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WorksheetsGCC 1251 - 1275
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
After the nurse reviews the physician's explanation of amniocentesis with a multigravid client, which of the following indicates that the client understands a serious risk of the procedure?
a)
Premature rupture of the membranes.
b)
Possible premature labor.
c)
Fetal limb malformations.
d)
Fetal organ malformations.
e)
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2.
After the initial phase of a burn injury, the primary focus of a patient's care is:
a)
enhancing self-esteem.
b)
promoting hygiene.
c)
reducing anxiety.
d)
preventing infection.
e)
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3.
A client has a history of left-sided heart failure. The nurse knows that one of the complications of this type of heart failure is pulmonary congestion. What should the nurse expect to find upon assessment?
a)
Tenting of the skin.
b)
Pulmonary hypertension.
c)
Increased jugular vein distension.
d)
Hypotension.
e)
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4.
A multigravid client is admitted to the hospital with a diagnosis of ectopic pregnancy. The nurse anticipates that, because the client's fallopian tube has not yet ruptured, which of the following may be ordered?
a)
Progestin contraceptives (Hylutin).
b)
Medroxyprogesterone (Depo-Provera).
c)
Methotrexate.
d)
Dyphylline (Dilor).
e)
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5.
During a health history, which statement by a patient indicates a risk of renal calculi?
a)
I've been drinking a lot of cola and soft drinks lately.
b)
I've been jogging more than usual.
c)
I've had more stress since we adopted a child last year.
d)
I'm a vegetarian and eat cheese two or three times each day.
e)
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6.
The nurse is performing an initial assessment of a newborn Caucasian male delivered at 32 weeks gestation. The nurse can expect to find the presence of:
a)
Mongolian spots
b)
Scrotal rugae
c)
Head lag
d)
Vernix caseosa
e)
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7.
After a patient experiences a brain stem infarction, the nurse should observe for which condition?
a)
Aphasia
b)
Bradypnea
c)
Contralateral hemiplegia
d)
Numbness and tingling to the face or arm
e)
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8.
A 16-year-old unmarried primigravid client at 37 weeks' gestation with severe preeclampsia is in early active labor. Her mother is at the bedside. The client's blood pressure is 164/110 mm Hg. Which of the following would alert the nurse that the client may be about to experience a seizure?
a)
Decreased contraction intensity.
b)
Decreased temperature
c)
Epigastric pain.
d)
Hyporeflexia.
e)
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9.
A client with ulcerative colitis requires an ileostomy. The nurse would instruct the client to do which of the following measures as an essential part of caring for the stoma?
a)
Perform massage of the stoma three times a day
b)
Include high-fiber foods, especially nuts, in the diet
c)
Limit fluid intake to prevent loose stools
d)
Cleanse the peristomal skin meticulously
e)
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10.
To obtain the obstetric conjugate measurement, the nurse would do which of the following?
a)
Add 1.5 cm to the transverse diameter.
b)
First measure the angle of the pubic arch.
c)
Subtract 1.5 to 2 cm from the diagonal conjugate.
d)
Measure the diameter of the pelvic inlet.
e)
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11.
The nurse is caring for a client with degenerative joint disease. Which finding is associated with degenerative joint disease?
a)
Joint pain that intensifies with activity and diminishes with rest
b)
Bilateral and symmetric joint involvement
c)
Involvement of the fingers and hands
d)
Complaints of early-morning stiffness
e)
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12.
Which quality is essential for a nurse to be an effective spiritual care provider?
a)
Love.
b)
Motivation.
c)
Patience.
d)
Self-awareness.
e)
-
13.
A patient, age 64, is found on the floor of his bathroom in his apartment after apparently falling and hitting his head on the bathtub. On admission to the neurologic unit, he has a decreased level of consciousness (LOC). The practitioner's orders are to elevate the head of the bed; keep the patient's head in neutral alignment, with neck flexion on head rotation; avoid sharp hip flexion; give an acetaminophen suppository, 300 mg, every 6 hours if the patient's temperature exceeds 99.8º F (37.7º C); and give dextrose 5% in water (D5W) at 20 ml/hour. Which statement best describes the rationale for the positioning order?
a)
It decreases cerebral arterial pressure.
b)
It does not impede venous outflow.
c)
It prevents flexion contractures.
d)
It prevents aspiration of stomach contents.
e)
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14.
