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WorksheetsGCC 1401 - 1425
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
One of the side effects that can occur in nitrates is a process called reflex tachycardia. What is the mechanism of action that causes this effect?
a)
Venoconstriction occurs in the coronary arteries, causing the heart to beat more rapidly in response to the stress it is experiencing.
b)
Oxygen demand on the heart increases and causes the heart to respond with an increasing rate and force of contraction.
c)
Rapid vasodilation causes an increase of blood volume in the venous system, which makes the heart react to a perceived low blood volume.
d)
An increase in venous blood flow to the cardiac tissue causes a parasympathetic response, which increases the heart rate.
e)
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2.
What signs and symptoms of pneumonia might an elderly patient first have that a younger patient is unlikely to have?
a)
Altered mental status and dehydration
b)
Fever and chills
c)
Hemoptysis and dyspnea
d)
Pleuritic chest pain and cough
e)
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3.
A client with mania is unable to finish her dinner. To help her maintain sufficient nourishment, the nurse should:
a)
Serve high-calorie foods that she can carry with her
b)
Encourage her appetite by sending out for her favorite foods
c)
Serve her small, attractively arranged portions
d)
Allow her in the unit kitchen for extra food whenever she pleases
e)
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4.
The nurse is measuring the duration of the client's contractions. Which statement is true regarding the measurement of the duration of contractions?
a)
Duration is measured by timing from the beginning of one contraction to the beginning of the next contraction.
b)
Duration is measured by timing from the end of one contraction to the beginning of the next contraction.
c)
Duration is measured by timing from the beginning of one contraction to the end of the same contraction.
d)
Duration is measured by timing from the peak of one contraction to the end of the same contraction.
e)
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5.
A postpartal client wants to know how the nutrient value of breast milk differs from that of cow's milk. The nurse should tell the client that breast milk is:
a)
Higher in fat
b)
Higher in iron
c)
Higher in calcium
d)
Higher in sodium
e)
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6.
The nurse is discussing staff assignments. Which client assignment should be given to the nurse's assistant?
a)
Emergency exploratory laparotomy with a colon resection the previous shift
b)
Client with a stroke scheduled for discharge to rehabilitation
c)
A client with terminal cancer in severe pain
d)
New admission with diverticulitis
e)
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7.
A client visits the clinic after the death of a parent. Which statement made by the client's sister signifies abnormal grieving?
a)
My sister still has episodes of crying, and it's been 3 months since Daddy died.
b)
Sally seems to have forgotten the bad things that Daddy did in his lifetime.
c)
She really had a hard time after Daddy's funeral. She said that she had a sense of longing.
d)
Sally has not been sad at all by Daddy's death. She acts like nothing has happened.
e)
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8.
The client with enuresis is being taught regarding bladder retraining. The nurse should advise the client to refrain from drinking after:
a)
1900
b)
1200
c)
1000
d)
700
e)
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9.
The physician has prescribed Zoloft (sertraline) for a client who has been taking Nardil (phenelzine). The recommended length of time between discontinuing a monoamine oxidase inhibitor and beginning therapy with a selective serotonin reuptake inhibitor is:
a)
2 days
b)
7 days
c)
10 days
d)
14 days
e)
-
10.
The nurse monitors a client who receives treatment for an asthma attack. The nurse knows the client's respiratory status has worsened if which occurs?
a)
Clear breath sounds.
b)
Diminished breath sounds.
c)
Wheezing throughout all lung fields.
d)
Rhonchi.
e)
-
11.
Acticoat (silver nitrate) dressings are applied to the arms and chest of a client with full-thickness burns. The nurse should:
a)
Change the dressings once per shift
b)
Moisten the dressings with sterile water
c)
Change the dressings only when they become soiled
d)
Moisten the dressings with normal saline
e)
-
12.
A client with bacterial pneumonia is admitted to the pediatric unit. What would the nurse expect the admitting assessment to reveal?
a)
High fever
b)
Nonproductive cough
c)
Rhinitis
d)
Vomiting and diarrhea
e)
-
13.
