WorksheetsGCC 1001 - 1025
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
A client presents to the clinic with complaints of nausea and occasional vomiting. As the nurse reviews the client's medical records, the nurse notes that the client has a 4-year history of renal insufficiency. The client has been on fluid restrictions and a renal diet. A review of the client's labs shows a steady increase in the BUN, creatinine, and potassium. The client's spouse accompanies the client to the appointment and pulls the nurse aside stating that the client has episodes of confusion each day. The spouse is very concerned and wants to know if the client is having small strokes. Based upon the information provided, what is the nurse's best response to this question?
a)
Confusion is a common sign of transient ischemic attacks. Thank you for informing me of this. The client will need a CAT scan of the head.
b)
The client's kidneys are not working very well. However, confusion is not a common symptom. I will inform the physician of the confusion and have her assess the situation further with the client.
c)
The elevated potassium is causing the confusion. The client will need some medication to decrease the potassium level.
d)
The client is experiencing worsening uremic syndrome. This is associated with kidney failure and is a sign that the client's kidney function is becoming worse. I will notify the physician about the confusion. There are a couple of treatment options to consider. The physician will discuss the treatment options with the client and you.
e)
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2.
The nurse is caring for a patient with a postoperative wound evisceration. Which action should the nurse perform first?
a)
Explain to the patient what is happening, and provide support.
b)
Cover the protruding organs with sterile gauze moistened with sterile saline solution.
c)
Push the protruding organs back into the abdominal cavity.
d)
Ask the patient to drink as much fluid as possible.
e)
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3.
A nurse cares for a client with hyperthyroidism whose serum calcium level is 11.7 mg/dL. Which medication should the nurse anticipate being ordered for this client?
a)
Vitamin D.
b)
Calcium chloride.
c)
Calcium gluconate.
d)
Calcitonin.
e)
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4.
A new antenatal G 6, P 4, Ab 1 client attends her first prenatal visit with her husband. The nurse is assessing this couple's psychological response to their pregnancy. Which of the following requires the most immediate follow up?
a)
The couple are concerned with financial changes this pregnancy causes.
b)
The couple expresses ambivalence about the current pregnancy.
c)
The father of the baby states that the pregnancy has changed the mother's focus.
d)
The father of the baby is irritated that the mother is not like she was before pregnancy.
e)
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5.
Using Nägele's rule for a client whose last normal menstrual period began on May 10, the nurse determines that the client's estimated date of delivery would be which of the following?
a)
January 13.
b)
January 17.
c)
February 13.
d)
February 17.
e)
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6.
Which of the following treatments would be most appropriate to relieve the pain of a patient admitted with DVT?
a)
Applying heat
b)
Bed rest
c)
Exercise
d)
Leg elevation
e)
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7.
Which questionnaire should the nurse use to screen a male client for alcohol abuse?
a)
CAGE
b)
COPE
c)
FACT
d)
TACE
e)
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8.
In a negligence suit against a nurse, what must the plaintiff prove?
a)
The nurse intended to cause harm.
b)
The nurse's actions caused harm.
c)
The nurse knew she caused harm.
d)
The nurse was sorry for causing harm.
e)
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9.
The nurse is in the process of administering PO medications. Which of the following drugs should not be administered at the same time?
a)
Levofloxacin (Levaquin) and Mylanta
b)
Furosemide (Lasix) and Simethicone (Mylicon)
c)
Cyclobenzaprine (Flexeril) and Carbidopa (Sinemet)
d)
Sucralfate (Carafate) and docusate calcium (Surfak)
e)
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10.
The most common side effects of vaccine administration are:
a)
Unconsolable crying for several hours and refusal to eat.
b)
Anaphylaxis and shock.
c)
Soreness at the injection site and fever.
d)
Sleepiness and mild rash.
e)
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11.
The nurse is assessing the client recently returned from surgery. The nurse is aware that the best way to assess pain is to:
a)
Take the blood pressure, pulse, and temperature
b)
Ask the client to rate his pain on a scale of 0–5
c)
Watch the client's facial expression
d)
Ask the client if he is in pain
e)
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12.
When reviewing a client's morning laboratory results, the nurse knows that potassium is important because it can alter:
a)
Myocardial muscle function.
b)
Myocardial ventricular function.
c)
Pulmonary artery function.
d)
Pulmonary muscle function.
e)
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13.