A female client comes to the student health clinic with concerns about unprotected sex experienced last night. The nurse:
a)
Reassures the client that the chances of pregnancy are exceedingly small and that the client should not worry.
b)
Asks the client to return to clinic if she experiences a missed menstrual period.
c)
Obtains a pregnancy test on the client.
d)
Knows that emergency contraception is an option to prevent pregnancy.
e)
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15.
A client admitted to the unit for treatment of an upper respiratory infection receives erythromycin lactobionate (Erythromycin). The client has a history of renal transplant and is taking cyclosporine (Neoral). These two medications can interact at which pharmacological phase?
a)
Absorption.
b)
Distribution.
c)
Metabolism.
d)
Excretion.
e)
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16.
Physician orders for a client instruct the nurse to give Lanoxin (digoxin) 0.125 milligrams intravenously as a one-time dose. The available medication is in a concentration of 0.5 milligrams in 2 milliliters. How many milliliters should the nurse give?
a)
0.25 mL.
b)
0.5 mL.
c)
0.75 mL.
d)
1.0 mL.
e)
-
17.
A patient, age 58, is brought to the ED complaining of chest pain and light-headedness. He has a history of stable angina pectoris. Blood is drawn for analysis and an electrocardiogram (ECG) is done. A change in which component of the ECG tracing would alert the nurse that the patient is having a myocardial infarction (MI)?
a)
P wave
b)
R wave
c)
QRS complex
d)
ST segment
e)
-
18.
Attracting nursing staff to a facility, hiring, and orienting new nursing staff is a costly process. Implementing programs that result in retention of nursing staff is cost-effective for health care facilities. Programs that result in nursing job satisfaction and nursing staff retention are examples of what client care management principle?
a)
Case management.
b)
Delegation.
c)
Collaboration with the multidisciplinary health care team.
d)
Resource management.
e)
-
19.
A 78-year-old patient has a history of osteoarthritis. Which signs and symptoms would the nurse expect to find on physical assessment?
a)
Joint pain, crepitus, Heberden's nodes
b)
Hot, inflamed joints; crepitus; joint pain
c)
Tophi, enlarged joints, Bouchard's nodes
d)
Swelling, joint pain, tenderness on palpation
e)
-
20.
Which patient has the highest risk of ovarian cancer?
a)
A 30-year-old woman taking an oral contraceptive
b)
A 45-year-old woman who has never been pregnant
c)
A 40-year-old woman with three children
d)
A 36-year-old woman who had her first child at age 22
e)
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21.
A client receives an injection of promethazine (Phenergan). Which manifestation can occur if the patient has an adverse reaction to this medication?
a)
Torticollis.
b)
Nystagmus.
c)
Excessive salivation.
d)
Hyperthermia.
e)
-
22.
A client undergoes an electrocardiogram (EKG) to assess the impact of hypokalemia. The earliest EKG changes that are most often seen in hypokalemia are:
a)
Atrial-ventricular blocks.
b)
Junctional rhythms.
c)
Premature atrial contractions (PACs).
d)
Premature ventricular contractions (PVCs),
e)
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23.
Dalteparin (Fragmin) has been ordered for a client with pulmonary embolis. Which statement made by the graduate nurse indicates inadequate understanding of the medication?
a)
I will administer the medication before meals.
b)
I will administer the medication in the abdomen.
c)
I will check the PTT before administering the medication.
d)
I will not need to aspirate when I give Dalteparin.
e)
-
24.
The nurse is caring for a client scheduled for a surgical repair of a sacular abdominal aortic aneurysm. Which assessment is most crucial during the preoperative period?
a)
Assessment of the client's level of anxiety
b)
Evaluation of the client's exercise tolerance
c)
Identification of peripheral pulses
d)
Assessment of bowel sounds and activity
e)
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25.
A pregnant client, age 32, asks the nurse why her doctor has recommended a serum alpha fetoprotein. The nurse should explain that the doctor has recommended the test:
a)
Because it is a state law
b)
To detect cardiovascular defects
c)
Because of her age
d)
To detect neurological defects
e)
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