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WorksheetsGCC 1501 - 1525
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
Which of the following patients would most benefit from parenteral nutrition?
a)
A client with neck cancer.
b)
A client with a CVA.
c)
A client with severe pancreatitis.
d)
An intubated client.
e)
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2.
The LPN/LVN is caring for a client with a diagnosis of diabetes insipidus. Which of the following clinical manifestations is expected?
a)
Polyuria
b)
Nose bleed
c)
Clot formation
d)
Oliguria
e)
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3.
A client has obtained Plan B (levonorgestrel 0.75 mg, 2 tablets) as emergency contraception. After unprotected intercourse, the client calls the clinic to ask questions about taking the contraceptives. The nurse realizes the client needs further explanation when she makes which of the following responses?
a)
I can wait 3 to 4 days after intercourse to start taking these to prevent pregnancy.
b)
My boyfriend can buy Plan B from the pharmacy if he is over 18 years old.
c)
The birth control works by preventing ovulation or fertilization of the egg.
d)
I may feel nauseated and have breast tenderness or a headache after using the contraceptive.
e)
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4.
A laboring client at –2 station has a spontaneous rupture of the membranes and a cord immediately protrudes from the vagina. The nurse should first:
a)
Place gentle pressure upward on the fetal head.
b)
Place the cord back into the vagina to keep it moist.
c)
Begin oxygen by face mask at 8 to 10 L/min.
d)
Turn the client on her left side.
e)
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5.
A couple visiting the infertility clinic for the first time states that they have been trying to conceive for the past 2 years without success. After a history and physical examination of both partners, the nurse determines that an appropriate outcome for the couple would be to accomplish which of the following by the end of this visit?
a)
Choose an appropriate infertility treatment method.
b)
Acknowledge that only 50% of infertile couples achieve a pregnancy.
c)
Discuss alternative methods of having a family, such as adoption.
d)
Describe each of the potential causes and possible treatment modalities.
e)
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6.
What teaching should the nurse reinforce to a young male adult regarding when he should perform testicular self-examinations?
a)
Weekly after becoming sexually active
b)
Monthly while in the shower
c)
Bimonthly after age 40
d)
Annually on his birthday
e)
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7.
Lab results indicate that a client receiving heparin has a prolonged bleeding time. Which medication is the antidote for heparin?
a)
Aquamephyton (phytonadione)
b)
Ticlid (ticlopidine)
c)
Protamine sulfate (protamine sulfate)
d)
Amicar (aminocaproic acid)
e)
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8.
A patient received a right hip prosthesis after a fall. In the immediate postoperative period, the nurse should:
a)
maintain the leg in an adducted position.
b)
maintain the leg in an abducted position.
c)
maintain the leg in a neutral position.
d)
maintain the leg with the hip flexed greater than 90 degrees.
e)
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9.
The graduate licensed practical nurse is assigned to care for the client on ventilator support, pending organ donation. Which goal should receive priority?
a)
Maintain the client’s systolic blood pressure at 70mmHg or greater
b)
Maintain the client’s urinary output greater than 300cc per hour
c)
Maintain the client’s body temperature of greater than 33°F rectal
d)
Maintain the client’s hematocrit less than 30%
e)
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10.
Which client should be assigned to a private room if only one is available?
a)
The client with Cushing’s syndrome
b)
The client with diabetes
c)
The client with acromegaly
d)
The client with myxedema
e)
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11.
The primary cause of anemia in a client with chronic renal failure is:
a)
Poor iron absorption
b)
Destruction of red blood cells
c)
Lack of intrinsic factor
d)
Insufficient erythropoietin
e)
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12.
The physician orders betamethasone (Celestone) for a 34-year-old multigravid client at 32 weeks’ gestation who is experiencing preterm labor. Previously, the client has experienced one infant death due to preterm birth at 28 weeks’ gestation. The nurse explains that this drug is given for which of the following reasons?
a)
To enhance fetal lung maturity.
b)
To counter the effects of tocolytic therapy.
c)
To treat chorioamnionitis.
d)
To decrease neonatal production of surfactant.
e)
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13.
A client awaiting surgery is accidentally given a double dose of morning medication, which includes metformin hydrochloride (Glucophage) 1000 mg and aspirin 81 mg. Which step should the nurse take to ensure no ill effects occur as a result of this incident?
a)
Observe for Kussmaul respirations.
b)
Monitor closely for hypertension.
c)
Test for blood glucose levels.
d)
Document temperature readings.
e)
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14.
The nurse who works in a rehabilitation facility knows that psychosocial interventions for substance abuse include:
a)
Behavioral therapy.
b)
Group therapy.
c)
Pharmacotherapies.
d)
Self-help groups.
e)
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15.
