NEW
Font size
S
M
L
XL
WorksheetsGCC 1801 - 1825
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
A nurse is charting at the nurses' station when a client uses the call light to ask for assistance to the bathroom.As the nurse answers the call light, a second client uses the call system to say, "I think I need some help! My IV site is bleeding a lot!"What criteria should the nurse use to prioritize these two client calls for assistance?
a)
The client who called for assistance first should receive assistance first. The bleeding IV is probably not life threatening.
b)
The client who called for assistance to the bathroom should be seen first. This client might attempt to get up alone if no one arrives to help.
c)
The client who reported the bleeding IV should be seen first. There is no way to know without examining the IV site if it is a central or peripheral IV, how much blood was lost, or what medications might be infusing through the IV.
d)
The nurse could choose to assist either client first. Both are of equal acuity and impact on client safety.
e)
-
2.
An elderly client with anemia has a positive Schilling test. The nurse knows that the client's anemia is due to:
a)
Chronically low iron store
b)
Abnormal shape of the red blood cells
c)
Lack of intrinsic factor
d)
Shortened lifespan of the red blood cells
e)
-
3.
The nurse is caring for a 6-year-old following revision of a ventriculoperitoneal shunt. An expected nursing intervention is:
a)
Request for an x-ray to evaluate shunt placement
b)
Daily measurement of head circumference
c)
Frequent palpation of the fontanels
d)
Maintaining the child in a prone position
e)
-
4.
Clients who are alcohol dependent usually require a two-phase treatment regimen.Which is an example of an effective two-phase treatment regimen?
a)
Detoxification and rehabilitation.
b)
Detoxification and purging.
c)
Rehabilitation and depression.
d)
Rehabilitation and reformation.
e)
-
5.
A nurse can expect to see which signs and symptoms when a patient overproduces adrenocortical hormone?
a)
Arrested growth and obesity
b)
Weight loss and heat intolerance
c)
Changes in skin texture and low body temperature
d)
Polyuria and dehydration
e)
-
6.
Which of the following would the nurse perform when giving medication via an NG tube?
a)
Ascertain tube patency and placement.
b)
Position the client dorsal recumbent.
c)
Reconnect the tube to suction immediately after administration of the drug.
d)
Administer the drug as rapidly as possible to prevent clogging the tube.
e)
-
7.
A multigravid client at 36 weeks' gestation has been diagnosed with condylomata acuminata. Which of the following should the nurse include when teaching the client about the disorder and current therapies?
a)
Cryotherapy may be used to remove the warts.
b)
Podophyllin solution may be used to decrease the size of the warts.
c)
A 25% trichloroacetic acid solution can eradicate the disorder.
d)
Condylomata acuminata has been associated with ovarian cancer.
e)
-
8.
A 2-year-old toddler is seen in the pediatrician's office. During physical assessment, the nurse would anticipate the need for which intervention?
a)
Ask the parent/guardian to leave the room when assessments are being performed
b)
Ask the parent/guardian to remove the child's toys during examination
c)
Ask the parent/guardian to stay with the child during the examination
d)
If the child is screaming, tell him this is inappropriate behavior
e)
-
9.
Phototherapy is ordered for a newborn with physiologic jaundice. The nurse caring for the infant should:
a)
Offer the baby sterile water between feedings of formula
b)
Apply an emollient to the baby's skin to prevent drying
c)
Wear a gown, gloves, and a mask while caring for the infant
d)
Place the baby on enteric isolation
e)
-
10.
A client with diverticulitis is admitted with nausea, vomiting, and dehydration. Which finding suggests a complication of diverticulitis?
a)
Pain in the left lower quadrant
b)
Boardlike abdomen
c)
Low-grade fever
d)
Abdominal distention
e)
-
11.
A new client tells the admissions nurse at a rehabilitation facility, "No one asked me which rehabilitation facility I preferred. I feel as if this entire process took place without my involvement. I was not informed of alternative options."Which client right is being violated?
a)
The right to considerate and respectful care.
b)
The right to self-determination.
c)
The right to participate in the plan of care.
d)
The right to review medical records related to care and treatment.
e)
-
12.
Which outcome is a goal of cognitive behavioral pain intervention?
a)
To provide pain relief.
b)
To correct physical dysfunction.
c)
To reduce fear of pain-related immobility.
d)
To change the client's perceptions of pain.
e)
-
13.
