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WorksheetsGCC 1751 - 1775
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
An elderly client who experiences nighttime confusion wanders from his room into the room of another client. The nurse can best help decrease the client's confusion by:
a)
Assigning a nursing assistant to sit with him until he falls asleep
b)
Allowing the client to room with another elderly client
c)
Administering a bedtime sedative
d)
Leaving a nightlight on during the evening and night shifts
e)
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2.
A primigravid client with diabetes at 39 weeks' gestation is seen in the high-risk clinic. The physician estimates that the fetus weighs at least 4,500 g (10 lb). The client asks, "What causes the baby to be so large?"
a)
Family history of large infants.
b)
Fetal anomalies.
c)
Maternal hyperglycemia.
d)
Maternal hypertension.
e)
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3.
The nurse finds the client with a disconnected central venous access device. The client complains of chest pain and dyspnea. The client's blood pressure is 84/52 mm Hg and pulse is 150 beats/minute. Which nursing action takes priority?
a)
Contact the physician immediately.
b)
Turn the client to the left side.
c)
Place the client in reverse Trendelenburg position.
d)
Monitor the pulse oximetry reading.
e)
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4.
An elderly client diagnosed with pneumonia most likely exhibits which symptom first?
a)
Dyspnea.
b)
Productive cough.
c)
Altered mental status.
d)
Fever.
e)
-
5.
The client is admitted following repair of a fractured femur with cast application. Which nursing assessment should be reported to the doctor?
a)
Pain
b)
Warm toes
c)
Pedal pulses rapid
d)
Paresthesia of the toes
e)
-
6.
When caring for a patient following surgical ablation of the pituitary gland, the nurse should be alert for what condition?
a)
Addison's disease
b)
Cushing's syndrome
c)
Diabetes insipidus
d)
Hypothyroidism
e)
-
7.
A client with Crohn's disease has been started on Entocort EC (budesonide) 9mg daily. The nurse should tell the client to take the medication:
a)
With grapefruit juice
b)
On an empty stomach
c)
Between meals
d)
With meals or a snack
e)
-
8.
When assessing the cardiovascular system the nurse inspects and palpates blood vessels. A rigid (hard) blood vessel will vibrate. The correct term for a palpable vibration of a blood vessel is:
a)
Bruit.
b)
Murmur.
c)
Thrill.
d)
Heave.
e)
-
9.
A client is involved in a horseback riding accident. The client complains of right upper quadrant pain and radiation to the right shoulder. With which injury is this most compatible?
a)
Diaphragmatic hernia.
b)
Liver injury.
c)
Pancreatic injury.
d)
Splenic injury.
e)
-
10.
An elderly client is admitted to the psychiatric unit from the nursing home. Transfer information indicates that the client has become confused and disoriented, with behavioral problems. The client will also likely show a loss of ability in:
a)
Speech
b)
Judgment
c)
Endurance
d)
Balance
e)
-
11.
The client's physician orders a blood transfusion for a client whose hemoglobin level is 5.0 mg/dL. The nurse informs the client that blood will be drawn for a type and cross-match prior to the blood transfusion. The client avoids eye contact with the nurse, then states," I am a Jehovah's Witness. I thought that was on my chart." The nurse demonstrates the role of client advocate by which response to the client?
a)
Your hemoglobin is very low. I can notify your physician to discuss with you how important it is for you to receive the blood.
b)
I will place that information in your medical record. You have the right to refuse treatment which conflicts with your beliefs. Would you like to speak with your physician about other treatment options?
c)
Your physician ordered this blood transfusion because your hemoglobin is low. You should do as your physician recommends.
d)
Why do Jehovah's Witnesses choose not to receive blood transfusions?
e)
-
12.
A client is diagnosed with malnutrition secondary to cirrhosis. Which laboratory study supports a diagnosis of malnutrition?
a)
Decreased serum transferrin level.
b)
Increased serum albumin level.
c)
Normal cholesterol level.
d)
Elevated BUN.
e)
-
13.
