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WorksheetsGCC 1826 - 1850
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
A surgical client's primary care physician has written orders to arrange for the client's discharge to home the next day. The client's daughter approaches the case manager regarding the discharge. What statement by the case manager to the client's daughter demonstrates appropriate referral of the client for additional care and services?
a)
I will set up a home health care evaluation before discharge. The home health agency is wonderful at arranging for home care of clients, dressing changes, and assistance with the medication regimen. The home health case manager will contact you today, and I will follow-up with you to be sure everything is arranged before discharge.
b)
I will give you a list of home health care agencies to call for additional assistance after discharge from the facility.
c)
The physical and occupational therapy teams have documented in their evaluations that your parent should be capable of self-care after discharge home from this facility.You are worrying unnecessarily.
d)
Is there any way that you can take some time off from work and help your parent out during the first week or two at home after discharge from the hospital?
e)
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2.
A patient with acquired immunodeficiency syndrome (AIDS) develops P. jiroveci pneumonia. Which nursing diagnosis has the highest priority for this patient?
a)
Impaired gas exchange
b)
Impaired oral mucous membranes
c)
Imbalanced nutrition: Less than body requirements
d)
Activity intolerance
e)
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3.
The doctor has ordered Percocet (oxycodone) for a client following abdominal surgery. The primary objective of nursing care for the client receiving an opiate analgesic is to:
a)
Prevent addiction
b)
Alleviate pain
c)
Facilitate mobility
d)
Prevent nausea
e)
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4.
A client who has glaucoma is to have miotic eyedrops instilled in both eyes. The nurse knows that the purpose of the medication is to:
a)
Anesthetize the cornea
b)
Dilate the pupils
c)
Constrict the pupils
d)
Paralyze the muscles of accommodation
e)
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5.
The nurse reviews a client's arterial blood gas results. The results are as follows: pH is 7.6, PaCO2 is 37 mm Hg, and HCO3 is 32 mEq/L. Which acid-base imbalance is this client experiencing?
a)
Metabolic acidosis.
b)
Metabolic alkalosis
c)
Respiratory acidosis.
d)
Respiratory alkalosis.
e)
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6.
The nurse is providing care for a 10-month-old infant diagnosed with a Wilms tumor. Most parents report feeling a mass when:
a)
The infant is diapered or bathed
b)
The infant raises his arms
c)
The infant has finished a bottle
d)
The infant tries to sit
e)
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7.
The physician orders whole blood replacement for a multigravid client with abruptio placentae. Before administering the intravenous blood product, the nurse should first:
a)
Validate client information and the blood product with another nurse.
b)
Check the vital signs before transfusing over 5 to 6 hours.
c)
Ask the client if she has ever had any allergies.
d)
Administer 100 mL of 5% dextrose solution intravenously.
e)
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8.
The nurse on the 3-11 shift is assessing the chart of a client with an abdominal aneurysm scheduled for surgery in the morning and finds that the consent form has been signed, but the client is unclear about the surgery and possible complications. Which is the most appropriate action?
a)
Call the surgeon and ask him or her to see the client to clarify the information
b)
Explain the procedure and complications to the client
c)
Check in the physician's progress notes to see if understanding has been documented
d)
Check with the client's family to see if they understand the procedure fully
e)
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9.
An elderly client is complaining if increasing trips to the bathroom to urinate. The client's estimated coffee intake is 3 cups per day. What is the best explanation the nurse can provide to the client?
a)
The increased urine production is most likely due to a urinary tract infection.
b)
Coffee is causing the increased urination due to your increased fluid intake. This is completely normal and nothing to be concerned about.
c)
Coffee is causing the increased urination. Coffee contains caffeine that causes diuresis, or increased urine formation. Simply decreasing the number of cups of coffee you drink each day, and limiting the consumption of caffeinated beverages to the morning hours, should help decrease your trips to the bathroom.
d)
Drinking coffee increases the circulating plasma in the body and this increases the urine formation. Simply decreasing the number of cups of coffee you are drinking should help.
e)
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10.
During an eye assessment, a patient complains that "a curtain seems to be coming down in front of my eye." This complaint suggests which condition?
a)
Glaucoma
b)
Retinal detachment
c)
Cataract
d)
Blepharitis
e)
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11.
Delegation of responsibility for selected client care tasks is performed by nurses and members of the multidisciplinary health care team to manage time effectively and promote quality client care.What is the correct definition of delegation, as defined by the American Nurses Association (ANA)?
a)
Delegation requires direct supervision of the tasks performed by other members of the health care team.
b)
Delegation is the organization and coordination of care between multiple members of the multidisciplinary health care team.
c)
Delegation is the reassigning of responsibility for the performance of a job from one person to another.
d)
Delegation is the process of one person getting as many other persons to perform an assigned workload for them as possible without being noticed.
e)
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12.
