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WorksheetsGCC 1726- 1750
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
The nurse is receiving shift report on a client. The client has a urinary catheter with a closed urinary drainage system. Which sites have the greatest potential for introducing infection in the closed urinary drainage system?
a)
Catheter insertion site and the spigot.
b)
Catheter insertion site, the drainage bag, and the junction of the drainage tube and the bag.
c)
Catheter, catheter insertion site, drainage bag, the spigot, tube junction, and the junction of the tube and the bag.
d)
Catheter insertion site, drainage bag, the spigot, tube junction, and the junction of the tube and the bag.
e)
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2.
A post-operative client has an order for Demerol (meperidine) 75mg and Phenergan (promethazine) 25mg IM every 3-4 hours as needed for pain. The combination of the two medications produces a/an:
a)
Agonist effect
b)
Synergistic effect
c)
Antagonist effect
d)
Excitatory effect
e)
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3.
Which antibiotic is contraindicated for the treatment of infections in infants and young children?
a)
Tetracyn (tetracycline)
b)
Amoxil (amoxicillin)
c)
Cefotan (cefotetan)
d)
E-Mycin (erythromycin)
e)
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4.
A client was admitted to the medical unit after having abdominal surgery. The nurse questioned the client during the morning assessment about the passage of flatus. The client stated that flatus had been passed early in the morning. In anticipation of defecation, what is the most important instruction for the nurse to give the client?
a)
Please call the nurse if you need to go to the bathroom.
b)
If you feel the urge to have a bowel movement, please call for assistance before getting up to the toilet. When having a bowel movement, be sure to breathe out to prevent straining. Do not hold your breath.
c)
To prevent the Valsalva maneuver, contract the stomach muscles while holding your breath and push. This will assist in the passage of the stool and will decrease the amount of time required to have a bowel movement.
d)
Your bowels will be moving soon. Please report any abdominal pain.
e)
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5.
While caring for a moderately obese primigravid client in active labor at term, the nurse should monitor the client for signs of which of the following?
a)
Hypotonic reflexes.
b)
Increased uterine resting tone.
c)
Soft tissue dystocia.
d)
Increased fear and anxiety.
e)
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6.
Which of the following best describes the language of a 24-month-old?
a)
Doesn't understand yes and no
b)
Understands the meaning of words
c)
Able to verbalize needs
d)
Continually asks "Why?" to most topics
e)
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7.
The physician has ordered an external monitor for a laboring client. If the fetus is in the left occipital posterior (LOP) position, the nurse knows that the ultrasound transducer will be located:
a)
Near the symphysis pubis
b)
Near the umbilicus
c)
Over the fetal back
d)
Over the fetal abdomen
e)
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8.
The nurse is planning room assignments for the day. Which client should be assigned to a private room if only one is available?
a)
The client with Cushing's disease
b)
The client with diabetes
c)
The client with acromegaly
d)
The client with myxedema
e)
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9.
In the unconscious client, noxious stimuli may elicit an abnormal motor response. When assessing a client, the nurse finds that in response to painful stimuli, the upper extremities exhibit flexion of the arm, wrist, and fingers with adduction of the limb. The lower extremity exhibits extension, internal rotation, and plantar flexion. This is known as:
a)
Decerebrate posturing.
b)
Decorticate posturing.
c)
Reflex posturing.
d)
Superficial posturing.
e)
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10.
Which of the following meal choices is suitable for a 6-month-old infant?
a)
Egg white, formula, and orange juice
b)
Apple juice, carrots, whole milk
c)
Rice cereal, apple juice, formula
d)
Melba toast, egg yolk, whole milk
e)
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11.
A patient, age 72, has otosclerosis and is scheduled for a stapedectomy. During preoperative teaching, the nurse should give him which instruction?
a)
Cough and sneeze with your mouth closed.
b)
Try to get up and walk around as soon as you return from the operating room.
c)
Lie on the bed with your operative ear facing up.
d)
Turn your head rapidly to prevent dizziness.
e)
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12.
