to warm up my feet.”
e)
-
25.
The nurse notes that a client who is receiving heparin has a platelet count of 80,000/mm³. What is the nurse’s best action?
a)
Increase the heparin dose.
b)
Notify the healthcare provider.
c)
Continue the current dose.
d)
Administer aspirin for clot prevention.
e)
-
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