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WorksheetsGCC 1576 - 1600
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
The nurse is caring for a patient who was given pain medication before leaving the recovery room. Upon returning to his room, the patient states that he is still experiencing pain and requests more pain medication. Of the following actions, which is the first for the nurse to take?
a)
Tell the patient that he must wait 4 hours for more pain medication.
b)
Give half of the ordered as-needed dose.
c)
Document the patient's pain.
d)
Notify the practitioner that the patient is still experiencing pain.
e)
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2.
The nurse is preparing a client for cervical uterine radiation implant insertion. Which will be included in the nurse's explanations?
a)
TV or telephone use will not be allowed while the implant is in place.
b)
A Foley catheter is usually inserted.
c)
A high-fiber diet is recommended.
d)
Excretions will be considered radioactive.
e)
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3.
While caring for a client with hypertension, the nurse notes the following vital signs: BP of 140/20, pulse 120, respirations 36, temperature 100.8ºF. The nurse's initial action should be to:
a)
Call the doctor
b)
Recheck the vital signs
c)
Obtain arterial blood gases
d)
Obtain an ECG
e)
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4.
The nurse is teaching a new prenatal client about her iron deficiency anemia during pregnancy. Which statement indicates that the client needs further instruction about her anemia?
a)
I will need to take iron supplements now.
b)
I may have anemia because my family is of Asian descent.
c)
I am considered anemic if my hemoglobin is below 11 g/dL.
d)
The workload on my heart is increased when there is not enough oxygen in my system.
e)
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5.
A client has the following medications ordered: albuterol sulfate (Proventil) inhaler 2 puffs every 4 hours and fluticasone propionate (Flovent) one puff in each nostril twice a day. Which is a true statement regarding the use of these two medications?
a)
They should not be used together.
b)
The fluticasone propionate (Flovent) should be used first.
c)
The albuterol sulfate (Proventil) should be used first.
d)
The nurse should ask the pharmacist to combine them into one medication.
e)
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6.
A client has been receiving cyanocobalamine (B12) injections for the past 6 weeks. Which laboratory finding indicates that the medication is having the desired effect?
a)
Neutrophil count of 60%
b)
Basophil count of 0.5%
c)
Monocyte count of 2%
d)
Reticulocyte count of 1%
e)
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7.
The nurse is caring for a patient with a pleural effusion. The patient asks, "What is a pleural effusion?"
a)
It is the collapse of alveoli.
b)
It is the collapse of a bronchiole.
c)
It is the fluid in the alveolar space.
d)
It is the accumulation of fluid between the linings of the pleural space.
e)
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8.
The Neuman's Systems Model maintains that each person (or group of persons) constitutes a system of five variables: physiological, psychological, sociocultural, developmental, and spiritual. These variables exist along a developmental continuum. The spiritual continuum can range from lack of awareness or denial of spirituality to a highly developed spiritual consciousness. A nurse who allows Neuman's Systems Model to guide practice should address the client's level of spiritual awareness or development and address any identifiable spiritual needs occurring in reaction to the:
a)
Attitude clients choose in response to suffering.
b)
Availability and efficacy of resources for coping with the stressor.
c)
Meaning of this experience for the client.
d)
Stress of surgery.
e)
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9.
A client is currently under the care of the palliative care service of home health and has been experiencing nausea. What nursing actions will most likely promote comfort in this client?
a)
Educate the patient and family in the use of prescribed antiemetics; providing oral care every 2 to 4 hours; consuming a diet of clear liquids and ice chips; and avoiding liquids such as coffee, milk, and citrus juices.
b)
Administer additional pain medication.
c)
Provide education to the patient and family regarding oral care and antiemetic medication.
d)
Take a detailed medical history to determine the cause of the nausea.
e)
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10.
The nurse cares for a client who experienced a cerebral vascular accident. The client's husband asks why his wife has a splint on her hand. The nurse explains that the splint is needed to prevent:
a)
Skin breakdown.
b)
Deformity of the hand.
c)
Edema.
d)
Muscle wasting.
e)
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11.
Which condition is caused by arterial bleeding from tears in the distal esophagus or proximal stomach?
a)
Appendicitis.
b)
Gastritis.
c)
Ischemic colitis.
d)
Mallory-Weiss syndrome.
e)
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12.