A nurse is returning to the intensive care unit from the blood bank with packed red blood cells for a stable client with low hemoglobin. A visitor in the lobby waves the nurse over to a woman sitting on a lobby couch. The woman is pregnant and states that her water has broken and she believes the baby is coming. What action by the nurse demonstrates effective priority setting?
a)
The nurse should locate a wheelchair and immediately take the pregnant woman to the emergency department or to the OB department, if OB services are available at the facility. The safety of the pregnant woman and her unborn child are a higher priority than the blood for the stable ICU client.
b)
The nurse should give the pregnant woman and her friend directions to the facility’s OB department.
c)
The nurse should continue transporting the blood to the ICU.
d)
The nurse should direct the pregnant woman and her friend to the facility’s information desk, then continue transporting the blood to the ICU. The ICU client’s need for blood is a higher priority than the pregnant woman who was able to walk into the hospital lobby.
e)
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16.
The primary reason for rapid continuous rewarming of the area affected by frostbite is to:
a)
Lessen the amount of cellular damage
b)
Prevent the formation of blisters
c)
Promote movement
d)
Prevent pain and discomfort
e)
-
17.
The nurse cares for a client diagnosed with a brainstem injury. Which is the nurse’s priority assessment?
a)
Intake and output.
b)
Heart rate.
c)
Blood pressure.
d)
Respiratory rate and rhythm.
e)
-
18.
A client is discharged home with a prescription for Coumadin (warfarin sodium). The client should be instructed to:
a)
Have a Protime done monthly
b)
Eat more fruits and vegetables
c)
Drink more liquids
d)
Avoid crowds
e)
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19.
The nurse is caring for an infant who is on strict intake and output. The used diaper weighs 90.5 grams. The diaper’s dry weight was 62 grams. The infant’s urine output was:
a)
10mL
b)
28.5mL
c)
10 grams
d)
152.5 grams
e)
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20.
Informed consent must be voluntary and can be given by a client legally competent to make informed decisions only after the client has been fully informed of the proposed procedure, the risks, the benefits, and any alternative treatments, including refusal. Which scenario contains the elements of a legally appropriate informed consent?
a)
The physician writes the order to obtain informed consent for an invasive procedure from a client. The client states, “My doctor did mention that procedure to me, but I don’t understand what is going to be done.”
b)
A client states, “I believe that I am well informed about my procedure. I understand the risks and the benefits, and my right to decline the procedure. May I have a clipboard to write on so that I can sign the consent?”
c)
A client diagnosed with Alzheimer’s disease is admitted from an extended-care facility. The client has lucid moments and is oriented to self, but is generally disoriented regarding place and circumstances. There is an order on the chart to obtain informed consent for placement of a central intravenous line.
d)
A 14-year-old client brought to the emergency department states, “I can sign the consent for my procedure. My parents are at work and will not be here for a while. They won’t mind me signing the consent.”
e)
-
21.
A nurse is discussing preterm labor in a prenatal class. After class, a client and her partner ask the nurse to identify again the nursing strategies to prevent preterm labor. The clients need further instruction when they state which of the following?
a)
I need to stay hydrated all the time.
b)
I need to avoid any infections.
c)
I should include frequent rest breaks if we travel.
d)
Changing to filter cigarettes is helpful.
e)
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22.
The nurse is discussing discharge plans with a 30-year-old client who has sickle cell disease. Assessment findings include splenomegaly. What information obtained in the discussion would cause the most concern?
a)
Eats fast food daily for lunch
b)
Drinks a beer occasionally
c)
Sometimes feels fatigued
d)
Works as a furniture mover
e)
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23.
After teaching a patient about rheumatoid arthritis, which statement indicates that the patient understands the disease process?
a)
It can get better and then worse again.
b)
Once it clears up, it will never come back.
c)
I will definitely have to have surgery for this.
d)
It will never get any better than it is right now.
e)
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24.
A client recently started on hemodialysis wants to know how the dialysis will take the place of his kidneys. The nurse's response is based on the knowledge that hemodialysis works by:
a)
Passing water through the dialyzing membrane
b)
Eliminating plasma proteins from the blood
c)
Lowering the pH by removing nonvolatile acids
d)
Filtering waste through a dialyzing membrane
e)
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25.
Which instruction should be included in the discharge teaching for the client with cataract surgery?
a)
Over-the-counter eyedrops can be used to treat redness and irritation.
b)
The eye shield should be worn at night.
c)
It will be necessary to wear special cataract glasses.
d)
A prescription for medication to control post-operative pain will be needed.
e)
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