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WorksheetsGCC 1426 - 1450
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
After counseling a 35-year-old client about breast self-examination and mammography, the nurse determines that the client has understood the instructions when the client states which of the following?
a)
I should have a mammogram every year once I'm 40.
b)
I should schedule a mammography examination during my menstrual period.
c)
Mammography screening is inexpensive.
d)
Mammography is an extremely painful procedure.
e)
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2.
A primigravid client at 36 weeks' gestation with premature rupture of the membranes is to be discharged home on bed rest with follow-up by the home health nurse. After instruction about care while at home, which of the following client statements indicates effective teaching?
a)
It is permissible to douche if the fluid irritates my vaginal area.
b)
I can take either a tub bath or a shower when I feel like it.
c)
I should limit my fluid intake to less than 1 quart daily.
d)
I should contact the doctor if my temperature is 100.4º F or higher.
e)
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3.
A patient, age 18, develops diabetes insipidus after a severe closed head injury. Which assessment findings would indicate that he also has hypernatremia?
a)
Anorexia, muscle cramps, and a serum sodium level greater than 135 mEq/L
b)
Numbness, muscle cramps, and a positive Trousseau's
c)
Cardiac arrhythmias, muscle weakness, nausea, and vomiting
d)
Thirst, dry and swollen tongue, and disorientation
e)
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4.
The nurse is administering warfarin (Coumadin) to a patient with deep vein thrombophlebitis. Which laboratory value indicates warfarin is at therapeutic levels?
a)
PTT 11/2 to 2 times the control
b)
PT 11/2 to 2 times the control
c)
INR of 3 to 4
d)
Hematocrit of 32%
e)
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5.
Which is the most accurate statement regarding pain?
a)
Pain has been extensively studied and is well understood.
b)
Pain is one of the most common symptoms in medicine.
c)
Pain perception is very objective; every client feels pain the exact same way.
d)
Pain is only a result of physical bodily damage.
e)
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6.
The nurse has just received report from the RN. Which of the following clients should the nurse visit first?
a)
A 50-year-old COPD client with a PCO2 of 50
b)
A 24-year-old admitted after an MVA complaining of shortness of breath
c)
A client with cancer requesting pain medication
d)
A 1-day post-operative cholecystectomy with a temperature of 100ºF
e)
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7.
The nurse is performing a physical assessment on a client. The physical assessment is positive for Kernig's sign, Brudzinski's sign, and nuchal rigidity. Which condition is associated with these symptoms?
a)
Meningitis.
b)
Otitis media.
c)
Pharyngitis.
d)
Sinusitis.
e)
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8.
The nurse is about to administer the client's medication when the client states that the medication "looks different" than what she took before. The safest action for the nurse to take is to:
a)
Tell the client that the medication is the same
b)
Reassure the client that the doctor has prescribed correctly
c)
Explain that pharmacies make generic substitutions
d)
Recheck the MAR (medication administration record) to validate the medication's correctness
e)
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9.
Diuretics are ordered for a patient. What would be the best time of day for the nurse to schedule this medication?
a)
Anytime
b)
Nighttime
c)
Morning
d)
Noon
e)
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10.
A client presents to the emergency department with a cough. The nurse's assessment reveals the client is also experiencing chills, fever, night sweats, and hemoptysis. The nurse suspects the client may have which illness?
a)
Active tuberculosis (TB).
b)
Bronchitis.
c)
Upper respiratory infection.
d)
Pneumonia.
e)
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11.
The nurse is caring for a client with ascites. Which is the best method to use for determining early ascites?
a)
Inspection of the abdomen for enlargement
b)
Bimanual palpation for hepatomegaly
c)
Daily measurement of abdominal girth
d)
Assessment for a fluid wave
e)
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12.
The nurse provides discharge instructions to a client going home with furosemide (Lasix) and potassium (K-Dur). The client asks the nurse why potassium is indicated. Which statement by the nurse is most appropriate?
a)
Your potassium level is low.
b)
Because Lasix causes potassium loss, you need a potassium supplement.
c)
Potassium is needed for your heart to work.
d)
Lasix does not work unless you have a high potassium level.
e)
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13.
