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WorksheetsGCC 1151 - 1175
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
The nurse is caring for a gravida 1 admitted in labor. Which finding would suggest the need for an internal fetal monitor?
a)
The cervix is dilated 5cm.
b)
The fetal heart tones are difficult to assess using the external toco monitor.
c)
The fetus is at station 0.
d)
Contractions are every 3 minutes.
e)
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2.
Which of the following diet instructions should be given to the client with recurring urinary tract infections?
a)
Increase intake of meats
b)
Avoid citrus fruits
c)
Perform pericare with hydrogen peroxide
d)
Drink a glass of cranberry juice every day
e)
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3.
The nurse is providing discharge teaching for a client taking dissulfiram (Antabuse). The nurse should instruct the client to avoid eating:
a)
Peanuts, dates, raisins
b)
Figs, chocolate, eggplant
c)
Pickles, salad with vinaigrette dressing, beef
d)
Milk, cottage cheese, ice cream
e)
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4.
An antenatal client is discussing her anemia with the nurse in the prenatal clinic. After a discussion about sources of iron to be incorporated into her daily meals, the nurse knows the client needs further instruction when she responds with which of the following?
a)
I can meet two goals when I drink milk, lots of iron and meeting my calcium needs at the same time.
b)
Drinking coffee, tea, and sodas decrease the absorption of iron.
c)
I can increase the absorption of iron by drinking orange juice when I eat.
d)
Cream of wheat and molasses are excellent sources of iron.
e)
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5.
Which condition places a patient at risk for an embolic stroke?
a)
Atrial fibrillation
b)
Bradycardia
c)
Deep vein thrombosis
d)
A history of MI
e)
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6.
A middle-aged client has a strong positive family history of type 2 diabetes mellitus. The best method to prevent or delay the development of this disease in this client is to:
a)
Test serum glucose values monthly.
b)
Avoid starches and sugars in the diet.
c)
Obtain a normal body weight and exercise regularly.
d)
Maintain a normal serum lipid panel.
e)
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7.
A 40-year-old client is curious about visible appearance changes related to menopause. In general, menopausal clients experience:
a)
Bone loss and fractures.
b)
Loss of muscle mass and increased fat tissue.
c)
Improved skin turgor and elasticity.
d)
A reduction in waist size.
e)
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8.
Which of the following skin lesions is associated with Lyme's disease?
a)
Bull's eye rash
b)
Papular crusts
c)
Bullae
d)
Plaques
e)
-
9.
A client develops tremors while withdrawing from alcohol. Which medication is routinely administered to lessen physiological effects of alcohol withdrawal?
a)
Dolophine (methodone)
b)
Klonopin (clonazepam)
c)
Narcan (naloxone)
d)
Antabuse (disulfiram)
e)
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10.
A patient, age 41, undergoes a right upper lobectomy. Postoperatively, he has a chest tube connected to an underwater seal with suction. One day after surgery, the nurse detects no bubbling in the suction compartment. What would be the best nursing action at this time?
a)
Milk the chest tube, using slow, even strokes.
b)
Add more sterile water to the suction compartment.
c)
Check the practitioner's order for amount of suction, and increase pressure until gentle bubbling occurs.
d)
Check the practitioner's order for amount of suction, and increase the water seal by 3.9"(10 cm).
e)
-
11.
The nurse is caring for the client with a mastectomy. Which action would be contraindicated?
a)
Taking the blood pressure in the side of the mastectomy
b)
Elevating the arm on the side of the mastectomy
c)
Positioning the client on the unaffected side
d)
Performing a dextrostix on the unaffected side
e)
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12.
A child with croup is placed in a cool, high-humidity tent connected to room air. The primary purpose of the tent is to:
a)
Prevent insensible water loss
b)
Provide a moist environment with oxygen at 30%
c)
Prevent dehydration and reduce fever
d)
Liquefy secretions and relieve laryngeal spasm
e)
-
13.
