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WorksheetsGCC 1626 - 1650
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
An infant weighs 7 pounds at birth. The expected weight by 1 year should be:
a)
10 pounds
b)
12 pounds
c)
18 pounds
d)
21 pounds
e)
-
2.
A 9-month-old is admitted with a diagnosis of eczema. The nurse would expect the 9-month-old to have eczematous lesions over:
a)
The abdomen, cheeks, and scalp
b)
The buttocks, abdomen, and back
c)
The back and flexor surfaces of the arms and legs
d)
The cheeks and extensor surfaces of arms and legs
e)
-
3.
A client in respiratory distress has just been intubated and placed on a mechanical ventilator. A portable chest x-ray is ordered stat to confirm endotracheal tube placement. The radiologic technician arrives with the portable x-ray machine and is preparing to take the x-ray when the nurse remembers that the client also has a nasogastric tube ordered that will also require chest x-ray confirmation. What action should be taken by the nurse to practice good resource management and give quality care to the client?
a)
The nurse should allow the radiologic technician to perform the portable chest x-ray for endotracheal tube placement. The nasogastric tube can be placed at another time and an additional chest x-ray ordered for placement.
b)
The nurse should allow the radiologic technician to perform the portable chest x-ray for endotracheal tube placement, and then stand by for another chest x-ray after the nasogastric tube has been placed. The costs of both stat portable chest x-rays will be covered by the client's insurance plan.
c)
The nurse should inform the radiologic technician that a nasogastric tube still needs to be placed and to come back at a later time to perform the stat portable chest x-ray.
d)
The nurse should inform the radiologic technician to wait briefly while a nasogastric tube is placed and then perform the stat portable chest x-ray for both endotracheal tube and nasogastric tube placement confirmation with one chest x-ray study.
e)
-
4.
The nurse has an order to administer meperidine (Demerol) 75 mg IM for pain. The drug available is Demerol 100mg in 2 mLs. How many mL(s) will the nurse administer?
a)
1.0 mL
b)
1.3 mL
c)
1.5 mL
d)
1.7 mL
e)
-
5.
A client with hyperthyroidism is taking lithium carbonate to inhibit thyroid hormone release. Which complaint by the client should alert the nurse to a problem with the client's medication?
a)
The client complains of blurred vision.
b)
The client complains of increased thirst and increased urination.
c)
The client complains of increased weight gain over the past year.
d)
The client complains of changes in taste.
e)
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6.
Crohn's disease can be described as a chronic relapsing disease. Which area of the GI system may be involved with this disease?
a)
The entire length of the large colon
b)
Only the sigmoid area
c)
The entire large colon through the layers of mucosa and submucosa
d)
The small intestine and colon, affecting the entire thickness of the bowel
e)
-
7.
The nurse instructs a primigravid client about the importance of sufficient vitamin A in her diet. The nurse knows that the instructions have been effective when the client indicates that she should include which of the following in her diet?
a)
Buttermilk and cheese.
b)
Strawberries and cantaloupe.
c)
Egg yolks and squash.
d)
Oranges and tomatoes.
e)
-
8.
The nurse is teaching a male patient to perform monthly testicular self-examinations. What is the appropriate point to make?
a)
Testicular cancer is highly curable.
b)
Testicular cancer is difficult to diagnose.
c)
Testicular cancer is the number one cause of cancer deaths in men.
d)
Testicular cancer is more common in older men.
e)
-
9.
Which list contains common symptoms of terminally ill clients?
a)
Hunger, thirst, fatigue, and diarrhea.
b)
Dehydration, nausea, effective breathing, and adequate nutrition.
c)
Discomfort, nausea, ineffective breathing, and fatigue.
d)
Urinary continence, thirst, dehydration, and diarrhea.
e)
-
10.
A primigravid client with severe preeclampsia exhibits hyperactive, very brisk patellar reflexes with two beats of ankle clonus present. The nurse documents the patellar reflexes as which of the following?
a)
1+
b)
2+
c)
3+
d)
4+
e)
-
11.
In the intensive care unit, which intervention will best promote sleep for a critically ill client?
a)
Administer a sleeping medication.
b)
Allow the family to remain at the bedside to talk with client.
c)
Keep the television on to block the noise of other alarms.
d)
Cluster care and avoid awakening client for nonessential tasks.
e)
-
12.
A client presents with a right tension pneumothorax. The nurse expects to find which sign and symptom?
a)
Diminished breath sounds on the left.
b)
Hypertension.
c)
Hypoxia.
d)
Tracheal deviation to the right.
e)
-
13.
