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WorksheetsGCC 1126 - 1150
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
As individuals move through life, predictable changes occur. When the nurse assists the client in understanding these predictable changes, the client:
a)
Accepts biologic aging.
b)
Experiences a reduced risk of chronic illness.
c)
Looks forward to retirement and "letting go" of work-related responsibility.
d)
Redirects growth and goals.
e)
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2.
A 24-year-old client, G 3, P 1, at 32 weeks' gestation, is admitted to the hospital because of vaginal bleeding. After reviewing the client's history, which of the following factors might lead the nurse to suspect abruptio placentae?
a)
Several hypotensive episodes.
b)
Previous low transverse cesarean delivery.
c)
One induced abortion.
d)
History of cocaine use.
e)
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3.
A pregnant client with a history of alcohol addiction is scheduled for a nonstress test. The nonstress test:
a)
Determines the lung maturity of the fetus
b)
Measures the activity of the fetus
c)
Shows the effect of contractions on the fetal heart rate
d)
Measures the neurological well-being of the fetus
e)
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4.
The nurse is preparing a client for surgery. Which item is most important to remove before sending the client to surgery?
a)
Hearing aid
b)
Contact lenses
c)
Wedding ring
d)
Artificial eye
e)
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5.
An example of external family coping strategies include:
a)
Joint family problem-solving.
b)
Limiting leisure time and recreational activities.
c)
Sharing concerns and experiences with relatives, friends, and neighbors.
d)
The use of humor and stress-management tactics.
e)
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6.
Which statement made by the nurse to the client who is given hydrocodone bitartrate (Vicodin) for pain control indicates knowledge of possible side effects of this medication?
a)
It is important that you avoid bananas and green, leafy vegetables while on this medication.
b)
You will need to stay close to a bathroom while taking this medication because it can cause urinary incontinence.
c)
Drink plenty of liquids and increase your intake of high-fiber foods while on this medication.
d)
Report any muscle twitching, muscle cramping, or numbness and tingling that may occur.
e)
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7.
Which electrolyte imbalance will the nurse find with hyperparathyroidism, Paget's disease, adrenal insufficiency, and prolonged immobilization?
a)
Hypercalcemia.
b)
Hypermagnesemia.
c)
Hypocalcemia.
d)
Hypomagnesemia.
e)
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8.
A multigravid client diagnosed with a probable ruptured ectopic pregnancy is scheduled for emergency surgery. In addition to monitoring the client's blood pressure before surgery, which of the following would the nurse assess?
a)
Uterine cramping
b)
Abdominal distention
c)
Hemoglobin and hematocrit
d)
Pulse rate
e)
-
9.
The physician has ordered an injection of morphine for a client with post-operative pain. Before administering the medication, it is essential that the nurse assess the client's:
a)
Heart rate
b)
Respirations
c)
Temperature
d)
Blood pressure
e)
-
10.
A client's echocardiogram indicates vegetation on the heart valves. The nurse knows that the vegetation may be caused by which condition?
a)
Diabetes mellitus
b)
Myocardial infarction
c)
Bacterial infection
d)
Hypertension
e)
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11.
Which religion worships Allah, performs ritual prayers five times per day with ablutions prior, and attends mosque or gathers with groups at noon on Fridays?
a)
Hinduism
b)
Islam
c)
Judaism
d)
Mormons
e)
-
12.
The nurse is making initial rounds on a client with a C5 fracture and crutchfield tongs. Which equipment should be kept at the bedside?
a)
A pair of forceps
b)
A torque wrench
c)
A pair of wire cutters
d)
A screwdriver
e)
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13.
A nursing assistant is referred to the employee health office with symptoms of latex allergy. The first symptom usually noticed by those with latex allergy is:
a)
Oral itching after eating bananas
b)
Swelling of the eyes and mouth
c)
Difficulty breathing
d)
Swelling and itching of the hands
e)
-
14.
The nurse who is accessing a client's central line notices the infusion rate is difficult to maintain. The nurse notes the rate is affected when the client raises an arm or moves a shoulder. The nurse should be concerned with which possible complication?
a)
Extravasation
b)
Pinch-off syndrome
c)
Central vein thrombosis
d)
Phlebitis
e)
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15.
