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WorksheetsGCC 1901 - 1925
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
The nurse administers promethazine hydrochloride (Phenergan) intravenously to a client. Which action by the nurse is appropriate when the client complains of pain in the arm being used for the intravenous site?
a)
Administer at a faster rate to finish the injection sooner.
b)
Stop administration of the medication immediately.
c)
Continue administration at a slower rate of speed.
d)
This is normal, and no change in administration is needed.
e)
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2.
The nurse is providing care for a patient who has a sacral pressure ulcer with a wet-to-dry dressing. Which guideline is appropriate when caring for a patient with a wet-to-dry dressing?
a)
The wound should remain moist from the dressing.
b)
The wet-to-dry dressing should be tightly packed into the wound.
c)
The dressing should be allowed to dry before it's removed.
d)
A plastic sheet-type dressing should cover the wet dressing.
e)
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3.
A nurse caring for clients in an OB/GYN physician's office is asked by one of the physician's clients, "How is that girl who was so sick out in the waiting room last week? She told me she was concerned that the physician might admit her to the hospital?" Which response by the office nurse demonstrates confidentiality of client health information within HIPAA guidelines?
a)
I appreciate your concern for that client. She was admitted to the hospital that afternoon. You should call the hospital's information desk and get them to transfer the call to her room, so that you can speak with her.
b)
I appreciate your concern for that client you met last week. The health information of all clients is protected by law and I can not give you any additional information. Thank you for your kindness in inquiring, though.
c)
That client became very ill and was taken away to the hospital by ambulance. It was a lot of activity for our physician's office!
d)
I appreciate your concern for that client you met last week. The health information of all clients is protected by law, but since the client told you herself that she might be admitted to the hospital I can tell you that she did go to the hospital by ambulance that afternoon.
e)
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4.
Which of the following is a common complaint of the client with end-stage renal failure?
a)
Weight loss
b)
Itching
c)
Ringing in the ears
d)
Bruising
e)
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5.
A client hospitalized with MRSA (methicillin-resistant staph aureus) is placed on contact precautions. Which statement is true regarding precautions for infections spread by contact?
a)
The client should be placed in a room with negative pressure.
b)
Infection requires close contact; therefore, the door may remain open.
c)
Transmission is highly likely, so the client should wear a mask at all times.
d)
Infection requires skin-to-skin contact and is prevented by handwashing, gloves, and a gown.
e)
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6.
In the Buddhist religion, the use of drugs and alcohol is:
a)
Believed to be necessary.
b)
Discouraged.
c)
Encouraged.
d)
Not addressed.
e)
-
7.
The nurse is caring for a client with detoxification from alcohol. Which medication is used in the treatment of alcohol withdrawal?
a)
Antabuse (disulfiram)
b)
Romazicon (flumazenil)
c)
Dolophine (methodone)
d)
Ativan (lorazepam)
e)
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8.
The nurse is caring for a client admitted with suspected myasthenia gravis. Which finding is usually associated with a diagnosis of myasthenia gravis?
a)
Visual disturbances, including diplopia
b)
Ascending paralysis and loss of motor function
c)
Cogwheel rigidity and loss of coordination
d)
Progressive weakness that is worse at the day's end
e)
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9.
To reduce the risk of SIDS (sudden infant death syndrome), the nurse should tell parents to place the infant:
a)
Prone while he is sleeping
b)
Side-lying while he is awake
c)
On his back while he is sleeping
d)
Prone while he is awake
e)
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10.
Which action should the nurse take when receiving a telephone order from a physician?
a)
Inform the physician that telephone orders are not permitted.
b)
Write the order in the patient's medical record immediately.
c)
Write down the order and then read back the complete order to the physician.
d)
Immediately carry out the order.
e)
-
11.
Which of the following signs is characteristic of the child with Duchenne's muscular dystrophy?
a)
The use of Gower's maneuver to rise to a standing position
b)
Bilateral knee pain located at the tibial tubercle
c)
Concave curvature of the lumbar spine
d)
Aseptic necrosis of the head of the femur
e)
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12.
A client is admitted to the chemical dependency unit due to cocaine addiction. The client states, "I don't know why you are all so worried. I am in control. I don't have a problem." Which defense mechanism is being utilized?
a)
Rationalization
b)
Projection
c)
Dissociation
d)
Denial
e)
-
13.
