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Worksheets

GCC 1601 - 1625

Total questions: 25

Worksheet time: 25mins

Name
Class
Date
1.
The doctor suspects that the client has an ectopic pregnancy. Which symptom is consistent with a diagnosis of ectopic pregnancy?
a)
Painless vaginal bleeding
b)
Abdominal cramping
c)
Throbbing pain in the upper quadrant
d)
Sudden, stabbing pain in the lower quadrant
e)
-
2.
A client has cancer of the pancreas. The nurse should be most concerned with which nursing diagnosis?
a)
Alteration in nutrition
b)
Alteration in bowel elimination
c)
Alteration in skin integrity
d)
Ineffective individual coping
e)
-
3.
Which discharge instructions should the nurse give to a patient undergoing treatment for acute pyelonephritis?
a)
Avoid consuming any dairy products.
b)
Return for follow-up urine cultures.
c)
Stop taking the prescribed antibiotics when your signs and symptoms subside.
d)
Recurrence is unlikely because you have been treated with antibiotics.
e)
-
4.
A 5-month-old is diagnosed with atopic dermatitis. Nursing interventions will focus on:
a)
Preventing infection
b)
Administering antipyretics
c)
Keeping the skin free of moisture
d)
Limiting oral fluid intake
e)
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5.
When teaching a primigravid client with diabetes about common causes of hyperglycemia during pregnancy, which of the following would the nurse include?
a)
Fetal macrosomia.
b)
Obesity before conception.
c)
Maternal infection.
d)
Pregnancy-induced hypertension.
e)
-
6.
A client who has chosen to breastfeed complains to the nurse that her nipples became very sore while she was breastfeeding her older child. Which measure will help her to avoid soreness of the nipples?
a)
Feeding the baby during the first 48 hours after delivery
b)
Breaking suction by placing a finger between the baby's mouth and the breast when she terminates the feeding
c)
Applying warm, moist soaks to the breast several times per day
d)
Wearing a support bra
e)
-
7.
A client with Alzheimer's disease is awaiting placement in a skilled nursing facility. Which long-term plans would be most therapeutic for the client?
a)
Placing mirrors in several locations in the home
b)
Placing a picture of herself in her bedroom
c)
Placing simple signs to indicate the location of the bedroom, bathroom, and so on
d)
Alternating healthcare workers to prevent boredom
e)
-
8.
The nurse is assessing a male patient with gonorrhea. Which symptom most likely prompted him to seek medical attention?
a)
Rashes on the palms of the hands and soles of the feet
b)
Cauliflower-like warts on the penis
c)
Painful red papules on the shaft of the penis
d)
Foul-smelling discharge from the penis
e)
-
9.
The client arrives in the emergency room with a "bull's eye" rash. Which question would be most appropriate for the nurse to ask the client?
a)
Have you found any ticks on your body?
b)
Have you had any nausea in the last 24 hours?
c)
Have you been outside the country in the last 6 months?
d)
Have you had any fever for the past few days?
e)
-
10.
A 23-year-old nulliparous client visiting the clinic for a routine examination tells the nurse that she desires to use the basal body temperature method for family planning. The nurse should instruct the client to do which of the following?
a)
Check the cervical mucus to see if it is thick and sparse.
b)
Take her temperature at the same time every morning before getting out of bed.
c)
Document ovulation when her temperature decreases at least 1º F.
d)
Avoid coitus for 10 days after a slight rise in temperature.
e)
-
11.
A client is admitted with burns of the right arm, chest, and head. According to the Rule of Nines, the percent of burn injury is:
a)
0.18
b)
0.27
c)
0.36
d)
0.45
e)
-
12.
The schizophrenic client has become disruptive and requires seclusion. Which staff member can institute seclusion?
a)
The security guard
b)
The registered nurse
c)
The licensed practical nurse
d)
The nursing assistant
e)
-
13.
Which of the following findings is associated with right-sided heart failure?
a)
Shortness of breath
b)
Nocturnal polyuria
c)
Daytime oliguria
d)
Crackles in the lungs
e)
-
14.
The client is admitted with chronic obstructive pulmonary disease. Blood gases reveal pH 7.36, CO2 45, O2 84, HCO3 28. The nurse would assess the client to be in:
a)
Uncompensated acidosis
b)
Compensated alkalosis
c)
Compensated respiratory acidosis
d)
Uncompensated metabolic acidosis
e)
-
15.
A dilatation and curettage (D&C) is scheduled for a primigravid client admitted to the hospital at 10 weeks' gestation with abdominal cramping, bright red vaginal spotting, and passage of some of the products of conception. The nurse should assess the client further for the expression of which of the following feelings?
a)
Ambivalence
b)
Anxiety
c)
Fear
d)
Guilt
e)
-
16.
A patient arrives at the office of his physician complaining of a rash. The nurse assesses the patient and notes several palpable, elevated masses, each about 0.5 cm in diameter. What term would the nurse use to accurately describe these masses?
a)
Erosions
b)
Macules
c)
Papules
d)
Vesicles
e)
-
17.
A client who has difficulty rating pain is noted to have the following vital signs. Which of these indicates to the nurse that pain may be present?
a)
Blood pressure 124/72 mm Hg
b)
Pulse 120 beats/minute
c)
Respiratory rate 8 breaths/minute
d)
Pulse oximetry 92%
e)
-
18.
The nurse is caring for a client hospitalized with bipolar disorder, manic phase. Which of the following snacks would be best for the client with mania?
a)
Potato chips
b)
Diet cola
c)
Apple
d)
Milkshake
e)
-
19.
The nurse observes white patches and ulcerations in a client's oral cavity. The client tells the nurse the sores developed during chemotherapy treatment even though the client performed oral care regularly. The nurse suspects which complication?
a)
Low hemoglobin level
b)
Thrush
c)
Mucositis
d)
Infection due to poor oral hygiene
e)
-
20.
The physician has ordered Amoxil (amoxicillin) 500mg capsules for a client with esophageal varices. The nurse can best care for the client's needs by:
a)
Giving the medication as ordered
b)
Providing extra water with the medication
c)
Giving the medication with an antacid
d)
Requesting an alternate form of the medication
e)
-
21.
Which development milestone puts the 4-month-old infant at greatest risk for injury?
a)
Switching objects from one hand to another
b)
Crawling
c)
Standing
d)
Rolling over
e)
-
22.
The nurse is performing tracheostomy care. If the client coughs out the inner cannula, the nurse should:
a)
Call the doctor
b)
Replace the inner cannula with a new one
c)
Hold open the stoma with forceps
d)
Begin rescue breathing
e)
-
23.
The nurse prepares to give an injection to an elderly client. When the nurse aspirates prior to injecting, a small amount of blood is noted in the syringe. Which action is most appropriate for the nurse to take?
a)
Pull back slightly on the needle and attempt aspiration again.
b)
Push the needle into the muscle at least 1 cm and give the injection.
c)
Withdraw the needle and restart the process with new medication and equipment.
d)
Administer the medication more slowly than normal.
e)
-
24.
A client suffers from a right radial fracture. The client now complains of severe pain in the right arm accompanied with edema in the fingers. The nurse suspects:
a)
Carpal tunnel syndrome.
b)
Compartment syndrome.
c)
Subsequent ulnar fracture.
d)
Ulnar nerve palsy.
e)
-
25.
On a follow-up visit after having a vaginal hysterectomy, a 32-year-old patient has an elevated temperature and decreased hematocrit. Which complication does this suggest?
a)
Hematoma
b)
Hypovolemia
c)
Infection
d)
Thromboembolism
e)
-