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WorksheetsGCC 1076 - 1100
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
A nurse is preparing to perform the initial assessment of a client. The nurse selects the correct glove size and puts the gloves on. One of the gloves tears across the palm, so the nurse selects and puts a second glove on that hand. The second glove tears across the tip of the nurse's pointer finger. What is the most appropriate action for the nurse take to demonstrate effective resource management?
a)
Continue selecting gloves until an intact pair is found.
b)
Contact the glove manufacturer.
c)
Remove the box, mark as defective, report to supervisor.
d)
Meet with purchasing officer to demonstrate defect.
e)
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2.
The nurse is caring for a client with an ileostomy. The nurse should pay careful attention to care around the stoma because:
a)
Digestive enzymes cause skin breakdown.
b)
Stools are less watery and contain more solid matter.
c)
The stoma will heal more slowly than expected.
d)
It is difficult to fit the appliance to the stoma site.
e)
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3.
The physician has ordered Cotazyme (pancrelipase) for a child with cystic fibrosis. The nurse knows that the medication is given to:
a)
Replace the fat-soluble vitamins A, D, E, and K
b)
Decrease carbohydrate metabolism
c)
Aid in the digestion and absorption of fats, carbohydrates, and protein
d)
Facilitate sodium and chloride excretion
e)
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4.
The nurse is planning care for a multigravid client hospitalized at 36 weeks' gestation with confirmed rupture of membranes and no evidence of labor. Which of the following would the nurse expect the physician to order?
a)
Frequent assessments of cervical dilation.
b)
Intravenous oxytocin administration.
c)
Vaginal culture for Neisseria gonorrhoeae.
d)
Sonogram for amniotic fluid volume index.
e)
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5.
When assessing the patient with an acute dissecting thoracic aortic aneurysm, the nurse would expect which finding?
a)
Hypertension
b)
Decreased hemoglobin level and hematocrit
c)
Severe chest pain
d)
Slow respiratory rate
e)
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6.
The nurse asks the client to say "EEE" and hears "AYE" over an area of consolidation. Which term is used to describe this phenomenon?
a)
Egophony
b)
Percussion
c)
Tactile fremitus
d)
Whispered pectroliliquy
e)
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7.
A patient undergoes a biopsy to confirm a diagnosis of skin cancer. Immediately following the procedure, the nurse should observe the site for:
a)
Infection
b)
Dehiscence
c)
Hemorrhage
d)
Swelling
e)
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8.
The client's morning lithium level is 1.2 mEq/L. The nurse recognizes that:
a)
The level is too low to be therapeutic.
b)
The client can be expected to have signs of toxicity.
c)
The level is within the therapeutic range.
d)
The client needs to eat more sodium-rich foods.
e)
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9.
A client with AIDS-related cytomegalovirus has been started on Cytovene (ganciclovir). The client asks the nurse how long he will have to take the medication. The nurse should tell the client that the medication will be needed:
a)
Until the infection clears
b)
For 6 months to a year
c)
Until the cultures are normal
d)
For the remainder of life
e)
-
10.
A client is sent to the psychiatric unit for forensic evaluation after he is accused of arson. His tentative diagnosis is antisocial personality disorder. In reviewing the client's record, the nurse could expect to find:
a)
A history of consistent employment
b)
A below-average intelligence
c)
A history of cruelty to animals
d)
An expression of remorse for his actions
e)
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11.
After instructing a multigravid client at 10 weeks' gestation diagnosed with chronic hypertension about the need for frequent prenatal visits, the nurse determines that the instructions have been successful when the client states which of the following?
a)
I may develop hyperthyroidism because of my high blood pressure.
b)
I need close monitoring because I may have a small-for-gestational-age infant.
c)
It's possible that I will have excess amniotic fluid and may need a cesarean section.
d)
I may develop placenta accreta, so I need to keep my clinic appointments.
e)
-
12.
A client returns to the nursing unit after a transurethral prostatic resection. The client has an indwelling urinary catheter with a continuous bladder irrigation system in place. The client complains of bladder spasms. Which priority action should the nurse take?
a)
Remove the indwelling catheter per the physician's order.
b)
Assess the client's vital signs.
c)
Notify the physician per the physician's order.
d)
Flush the catheter per the physician's order.
e)
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13.
