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WorksheetsGCC 1476 - 1500
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
Which landmarks are used to obtain an apical pulse?
a)
Left fifth intercostal space, midaxillary line.
b)
Left fifth intercostal space, midclavicular line.
c)
Left second intercostal space, midclavicular line.
d)
Left seventh intercostal space, midclavicular line.
e)
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2.
A nurse is preparing to reinforce the teaching plan for a patient who has recently been diagnosed with squamous cell carcinoma of the left lung. Which statement by the nurse is correct?
a)
You have a slow-growing cancer that rarely spreads.
b)
In terms of prognosis, you may have only a few months to live.
c)
Squamous cell cancer is a very rapidly growing cancer.
d)
The cancer has generally metastasized by the time diagnosis is made.
e)
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3.
The nurse is teaching a client with Parkinson's disease ways to prevent curvatures of the spine associated with the disease. To prevent spinal flexion, the nurse should tell the client to:
a)
Periodically lie prone without a neck pillow
b)
Sleep only in dorsal recumbent position
c)
Rest in supine position with his head elevated
d)
Sleep on either side but keep his back straight
e)
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4.
The major risk factors for intracranial bleeding in clients who receive thrombolytic therapy are:
a)
Age greater than 65 years.
b)
Hypotension at presentation.
c)
Obesity.
d)
Race.
e)
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5.
When developing a teaching plan for a primigravid client with insulin-dependent diabetes about monitoring blood glucose control and insulin dosages at home, which of the following would the nurse expect to include as a desired target range for blood glucose levels?
a)
40 to 60 mg/dL between 2:00 and 4:00 p.m.
b)
60 to 100 mg/dL before meals and bedtime snacks.
c)
110 to 140 mg/dL before meals and bedtime snacks.
d)
140 to 160 mg/dL 1 hour after meals.
e)
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6.
An elderly client from a long-term care facility arrives in the emergency department by ambulance with altered level of consciousness. The physician instructs the respiratory therapist to prepare for intubation. The nurse discovers a Do Not Resuscitate (DNR) bracelet on the client's wrist during the initial assessment. Which immediate action should the nurse take to appropriately advocate for this client?
a)
Assist the respiratory therapist to prepare the client for immediate intubation.
b)
Attempt to contact the client's family.
c)
Notify the physician immediately of the client's DNR bracelet.
d)
Notify the dietician immediately of the client's DNR bracelet.
e)
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7.
A client with pancreatic cancer has just been given a negative prognosis by the oncologist. The nurse hears the client state, "I don't believe the doctor, and I think he has me confused with another patient." This is an example of which of Kubler-Ross' stages of dying?
a)
Denial
b)
Anger
c)
Depression
d)
Bargaining
e)
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8.
The nurse is caring for a client with esophageal cancer. The client's history will likely reveal:
a)
A diet high in fiber
b)
Presence of gastroesophageal reflux
c)
Occasional use of alcohol
d)
A diet low in fat
e)
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9.
A client develops cravings while withdrawing from alcohol. Which measure will best help the client maintain sobriety?
a)
Placing the client in seclusion for 24 hours
b)
Restricting visits from family and friends
c)
Gaining support from other recovering alcoholics
d)
Assigning a staff member to stay until the cravings pass
e)
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10.
Lidocaine is a medication frequently ordered for the client experiencing:
a)
Atrial tachycardia
b)
Ventricular tachycardia
c)
Heart block
d)
Ventricular bradycardia
e)
-
11.
After instructing a multigravid client diagnosed with mild preeclampsia how to keep a record of fetal movement patterns at home, the nurse determines that the teaching has been effective when the client says that she will count the number of times the baby moves during which of the following time spans?
a)
30-minute period three times a day.
b)
45-minute period after lunch each day.
c)
1-hour period each day.
d)
12-hour period each week.
e)
-
12.
The nurse receives a unit of blood at 0800 for transfusion. This unit of blood must be infused by what time?
a)
1000
b)
1200
c)
1400
d)
1600
e)
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13.
