NEW
Font size
S
M
L
XL
WorksheetsGCC 926 - 950
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
The nurse is performing a physical assessment on a client. The nurse asks the client to flex the neck. The neck flexion results in flexion of the hip and knee which is known as Brudzinski's sign. Which condition is associated with Brudzinski's sign?
a)
Meningitis.
b)
Peritonsillar abscess.
c)
Pharyngitis.
d)
Rhinosinusitis.
e)
-
2.
While monitoring a patient's cardiac rhythm, the nurse observes seven multifocal premature ventricular contractions (PVCs) on a 1-minute rhythm strip. What should the nurse do first?
a)
Change the ECG leads.
b)
Administer lidocaine as prescribed.
c)
Continue to monitor the patient.
d)
Have the patient change position.
e)
-
3.
The nurse provides education to a client after the client receives an initial external beam radiation treatment for melanoma. The nurse should instruct the client to:
a)
Avoid close contact with others for at least 2 weeks to reduce exposure to radiation.
b)
Apply cold to the irradiated area to decrease discomfort.
c)
Wash off all body markings applied by the radiologist.
d)
Limit the use of creams or lotions to those approved by the oncologist.
e)
-
4.
A client with breast cancer is returned to the room following a right total mastectomy. The nurse should:
a)
Elevate the client's right arm on pillows
b)
Place the client's right arm in a dependent sling
c)
Keep the client's right arm on the bed beside her
d)
Place the client's right arm across her body
e)
-
5.
The nurse is providing care for a patient with AIDS and Pneumocystis jiroveci pneumonia. The patient is receiving aerosolized pentamidine isethionate (Nebu-Pent). What's the best evidence that the therapy is working?
a)
A sudden gain in lost body weight
b)
Whitening of lung fields on the chest X-ray
c)
Improved patient vitality and activity tolerance
d)
A febrile body temperature and development of leukocytosis
e)
-
6.
Medications used to treat peptic ulcer disease such as ranitidine (Zantac) work by:
a)
neutralizing acid.
b)
reducing acid secretion.
c)
stimulating gastrin release.
d)
protecting the mucosal barrier.
e)
-
7.
A client is admitted to the acute care unit. Initial laboratory values reveal serum sodium of 170meq/L. What behavior changes would be most common for this client?
a)
Anger
b)
Mania
c)
Depression
d)
Psychosis
e)
-
8.
Nurses work with dying clients and their families everyday. The needs of the families of dying clients are:
a)
To allow the nurse to provide all of the care to the dying person.
b)
To chastise the physician and health care staff.
c)
To shun the dying person.
d)
To ventilate emotions.
e)
-
9.
A client with suspected renal disease is to undergo a renal biopsy. The nurse plans to include which statement in the teaching session?
a)
You will be sitting for the examination procedure.
b)
Portions of the procedure will cause pain or discomfort.
c)
You will be given some medication to anesthetize the area.
d)
You will not be able to drink fluids for 24 hours before the study.
e)
-
10.
The nurse is caring for a 22-year-old G 2, P 2 client who has disseminated intravascular coagulation after delivering a dead fetus. Which findings are the highest priority to report to the health care provider?
a)
Activated partial thromboplastin time (APTT) of 30 seconds.
b)
Hemoglobin of 11.5 g/dL.
c)
Urinary output of 25 mL in the past hour.
d)
Platelets at 149,000/mm3.
e)
-
11.
The physician orders intravenous magnesium sulfate for a primigravid client at 38 weeks' gestation diagnosed with severe preeclampsia. Which of the following medications should the nurse have readily available at the client's bedside?
a)
Diazepam (Valium).
b)
Hydralazine (Apresoline).
c)
Calcium gluconate.
d)
Phenytoin (Dilantin).
e)
-
12.
Which play activity is best suited to the gross motor skills of the toddler?
a)
Coloring book and crayons
b)
Ball
c)
Building cubes
d)
Swing set
e)
-
13.
The nurse is preparing a female patient with SLE for discharge. Which instructions should the nurse include in the teaching plan?
a)
Exposure to sunlight will help control skin rashes.
b)
No activity limitations are necessary between flare-ups.
c)
Monitor body temperature.
d)
Corticosteroids may be stopped when symptoms are relieved.
e)
-
14.