The nurse is caring for a client who is unconscious following a fall. Which comment by the nurse will help the client become reoriented when he regains consciousness?
a)
I am your nurse and I will be taking care of you today.
b)
Can you tell me your name and where you are?
c)
I know you are confused right now, but everything will be alright.
d)
You were in an accident that hurt your head. You are in the hospital.
e)
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14.
The client is diagnosed with multiple myoloma. The doctor has ordered cyclophosphamide (Cytoxan). Which instruction should be given to the client?
a)
Walk about a mile a day to prevent calcium loss.
b)
Increase the fiber in your diet.
c)
Report nausea to the doctor immediately.
d)
Drink at least eight large glasses of water a day.
e)
-
15.
What is the best definition of palliative care?
a)
Care for terminally ill clients.
b)
Symptom management for a client when a disease no longer responds to cure-focused treatment.
c)
Aggressive cure-focused disease treatment and management.
d)
Comfort care.
e)
-
16.
A 45-year-old client returned from a colon resection 2 hours ago. Which vital signs indicate possible hemorrhagic shock?
a)
BP 120/80, heart rate 88
b)
BP 170/100, heart rate 120
c)
BP 160/98, heart rate 54
d)
BP 96/60, heart rate 120
e)
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17.
Which nursing diagnosis is most important for a client receiving enteral tube feedings?
a)
Diarrhea.
b)
Risk for fluid volume deficit.
c)
Risk for aspiration.
d)
Knowledge deficit.
e)
-
18.
The client seen in the family planning clinic tells the nurse that she has a painful lesion on the perineum. The nurse is aware that the most likely source of the lesion is:
a)
Syphilis
b)
Herpes
c)
Candidiasis
d)
Condylomata
e)
-
19.
The physician has ordered a CAT (computerized axial tomography) scan for a client with a possible cerebral aneurysm. Which information is most important to the nurse who is preparing the client for the CAT scan? The client:
a)
Is having her menstrual period
b)
Has a history of claustrophobia
c)
Is allergic to oysters
d)
Has sensory deafness
e)
-
20.
A client with a T6 injury 6 months ago develops facial flushing and a BP of 210/106. After elevating the head of the bed, which is the most appropriate nursing action?
a)
Notify the physician
b)
Assess the client for a distended bladder
c)
Apply oxygen at 3L/min
d)
Administer Procardia sublingually
e)
-
21.
A multigravid client at 34 weeks' gestation with premature rupture of the membranes tests positive for group B streptococcus. The client is having contractions every 4 to 6 minutes. Her vital signs are as follows: blood pressure, 120/80 mm Hg; temperature, 100° F (37.8° C); pulse, 100 bpm; respirations, 18 breaths/minute. Which of the following would the nurse expect the physician to order?
a)
Intravenous penicillin.
b)
Intravenous gentamicin sulfate (Garamycin).
c)
Intramuscular betamethasone (Celestone).
d)
Intramuscular cefaclor (Ceclor).
e)
-
22.
Assessment reveals that the fetus of a multigravid client is at +1 station and 8 cm dilated. Based on these data, the nurse should first:
a)
Ask anesthesia to increase epidural rate.
b)
Assist the client to push if she feels the need to do so.
c)
Encourage the client to breathe through the urge to push.
d)
Support family members in providing comfort measures.
e)
-
23.
Otitis media occurs more frequently in infants and young children because of the unique anatomic features of the:
a)
Nasopharynx
b)
External ear canals
c)
Eustachian tubes
d)
Tympanic membranes
e)
-
24.
Which statement best describes the difference between the pain of angina and the pain of myocardial infarction?
a)
Pain associated with angina is relieved by rest.
b)
Pain associated with myocardial infarction is always more severe.
c)
Pain associated with angina is confined to the chest area.
d)
Pain associated with myocardial infarction is referred to the left arm.
e)
-
25.
Which laboratory finding is associated with HELLP syndrome in the obstetric client?
a)
Elevated blood glucose
b)
Elevated platelet count
c)
Elevated creatinine clearance
d)
Elevated hepatic enzymes
e)
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