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WorksheetsGCC 976 - 1000
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
A client tells the nurse, "There's no point in quitting cigarette smoking at my age. I have smoked for 40 years." The nurse:
a)
Understands that this is accurate since the client already has pulmonary disease.
b)
Tells the client that the progression of pulmonary disease may be halted with smoking cessation.
c)
Encourages the client to switch to smokeless tobacco use.
d)
Discusses the combination of pulmonary diseases that are the result of cigarette smoking.
e)
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2.
The client is receiving peritoneal dialysis. If the dialysate returns cloudy, the nurse should:
a)
Document the finding
b)
Send a specimen to the lab
c)
Strain the urine
d)
Obtain a complete blood count
e)
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3.
When developing the teaching plan for a primigravid client at 30 weeks' gestation diagnosed with mild preeclampsia who is being treated at home, which of the following would the nurse identify as the most appropriate client-centered goal?
a)
Return visit to the prenatal clinic in approximately 4 weeks.
b)
Decreased edema after 1 week of a low-protein, low-fiber diet.
c)
Bed rest on the left side during the day, with bathroom privileges.
d)
Immediate reporting of adverse reactions to magnesium sulfate therapy.
e)
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4.
The nurse examines the client's extraocular muscle movements (cranial nerve VI). Which equipment is used for this examination?
a)
Piece of cotton to test corneal sensitivity.
b)
Finger to test cardinal positions of gaze.
c)
Snellen's chart to test visual acuity.
d)
Ophthalmoscope to examine red reflex.
e)
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5.
When examining the laboratory values for a patient diagnosed with cirrhosis, the nurse would expect to find:
a)
an increased carbon dioxide level.
b)
an increased pH.
c)
a prolonged prothrombin time.
d)
an increased WBC count.
e)
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6.
The nurse at a local daycare center observes a group of preschool-age children playing. The children are playing in an unorganized fashion, with no obvious rules to the play activity. The type of play that is typical of preschool-age children is known as:
a)
Solitary play
b)
Parallel play
c)
Associative play
d)
Cooperative play
e)
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7.
The physician has ordered aspirin therapy for a client with severe rheumatoid arthritis. A sign of acute aspirin toxicity is:
a)
Anorexia
b)
Diarrhea
c)
Tinnitus
d)
Pruritis
e)
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8.
A patient with a pulmonary embolism may have an umbrella filter placed in the vena cava for which reason?
a)
To prevent further clot formation
b)
To collect clots so that they do not reach the lungs
c)
To break up clots into insignificantly small pieces
d)
To slowly release an anticoagulant that dissolves any clots
e)
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9.
A terminally ill client is being cared for at home by family members. Based upon the client's physical assessment, the nurse is aware that the client's death is imminent. What is the nurse's most important role in the care of the family at this time?
a)
Providing temporary relief of care giving duties to allow the family to rest.
b)
Providing education regarding the symptoms the client will likely experience.
c)
Coordinating a visiting schedule for the family.
d)
Communicating news of the client's impending death to the family while they are together.
e)
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10.
The nurse is discussing meal planning with the mother of a 2-year-old toddler. Which of the following statements, if made by the mother, would require a need for further instruction?
a)
It is okay to give my child white grape juice for breakfast.
b)
My child can have a grilled cheese sandwich for lunch.
c)
We are going on a trip, and I have bought hot dogs to grill for his lunch.
d)
For a snack, my child can have ice cream.
e)
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11.
The nurse is preparing to discharge a client with a long history of polio. The nurse should tell the client that:
a)
Taking a hot bath will decrease stiffness and spasticity.
b)
A schedule of strenuous exercise will improve muscle strength.
c)
Rest periods should be scheduled throughout the day.
d)
Visual disturbances may be corrected with prescription glasses.
e)
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12.
A client in sickle cell crisis has been hospitalized during her pregnancy. After giving discharge instructions, the nurse determines the client needs further teaching when she states which of the following?
a)
I will need more frequent appointments during the remainder of the pregnancy.
b)
Signs of any type of infection must be reported immediately.
c)
At the earliest signs of a crisis, I need to seek treatment.
d)
I have this disease because I don't eat enough food with iron.
e)
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13.