Bilateral progressive hearing loss in a 27-year-old female was first noticed 2 years ago when she was pregnant with her second child. Which illness is most likely the cause of the client's progressive hearing loss?
a)
Acoustic neuroma
b)
Cholesteatoma
c)
Otosclerosis
d)
Serous otitis media
e)
-
14.
The nurse asked the client if he has an advance directive. The reason for asking the client this question is:
a)
She is curious about his plans regarding funeral arrangements.
b)
Much confusion can occur with the client's family if he does not have an advanced directive.
c)
An advanced directive allows the medical personnel to make all decisions for the client.
d)
An advanced directive allows active euthanasia
e)
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15.
A client has several medications administered via nasogastric tube. Which statement made by the nurse indicates proper knowledge about this form of medication administration?
a)
I crushed the medications and gave them together to cut down on the amount of liquid I have to use.
b)
The feeding in the nasogastric tube was running well, so I didn't have to interrupt that to check the tube.
c)
I left the client sitting up in the bed so that aspiration would not be a problem.
d)
I had to push really hard to get those medications to go in, but they finally went in.
e)
-
16.
A 24-year-old female client is admitted for an elective cholecystectomy. The client is complaining of a severe, pounding headache and vomiting. Vital signs are blood pressure 136/88 mm Hg, pulse 86 beats/minute, respiratory rate 20 breaths/minute, temperature 99.6°F, and pulse oximetry 96% on room air. The client has a history of migraine headaches, hypertension, and fibromyalgia. The nurse expects the physician will order which medication for this client?
a)
Nifedipine (Procardia) 60 mg PO
b)
Sumatriptan succinate (Imitrex) 6 mg subcutaneous
c)
Ribavirin (Rebetol) 1000 mg PO
d)
Propylthiouracil (PTU) 100 mg PO
e)
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17.
In the health care setting, the ethical principle of "justice" refers to which aspect of client care?
a)
Each client's right to access to their own medical records and health information.
b)
Each client's constitutional right to health care.
c)
The most appropriate allocation of scarce health care resources.
d)
The right to equal health care, regardless of the client's condition.
e)
-
18.
Trace elements are found in total parenteral nutrition (TPN). Which is a trace element found in TPN?
a)
Iodine
b)
Potassium
c)
Magnesium
d)
Sodium
e)
-
19.
Which is a common misconception about pain?
a)
The severity of a client's illness indicates the amount of pain the client should be experiencing.
b)
Psychogenic pain is real.
c)
Clients are the best authorities on the nature and level of their pain.
d)
Drug abusers and alcoholics can provide accurate information regarding their pain experience.
e)
-
20.
Which of the following findings is associated with fluid overload in the child with renal disease?
a)
Sluggish capillary refill and slow heart rate
b)
Distention of the jugular veins and pitting edema
c)
Decreased blood pressure and increased heart rate
d)
Increased blood pressure and bilateral wheezes
e)
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21.
A client is admitted to the unit 3 hours after an injury with second-degree burns to the face, neck, and head. The nurse would be most concerned with the client developing which of the following?
a)
Hypovolemia
b)
Laryngeal edema
c)
Hypernatremia
d)
Hyperkalemia
e)
-
22.
A client with gallstones in the gall bladder is scheduled for lithotripsy. For the procedure, the client will be placed:
a)
In a prone position
b)
In a supine position
c)
In a side-lying position
d)
In a recumbent position
e)
-
23.
The nurse is caring for a client with systemic lupus erythematosis (SLE). The major complication associated with systemic lupus erythematosis is:
a)
Nephritis
b)
Cardiomegaly
c)
Desquamation
d)
Meningitis
e)
-
24.
Jugular vein distension (JVD) is most prominent in:
a)
Heart failure
b)
Myocardial infarction (MI)
c)
Pneumothorax
d)
Abdominal aortic aneurysm (AAA)
e)
-
25.
The client scheduled for electroconvulsive therapy tells the nurse, "I'm so afraid. What will happen to me during the treatment?" Which of the following statements is most therapeutic for the nurse to make?
a)
You will be given medicine to relax you during the treatment.
b)
The treatment will produce a controlled grand mal seizure.
c)
The treatment might produce nausea and headache.
d)
You can expect to be sleepy and confused for a time after the treatment.
e)
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