The nurse is assessing a client following a subtotal thyroidectomy. Part of the assessment is asking the client to state her name. The primary reason for asking the client to state her name is to check for:
a)
Post-operative bleeding
b)
Decreased calcium
c)
Laryngeal stridor
d)
Laryngeal nerve damage
e)
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14.
During a yearly physical examination, a client tells the nurse that the client "is stressed to the max" by work and family obligations. First, the nurse:
a)
Encourages the client to speak with the physician.
b)
Suggests the client obtain a prescription for sleep aid medication.
c)
Discusses positive options for stress reduction.
d)
Counsels the client to consider a career change.
e)
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15.
A client with clotting disorder has an order to continue Lovenox (enoxaparin) injections after discharge. The nurse should teach the client that Lovenox injections should:
a)
Be injected into the deltoid muscle
b)
Be injected in the abdomen
c)
Aspirate after the injection
d)
Clear the air from the syringe before injections
e)
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16.
On arrival at the emergency department, a client tells the nurse that she suspects that she may be pregnant but has been having a small amount of bleeding and has severe pain in the lower abdomen. The client's blood pressure is 70/50 mm Hg and her pulse rate is 120 bpm. The nurse notifies the physician immediately because of the possibility of:
a)
Ectopic pregnancy.
b)
Abruptio placentae.
c)
Gestational trophoblastic disease.
d)
Complete abortion.
e)
-
17.
A client has pneumonia. Which assessment finding best indicates that the client's respiratory efforts are currently adequate?
a)
The client is able to talk.
b)
The client is alert and oriented.
c)
The client's O2 saturation is 97%.
d)
The client's chest movements are uninhibited.
e)
-
18.
A 20-year-old primigravid client tells the nurse that her mother had a friend who died from hemorrhage about 10 years ago during a vaginal delivery. Which of the following responses would be most helpful?
a)
Today's modern technology has resulted in a low maternal mortality rate.
b)
Don't concern yourself with things that happened in the past.
c)
In the United States, mothers seldom die in childbirth.
d)
What is it that concerns you about pregnancy, labor, and delivery?
e)
-
19.
The nurse is caring for a client with laryngeal cancer. Which finding ascertained in the health history would not be common for this diagnosis?
a)
Foul breath
b)
Dysphagia
c)
Diarrhea
d)
Chronic hiccups
e)
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20.
When teaching a patient about cardiomyopathy, which statement by the patient indicates that further teaching is needed about the causes of cardiomyopathy?
a)
It's caused by plaque in the arteries.
b)
It's caused by a virus.
c)
It's caused by bacteria.
d)
It's caused by certain drugs.
e)
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21.
A gravida II para 0 is admitted to the labor and delivery unit. The doctor performs an amniotomy. Which observation would the nurse expect to make after the amniotomy?
a)
Fetal heart tones 160 bpm
b)
A moderate amount of straw-colored fluid
c)
A small amount of greenish fluid
d)
A small segment of the umbilical cord
e)
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22.
The nurse is caring for a 9-month-old with suspected celiac disease. Which diet is appropriate?
a)
Whole milk and oatmeal
b)
Breast milk and mixed cereal
c)
Formula and barley cereal
d)
Breast milk and rice cereal
e)
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23.
The nurse cares for a client with cervical cancer when the nurse notices the radium implant has been dislodged. Which action should the nurse take first?
a)
Contact the radiology department.
b)
Wrap the implant in a blanket and place it behind a lead shield.
c)
Pick up the implant with long-handled forceps and place it in a lead container.
d)
Contact the physician.
e)
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24.
A patient is receiving captopril for heart failure. The nurse should notify the practitioner that the medication therapy is ineffective if an assessment reveals:
a)
a skin rash
b)
peripheral edema
c)
a dry cough
d)
postural hypotension
e)
-
25.
The nurse is preparing a client for mammography. To prepare the client for a mammogram, the nurse should tell the client:
a)
To restrict her fat intake for 1 week before the test
b)
To omit creams, powders, or deodorants before the exam
c)
That mammography replaces the need for self-breast exams
d)
That mammography requires a higher dose of radiation than an x-ray
e)
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