A postoperative surgery client has orders to be out of bed to a chair three times daily and to perform incentive spirometry 10 times hourly while awake. The client resists incentive spirometry instruction by the respiratory therapist and refuses when the nurse and the lift team arrive to assist the client up to a chair at bedside. Which statement by the nurse shows effective priority setting for this postoperative client?
a)
You do not have to get up to the chair if you do not want to. You have the right to refuse treatment.
b)
Using the incentive spirometer and increasing your mobility with activities like getting up to the chair are important for your recovery after surgery. They help to prevent complications like pneumonia. You always have the right to refuse treatment, but I want you to know that you are placing yourself at risk for complications if you do so.
c)
If you choose not to get up to the chair or use your incentive spirometer, your physician will be upset. These treatments are designed to help you avoid complications after surgery.
d)
I would not want to get up, either, if I were you. That must be painful after surgery. Maybe you will feel strong enough to get out of bed tomorrow.
e)
-
14.
The nurse is concerned that an elderly home care client may overdose on prescribed opioid analgesics. Which set of symptoms indicate the classic triad of opiate overdose?
a)
Miosis, decreased respiratory rate, and coma.
b)
Diplopia, decreased respiratory rate, and hyperactivity.
c)
Hallucinations, hypertension, and Kussmaul respirations.
d)
Seizures, decreased respiratory rate, and dilated pupils.
e)
-
15.
A client with hepatitis C is about to undergo a liver biopsy. Which of the following would the nurse expect to reiterate to this client?
a)
The client should lie on the left side after the procedure.
b)
The client will have cleansing enemas the morning of the procedure.
c)
Blood coagulation studies might be done before the biopsy.
d)
The procedure is noninvasive and causes no pain.
e)
-
16.
Three sets of factors place families at risk for child abuse and neglect. Parental risk factors that place families at risk for child abuse and neglect include:
a)
The behavior issues of the child.
b)
The parent's belief in emotional punishment.
c)
The parent's strong friendships in the community.
d)
The abuse or neglect the parent suffered as a child.
e)
-
17.
The client has an order for a trough to be drawn on the client receiving Vancomycin. The nurse is aware that the nurse should contact the lab in order for them to collect the blood:
a)
15 minutes after the infusion
b)
30 minutes before the infusion
c)
1 hour after the infusion
d)
2 hours after the infusion
e)
-
18.
Alpha-adrenergic blocking agents include medications such as doxazosin (Cardura) and prazosin hydrochloride (Minipress). The mechanism of action for these medications is to:
a)
Inhibit the parasympathetic system.
b)
Stimulate the sympathetic system.
c)
Inhibit the sympathetic system.
d)
Stimulate the parasympathetic system.
e)
-
19.
A patient with acute renal failure is being assessed to determine whether the cause is prerenal, renal, or postrenal. If the cause is prerenal, which condition most likely caused it?
a)
Heart failure
b)
Glomerulonephritis
c)
Ureterolithiasis
d)
Aminoglycoside toxicity
e)
-
20.
A client is admitted to the hospital due to complications of cardiomyopathy. The client states, "I am always being admitted to the hospital for the same problem." The nurse knows that which recurring condition develops in clients with cardiomyopathy?
a)
Heart failure.
b)
Hypertension.
c)
Myocardial infarction.
d)
Anemia.
e)
-
21.
A client with a laryngectomy returns from surgery with a nasogastric tube in place. The primary reason for placement of the nasogastric tube is to:
a)
Prevent swelling and dysphagia
b)
Decompress the stomach via suction
c)
Prevent contamination of the suture line
d)
Promote healing of the oral mucosa
e)
-
22.
A patient, age 38, has acute bronchitis. The nurse formulates a nursing diagnosis of Ineffective airway clearance. After implementing the care plan, the nurse would expect which outcome?
a)
The patient maintains a respiratory rate of 24 breaths/minute.
b)
The patient maintains an arterial oxygen saturation of 90%.
c)
The patient maintains clear breath sounds.
d)
The patient exhibits increased anxiety.
e)
-
23.
Which client is most likely to be affected with Cooley's anemia?
a)
A child of Mediterranean descent
b)
A child of Asian descent
c)
A child of African descent
d)
A child of European descent
e)
-
24.
A teen hospitalized with anorexia nervosa is now permitted to leave her room and eat in the dining room. Which of the following nursing interventions should be included in the client's plan of care?
a)
Weighing the client after she eats
b)
Having a staff member remain with her for 1 hour after she eats
c)
Placing high-protein foods in the center of the client's plate
d)
Providing the client with child-size utensils
e)
-
25.
The spouse of an elderly client dies. The nurse understands that this client faces the task of:
a)
Balancing freedom and responsibility.
b)
Adjusting to living alone.
c)
Promoting joint decision-making.
d)
Considering the economic ramifications.
e)
-
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