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WorksheetsGCC 1551 - 1575
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
A 5-month-old infant is admitted to the ER with a temperature of 103.6ºF and irritability. The mother states that the child has been listless for the past several hours and that he had a seizure on the way to the hospital. A lumbar puncture confirms a diagnosis of bacterial meningitis. The nurse should assess the infant for:
a)
Periorbital edema
b)
Tenseness of the anterior fontanel
c)
Positive Babinski reflex
d)
Negative scarf sign
e)
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2.
The nurse is caring for a client with a long history of bulimia. The nurse would expect the client to have:
a)
Extreme weight loss
b)
Dental caries
c)
Hair loss
d)
Lanugo
e)
-
3.
A multigravid client at 34 weeks' gestation is being treated with indomethacin (Indocin) to halt preterm labor. If the client delivers a preterm infant, the nurse should notify the nursery personnel about this therapy because of the possibility for which of the following?
a)
Pulmonary hypertension
b)
Respiratory distress syndrome (RDS)
c)
Hyperbilirubinemia
d)
Cardiomyopathy
e)
-
4.
The nurse is providing discharge teaching for the client with leukemia. The client should be told to avoid:
a)
Using oil- or cream-based soaps
b)
Flossing between the teeth
c)
The intake of salt
d)
Using an electric razor
e)
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5.
A client admitted to the hospital takes isoniazid (INH), metoprolol succinate (toprol-XL), and paroxetine hydrochloride (Paxil). Which lab test indicates a contraindication to the continuation of isoniazid (INH)?
a)
SGOT elevated
b)
Sodium decreased
c)
TSH normal
d)
Creatinine elevated
e)
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6.
Which diet would be most appropriate for a patient with ulcerative colitis?
a)
A low-fat diet
b)
A low-residue diet
c)
A high-calorie diet
d)
A high-fiber diet
e)
-
7.
When planning the care for a client after a posterior fossa (infratentorial) craniotomy, which would be contraindicated?
a)
Keeping the client's head flat
b)
Elevating the head of the bed 30°
c)
Log-rolling or turning as a unit
d)
Keeping the neck in a neutral position
e)
-
8.
Which of the following describes a nosocomial infection?
a)
A client develops MRSA while hospitalized for treatment of a fractured hip.
b)
A client develops a kidney infection from an extended bladder infection.
c)
A client develops hepatitis A after eating in a local restaurant.
d)
A client develops pneumonia after attending a sporting event.
e)
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9.
Before surgery to remove an ectopic pregnancy and the fallopian tube, which of the following would alert the nurse to the possibility of tubal rupture?
a)
Amount of vaginal bleeding and discharge.
b)
Falling hematocrit and hemoglobin levels.
c)
Slow, bounding pulse rate of 80 bpm.
d)
Marked abdominal edema.
e)
-
10.
The client is admitted with a chest injury. The nurse's assessment reveals that an area over the right clavicle is puffy and that there is a "crackling" noise with palpation. The nurse should further assess the client for which of the following problems?
a)
Flail chest
b)
Subcutaneous emphysema
c)
Infiltrated subclavian IV
d)
Pneumothorax
e)
-
11.
The primary nursing consideration when working with a newly admitted adolescent with anorexia nervosa is:
a)
Identifying stressors that contributed to the disorder
b)
Including family members in the client's care
c)
Establishing a trusting relationship
d)
Restoring the client's nutritional status
e)
-
12.
Which of Piaget's cognitive developmental stages takes place from ages 7 to 11?
a)
Formal operations
b)
Concrete operations
c)
Preoperational
d)
Sensorimotor
e)
-
13.
A client's primary physician writes an order to prepare the client for discharge from the hospital the next day. The client expresses concern to the nurse about the ability to provide self-care and perform daily activities of living after arriving home from the hospital. Which member of the health care team should the nurse contact to provide information and assist the client with resources for an effective discharge plan?
a)
The client's primary care physician, who will coordinate care and resources for an effective discharge plan individualized to the client's needs.
b)
The client's case manager, who will coordinate care and provide information and resources for an effective discharge plan individualized to the client's needs.
c)
The client's physical therapist, who will instruct the client to safely navigate the home environment after discharge.
d)
The client's occupational therapist, who will evaluate the client's ability to perform self-care and activities of daily living.
e)
-
14.