The nurse explains to a client that a vaccine is:
a)
A medication that prevents an immune response.
b)
A serum protein noted with immunologic deficiencies.
c)
A suspension of bacteria or viruses that are nonpathogenic.
d)
A substance which destroys invading organisms.
e)
-
14.
The nurse understands that the best predictor of health behavior and long-lasting successful behavior change is the:
a)
Culture in which a client lives.
b)
Age of the client.
c)
Reading level and education of the client.
d)
Diagnosis of a chronic illness.
e)
-
15.
The physician has ordered Dolophine (methadone) for a client withdrawing from opiates. Which finding is associated with acute methadone toxicity?
a)
Fever
b)
Oliguria
c)
Nasal congestion
d)
Respiratory depression
e)
-
16.
The nurse is caring for a client with a history of diverticulitis. The client complains of abdominal pain, fever, and diarrhea. Which food was responsible for the client's symptoms?
a)
Mashed potatoes
b)
Steamed carrots
c)
Baked fish
d)
Whole-grain cereal
e)
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17.
A client is admitted for minor injuries sustained in a motorcycle accident. The physician order reads: desmopressin acetate (DDAVP) 0.3 mcg/kg IV x 1 dose. The nurse knows this medication is ordered to manage the client's:
a)
Christmas disease.
b)
Disseminated intravascular coagulation (DIC).
c)
Sickle-cell anemia.
d)
Von Willebrand's disease.
e)
-
18.
Human sexuality education for clients with special needs:
a)
Is not appropriate, especially for clients with intellectual disabilities.
b)
Is time consuming and often frustrating for client and educator.
c)
Should focus on genital sex rather than the expanded attributes of body image and social relationships.
d)
Improves social skills, reduces the risk of sexual abuse and sexually transmitted disease, and prepares clients for adulthood.
e)
-
19.
Which task should be assigned to the nursing assistant?
a)
Placing the client in seclusion
b)
Emptying the Foley catheter of the preeclamptic client
c)
Feeding the client with dementia
d)
Ambulating the client with a fractured hip
e)
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20.
The night shift nurse gives an informative end-of-shift report to the day shift nurse assuming care of the assigned client group. The shift report is an example of which element of a safe client care environment?
a)
The shift report is an example of a JCAHO requirement.
b)
The shift report is an example of poor communication between members of the health care team.
c)
The shift report is an example of continuity of care.
d)
The shift report is a breach of confidentiality.
e)
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21.
In young adulthood, the expected developmental tasks include:
a)
Satisfying and supporting the next generation.
b)
Formulating a sense of oneself and feeling fulfilled.
c)
Developing peer relationships.
d)
Giving and sharing with an individual without asking what will be given or shared in return.
e)
-
22.
An obstetrical client calls the clinic with complaints of morning sickness. The nurse should tell the client to:
a)
Keep crackers at the bedside for eating before she arises
b)
Drink a glass of whole milk before going to sleep at night
c)
Skip breakfast but eat a larger lunch and dinner
d)
Drink a glass of orange juice after adding a couple of teaspoons of sugar
e)
-
23.
A client is admitted to the emergency room with partial-thickness burns of his head and both arms. According to the Rule of Nines, the nurse calculates that the TBSA (total body surface area) involved is:
a)
0.2
b)
0.27
c)
0.35
d)
0.5
e)
-
24.
A client is diagnosed with iron-deficiency anemia. The nurse expects which complaint from the client?
a)
I am short of breath even while I am sitting.
b)
My face is always flushed.
c)
I always feel like eating.
d)
I can't taste anything.
e)
-
25.
The chart of a client hospitalized with a fractured femur reveals that the client is colonized with MRSA. The nurse knows that the client:
a)
Will not display symptoms of infection
b)
Is less likely to have an infection
c)
Can be placed in the room with others
d)
Cannot colonize others with MRSA
e)
-
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