The nurse is caring for a client with a basal cell epithelioma. The nurse recognizes that the risk factors for basal cell carcinoma include having fair skin and:
a)
Sun exposure
b)
Smoking
c)
Ingesting alcohol
d)
Ingesting food preservatives
e)
-
14.
The 5-minute Apgar of a baby delivered by C-section is recorded as 9. The most likely reason for this score is:
a)
The mottled appearance of the trunk
b)
The presence of conjunctival hemorrhages
c)
Cyanosis of the hands and feet
d)
Respiratory rate of 20-28 per minute
e)
-
15.
The client with a cervical fracture is placed in traction. Which type of traction will be utilized at the time of discharge?
a)
Russell's traction
b)
Buck's traction
c)
Halo traction
d)
Crutchfield tong traction
e)
-
16.
While performing a neurological assessment on a client with a closed head injury, the licensed practical nurse notes a positive Babinski reflex. The nurse should:
a)
Recognize that the client's condition is improving
b)
Reposition the client and check reflexes again
c)
Do nothing because the finding is an expected one
d)
Notify the charge nurse of the finding
e)
-
17.
A family member is involuntarily admitted to the psychiatric mental health unit. As a psychiatric mental health nurse you know that clients are involuntarily admitted when behavior is driven by mental illness and:
a)
An imminent threat of self-harm.
b)
Refusal to bathe.
c)
Anger toward government officials.
d)
Refusal to take prescribed psychiatric medications.
e)
-
18.
A client developes stomatitis status postchemotherapeutic treatment. Which nursing action is most appropriate to reduce pain and irritation in the mouth?
a)
Using a toothbrush to frequently clean the teeth.
b)
Avoiding taking oral temperatures.
c)
Rinsing the mouth with a water and hydrogen peroxide solution.
d)
Encouraging intake of hot liquids.
e)
-
19.
Young children living in housing that was built before the 1970s are at risk for:
a)
Lead poisoning
b)
Pernicious anemia
c)
Iron poisoning
d)
Sprue
e)
-
20.
The nurse is most likely to be an effective educator of clients when:
a)
The nurse has complete content expertise.
b)
The nurse displays listening skills and receives feedback.
c)
The relationship between nurse and client is formal and impersonal.
d)
The nurse understands that good educators are born, not made.
e)
-
21.
Which sign or symptom typically signifies rapid expansion and impending rupture of an abdominal aortic aneurysm?
a)
Abdominal pain
b)
Absent pedal pulses
c)
Angina
d)
Lower back pain
e)
-
22.
A pregnant client is admitted to the hospital. On initial assessment the client is determined to be febrile. The nurse should:
a)
Administer aspirin, an antipyretic agent.
b)
Ascertain simultaneous and separate fetal and maternal heart rates.
c)
Hydrate the mother by infusing intravenous fluids.
d)
Institute isolation procedures until the etiology of the fever is determined.
e)
-
23.
The doctor is preparing to remove chest tubes from the client's left chest. In preparation for the removal, the nurse should instruct the client to:
a)
Breathe normally
b)
Hold his breath and bear down
c)
Take a deep breath
d)
Sneeze on command
e)
-
24.
The LPN/LVN is describing a 24 hour urine collection to a client. Which of the following explanations is most accurate?
a)
Void and save the urine at the start of the collection period to begin the process
b)
Wash the perineal area with soap and water before each void
c)
Collect the urine in a sterilized container or receptacle
d)
Empty the bladder at the end of the collection period and save this urine
e)
-
25.
A disoriented client is admitted to the med-surg unit with a diagnosis of acute renal failure. The physician orders a hemodialysis line to be placed to facilitate acute hemodialysis. The client's spouse presents the nurse with an advance directive that gives instructions that no hemodialysis treatment be provided if the client becomes incapacitated and unable to make informed health care decisions. What is the appropriate immediate action for the nurse to take at this time?
a)
Inform the physician immediately of the advance directive and the client's wishes regarding no hemodialysis treatment. Place a copy of the advance directive in the client's medical record.
b)
Obtain consent from the client's spouse for placement of the hemodialysis line and for acute hemodialysis.
c)
Inform the physician immediately of the advance directive and the client's wishes regarding no hemodialysis treatment.
d)
Tell the client's spouse to speak with the physician in order to make an informed decision on whether or not to proceed with hemodialysis.
e)
-
Reset
