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WorksheetsGCC 1676 - 1700
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
The physician has prescribed Phenergan (promethazine) with codeine for a client with pleurisy. The nurse recognizes that the medication was ordered for its:
a)
Expectorant effects
b)
Anti-inflammatory properties
c)
Antitussive effects
d)
Ability to relieve pain
e)
-
2.
Which home remedy is suitable to relieve the itching associated with varicella?
a)
Dusting the lesions with baby powder
b)
Applying gauze saturated in hydrogen peroxide
c)
Using cool compresses of normal saline
d)
Applying a paste of baking soda and water
e)
-
3.
The nurse is found to be guilty of charting blood glucose results without actually performing the procedure. After talking to the nurse, the charge nurse should:
a)
Call the Board of Nursing
b)
File a formal reprimand
c)
Terminate the nurse
d)
Charge the nurse with a tort
e)
-
4.
The nurse must use critical thinking skills and good judgment to appropriately delegate responsibility for portions of client care to other members of the health care team. What are the "five rights" of client care delegation?
a)
Right medication, right dose, right time, right route of administration, and right client.
b)
Right medication, right supervision, right symptoms, right time, and right client.
c)
Right task, right circumstances, right personnel, right communication, and right supervision.
d)
Right client, right site, right procedure, right personnel, and right consent.
e)
-
5.
A child is to receive heparin sodium 5 units per kilogram of body weight by subcutaneous route every 4 hours. The child weighs 52.8 lb. How many units should the child receive in a 24-hour period?
a)
300
b)
480
c)
720
d)
960
e)
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6.
The client with a myocardial infarction comes to the nurse's station stating that he is ready to go home because there is nothing wrong with him. Which defense mechanism is the client using?
a)
Rationalization
b)
Denial
c)
Projection
d)
Conversion reaction
e)
-
7.
The nurse cares for a client diagnosed with peptic ulcer disease. Which finding most likely explains the client's peptic ulcer disease?
a)
Family history of cancer.
b)
Ingestion of ibuprofen twice a day for chronic back pain.
c)
Computer use for at least 4 hours a day.
d)
Avoidance of eating vegetables.
e)
-
8.
The nurse is caring for the client who has been in a coma for 2 months. He has signed a donor card, but the wife is opposed to the idea of organ donation. How should the nurse handle the topic of organ donation with the wife?
a)
Contact organ retrieval to come talk to the wife
b)
Tell her that because her husband signed a donor card, the hospital has the right to take the organs upon the death of her husband
c)
Drop the subject until a later time
d)
Refrain from talking about the subject until after the death of her husband
e)
-
9.
The purpose of total parenteral nutrition (TPN) is to maintain nutrition. Varied energy sources supply different amounts of calories for the body's use. How many kilocalories does 1 gram of fat yield?
a)
3.4 kcal.
b)
4 kcal.
c)
9 kcal.
d)
15 kcal.
e)
-
10.
The nurse is cleaning up a blood spill that occurred during removal of a chest tube. The nurse should clean the blood spill using:
a)
Hydrogen peroxide
b)
Weak solution of bleach
c)
Isoprophyl alcohol
d)
Soap and water
e)
-
11.
The nurse is preparing a client with Addison's disease for discharge. The nurse should explain that the client can help prevent complications by:
a)
Avoiding dietary sources of sodium
b)
Dressing in lightweight clothing
c)
Restricting foods rich in potassium
d)
Staying out of crowds
e)
-
12.
Which of the following roommates would be best for the client newly admitted with gastric resection?
a)
A client with Crohn's disease
b)
A client with pneumonia
c)
A client with gastritis
d)
A client with phlebitis
e)
-
13.
Which assignment should not be performed by the licensed practical nurse?
a)
Inserting a Foley catheter
b)
Discontinuing a nasogastric tube
c)
Obtaining a sputum specimen
d)
Initiating a blood transfusion
e)
-
14.
