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WorksheetsGCC 951 - 975
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
In the stages of death and dying as defined by Elisabeth Kubler-Ross, loss, grief, and intense sadness are symptoms of:
a)
depression.
b)
denial.
c)
anger.
d)
acceptance.
e)
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2.
A client is being discharged from the hospital. The client has an unsteady gait and has weakness in the right leg. What assistive device would be most appropriate for the client?
a)
Quad cane.
b)
Single straight-legged cane.
c)
Walker.
d)
Lofstrand crutches.
e)
-
3.
An 18-month-old is scheduled for a cleft palate repair. The usual type of restraints for the child with a cleft palate repair are:
a)
Elbow restraints
b)
Full arm restraints
c)
Wrist restraints
d)
Mummy restraints
e)
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4.
To encourage adequate nutritional intake for a patient with Alzheimer's disease, the nurse should:
a)
stay with the patient, and encourage him to eat.
b)
help the patient fill out his menu.
c)
give the patient privacy during meals.
d)
fill out the menu for the patient.
e)
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5.
An 82-year-old female client who recently relocated to the United States from a small Caribbean island is treated for a laceration to the right forearm. The physician orders both tetanus immune globulin human (Baytet) (TIG), and diptheria-tetanus (DT). Which is a true statement regarding this client's medication care?
a)
Tetanus immune globulin, human, provides active immunity for the patient.
b)
Diptheria-tetanus (DT) provides passive immunity for this patient.
c)
The TIG and the diptheria-tetanus should be given in opposite arms.
d)
Other vaccinations can be given once a week after receiving these medications.
e)
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6.
The nurse is monitoring a client following a lung resection. The hourly output from the chest tube was 300mL. The nurse should give priority to:
a)
Turning the client to the left side
b)
Milking the tube to ensure patency
c)
Slowing the intravenous infusion
d)
Notifying the physician
e)
-
7.
A child with cystic fibrosis takes pancreatic enzymes with each of his meals and between meal snacks. Which finding indicates that the prescribed amount of pancreatic replacement is adequate?
a)
Improved respiratory function
b)
Decreased sodium excretion
c)
Increased weight
d)
Decreased chloride excretion
e)
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8.
When assessing a 16-year-old primigravid client at 37 weeks' gestation diagnosed with severe preeclampsia, which of the following indicates the client needs continued management for the preeclampsia?
a)
Blood pressure of 138/94 mm Hg.
b)
Severe blurring of vision.
c)
Less than 2 g of protein in a 24-hour sample.
d)
Weight gain of 0.5 lb in 1 week.
e)
-
9.
The nurse is caring for a client with an opportunistic infection of the central nervous system. The nurse knows that opportunistic infections affecting the central nervous system are extremely likely once the CD4 count drops below which level?
a)
< 50/mm3.
b)
< 75/mm3.
c)
> 200/mm3.
d)
> 200/mm3.
e)
-
10.
A 4-year-old with cystic fibrosis has a prescription for Viokase pancreatic enzymes to prevent malabsorption. The correct time to give pancreatic enzyme is:
a)
1 hour before meals
b)
2 hours after meals
c)
With each meal and snack
d)
On an empty stomach
e)
-
11.
A client has rectal cancer and is scheduled for an abdominal perineal resection. What should be the priority nursing care during the post-op period?
a)
Teaching how to irrigate the illeostomy
b)
Stopping electrolyte loss in the incisional area
c)
Encouraging a high-fiber diet
d)
Facilitating perineal wound drainage
e)
-
12.
The nurse is teaching the patient with multiple sclerosis. When teaching the patient how to reduce fatigue, the nurse should tell the patient to:
a)
take a hot bath.
b)
rest in an air-conditioned room.
c)
increase the dose of his muscle relaxant.
d)
avoid naps during the day.
e)
-
13.
The physician has ordered a paracentesis for a client with severe ascites. Before the procedure, the nurse should:
a)
Instruct the client to void
b)
Shave the abdomen
c)
Encourage extra fluids
d)
Request an abdominal x-ray
e)
-
14.