A patient became seriously ill after a nurse gave him the wrong medication. After his recovery, he filed a lawsuit. Who is most likely to be held liable?
a)
No one because it was an accident
b)
The hospital
c)
The nurse
d)
The nurse and the hospital
e)
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13.
A client in the critical care unit is intubated, mechanically ventilated, and sedated with propofol (Diprivan). The client was admitted one week ago with an atypical pneumonia and a high fever. A hepatitis panel and an HIV test were drawn with the client's consent before the client was sedated. The client's wife asks the nurse if the test results are back yet, and what the results of those studies were. The client does not have a health care proxy or durable power of attorney executed at this time. How should the nurse respond in compliance with HIPAA (Health Insurance Portability and Accountability Act) regulations regarding the confidentiality of the sedated client's health information?
a)
I can't give you those results. You should ask his doctor, though, the next time that he comes in to examine your husband.
b)
Those test results are confidential, but since you are his wife I can give them to you. Let me look them up in the computer system.
c)
The health information of all clients is confidential and is protected by law. Those test results and all health information can not be released without the consent of the client. This applies to family members, also, and is designed to protect the client's right to choose who receives health information.
d)
Your husband is only lightly sedated on the propofol IV drip. I can wake him up and ask him if it is all right to release these test results to you.
e)
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14.
The nurse is teaching a group of parents about gross motor development of the toddler. Which behavior is an example of the normal gross motor skill of a toddler?
a)
She can pull a toy behind her.
b)
She can copy a horizontal line.
c)
She can build a tower of eight blocks.
d)
She can broad-jump.
e)
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15.
A client who is in end-stage cirrhosis should restrict which of these foods?
a)
Apples
b)
Broccoli
c)
Beef
d)
Rolls
e)
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16.
A burn client's care plan reveals an expected outcome of no localized or systemic infection. Which assessment by the nurse supports this outcome?
a)
Wound culture results show minimal bacteria
b)
Cloudy, foul-smelling urine output
c)
White blood cell count of 14,000
d)
Temperature of 101潞F
e)
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17.
The nurse is caring for a 9-year-old child admitted with asthma. During the morning rounds, the nurse finds an O2 sat of 78%. Which of the following actions should the nurse take first?
a)
Check the arterial blood gases
b)
Do nothing; this is a normal O2 sat for this client
c)
Apply oxygen
d)
Assess the child's pulse
e)
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18.
Pulse oximetry is a noninvasive method for monitoring oxygen saturation. The pulse oximeter is considered very accurate. However, several physiologic and technical factors limit the monitoring system. Physiologic limitations in pulse oximetry include:
a)
Bright lights.
b)
Excessive motion.
c)
Incorrect placement of the probe.
d)
Poor tissue perfusion.
e)
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19.
The nurse caring for a client with hyperthyroidism would expect which group of clinical manifestations to be exhibited?
a)
Confusion, weakness, and increased weight
b)
Shortness of breath, dyspnea, and decreased libido
c)
Restlessness, fatigue, and weight loss
d)
Diuresis, hypokalemia, and tachycardia
e)
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20.
A patient with irritable bowel syndrome is being prepared for discharge. Which meal plan should the nurse give the patient?
a)
Low-fiber, low-fat
b)
High-fiber, low-fat
c)
Low-fiber, high-fat
d)
High-fiber, high-fat
e)
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21.
Which statement made by the family member caring for the client with a percutaneous gastrotomy tube indicates understanding of the nurse's teaching?
a)
I must flush the tube with water after feedings and clamp the tube.
b)
I must check placement four times per day.
c)
I will report to the doctor any signs of indigestion.
d)
If my father is unable to swallow, I will discontinue the feeding and call the clinic.
e)
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22.
The nurse is providing initial first aid for a client with thermal burn injury in a community setting. Which action is appropriate?
a)
Apply betadine ointment over the area affected
b)
Cover the burn with an occlusive dressing
c)
Flush the burned area with cool water
d)
Remove any adhered clothing that is on the burn area
e)
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23.
Which religion believes in final judgment that determines heaven or hell?
a)
Buddhism.
b)
Christianity.
c)
Hinduism.
d)
Judaism.
e)
-
24.
What term describes the softening of tissue by wetting or soaking?
a)
Eschar
b)
Maceration
c)
Sloughing
d)
Angiogenesis
e)
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25.
The nurse is caring for a client who is receiving intravenous conscious sedation. Which is the nurse's priority?
a)
Monitoring level of consciousness.
b)
Monitoring urine output.
c)
Monitoring for lower extremity edema.
d)
Monitoring temperature.
e)
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