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WorksheetsGCC 1101 - 1125
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
A client with AIDS is admitted to the unit. A family member asks the nurse, "How much longer will it be?"
a)
This must be a terrible situation for you.
b)
I don't know. I'll call the doctor.
c)
I cannot say exactly. What are your concerns at this time?
d)
Don't worry, it will be very soon.
e)
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2.
A patient is admitted with a diagnosis of hyperparathyroidism. Which of the following signs would the nurse expect to find?
a)
Bulging eyes
b)
Renal calculi
c)
Weight gain
d)
Weight loss
e)
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3.
The physician has ordered a central IV line insertion and requested the nurse to prepare the client and set up for the procedure. The nurse has not assisted with a central line insertion before and asks the charge nurse for advice and assistance. Which response by the charge nurse indicates that the charge nurse practices the transitional style of management?
a)
I will assist the physician with the procedure so that you will have time to care for the rest of your clients.
b)
I do not have time to go over the procedure with you right now. Look it up in the unit policy and procedure manual.
c)
You have never assisted with a central line insertion before?
d)
Let's get the supplies that we will need. I want you to assist the physician, but I will be there with you to talk you through the procedure.
e)
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4.
To reduce occurrences of dumping syndrome, the nurse should instruct the patient to do which of the following?
a)
Sip fluids with meals.
b)
Eat three meals daily.
c)
Rest after meals for 30 minutes.
d)
Follow a high-carbohydrate, low-fat, low-protein diet.
e)
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5.
Sublingual nitroglycerin is given to a client who experiences chest pain. Which symptom can occur with this medication?
a)
Tachycardia
b)
Tinnitus
c)
Diarrhea
d)
Diplopia
e)
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6.
What is the action of the nurse who assesses dehiscence of a client's surgical wound?
a)
Place the client in the prone position
b)
Apply a sterile saline-moistened dressing to the wound
c)
Administer atropine to decrease abdominal secretions
d)
Wrap the abdomen with an ACE bandage
e)
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7.
A client is admitted with possible paralytic ileus. Which question during the nursing history is least helpful in obtaining information regarding this diagnosis?
a)
Tell me about your pain.
b)
What does your vomit look like?
c)
Describe your usual diet.
d)
Have you noticed an increase in abdominal size?
e)
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8.
The physician has ordered a culture for the client with suspected gonorrhea. The nurse should obtain which type of culture?
a)
Blood
b)
Nasopharyngeal secretions
c)
Stool
d)
Genital secretions
e)
-
9.
Which is manifested by an increase in weight and peripheral edema or ascites?
a)
Dehydration
b)
Hyperosmolality
c)
Volume depletion
d)
Volume overload
e)
-
10.
The orthopedic nurse should be particularly alert for a fat embolus in which of the following clients having the greatest risk for this complication after a fracture?
a)
A 50-year-old with a fractured fibula
b)
A 20-year-old female with a wrist fracture
c)
A 21-year-old male with a fractured femur
d)
An 8-year-old with a fractured arm
e)
-
11.
The nurse is explaining about the drug zafirlukast (Accolate) to a client with asthma. Which comment by the client would indicate ineffective teaching?
a)
I should take this medication with meals.
b)
I need to report flulike symptoms to my doctor.
c)
My doctor might order liver tests while I'm on this drug.
d)
If I'm already having an asthma attack, this drug will not stop it.
e)
-
12.
The nursing staff has planned a picnic for a small group of clients from the psychiatric unit. All of the clients are taking Thorazine (chlorpromazine). The nursing staff should take extra measures to:
a)
Protect the clients from sun exposure
b)
Eliminate aged cheese from the menu
c)
Limit the amount of fluid intake by the clients
d)
Avoid chocolate desserts and treats on the menu
e)
-
13.
A vaginal exam reveals a breech presentation. The nurse should take which of the following actions at this time?
a)
Prepare the client for a Caesarean section
b)
Apply the fetal heart monitor
c)
Place the client in Trendelenburg position
d)
Perform an ultrasound exam
e)
-
14.
When caring for a primigravid client at 9 weeks' gestation who immigrated to the United States from Vietnam 1 year ago, the nurse would assess the client's diet for a deficiency of which of the following?
a)
Calcium
b)
Vitamin E
c)
Vitamin C
d)
Iodine
e)
-
15.