A patient with thyroid cancer undergoes a thyroidectomy. After surgery, the patient develops peripheral numbness and tingling and muscle twitching and spasms. The nurse should expect to administer:
a)
a thyroid supplement.
b)
an antispasmodic.
c)
a barbiturate.
d)
I.V. calcium gluconate
e)
-
15.
Although children can develop allergies to a variety of foods, the most common food allergens are:
a)
Fruit, eggs, and corn
b)
Wheat, oats, and grain
c)
Cow's milk, rice, and tomatoes
d)
Eggs, cow's milk, and peanuts
e)
-
16.
A client in the triage area who is at 19 weeks' gestation states that she has not felt her baby move in the past week and no fetal heart tones are found. While evaluating this client, the nurse identifies her as being at the highest risk for developing which problem?
a)
Abruptio placentae.
b)
Placenta previa.
c)
Disseminated intravascular coagulation.
d)
Threatened abortion.
e)
-
17.
The nurse is caring for a multigravid client at 34 weeks' gestation diagnosed with preterm labor. The client has delivered two stillborn infants at 30 weeks' gestation. The client is scheduled for a sonogram before an amniocentesis. Which of the following would be a priority nursing diagnosis for the client?
a)
Acute pain related to abnormal uterine contractions.
b)
Anxiety related to diagnostic tests for fetal well-being.
c)
Ineffective coping related to hospitalization.
d)
Deficient knowledge related to consequences of preterm birth.
e)
-
18.
A 17-year-old client at 33 weeks' gestation diagnosed with mild preeclampsia is prescribed bed rest at home. The nurse instructs the client to contact the health care provider immediately if she experiences which of the following?
a)
Blurred vision.
b)
Ankle edema.
c)
Increased energy levels.
d)
Mild backache.
e)
-
19.
Which symptom differentiates chronic otitis media from acute otitis media?
a)
Elevated temperature
b)
Pain in the affected ear
c)
Nausea and vomiting
d)
Feelings of fullness in the ear
e)
-
20.
A 24-year-old client undergoes a traumatic below-the-knee amputation. The nurse assesses the client for risk of suicide. Which is a risk factor for suicide?
a)
Age.
b)
Female.
c)
Hopelessness.
d)
Living with family.
e)
-
21.
A client hospitalized with renal calculi complains of severe pain in the right flank. In addition to complaints of pain, the nurse can expect to see changes in the client's vital signs, which include:
a)
Decreased pulse rate
b)
Increased blood pressure
c)
Decreased respiratory rate
d)
Increased temperature
e)
-
22.
A patient presents with diaphoresis, palpitations, jitters, and tachycardia approximately 1½ hours after taking his regular morning insulin. Which treatment option is appropriate for this patient?
a)
Blood glucose level monitoring and carbohydrate administration
b)
Nitroglycerin administration and ECG
c)
Pulse oximetry monitoring and oxygen therapy
d)
Salt restriction, diuretic administration, and paracentesis
e)
-
23.
The nurse is caring for a patient with acute renal failure. The nurse should expect hypertonic glucose, insulin infusions, and sodium bicarbonate to be used to treat:
a)
hypernatremia.
b)
hypokalemia.
c)
hypercalcemia.
d)
hyperkalemia.
e)
-
24.
Which of the following would the nurse include in the teaching plan for a 32-year-old female client requesting information about using a diaphragm for family planning?
a)
Douching with an acidic solution after intercourse is recommended.
b)
Diaphragms should not be used if the client develops acute cervicitis.
c)
The diaphragm should be washed in a weak solution of bleach and water.
d)
The diaphragm should be left in place for 2 hours after intercourse.
e)
-
25.
When preparing a multigravid client at 34 weeks' gestation experiencing preterm labor for the shake test performed on amniotic fluid, the nurse would instruct the client that this test is done to evaluate the maturity of which of the following fetal systems?
a)
Urinary.
b)
Gastrointestinal.
c)
Cardiovascular.
d)
Pulmonary.
e)
-
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