The nurse is explaining a low-residue diet to a client with ulcerative colitis. Which food would need to be eliminated from this client's diet?
a)
Roasted chicken
b)
Noodles
c)
Cooked broccoli
d)
Roast beef
e)
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14.
The nurse is caring for a client admitted to the emergency room after a fall. X-rays reveal that the client has several fractured bones in the foot. Which treatment should the nurse anticipate for the fractured foot?
a)
Application of a short inclusive spica cast
b)
Stabilization with a plaster-of-Paris cast
c)
Surgery with Kirschner wire implantation
d)
No bandages to be used to correct the fractured foot
e)
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15.
While caring for a client following a Whipple procedure, the LPN notices that the drainage has become bile tinged and has increased over the past hour. The LPN should:
a)
Document the finding and continue to monitor the client
b)
Irrigate the drainage tube with 10ml of normal saline
c)
Decrease the amount of intermittent suction
d)
Notify the RN regarding changes in the drainage
e)
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16.
When teaching a patient about GERD, the nurse describes the disorder as:
a)
Erosion of the gastric mucosa.
b)
Inflammation of a diverticulum.
c)
Inflammation of the gastric mucosa.
d)
Reflux of stomach acid into the esophagus.
e)
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17.
A couple is visiting the clinic because they have been unable to conceive a baby after 3 years of frequent coitus. After discussing the various causes of male infertility, the nurse determines that the male partner needs further instruction when he states which of the following as a cause?
a)
Seminal fluid with an alkaline pH.
b)
Frequent exposure to heat sources.
c)
Abnormal hormonal stimulation.
d)
Immunologic factors.
e)
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18.
A 60-year-old male patient is suspected of having coronary artery disease. Which noninvasive diagnostic method would the nurse expect to be ordered to evaluate cardiac changes?
a)
Cardiac biopsy
b)
Cardiac catheterization
c)
MRI
d)
Pericardiocentesis
e)
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19.
An infant client who takes oral medication can be encouraged to swallow the medication by which method?
a)
Place the liquid in an empty nipple.
b)
Add the liquid to the infant's bottle of formula.
c)
Lay the infant with the head lower than the feet.
d)
Use a syringe and give 1 milliliter with each swallow.
e)
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20.
An obstetrical client is admitted in active labor. When the membranes rupture, the nurse would expect to find:
a)
A large amount of bright-red discharge
b)
A moderate amount of straw-colored discharge
c)
A small amount of green-colored discharge
d)
A scant amount of dark-brown discharge
e)
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21.
Which set of vital signs would best indicate an increase in intracranial pressure in a client with a head injury?
a)
BP 180/70, pulse 50, respirations 16, temperature 101ºF
b)
BP 100/70, pulse 64, respirations 20, temperature 98.6ºF
c)
BP 96/70, pulse 132, respirations 20, temperature 98.6ºF
d)
BP 130/80, pulse 50, respirations 18, temperature 99.6°F
e)
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22.
The nurse is caring for a primigravid client in active labor at 42 weeks' gestation. The client has had no analgesia or anesthesia and has been pushing for 2 hours. The nurse can be most helpful to this client by:
a)
Changing her pushing position every 15 minutes.
b)
Notifying the health care provider of her current status.
c)
Continuing with current pushing technique.
d)
Assessing the client's current pain and fetal status.
e)
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23.
An annual Pap test is most important in patients:
a)
with a history of recurrent candidiasis.
b)
who became pregnant before age 20.
c)
infected with HPV.
d)
who have used oral contraceptives for a short time.
e)
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24.
A client admitted with renal calculi is experiencing severe pain in the right flank and nausea. The immediate nursing intervention is to:
a)
Administer pain medication as ordered
b)
Encourage oral fluids
c)
Administer an antiemetic as ordered
d)
Evaluate the hydration status
e)
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25.
In the office for a yearly physical examination, a 30-year-old client reports that the client and husband used to be very happy before the children were born. Now the client is struggling with the current situation. The nurse understands that:
a)
The client is probably having an extramarital affair.
b)
The developmental task at this stage is adjusting to the needs of more than two family members.
c)
A relative or close friend should be consulted for help so the client can pursue activities outside the home.
d)
The client should be referred to a psychotherapist for evaluation and care.
e)
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