Which of the following roommates would be most suitable for the client with myasthenia gravis?
a)
A client with hypothyroidism
b)
A client with Crohn's disease
c)
A client with pylonephritis
d)
A client with bronchitis
e)
-
15.
A patient with a gunshot wound requires an emergency blood transfusion. His blood type is AB Rh-negative. Which blood type would be the safest for him to receive?
a)
AB Rh-positive
b)
A Rh-positive
c)
A Rh-negative
d)
O Rh-positive
e)
-
16.
The nurse is caring for a client with a head injury who has increased ICP. The physician plans to reduce the cerebral edema by constricting the cerebral blood vessels. Which of the following would accomplish this action?
a)
Hyperventilation per mechanical ventilation
b)
Insertion of a ventricular shunt
c)
Furosemide (Lasix)
d)
Dexamethasone (Decadron)
e)
-
17.
A client starts filgrastim (Neupogen) injections 11 days after completing a course of chemotherapy. Which lab value indicates the neupogen is effective?
a)
Absolute neutrophil count 1100/mm3.
b)
Absolute neutrophil count 750/mm3.
c)
Hemoglobin 10 g/dL.
d)
Hemoglobin 6.5 g/dL.
e)
-
18.
The nurse working on a surgical unit would identify which client as having the highest risk for pulmonary complications after surgery?
a)
A 24-year-old with open reduction internal fixation of the ulnar
b)
A 45-year-old with an open cholecystectomy
c)
A 36-year-old after a hysterectomy
d)
A 50-year-old after a lumbar laminectomy
e)
-
19.
Supervision of delegated client care responsibilities, tasks, and activities is essential to the delivery of quality, cost-effective, multidisciplinary client care. What is the correct definition of supervision?
a)
Supervision is the process of transferring the responsibility for the performance of selected tasks or jobs from one person to another.
b)
Supervision involves direct oversight of the work or work product of others.
c)
Supervision is the coordination of care between members of the multidisciplinary health care team.
d)
Supervision is an informal role based on professional knowledge and influence.
e)
-
20.
A patient, age 68, has benign prostatic hyperplasia. He is admitted for cystoscopy and transurethral resection of the prostate (TURP). During preoperative teaching, the nurse notes that the patient seems very anxious. Exploring the patient's anxiety, the nurse learns he is sexually active and is worried about becoming impotent. How should the nurse deal with his concerns?
a)
Advise him to speak with the surgeon.
b)
Tell him not to worry because he will not become impotent after surgery.
c)
Advise him that TURP seldom causes impotence.
d)
Refer him to the psychiatric clinical nurse specialist.
e)
-
21.
The physician has prescribed Gantrisin (sulfasoxazole) 1 gram in divided doses for a client with a urinary tract infection. The nurse should administer the medication:
a)
With meals or a snack
b)
30 minutes before meals
c)
30 minutes after meals
d)
At bedtime
e)
-
22.
For which client would the use of acetaminophen (Tylenol) pose a higher risk?
a)
A 42-year-old female who abuses cocaine.
b)
A 54-year-old male who abuses alcohol.
c)
A 23-year-old female who has asthma.
d)
A 34-year-old male with sickle-cell anemia.
e)
-
23.
Which of the following client statements indicates a need for additional teaching about self-care during pregnancy?
a)
I should use nonskid pads when I take a shower or bath.
b)
I should avoid using soap on my nipples to prevent drying.
c)
I should sit in a hot tub for 20 minutes to relax after working.
d)
I should avoid douching even if my vaginal secretions increase.
e)
-
24.
Isoniazid (INH) has been prescribed for a family member exposed to tuberculosis. The nurse is aware that the length of time that the medication will be taken is:
a)
6 months
b)
3 months
c)
18 months
d)
24 months
e)
-
25.
The nurse is assessing pain in a 3-year-old client after surgery. Which pain scale should the nurse use to assess this client's pain level?
a)
Numerical scale.
b)
Verbal descriptive scale.
c)
Visual analog scale.
d)
FACES scale.
e)
-
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