Which client is at the greatest risk for ineffective oral hygiene?
a)
A client who has just had knee surgery after a skiing accident.
b)
A right-handed client who has had a stroke causing mild weakness on the left side of the body.
c)
A client with breast cancer who is experiencing severe nausea and vomiting after chemotherapy.
d)
An independent, elderly client having elective surgery.
e)
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14.
The nurse teaches a client how to collect urine for a 24-hour urine collection for protein and creatinine clearance. The nurse knows the client understands how to collect urine when the client states:
a)
I will throw out my first void of the morning and then start my collection.
b)
I will collect all of my urine for 24 hours.
c)
If I don't collect some of my urine, the test results will still be accurate.
d)
I must collect urine midstream.
e)
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15.
The doctor has ordered antithrombolic stockings to be applied to the legs of the client with peripheral vascular disease. The nurse knows that the proper method of applying the stockings is:
a)
Before rising in the morning
b)
With the client in a standing position
c)
After bathing and applying powder
d)
Before retiring in the evening
e)
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16.
A client tells the nurse that she takes St. John's wort (hypericum perforatum) three times a day for mild depression. The nurse should tell the client that:
a)
St. John's wort seldom relieves depression.
b)
She should avoid eating cold cuts and aged cheese.
c)
Skin reactions increase with the use of sunscreens.
d)
St. John's wort will increase the amount of medication needed.
e)
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17.
Which diagnostic test utilizes a huge electromagnet that detects hidden tumors by mapping the vibrations of the various atoms in the body on a computer screen?
a)
Computerized axial tomography (CAT scan).
b)
Magnetic resonance imaging (MRI).
c)
Radiotherapy.
d)
Ultrasound.
e)
-
18.
The influenza vaccine is contraindicated in clients with allergies to which of the following?
a)
Eggs
b)
Shellfish
c)
Iodine
d)
Pork
e)
-
19.
The nurse is providing dietary teaching for a client with elevated cholesterol levels. Which cooking oil is not suggested for the client on a low-cholesterol diet?
a)
Safflower oil
b)
Sunflower oil
c)
Coconut oil
d)
Canola oil
e)
-
20.
Warfarin (Coumadin) works by obstructing certain clotting factors in the clotting cascade. Which information is correct regarding this mechanism of action?
a)
Interference with calcium occurs within the clotting cascade.
b)
Increased solubility of vitamin D occurs in the mucosal lining of the stomach.
c)
Decreased functioning of vitamin K occurs within the production sites.
d)
Binding with magnesium occurs in the hepatic cells.
e)
-
21.
A client has eye ointment instilled in both eyes. Which action should the nurse take immediately after medication administration?
a)
Have the client squeeze the eyes shut tightly.
b)
Apply some of the ointment to the eyelid.
c)
Apply gentle pressure to the nasolacrimal duct.
d)
Have the client lie flat for 10 minutes.
e)
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22.
The nurse studies an electrocardiogram (EKG) and notices a U-wave. The nurse suspects that this is caused by:
a)
Hypermagnesemia.
b)
Hypocalcemia.
c)
Hypokalemia.
d)
Hyponatremia.
e)
-
23.
A client with schizophrenia is receiving chlorpromazine (Thorazine) 400mg twice a day. An adverse side effect of the medication is:
a)
Photosensitivity
b)
Elevated temperature
c)
Weight gain
d)
Elevated blood pressure
e)
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24.
The nurse cares for a client with a history of diabetes mellitus. The nurse notes that the client's skin is cool and clammy and that the client is difficult to arouse. Which action should the nurse take first?
a)
Check the client's blood sugar.
b)
Ask the client to drink a cup of orange juice.
c)
Administer an intravenous dose of 50% dextrose.
d)
Administer subcutaneous insulin.
e)
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25.
A client is admitted to the chemical dependency unit for evaluation of alcoholism. Which question is part of an alcoholism-assessment tool called the CAGE questionnaire?
a)
How often do you have a drink containing alcohol?
b)
Have people annoyed you by criticizing your drinking?
c)
Have you or someone else ever been injured as a result of your drinking?
d)
How many drinks containing alcohol do you have on a typical day when you are drinking?
e)
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