A client has been diagnosed with mononucleosis. Which statements made by the client lets you know that further teaching is needed? Select all that apply.
a)
I can share my spoon while eating with my daughter.
b)
I cannot kiss my spouse and pass saliva for at least 10 weeks.
c)
I cannot play basketball for at least 10 weeks.
d)
I cannot ride my bike for at least 10 weeks.
e)
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13.
A client with a closed head injury requests pain medication for headache. Which medication is most likely contraindicated in this client?
a)
Acetaminophen with codeine (Tylenol with codeine #3).
b)
Acetaminophen (Tylenol).
c)
Hydrocodone bitartrate (Vicodin).
d)
Ibuprofen (Motrin).
e)
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14.
A 20-year-old nulligravid client expresses a desire to learn more about the symptothermal method of family planning. Which of the following would the nurse include in the teaching plan?
a)
This method has a 50% failure rate during the first year of use.
b)
Couples must abstain from coitus for 5 days after the menses.
c)
Cervical mucus is carefully monitored for changes.
d)
The male partner uses condoms for significant effectiveness.
e)
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15.
For a patient with hepatitis B, which nursing intervention is not appropriate?
a)
Provide rest periods after meals.
b)
Provide a low-protein diet.
c)
Give frequent, small meals.
d)
Assess the skin for excoriation.
e)
-
16.
The nurse is assessing a client after a car accident. Partial airway obstruction is suspected. Which clinical manifestation is a late sign of airway obstruction?
a)
Rales auscultated in breath sounds
b)
Restlessness
c)
Cyanotic ear lobes
d)
Inspiratory stridor
e)
-
17.
Self-monitoring of blood glucose is an important part of diabetes management because:
a)
An elevated blood glucose level prompts the client to exercise and thus lower the value.
b)
An abnormal blood glucose value indicates the client is ingesting too many carbohydrates.
c)
It enables the client to make self-management decisions.
d)
Monitoring alerts the client that his insulin is not effective, and he should open a new vial.
e)
-
18.
After the physician performs an amniotomy, the nurse's first action should be to assess the:
a)
Degree of cervical dilation
b)
Fetal heart tones
c)
Client's vital signs
d)
Client's level of discomfort
e)
-
19.
The teenager with a fiberglass cast asks the nurse if it will be okay to allow his friends to autograph his cast. Which response would be best?
a)
It will be alright for your friends to autograph the cast.
b)
Because the cast is made of plaster, autographing can weaken the cast.
c)
If they don't use chalk to autograph, it is okay.
d)
Autographing or writing on the cast in any form will harm the cast.
e)
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20.
A 50-year-old male with a diagnosis of leukemia is responding poorly to treatment. He is tearful and trying to express his feelings, but he is having difficulty. The nurse should first:
a)
tell him that she will leave for now but she will be back.
b)
offer to call pastoral care.
c)
ask if he would like her to sit with him while he collects his thoughts.
d)
tell him that she can understand how he is feeling.
e)
-
21.
The nurse is preparing to give an oral potassium supplement. The nurse should:
a)
Give the medication without diluting it
b)
Give the medication with 4oz. of juice
c)
Give the medication with water only
d)
Give the medication on an empty stomach
e)
-
22.
Before moving a client up in bed, the nurse lowers the head of the bed. The purpose of lowering the head of the bed is:
a)
To avoid working against gravity as the client is moved
b)
To prevent getting wrinkles in the client's linen
c)
To eliminate needing additional help to move the client
d)
To relieve pressure on the client's sacrum
e)
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23.
A full-term male has hypospadias. Which statement describes hypospadias?
a)
The urethral opening is absent
b)
The urethra opens on the dorsal side of the penis
c)
The penis is shorter than usual
d)
The urethra opens on the ventral side of the penis
e)
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24.
A client is admitted with suspected pernicious anemia. Which finding is common in the client with pernicious anemia?
a)
Complaints of feeling tired and listless
b)
Waxy, pale skin
c)
Loss of coordination and position sense
d)
Rapid pulse rate and heart murmur
e)
-
25.
The nurse has received a report from the RN on several clients with respiratory problems. Upon receiving the following client reports, which client should be seen first?
a)
Client with emphysema expecting discharge
b)
Bronchitis client receiving IV antibiotics
c)
Bronchitis client with edema and neck vein distention
d)
COPD client with PO2 of 85
e)
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