The performance improvement process focuses on the nursing process and the effect of the nursing process on client care outcomes. Which statement best describes the performance improvement system of client care evaluation?
a)
Performance improvement focuses on error prevention by identifying the risk of error in delivery of client care.
b)
Performance improvement has limited benefit to clients who are currently admitted or are receiving care because it looks at care retrospectively focusing on clinical errors that have occurred in the past.
c)
Performance improvement recognizes the nursing process as a scientifically based process by which nurses deliver client care and focuses on the effects of the nursing process on client care and client outcomes.
d)
Performance improvement defines nursing standards of practice.
e)
-
14.
A client comes to the clinic for a blood pressure checkup. The client takes antihypertensive medications at home. The nurse knows the medication is most likely not effective in controlling the client's blood pressure if the client complains of which common symptom of hypertension?
a)
Blurred vision.
b)
Decreased urine output.
c)
Lower extremity edema.
d)
Headache.
e)
-
15.
The nurse checks the carotid pulses in a client. The nurse knows to check the carotid pulse one side at a time:
a)
So the client does not feel like he is being choked.
b)
Because the rate will be easier to count.
c)
To prevent a syncopal episode.
d)
To obtain a more accurate description of the quality of the pulse.
e)
-
16.
After surgery to remove a ruptured fallopian tube, a multigravid client receives discharge instructions about potential complications to report to her physician. Which of the following, if stated by the client as a complication, indicates a need for additional teaching?
a)
Pain.
b)
Headache.
c)
Fever.
d)
Bleeding.
e)
-
17.
The nurse performs a nutritional assessment on a patient with lung cancer who is in the postoperative period after a lobectomy. Which of the following could be an early sign of malnutrition?
a)
A retinal-binding protein level of 2.0 mg/dl
b)
Dry, flaky, discolored skin and brittle nails
c)
A body mass index (BMI) of 20
d)
An albumin level of 3.0 g/dl
e)
-
18.
A client is admitted to the hospital with carbon monoxide poisoning at a level of 32. If the client is not given oxygen, how many hours will it take for the carbon monoxide to dissipate down to a level of 1 at the rate of a half-life of 4 hours?
a)
4 hours.
b)
5 hours.
c)
16 hours.
d)
20 hours.
e)
-
19.
Rho(D) immune globulin (RhoGAM) is ordered for a client before she is discharged after a spontaneous abortion. The nurse instructs the client that this drug is used to prevent which of the following?
a)
Development of a future Rh-positive fetus.
b)
An antibody response to Rh-negative blood.
c)
A future pregnancy resulting in abortion.
d)
Development of Rh-positive antibodies.
e)
-
20.
The client with hyperemesis gravidarum is at risk for developing:
a)
Respiratory alkalosis without dehydration
b)
Metabolic acidosis with dehydration
c)
Respiratory acidosis without dehydration
d)
Metabolic alkalosis with dehydration
e)
-
21.
The nurse case manager knows case management is an example of which client care model?
a)
The outcomes evaluation model of care.
b)
The protocol management model of care.
c)
The interdisciplinary care management model.
d)
The risk assessment care management model.
e)
-
22.
A client has returned from having an arteriogram. The nurse should give priority to:
a)
Checking the radial pulse
b)
Assessing the site for bleeding
c)
Offering fluids
d)
Administering pain medication
e)
-
23.
A camp nurse is applying sunscreen to a group of children enrolled in swim classes. Chemical sunscreens are most effective when applied:
a)
Just before sun exposure
b)
5 minutes before sun exposure
c)
15 minutes before sun exposure
d)
30 minutes before sun exposure
e)
-
24.
Which WBCs are involved in releasing histamine during an allergic reaction?
a)
Basophils
b)
Eosinophils
c)
Monocytes
d)
Neutrophils
e)
-
25.
Which activity describes a good sleep hygiene habit?
a)
Exercising after work until 7:30 PM and then going to bed at 9 PM.
b)
Getting up and doing a quiet activity if unable to fall asleep after 30 minutes.
c)
Sleeping in on Saturday and Sunday.
d)
Reviewing projects needing to be completed the following day just before bed.
e)
-
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