An elderly client complains of difficulty beginning a urine stream and sensing a full bladder even after urination. The physician performs a digital rectal exam and has the nurse draw blood for prostate specific antigen (PSA). The nurse knows the physician ordered a PSA because:
a)
The physician wanted to determine if the client's prostate was enlarged.
b)
Although the client is describing symptoms of benign prostatic hyperplasia (BPH), the physician wants to be sure a prostatic malignancy is not present.
c)
The physician wants to confirm the diagnosis of benign prostatic hyperplasia (BPH).
d)
Based on the client's complaints, the PSA test will indicate if the client has a urinary tract infection.
e)
-
15.
A client admitted for treatment of a duodenal ulcer complains of sudden sharp midepigastric pain. Further assessment reveals that the client has a rigid, boardlike abdomen. The nurse recognizes that the client's symptoms most likely indicate:
a)
Ulcer perforation
b)
Increased ulcer formation
c)
Esophageal inflammation
d)
Intestinal obstruction
e)
-
16.
A client's potassium level is 5.38 mEq/L. Which drug should the nurse expect the physician to order?
a)
Furosemide (Lasix).
b)
Sodium polystyrene sulfonate (Kayexalate).
c)
Potassium (K-Dur).
d)
Magnesium citrate (Citroma).
e)
-
17.
The nurse has given instructions on pursed lip breathing to a client with emphysema. Which statement by the client would indicate effective teaching?
a)
I should inhale through the mouth.
b)
I should tighten my abdominal muscles with inhalation.
c)
I should contract my abdominal muscles with exhalation.
d)
I should make inhalation twice as long as exhalation.
e)
-
18.
A client with a total hip replacement requires special equipment. Which equipment would assist the client with a total hip replacement with prevention of dislocation of the prosthesis?
a)
An abduction pillow
b)
A straight chair
c)
A pair of crutches
d)
A soft mattress
e)
-
19.
The nurse is performing an assessment on a client with possible pernicious anemia. Which data would support this diagnosis?
a)
A weight loss of 10 pounds in 2 weeks
b)
Complaints of numbness and tingling in the extremities
c)
A red, beefy tongue
d)
A hemoglobin level of 12.0gm/dL
e)
-
20.
The nurse cares for a client diagnosed with angina. Which type of angina is caused by coronary artery spasm?
a)
Variant angina.
b)
Silent angina.
c)
Stable angina.
d)
Unstable angina.
e)
-
21.
A 2-year-old client has an order for instillation of antipyrine and benzocaine otic (Auralgan) into the external ear canal. Which action by the nurse is correct?
a)
Pull the ear backward and down.
b)
Pull the ear upward and in.
c)
Pull the ear backward and up.
d)
Pull the ear upward and lateral.
e)
-
22.
Which sign or symptom would a patient in the early stages of peritonitis exhibit?
a)
Abdominal distention
b)
Abdominal pain and rigidity
c)
Hyperactive bowel sounds
d)
Right upper quadrant pain
e)
-
23.
A patient, age 16, has type 1 diabetes mellitus and is in the hospital for regulation of his disease. He tells the nurse he feels hungry, thirsty, tired, and weak, and he frequently asks to use the bathroom. What should the nurse do first?
a)
Administer the patient's prescribed insulin.
b)
Notify the practitioner immediately.
c)
Determine the patient's blood glucose level.
d)
Give an additional snack with the patient's next meal.
e)
-
24.
A client needs crutches. How does the nurse choose the correct size?
a)
Turn the crutches upside down and measure from the heel to the shoulder.
b)
Obtain a set of crutches and then adjust the height until the client can stand comfortably while resting the axilla on the crutch pad.
c)
Measure the client while standing upright from the axilla to the heel. Then adjust the crutches so that the elbow flexion is a 30-degree angle when the client's hands are placed on the handgrips.
d)
Measure the client from 3-finger widths below the axilla to 6 inches lateral to the client's heel.
e)
-
25.
Which of the following is a characteristic of a reassuring fetal heart rate pattern?
a)
A fetal heart rate of 170-180bpm
b)
A baseline variability of 25-35bpm
c)
Ominous periodic changes
d)
Acceleration of FHR with fetal movements
e)
-
Reset