Which breakfast selection is suitable for the client on a high-fiber diet?
a)
Danish pastry, tomato juice, coffee, and milk
b)
Oatmeal, grapefruit wedges, coffee, and milk
c)
Cornflakes, toast and jam, and milk
d)
Scrambled eggs, bacon, toast, and coffee
e)
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16.
After a Preparation for Parenting class session, a pregnant client tells the nurse that she has had some yellow-gray frothy vaginal discharge and local itching. The nurse's best action is to advise the client to do which of the following?
a)
Use an over-the-counter cream for yeast infections.
b)
Schedule an appointment at the clinic for an examination.
c)
Administer a vinegar douche under low pressure.
d)
Prepare for preterm labor and delivery.
e)
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17.
A client with preeclampsia has been receiving an infusion containing magnesium sulfate. Blood pressure is 160/80, deep tendon reflexes are 1 plus, and urinary output for the past hour is 100mL. The nurse should:
a)
Continue the infusion of magnesium sulfate while monitoring the client's blood pressure
b)
Stop the infusion of magnesium sulfate and contact the physician
c)
Slow the infusion rate and turn the client on her left side
d)
Administer calcium gluconate and continue to monitor the blood pressure
e)
-
18.
A client complains of increasing fatigue and pain due to rheumatoid arthritis currently being treated with sulfasalizine (Azulfidine). The client's history includes diabetes mellitus type 2 and chronic obstructive pulmonary disease (COPD). The client's medications include glipizide (Glucotrol) and estradiol (Estrace). Which symptom should the nurse expect to find as a result of medication interactions?
a)
Pathological fractures.
b)
Hot flashes.
c)
Increased dyspnea.
d)
Hypoglycemia.
e)
-
19.
Which part of the kidney forms the urine?
a)
Glomerulus
b)
Proximal convoluted tubule
c)
Loop of Henle
d)
Nephron
e)
-
20.
The client with diabetes is preparing for discharge. During discharge teaching, the nurse assesses the client's ability to care for himself. Which statement made by the client would indicate a need for follow-up after discharge?
a)
I live by myself.
b)
I have trouble seeing.
c)
I have a cat in the house with me.
d)
I usually drive myself to the doctor.
e)
-
21.
A primigravid client attending parenthood classes tells the nurse that there is a history of twins in her family. What should the nurse tell the client?
a)
Monozygotic twins result from fertilization of two ova by different sperm.
b)
Monozygotic twins occur by chance regardless of race or heredity.
c)
Dizygotic twins are usually of the same sex.
d)
Dizygotic twins occur more often in primigravid than in multigravid clients.
e)
-
22.
A client with a Do Not Resuscitate/Do Not Intubate order in the medical record becomes unresponsive and a code blue is called. The code team arrives and the physician is preparing to intubate the client. What action should the nurse take regarding the DNR/DNI order?
a)
Prepare the client for immediate intubation. Assist the physician with the intubation procedure as needed.
b)
Immediately inform the physician and code team of the client's DNR/DNI order in the medical record.
c)
Assist the code team with the code blue per Advance Care Life Support protocol.
d)
Notify the physician and code team of the client's DNR/DNI order in the medical record, but the physician responding to the code blue will make the decision whether or not to intubate the client.
e)
-
23.
The component of a person's lifestyle that primarily affects health status is:
a)
Patterns of eating.
b)
Having earned at least a high school diploma.
c)
Owning a pet.
d)
Possessing computer skills.
e)
-
24.
Which client should be assigned to the pregnant licensed practical nurse?
a)
The client who just returned after receiving linear accelerator radiation therapy for lung cancer
b)
The client with a radium implant for cervical cancer
c)
The client who has just been administered soluble brachytherapy for thyroid cancer
d)
The client who has returned from placement of iridium seeds for prostate cancer
e)
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25.
A newly diagnosed pregnant client tells the nurse, "If I'm going to have all of these discomforts, I'm not sure I want to be pregnant!" The nurse interprets the client's statement as an indication of which of the following?
a)
Fear of pregnancy outcome.
b)
Rejection of the pregnancy.
c)
Normal ambivalence.
d)
Inability to care for the newborn.
e)
-
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