A client has just returned home and the hospice nurse is visiting for the first time. The client complains of a lot of pain. In addition to the physician and the nurse, what member of the care team will assist in providing comfort therapies for this client?
a)
The physical therapist.
b)
The nutritionist.
c)
The massage therapist.
d)
The occupational therapist.
e)
-
15.
The nurse is changing the ties of the client with a tracheotomy. The safest method of changing the tracheotomy ties is to:
a)
Apply the new tie before removing the old one
b)
Have a helper present
c)
Hold the tracheotomy with the nondominant hand while removing the old tie
d)
Ask the doctor to suture the tracheotomy in place
e)
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16.
The nurse working in an outpatient clinic cares for a client immediately after a sigmoidoscopy. Which sign and symptom should be most concerning to the nurse?
a)
Abdominal fullness and pressure.
b)
Grogginess and thirst.
c)
Mild abdominal pain and cramping.
d)
Light-headedness and dizziness.
e)
-
17.
The nurse admits a client to the hospital who was involved in a motor vehicle accident. The client sustained a skull fracture. The nurse knows this client is at risk for increased intracranial pressure and therefore avoids placing the client in which position?
a)
Head turned to the side.
b)
Head of bed at 30 to 45 degrees.
c)
Head midline.
d)
Neck in neutral position.
e)
-
18.
Which aerobic gram-negative bacillus is the most common pathogen for all manifestations of urinary tract infection in all groups of clients?
a)
Escherichia coli.
b)
Klebsiella.
c)
Pseudomonas aeruginosa.
d)
Staphylococcus aureus.
e)
-
19.
An elderly client receives instructions regarding the use of warfarin sodium (Coumadin). Which statement indicates the client understands the possible food interactions which may occur with this medication?
a)
I'm going to miss having my evening glass of wine now.
b)
I told my daughter to buy bananas for me. I'll have to eat more of those now.
c)
I will have to watch my intake of salads, something that I really love.
d)
I am going to begin eating more fish and pork and leave beef alone now.
e)
-
20.
A pregnant client in labor receives an epidural and anesthetic for pain control. The most important, initial nursing action is to:
a)
Perform a thorough skin prep of the insertion site.
b)
Obtain the client's consent for the procedure.
c)
Assure the client that residual effects of the procedure won't be felt.
d)
Monitor maternal blood pressure.
e)
-
21.
The client is scheduled for a pericentesis. Which instruction should be given to the client before the exam?
a)
You will need to lay flat during the exam.
b)
You need to empty your bladder before the procedure.
c)
You will be asleep during the procedure.
d)
The doctor will inject a medication to treat your illness during the procedure.
e)
-
22.
The nurse is caring for a client admitted with acute laryngotracheobronchitis (LTB). Because of the possibility of complete obstruction of the airway, which of the following should the nurse have available?
a)
Intravenous access supplies
b)
Emergency intubation equipment
c)
Intravenous fluid administration pump
d)
Supplemental oxygen
e)
-
23.
The physician has prescribed NPH insulin for a client with diabetes mellitus. Which statement indicates that the client knows when the peak action of the insulin occurs?
a)
I will make sure I eat breakfast within 2 hours of taking my insulin.
b)
I will need to carry candy or some form of sugar with me all the time.
c)
I will eat a snack around three o'clock each afternoon.
d)
I can save my dessert from supper for a bedtime snack.
e)
-
24.
A client is admitted after a motor vehicle accident. The nurse suspects that the client is in the compensatory stage of shock due to which clinical manifestations?
a)
Blood pressure 120/70, confusion, heart rate 120
b)
Crackles on chest auscultation, mottled skin, lethargy
c)
Skin color jaundice, urine output less than 30ml the past hour, heart rate 170
d)
Rapid, shallow respirations; unconscious; petechiae anterior chest
e)
-
25.
The nurse finds a client to have increased tactile fremitus. Which condition is associated with increased tactile fremitus?
a)
Atelectasis
b)
Chronic obstructive pulmonary disease (COPD)
c)
Pneumothorax
d)
Pneumonia
e)
-
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