The nurse examines a client's external auditory canal and tympanic membrane with an otoscope. Which is the best way to position the ear for the examination?
a)
Pull the auricle downward.
b)
Pull the auricle up and back.
c)
Pull the earlobe downward.
d)
Pull the tragus forward.
e)
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13.
Which instruction should be given to the client who is fitted for a behind-the-ear hearing aid?
a)
Remove the mold and clean every week
b)
Store the hearing aid in a cool place
c)
Clean the lint from the hearing aid with a toothpick
d)
Change the batteries weekly
e)
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14.
A client has an order for Dilantin (phenytoin) 0.2g orally twice a day. The medication is available in 100mg capsules. For the morning medication, the nurse should administer:
a)
1 capsule
b)
2 capsules
c)
3 capsules
d)
4 capsules
e)
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15.
In every household, members have to decide the ways in which work and responsibilities will be divided and shared. Different roles include:
a)
Bidder.
b)
Gender.
c)
Provider.
d)
Student.
e)
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16.
The practitioner orders I.V. streptokinase for a patient with an evolving MI. During streptokinase therapy, which nursing assessment is most important?
a)
Assess the patient for cardiac arrhythmias.
b)
Assess the patient for signs of bleeding.
c)
Assess the patient for increased chest pain.
d)
Assess the patient for signs of pulmonary edema.
e)
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17.
When implementing an evidence-based nursing program to decrease the incidence of pressure ulcers on a medical-surgical unit, which of the following is the most important to ensure its success?
a)
Obtaining support from management, administration, and physicians
b)
Determining and documenting patient outcomes
c)
Identifying a significant problem that needs to be addressed
d)
Evaluating research based on its validity and reliability
e)
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18.
When instructing a client about the proper use of condoms for pregnancy prevention, which of the following instructions would be included to ensure maximum effectiveness?
a)
Place the condom over the erect penis before coitus.
b)
Withdraw the condom after coitus when the penis is flaccid.
c)
Ensure that the condom is pulled tightly over the penis before coitus.
d)
Obtain a prescription for a condom with nonoxynol 9.
e)
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19.
The nurse knows that the 60-year-old female client's susceptibility to osteoporosis is most likely related to:
a)
Lack of exercise
b)
Hormonal disturbances
c)
Lack of calcium
d)
Genetic predisposition
e)
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20.
A client with an executed advance directive specifying "do not resuscitate, do not intubate" in the medical record becomes unresponsive during a bed bath, at which time the nursing assistant activates the hospital code blue system. The client's primary nurse arrives quickly at the bedside to find the nursing assistant performing cardiopulmonary resuscitation as the code team enters the client's room. Which action by the nurse is most important in protecting the client's right to self-determination?
a)
Instructing the nursing assistant to stop CPR.
b)
Assisting the physician with the intubation process.
c)
Assisting the nursing assistant in placing the backboard under the client to facilitate compressions.
d)
Instructing the nursing assistant to retrieve the crash cart.
e)
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21.
The physician orders a continuous positive airway pressure (CPAP) mask for a client. The nurse explains to the client that CPAP provides:
a)
Extra oxygen.
b)
A constant flow of oxygen.
c)
Pressurized oxygen at the end of expiration to open collapsed alveoli.
d)
Pressurized oxygen so the client can breathe more easily.
e)
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22.
Which of the following is incorrect about informed consent?
a)
It can be revoked by the state, especially when the benefits outweigh the risks.
b)
A person has to be mentally competent to sign an informed consent.
c)
Physicians can waive informed consents in emergency situations.
d)
The name of the procedure, its risks and benefits, and other alternative procedures make up all the essential elements of informed consent.
e)
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23.
A client expectorates pink-tinged sputum after returning from a bronchoscopy. Which action is most appropriate for the nurse to take?
a)
Notify the physician.
b)
Obtain the client's vital signs and then call the physician.
c)
Auscultate the client's lungs for rhonchi.
d)
Continue to monitor the client's condition.
e)
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24.
The nurse is discussing breastfeeding with a postpartum client. Breastfeeding is contraindicated in the postpartum client with:
a)
Diabetes
b)
Positive HIV
c)
Hypertension
d)
Thyroid disease
e)
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25.
A 4-year-old male is admitted to the unit with nephrotic syndrome. He is extremely edematous. To decrease the discomfort associated with scrotal edema, the nurse should:
a)
Apply ice to the scrotum
b)
Elevate the scrotum on a small pillow
c)
Apply heat to the abdominal area
d)
Administer a diuretic
e)
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