The nurse is bathing a comatose client. Which nurse's note best describes additional nursing activities that can be done during the bed bath?
a)
Client bathed; tolerated well; range of motion exercises done; client turned to left side.
b)
Client bathed; tolerated well; no skin lesions noted. IV flushes well; site is clear. Dressing is clean, dry, and intact. Leg, arm, and neck range-of-motion exercises done
c)
Client bathed; tolerated well; no skin lesions noted.
d)
Client bathed; tolerated well; no skin lesions noted. IV flushes well; site is clear. Dressing is clean, dry, and intact. Leg, arm, and neck range-of-motion exercises done; no contractures or joint swelling noted. Physician in to see client. Assisted physician with placement of chest tube.
e)
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14.
The elderly client with hypomagnesemia is admitted to the unit with an order for magnesium sulfate. Which action by the nurse indicates understanding of magnesium sulfate?
a)
The nurse places a sign over the bed not to check blood pressures in the left arm.
b)
The nurse places a padded tongue blade at the bedside.
c)
The nurse measures the urinary output hourly.
d)
The nurse darkens the room.
e)
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15.
Which of the following would be included in the teaching plan about pregnancy-related breast changes for a primigravid client?
a)
Growth of the milk ducts is greatest during the first 8 weeks of gestation.
b)
Enlargement of the breasts indicates adequate levels of progesterone.
c)
Colostrum is usually secreted by about the 16th week of gestation.
d)
Darkening of the areola occurs during the last month of pregnancy.
e)
-
16.
A client with hypertension has begun an aerobic exercise program. The nurse should tell the client that the recommended exercise regimen should begin slowly and build up to:
a)
20–30 minutes three times a week
b)
45 minutes two times a week
c)
1 hour four times a week
d)
1 hour two times a week
e)
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17.
A patient with Crohn's disease is experiencing an exacerbation. Which instruction should take priority when the nurse plans his care?
a)
Increasing his current weight
b)
Encouraging ambulation
c)
Promoting bowel rest
d)
Controlling rectal bleeding
e)
-
18.
The nurse identifies which of the following as a side effect of the influenza vaccine?
a)
Febrile reaction
b)
Hypothermia
c)
Dyspnea
d)
Generalized rash
e)
-
19.
The nurse is administering digoxin (Lanoxin) to a client with congestive heart failure. What is the expected therapeutic effect of this drug?
a)
Increased force of heart contraction
b)
Increased heart rate
c)
Decreased perfusion of the heart muscle
d)
Decreased cardiac output
e)
-
20.
The nurse should demonstrate compassion and empathy when communicating news about the death of a client to the family. Which is an example of appropriate communication skills by the nurse during this situation?
a)
He was on the vent for a short time.
b)
I am very sorry for your loss.
c)
It's okay. He is at peace now.
d)
We coded him. He just didn't make it.
e)
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21.
The nurse understands that one of the most vital aspects of teaching includes:
a)
Relaying accurate information to the client.
b)
Asking the client what the client feels and needs to know.
c)
Identifying the way a client learns best.
d)
Having the client take a short pre- and post-test on the material.
e)
-
22.
The American Cancer Society's current recommendation is that women should have a baseline mammogram done between the ages of:
a)
25 and 30
b)
30 and 35
c)
35 and 40
d)
40 and 45
e)
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23.
A client is diagnosed with hypovolemia following surgery evidenced by low blood pressure and tachycardia. The physician orders albumin 5% 500 milliliters intravenously. The nurse knows the administration of this medication causes a change in:
a)
Hydrostatic pressure.
b)
Colloidal osmotic pressure.
c)
Peripheral capillary pressure.
d)
Central venous pressure.
e)
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24.
The live intranasal vaccine (FluMist) is indicated for use only in healthy people. For which age group is the vaccine appropriate?
a)
6 months to 5 years of age.
b)
5 to 49 years of age.
c)
49 to 65 years of age.
d)
65 and older.
e)
-
25.
The nurse has been teaching the role of diet in regulating blood pressure to a client with hypertension. Which meal selection indicates that the client understands his new diet?
a)
Cornflakes, whole milk, banana, and coffee
b)
Scrambled eggs, bacon, toast, and coffee
c)
Oatmeal, apple juice, dry toast, and coffee
d)
Pancakes, ham, tomato juice, and coffee
e)
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