A patient, age 60, is admitted to the hospital with a diagnosis of pneumonia in the left lower lobe. His arterial blood gas (ABG) findings include pH, 7.35; Pao2, 60 mm Hg; Paco2, 40 mm Hg; and HCO3-, 34 mEq/L. Based on these results, which nursing diagnosis has the highest priority?
a)
Ineffective breathing pattern
b)
Impaired gas exchange
c)
Ineffective airway clearance
d)
Risk for infection
e)
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14.
The physician has ordered Nardil (phenelzine), an MAO inhibitor for a client who is currently taking Paxil (paroxetine). The nurse should:
a)
Give the medications together as ordered
b)
Clarify the orders with the physician
c)
Request an order for anti-Parkinsonian medication
d)
Administer the medications at different times
e)
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15.
Primary prevention of domestic abuse involves:
a)
Conducting community classes to teach parents about normal developmental challenges.
b)
Early intervention to prevent or stop the violence.
c)
Identification of families at risk for violence.
d)
Strengthening individuals and families to enable them to better cope with life stressors.
e)
-
16.
The licensed vocational nurse may not assume the primary care for a client:
a)
In the fourth stage of labor
b)
Two days post-appendectomy
c)
With a venous access device
d)
With bipolar disorder
e)
-
17.
A client is postoperative day one after a thoracotomy. The client complains of incisional pain. Vital signs are: temperature 100.9°F (38.3°C), heart rate 94 beats/minute, blood pressure 138/90 mm Hg, and respirations 22 breaths/minute. Physical assessment reveals shallow respirations and rhonchi at the bases. Which intervention should the nurse perform first?
a)
Encourage the client to cough and deep breathe.
b)
Administer pain medication.
c)
Assist the client into a chair.
d)
Administer ibuprofen to reduce the client's fever.
e)
-
18.
The nurse recognizes that which of the following protective equipment is most appropriate to wear when suctioning a client with a tracheostomy?
a)
Gown, goggles, and gloves
b)
Gown only
c)
Gloves only
d)
Gown and shoe covers
e)
-
19.
A primigravid client is admitted as an outpatient for an external cephalic version. The nurse should assess the client for which of the following contraindications for the procedure?
a)
Multiple gestation
b)
Breech presentation
c)
Maternal Rh-negative blood type
d)
History of gestational diabetes
e)
-
20.
The nurse notes the following laboratory test results on a 24-hour post-burn client. Which abnormality should be of particular concern?
a)
Potassium 7.5mEq/L
b)
Sodium 131mEq/L
c)
Arterial pH 7.34
d)
Hematocrit 52%
e)
-
21.
During the admission assessment, the nurse discovers that the client has brought her medications from home. The nurse should:
a)
Tell the client that she can keep her medicines as long as she does not take them
b)
Make a list of the medications and ask a family member to take the medications home
c)
Allow the client to keep over-the-counter medications and herbal supplements
d)
Use the client's home medications because they have already been purchased
e)
-
22.
A client has been hospitalized with a diagnosis of laryngeal cancer. Which factor is most significant in the development of laryngeal cancer?
a)
A family history of laryngeal cancer
b)
Chronic inhalation of noxious fumes
c)
Frequent straining of the vocal cords
d)
A history of alcohol and tobacco use
e)
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23.
Which action by the novice nurse indicates a need for further teaching?
a)
The nurse fails to wear gloves to remove a dressing
b)
The nurse applies an oxygen saturation monitor to the ear lobe
c)
The nurse elevates the head of the bed to check the blood pressure
d)
The nurse places the extremity in a dependent position to acquire a peripheral blood sample
e)
-
24.
The most prevalent screening procedure for colorectal cancer includes:
a)
Exploratory laparotomy
b)
Sigmoidoscopy
c)
DNA stool test for genetic changes
d)
Laparoscopic examination
e)
-
25.
Acutely ill clients often experience high levels of physiologic and psychologic stress. Sources of physiologic stress in the acutely ill client are:
a)
Learning new concepts
b)
Level of nursing staff
c)
Pain
d)
Payment of bills
e)
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