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Worksheets

GCC 1876 - 1900

Total questions: 25

Worksheet time: 25mins

Name
Class
Date
1.
Which client is at least risk for acquiring pneumonia during hospitalization?
a)
A client diagnosed with human immunodeficiency virus (HIV).
b)
A postoperative client who ambulates frequently.
c)
A client in Buck's traction.
d)
An older client diagnosed with diabetes mellitus.
e)
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2.
An intubated client admitted to the intensive care unit appears anxious and fearful of the equipment in the room. The nurse observes this and takes the time to explain each piece of equipment and its role in providing care to the client. This is an example of the nurse acting as a client advocate by:
a)
Providing information to the client and fostering a sense of security.
b)
Promoting client privacy.
c)
Assuring client safety.
d)
Ensuring the client's wishes for treatment are followed.
e)
-
3.
The nurse is working with four clients on the obstetrical unit. Which client will be the highest priority for a cesarean section?
a)
Client at 40 weeks' gestation whose fetus weighs 8 lb by ultrasound estimate.
b)
Client at 37 weeks' gestation with fetus in ROP position.
c)
Client at 32 weeks' gestation with fetus in breech position.
d)
Client at 38 weeks' gestation with active herpes lesions.
e)
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4.
A client with seizures has jerking of the right arm and twitching of the face, but remains alert and aware of the seizure. This behavior is characteristic of which type of seizure?
a)
Absence
b)
Complex partial
c)
Simple partial
d)
Tonic-clonic
e)
-
5.
When prioritizing a patient's care plan based on Maslow's hierarchy of needs, the nurse's first priority would be:
a)
allowing the family to see a newly admitted patient.
b)
ambulating the patient in the hallway.
c)
administering pain medication.
d)
using two nurses to transfer the patient.
e)
-
6.
The nurse caring for a client receiving magnesium sulfate must closely observe for side effects associated with drug therapy. An expected side effect of magnesium sulfate is:
a)
Decreased urinary output
b)
Hypersomnolence
c)
Absence of knee jerk reflex
d)
Decreased respiratory rate
e)
-
7.
When a nurse asks another nurse for advice on handling a particular patient problem, she's seeking what type of consultation?
a)
Patient-centered case consultation
b)
Consultee-centered case consultation
c)
Program-centered administrative consultation
d)
Consultee-centered administrative consultation
e)
-
8.
The nurse is making assignments for the day. Which client should be assigned to the nursing assistant?
a)
The 18-year-old with a fracture to two cervical vertebrae
b)
The infant with meningitis
c)
The elderly client with a thyroidectomy 4 days ago
d)
The client with a thoracotomy 2 days ago
e)
-
9.
Physician's orders for a client with acute pancreatitis include the following: strict NPO, NG tube to low intermittent suction. The nurse recognizes that these interventions will:
a)
Reduce the secretion of pancreatic enzymes
b)
Decrease the client's need for insulin
c)
Prevent secretion of gastric acid
d)
Eliminate the need for analgesia
e)
-
10.
A client asks the nurse why taking folic acid is so important before and during pregnancy. The nurse should instruct the client that:
a)
Folic acid is important in preventing neural tube defects in newborns and preventing anemia in mothers.
b)
Eating foods with moderate amounts of folic acid helps regulate blood glucose levels.
c)
Folic acid consumption helps with the absorption of iron during pregnancy.
d)
Folic acid is needed to promote blood clotting and collagen formation in the newborn.
e)
-
11.
In what type of electrolyte imbalance would the nurse observe tall, tented T waves; a widened QRS complex; and a prolonged PR interval on the patient's ECG?
a)
Hypokalemia
b)
Hypocalcemia
c)
Hypercalcemia
d)
Hyperkalemia
e)
-
12.
The client is receiving total parenteral nutrition (TPN). Which lab test should be evaluated while the client is receiving TPN?
a)
Hemoglobin
b)
Creatinine
c)
Blood glucose
d)
White blood cell count
e)
-
13.
The nurse caring for a client on the pediatric unit administers adult-strength Digitalis to the 3-pound infant. As a result of her actions, the baby suffers permanent heart and brain damage. The nurse can be charged with:
a)
Negligence
b)
Tort
c)
Assault
d)
Malpractice
e)
-
14.
A client with AIDS tells the nurse that he regularly takes Echinacea to boost his immune system. The nurse should tell the client that:
a)
Herbals can interfere with the action of antiviral medication.
b)
Supplements have proven effective in prolonging life.
c)
Herbals have been shown to decrease the viral load.
d)
Supplements appear to prevent replication of the virus.
e)
-
15.
The mother of a child with impetigo asks the nurse when her child will be able to return to school. The nurse's response is based on the knowledge that the lesions of impetigo resolve in:
a)
24 hours
b)
5 days
c)
1 week
d)
2 weeks
e)
-
16.
The nurse is assessing a client immediately following delivery. The nurse notes that the client's fundus is boggy. The nurse's next action should be:
a)
Assess for bladder distention
b)
Notify the physician
c)
Gently massage the fundus
d)
Administer pain medication
e)
-
17.
Which form of communication most likely informs a client about how sincere, interested, and receptive a nurse is toward the client?
a)
Body language.
b)
Presence
c)
Silence.
d)
Touching.
e)
-
18.
When performing a newborn assessment, the nurse measures the circumference of the neonate's head and chest. Which assessment finding is expected in the normal newborn?
a)
The head and chest circumference are the same.
b)
The head is 2cm larger than the chest.
c)
The head is 3cm smaller than the chest.
d)
The head is 4cm larger than the chest.
e)
-
19.
A client tells the nurse that she is allergic to eggs, dogs, rabbits, and chicken feathers. Which order should the nurse question?
a)
TB skin test
b)
Rubella vaccine
c)
ELISA test
d)
Chest x-ray
e)
-
20.
Timolol maleate (Timoptic) is ordered for a client with a diagnosis of open-angle glaucoma. The nurse knows this medication reduces intraocular pressure through which expected action?
a)
Timolol maleate helps to decrease inflammation.
b)
Timolol maleate works to reduce aqueous humor production.
c)
Timolol maleate acts as an anti-fibrinolytic.
d)
Timolol maleate is an optic analgesic.
e)
-
21.
Which encephalitis is found predominantly west of the Mississippi River and occurs most often during the months of June and July?
a)
Eastern equine encephalitis.
b)
St. Louis encephalitis.
c)
Venezuelan equine encephalitis.
d)
Western equine encephalitis.
e)
-
22.
The nurse has given dietary instructions about food to be included in a low-purine diet. Which selection by the client with gout would indicate that teaching has been ineffective?
a)
Cabbage
b)
An apple
c)
Peach cobbler
d)
Spinach
e)
-
23.
A patient is admitted to the health care facility with a possible electrolyte imbalance. The patient is disoriented and weak, has an irregular pulse, and takes hydrochlorothiazide. The patient most likely suffers from:
a)
hypernatremia.
b)
hyponatremia.
c)
hyperkalemia.
d)
hypokalemia.
e)
-
24.
The physician has ordered an injection of RhoGam for the postpartum client whose blood type is A negative but whose baby is O positive. To provide postpartum prophylaxis, RhoGam should be administered:
a)
Within 72 hours of delivery
b)
Within 1 week of delivery
c)
Within 2 weeks of delivery
d)
Within 1 month of delivery
e)
-
25.
The nurse is teaching a patient and his family about dietary practices related to Parkinson's disease. A priority for the nurse to address is risk of:
a)
fluid overload and drooling.
b)
aspiration and anorexia.
c)
choking and diarrhea.
d)
dysphagia and constipation.
e)
-