A peripherally inserted central catheter (PICC) line is ordered for a client. Which statement made by the nurse indicates an understanding of the proper insertion information for this intravenous access device?
a)
This intravenous line should be used only for antibiotics. No one should give anything else through this line.
b)
I watched one of these being placed last week. I think I can do it without disturbing anyone.
c)
Once I get this line in, it will need to be checked with an x-ray. The line should be in the superior vena cava.
d)
This is useful for about 2 weeks. After that, another line will need to be inserted to maintain patency.
e)
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16.
The nurse cares for a client who experienced an endoscopic examination. Which is the least important nursing intervention post-endoscopy?
a)
Maintain NPO status until the gag reflex returns.
b)
Observe for hematemesis.
c)
Monitor intake and output.
d)
Monitor respirations and oxygen saturation.
e)
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17.
The client arrives in the emergency room with a hyphema. Which action by the nurse would be best?
a)
Elevate the head of the bed and apply ice to the eye
b)
Place the client in a supine position and apply heat to the knee
c)
Insert a Foley catheter and measure the intake and output
d)
Perform a vaginal exam and check for a discharge
e)
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18.
The nurse cares for a client with Addison's disease. Which should the nurse expect to observe when assessing the client?
a)
Anorexic appearance.
b)
Tachycardia.
c)
Edema.
d)
Dry skin.
e)
-
19.
The nurse understands that the diagnosis of oral cancer is confirmed with:
a)
Biopsy
b)
Gram Stain
c)
Scrape cytology
d)
Oral washings for cytology
e)
-
20.
A client experiences an opioid overdose. Which medication antagonizes the effects of opioids?
a)
Flumazenil (Romazicon) 0.2 mg IV up to total of 1 mg.
b)
Naloxone (Narcan) 0.4 mg IV up to a total of 10 mg.
c)
Dimercaprol (BAL in Oil) 4 mg / kg IM.
d)
Atropine sulfate (Atropine) 1 to 2 mg IV.
e)
-
21.
The primary physiological alteration in the development of asthma is:
a)
Bronchiolar inflammation and dyspnea
b)
Hypersecretion of abnormally viscous mucus
c)
Infectious processes causing mucosal edema
d)
Spasm of bronchiolar smooth muscle
e)
-
22.
A client complains of acute onset of periumbilical pain that is well localized over McBurney's point. This pain is accompanied by a low-grade fever. As the client is triaged, the nurse palpates the left lower quadrant, causing the client to complain of right lower quadrant pain. Which sign does this best describe?
a)
Homans' sign
b)
Kernig's sign
c)
Ludwig's sign
d)
Rovsing's sign
e)
-
23.
A client has recently been transferred to the medical surgical floor from the ICU after sustaining multiple system traumas. The client has been to the operating room three times in the past 5 days and will require more operations in the coming weeks to repair further injuries. The client is very anxious, rates the current pain as 6 out of 10 on the numeric pain scale, and states the pain medication is not very effective. The client is receiving large doses of both intravenous and oral narcotic and nonsteroidal-type analgesics. The nurse discusses the pain further with the client. The client states a willingness to try anything that might help the pain. What pain control intervention would be most appropriate for this client based upon the information provided?
a)
Progressive relaxation
b)
Increased analgesic dosages
c)
Distraction
d)
Herbals
e)
-
24.
A patient, age 55, is admitted with cor pulmonale secondary to advanced COPD. He has been a coal miner for 35 years. When performing the physical assessment, what would the nurse expect to find?
a)
Dyspnea, cyanosis, and increased respiratory excursion
b)
Distended neck veins, cyanosis, and reduced expiratory phase
c)
Dyspnea, cyanosis, and reduced respiratory rate
d)
Distended neck veins, right upper quadrant tenderness, and dependent edema
e)
-
25.
A patient is being evaluated for hepatitis A. Which activity places him at the highest risk for contracting hepatitis A?
a)
Helping his roommate with an epistaxis episode
b)
Receiving an elective blood transfusion after surgery
c)
Eating a shrimp platter at a local restaurant
d)
Having sexual intercourse with his fiancée
e)
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