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WorksheetsGCC 1701 - 1725
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
Assuming that all have achieved normal cognitive and emotional development, which of the following children is at greatest risk for accidental poisoning?
a)
A 6-month-old
b)
A 4-year-old
c)
A 10-year-old
d)
A 13-year-old
e)
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2.
During a well baby visit, the mother asks the nurse when the "soft spot" on the front of her baby's head will close. The nurse should tell the mother that the anterior fontanel normally closes by the time the baby is:
a)
4-6 months of age
b)
7-9 months of age
c)
10-12 months of age
d)
12-18 months of age
e)
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3.
Which prevention measures should the nurse include when instructing a client on how to avoid otitis externa?
a)
Avoidance of any activity that may increase risk for splenic rupture.
b)
Simple hand-washing and safe food preparation techniques.
c)
Ear canal drying and use of astringent drops after swimming or bathing.
d)
Taking preventative antibiotics prior to dental or other invasive procedures.
e)
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4.
A nurse cares for a client with an intracranial pressure reading of 10 mm Hg. The nurse knows that this reading:
a)
Is normal.
b)
Is elevated.
c)
Requires the nurse to notify the physician.
d)
Needs to be treated immediately.
e)
-
5.
The nurse is caring for an elderly female patient who has osteoporosis. When teaching her, the nurse should include information about which major complication?
a)
Bone fracture
b)
Loss of estrogen
c)
Negative calcium balance
d)
Scoliosis
e)
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6.
The licensed practical nurse is working with a registered nurse and a patient care assistant. Which of the following clients should be cared for by the registered nurse?
a)
A client 2 days post-appendectomy
b)
A client 1 week post-thyroidectomy
c)
A client 3 days post-splenectomy
d)
A client 2 days post-thoracotomy
e)
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7.
The nurse prepares to administer an ACE inhibitor to a patient with an acute MI for which reason?
a)
To minimize platelet aggregation
b)
To reduce preload and afterload
c)
To reduce myocardial oxygen consumption
d)
To decrease myocardial oxygen demand
e)
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8.
Cellular damage related to oxidative stress (free radicals) is associated with degenerative diseases that affect older clients, such as atherosclerosis and cancer. Antioxidants may slow the oxidative process. The client obtains benefit from antioxidants by:
a)
Avoiding harmful substances such as tobacco smoke and radiation.
b)
Taking a multivitamin daily and eating a balanced diet.
c)
Engaging in regular exercise and physical activity.
d)
Maintaining a normal body weight.
e)
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9.
A client with newly diagnosed acquired immunodeficiency syndrome (AIDS) asks the nurse if it's necessary to tell co-workers about the diagnosis. The nurse's response is based on which correct understanding?
a)
Transmission of AIDS doesn't occur through casual contact
b)
Employees have a right to choose with whom they will work
c)
Clients with an AIDS diagnosis should not work in public places
d)
The law requires
e)
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10.
The topic of physiologic changes that occur during pregnancy is to be included in a parenting class for primigravid clients who are in their first half of pregnancy. Which of the following would be important for the nurse to include in the teaching plan?
a)
Decreased plasma volume.
b)
Increased risk for urinary tract infections.
c)
Increased peripheral vascular resistance.
d)
Increased hemoglobin levels.
e)
-
11.
A prison inmate is brought to the emergency department with complaints of chest pressure that radiates up the jaw and down the left arm. The nurse overhears another employee speaking rudely to the inmate client. Acting as the client's advocate, the nurse tells the employee privately that all clients are to be treated with equal respect and dignity. Which client right has the nurse protected?
a)
The right to free speech.
b)
The right to privacy.
c)
The right to considerate and respectful care.
d)
The right to confidentiality.
e)
-
12.
A client has just returned from surgery. In anticipation of the client having pain, what nursing action would be most effective in helping to prevent or control the client's pain?
a)
The nurse discusses with the client and the available family how the client generally controls pain at home, carefully inquiring about pharmacological and nonpharmacological pain control methods. The client states that soft music, a heating pad, and lying on the right side help reduce pain. The nurse documents the findings and arranges for a headset with soft music to be brought in from home and a heating pad from the hospital.
b)
The nurse discusses with the client and the available family how the client generally controls pain at home. The client states that ibuprofen (Advil) generally helps the most. The nurse documents the findings and checks the physician's orders to make sure that ibuprofen is one of the medications ordered for pain control.
c)
The nurse discusses with the client and the available family how the client generally controls pain at home, carefully inquiring about pharmacological and nonpharmacological pain control methods. The client states that soft music, a heating pad, and lying on the right side help reduce pain. The nurse documents the findings.
d)
The nurse carefully inquires about pharmacological and nonpharmacological pain control methods. The client states that soft music, a heating pad, and lying on the right side help reduce pain. The nurse arranges for ice packs, and a headset with the nurse's favorite music.
e)
-
13.
