NEW
Font size
S
M
L
XL
WorksheetsGCC 1051 - 1075
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
A client refuses to take the medication prescribed for her. Which action should the nurse take first?
a)
Encourage the client to take the medication
b)
Ask the client her reasons for refusing the medication
c)
Document that the client refused her medication
d)
Report the client's refusal to take the medication to the charge nurse
e)
-
2.
A client with schizophrenia has been taking Thorazine (chlorpromazine) 200mg four times a day. Which finding should be reported to the doctor immediately?
a)
The client complains of thirst
b)
The client has gained 4 pounds in the past 2 months
c)
The client complains of a sore throat
d)
The client naps throughout the day
e)
-
3.
A patient has chronic bronchitis. The nurse is teaching him breathing exercises. Which point should the nurse include in her teaching?
a)
Make inhalation longer than exhalation.
b)
Exhale through an open mouth.
c)
Use diaphragmatic breathing.
d)
Use chest breathing.
e)
-
4.
An immigrant from the Kurdish Jewish population is admitted for fever of unknown origin, generalized body aches, and dyspnea. The following medication regimen is ordered: albuterol sulfate (Proventil) inhaler 2 puffs four times a day as needed for dyspnea; acetylsalicylic acid (aspirin) 650 mg PO every 4 hours as needed for pain or fever; celecoxib (Celebrex) 200 mg PO daily, and fosinopril sodium (Monopril) 10 mg PO daily. Which order should the nurse question?
a)
Albuterol sulfate (Proventil) inhaler 2 puffs four times a day as needed for dyspnea.
b)
Acetylsalicylic acid (aspirin) 650 mg PO every 4 hours as needed for pain or fever.
c)
Celecoxib (Celebrex) 200 mg PO daily.
d)
Fosinopril sodium (Monopril) 10 mg PO daily.
e)
-
5.
A hospital client with abdominal cancer refuses surgical treatment and chemotherapy and asks about options for hospice home care. Later, the client's daughter asks the case manager to talk the client into agreeing to surgery and chemotherapy treatment. The case manager explains to the daughter that this violates which client right?
a)
The right to self-determination.
b)
The right to decline participation in research studies and experimental treatments.
c)
The right to expect reasonable continuity of care.
d)
The right to make decisions about the plan of care.
e)
-
6.
The client with brain cancer refuses to care for herself. Which action by the nurse would be best?
a)
Alternate nurses caring for the client so that the staff will not get tired of caring for this client
b)
Talk to the client and explain the need for self-care
c)
Explore the reason for the lack of motivation seen in the client
d)
Talk to the doctor about the client's lack of motivation
e)
-
7.
Nitroglycerin is ordered for an elderly client who is having an episode of chest pain. Which is a correct statement regarding the use of nitroglycerin spray instead of nitroglycerin tablets in this age group?
a)
There is increased absorption in the older client with the spray.
b)
Older clients attempt to chew the tablet.
c)
Tablets dissolve slower in this population.
d)
The spray lasts longer in the system.
e)
-
8.
The nurse is reinforcing teaching to a client with iron-deficiency anemia about a high-iron diet. The nurse recognizes that teaching has been effective when the client selects which meal plan?
a)
Hamburger, French fries, orange juice
b)
Sliced veal, spinach salad, whole-wheat roll
c)
Vegetable lasagna, Caesar salad, toast
d)
Bacon, lettuce, and tomato sandwich; potato chips; tea
e)
-
9.
A client has an order for Codeine 60 mg IM. An available vial contains Codeine 30 mg/mL. What volume of drug would the nurse administer?
a)
0.5mL
b)
1.0mL
c)
1.5mL
d)
2.0mL
e)
-
10.
The nurse asks the client with an epidural anesthesia to void every hour during the labor. The rationale for this intervention is:
a)
The bladder fills more rapidly because of the medication used for the epidural.
b)
Her level of consciousness is such that she is in a trancelike state.
c)
The sensation of the bladder filling is diminished or lost.
d)
She is embarrassed to ask for the bedpan that frequently.
e)
-
11.
Which is the most frequent etiologic agent of bacterial meningitis?
a)
Haemophilus influenzae.
b)
Methicillin-resistant Staphylococcus aureus.
c)
Moraxella.
d)
Streptococcus pneumoniae.
e)
-
12.