Which class of medications protects the ischemic myocardium by blocking catecholamines and sympathetic nerve stimulation?
a)
Beta-adrenergic blockers
b)
Calcium channel blockers
c)
Opioids
d)
Nitrates
e)
-
14.
A 24-year-old male enters the emergency department with a chief complaint of seizure activity that lasted approximately 45 seconds. The client's vital signs are blood pressure 118/64 mm Hg, pulse 84 beats/minute, respiratory rate 16 breaths/minute, and pulse oximetry reading of 100% on room air. The client has a past medical history of tonic-clonic seizures. Due to loss of employment for the past 2 weeks, the client has not taken antiseizure medication. Which medication should the nurse administer to this client?
a)
Furosemide (Lasix).
b)
Fosinopril sodium (Monopril).
c)
Fosphenytoin sodium (Cerebyx).
d)
Famotidine (Pepcid).
e)
-
15.
The registered nurse is conducting an in-service for colleagues about peptic ulcers. The nurse would be correct in identifying which of the following as a causative factor?
a)
N. gonorrhea
b)
H. influenza
c)
H. pylori
d)
E. coli
e)
-
16.
The nurse overhears the patient care assistant speaking harshly to the client with dementia. The charge nurse should:
a)
Change the nursing assistant's assignment
b)
Explore the interaction with the nursing assistant
c)
Discuss the matter with the client's family
d)
Initiate a group session with the nursing assistant
e)
-
17.
The nurse discusses organ donation with a family whose loved one has suddenly passed. Common courtesy and sensitivity to the family's grief are important. Which action facilitates the family's option of organ donation?
a)
Assuring the family that the decision is not theirs to make
b)
Asking the family about organ donation immediately following the client's death
c)
Using a private area to discuss organ donation with the family
d)
Communicating about the loved one's death after organ donation forms are signed
e)
-
18.
New parents ask the nurse how to predict the adult height of their new baby. The nurse knows the major factors which determine adult height are:
a)
Intrauterine growth and maternal health
b)
Chromosome abnormalities in the parents
c)
Genetics and chronic illness
d)
Parental genetics and nutrition
e)
-
19.
The nurse cares for a client with a hip fracture. The nurse understands that it is important for the client to ambulate frequently because:
a)
Weight-bearing exercise causes calcium to be absorbed into the bone, facilitating bone growth and repair.
b)
Weight-bearing exercise stimulates red blood cell production, preventing anemia.
c)
Ambulation prevents skin breakdown.
d)
Ambulation stimulates the bone marrow to produce more white blood cells to prevent infection.
e)
-
20.
The nurse is providing dietary instructions for a client with iron-deficiency anemia. Which food is a poor source of iron?
a)
Tomatoes
b)
Legumes
c)
Dried fruits
d)
Nuts
e)
-
21.
The nurse is preparing to administer promethazine hydrochloride (Phenergan). This drug should produce which therapeutic effect?
a)
Marked diuresis
b)
Decreased nausea
c)
Constriction of the pupils
d)
Increased seizure threshold
e)
-
22.
An 8-year-old is admitted with drooling, muffled phonation, and a temperature of 102ºF. The nurse should immediately notify the doctor because the child's symptoms are suggestive of:
a)
Strep throat
b)
Epiglottitis
c)
Laryngotracheobronchitis
d)
Bronchiolitis
e)
-
23.
The nurse is reinforcing teaching to a client with a hiatal hernia. Which would be included in the teaching plan?
a)
Eat a pureed diet
b)
Avoid the intake of sweets
c)
Remain in an upright position after meals
d)
Limit protein to 3 oz. once a day
e)
-
24.
For gastric ulcer perforation, patient management should include:
a)
Removal of the nasogastric (NG) tube
b)
Antacid administration
c)
Administration of a histamine-2 (H2)-receptor antagonist
d)
Fluid and electrolyte replacement
e)
-
25.
A client with a spinal cord injury complains of severe headache. The nurse finds the client to be diaphoretic, hypertensive, and bradycardiac. The nurse suspects the client is experiencing autonomic dysreflexia. Which is the nurse's first action?
a)
Elevate the head of the bed
b)
Check vital signs
c)
Notify the physician
d)
Check the client's bladder for distension
e)
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