The nurse is managing care of a primigravida at full term who is in active labor. What should be included in developing the plan of care for this client?
a)
Oxygen saturation monitoring every half hour.
b)
Supine positioning on back, if it is comfortable.
c)
Anesthesia/pain level assessment every 30 minutes.
d)
Vaginal bleeding, ROM assessment every shift.
e)
-
13.
The client is having electroconvulsive therapy for treatment of severe depression. Which of the following indicates that the client's ECT has been effective?
a)
The client loses consciousness.
b)
The client vomits.
c)
The client's ECG indicates tachycardia.
d)
The client has a grand mal seizure.
e)
-
14.
A client with paranoid schizophrenia has an order for Thorazine (chlorpromazine) 400mg orally twice daily. Which of the following symptoms should be reported to the physician immediately?
a)
Muscle spasms of the neck, difficulty in swallowing
b)
Dry mouth, constipation, blurred vision
c)
Lethargy, slurred speech, thirst
d)
Fatigue, drowsiness, photosensitivity
e)
-
15.
An infant born at 25 weeks gestation was treated with prolonged oxygen therapy. Prolonged oxygen therapy places the infant at risk for:
a)
Cerebral palsy
b)
Retinitis pigmentosa
c)
Hydrocephalus
d)
Retinopathy of prematurity
e)
-
16.
When a nurse accepts a client assignment, the nurse also accepts a legal duty to provide care to the client that is consistent with the standard of care. A nurse who abandons a client assignment without first procuring comparable and appropriate care for the client during the period of the nurse's absence is guilty of:
a)
Duty
b)
Breach of duty.
c)
Damages.
d)
Causation.
e)
-
17.
A 3-year-old is diagnosed with diarrhea caused by an infection with salmonella. Which of the following most likely contributed to the child's illness?
a)
Brushing the family dog
b)
Playing with a pet turtle
c)
Taking a pony ride
d)
Feeding the family cat
e)
-
18.
The nurse is caring for the client with a 5-year-old diagnosed with plumbism. Which information in the health history is most likely related to the development of plumbism?
a)
The client has traveled out of the country in the last 6 months.
b)
The client's parents are skilled stained-glass artists.
c)
The client lives in a house built in 1990.
d)
The client has several brothers and sisters.
e)
-
19.
The licensed practical nurse is assisting the charge nurse in planning care for a client with a detached retina. Which of the following nursing diagnoses should receive priority?
a)
Alteration in comfort
b)
Alteration in mobility
c)
Alteration in skin integrity
d)
Alteration in O2 perfusion
e)
-
20.
An elderly client injured in a fall is admitted with fractures of the ribs and a closed right pneumothorax. The nurse should position the client:
a)
In modified Trendelenburg position with the lower extremities elevated
b)
In semi-Fowler's position tilted toward the right side
c)
In dorsal recumbent position with the lower extremities flat
d)
In semi-Fowler's position tilted toward the left side
e)
-
21.
A client is to receive an injection of methylprednisolone sodium succinate (Solu-Medrol) 125 mg. The vial on hand has 125 mg per 2 mL. Which is the least likely site to use for this medication?
a)
Vastus lateralis
b)
Dorsogluteal
c)
Ventrogluteal
d)
Deltoid
e)
-
22.
The physician has prescribed Laradopa (levodopa) for a client with Parkinson's disease. The nurse should:
a)
Tell the client that the medication will not be absorbed if it is taken with food
b)
Explain that monthly lab work will be needed while the client is taking the medication
c)
Tell the client that the medication will be needed only until the symptoms disappear
d)
Instruct the client to rise slowly from a sitting position
e)
-
23.
A client with diabetes visits the prenatal clinic at 28 weeks gestation. Which statement is true regarding insulin needs during pregnancy?
a)
Insulin requirements moderate as the pregnancy progresses.
b)
A decreased need for insulin occurs during the second trimester.
c)
Elevations in human chorionic gonadotrophin decrease the need for insulin.
d)
Fetal development depends on adequate insulin regulation.
e)
-
24.
Before administering a client's morning dose of Lanoxin (digoxin), the nurse checks the apical pulse rate and finds a rate of 54. The appropriate nursing intervention is to:
a)
Record the pulse rate and administer the medication
b)
Administer the medication and monitor the heart rate
c)
Withhold the medication and notify the doctor
d)
Withhold the medication until the heart rate increases
e)
-
25.
A client with cystic fibrosis is taking pancreatic enzymes. The nurse should administer this medication:
a)
Once per day in the morning
b)
Three times per day with meals
c)
Once per day at bedtime
d)
Four times per day
e)
-
Reset
