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WorksheetsGCC 1926 - 1950
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
A patient undergoes a subtotal thyroidectomy. Which interventions should the nurse implement for him immediately after surgery?
a)
Assess vital signs every 4 hours; maintain the patient in a supine position; withhold all oral intake; maintain strict intake and output; keep a tracheostomy set at the bedside.
b)
Assess vital signs every hour until stable; provide a liquid diet; maintain the patient in Trendelenburg's position; use mist inhalation.
c)
Assess vital signs every 15 minutes until stable; maintain the patient in semi-Fowler's position; give fluids as tolerated; keep a tracheostomy set at the bedside.
d)
Assess vital signs every 2 hours; keep the patient in a lateral recumbent position; provide the house diet; maintain strict intake and output.
e)
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2.
A client with a hip fracture is receiving heparin sub-cutaneously. Which laboratory test should the nurse monitor when administering this medication?
a)
Prothrombin time
b)
Vitamin K level
c)
Activated partial thromboplastin time
d)
Fibrin split levels
e)
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3.
An intravenous infusion of 0.45 normal saline is ordered at a rate of 1000 milliliters in 24 hours. The tubing has a drip factor of 15. How many drops per minute are delivered?
a)
11 drops
b)
35 drops
c)
120 drops
d)
240 drops
e)
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4.
The nurse cares for a client in Buck's traction. The nurse understands that it is important to ensure the weights hang free to:
a)
Relieve muscle spasms of the legs and back
b)
Prevent skin breakdown
c)
Maintain the client's ability to move freely
d)
Maintain proper bone alignment
e)
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5.
A client with a diagnosis of human papillomavirus (HPV) is at risk for which of the following?
a)
Lymphoma
b)
Vaginal cancer
c)
Leukemia
d)
Systemic lupus
e)
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6.
A client with gallstones and obstructive jaundice is experiencing severe itching. The physician has prescribed cholestyramine (Questran). The client asks, "How does this drug work?“ What is the nurse's best response?
a)
It blocks histamine, reducing the allergic response.
b)
It inhibits the enzyme responsible for bile excretion.
c)
It decreases the amount of bile in the gallbladder.
d)
It binds with bile acids and is excreted in bowel movements with stool.
e)
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7.
Which type of shock is known for decreased intravascular volume resulting from loss of blood or plasma?
a)
Cardiogenic shock.
b)
Hypovolemic shock.
c)
Neurogenic shock.
d)
Obstructive shock.
e)
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8.
A friend contacts a nurse at work and states, "Our friend, has just been in a car accident and is in your emergency room. I am so worried. Can you check your hospital computer system and tell me the extent of the injuries?" What is the most appropriate response by the nurse to the concerned friend?
a)
I did not know about the accident, but I can't look that information up for you. Every client's health information is confidential and is protected by law. Unless I am caring for that person, I have no right to access their health information. I recommend that you contact the family for information.
b)
I will look the information up, but do not tell anyone that I did. Health information is confidential and is protected by law.
c)
OK, let me see here-the CAT scan looks terrible! You had better come to the emergency department as fast as you can!
d)
I can't look that up for you. I will get into trouble. Call the emergency department and see if they will give you any information.
e)
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9.
A client admitted to the psychiatric unit claims to be the Son of God and insists that he will not be kept away from his followers. The most likely explanation for the client's delusion is:
a)
A religious experience
b)
A stressful event
c)
Low self-esteem
d)
Overwhelming anxiety
e)
-
10.
A client arrives in the emergency room with a possible fractured femur. The nurse should anticipate an order for:
a)
Trendelenburg position
b)
Ice to the entire extremity
c)
Buck's traction
d)
An abduction pillow
e)
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11.
A new graduate nurse is asked to present a brief, concise client history and assessment at the unit's daily multidisciplinary client care rounds. Participants in the daily client care rounds include the unit case manager, the charge nurse, the physician conducting rounds, a clinical pharmacist, the unit dietician, a physical therapist and occupational therapist, a respiratory therapist, and each client's primary care nurse in turn. The daily client care rounds are an example of:
a)
A violation of the client's right to privacy. The graduate nurse should decline to give client information to the interdisciplinary team.
b)
A case management model of client care, designed to coordinate care for the client among all members of the multidisciplinary team to improve individual client outcomes.
c)
Collaboration of care with the multidisciplinary health care team, designed to coordinate care for the client among all members of the health care team to improve individual client outcomes.
d)
A violation of HIPAA. Each member of the multidisciplinary team must sign a HIPAA form before participating in the client care rounds.
e)
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12.
The nurse is evaluating nutritional outcomes for an elderly client with anorexia. Which data best indicates that the plan of care is effective?
a)
The client selects a balanced diet from the menu.
b)
The client's hematocrit improves.
c)
The client's tissue turgor improves.
d)
The client gains weight.
e)
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13.
There are multiple theories of management utilized in nursing. Management theories generally fall under one of two distinctly different and opposing schools of thought with regard to the management of people. What are the two current prevailing theories of modern management?
a)
The scientific theory of management and the human relations-based theory of management.
b)
The human relations-based theory of management and the democratic theory of management.
c)
The scientific theory of management and the theocratic theory of management.
d)
The democratic theory of management and the leadership theory of management.
e)
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14.
Which disorder results from a deficiency of circulating platelets?
a)
Hemophilia
b)
Sickle cell anemia
c)
Von Willebrand's disease
d)
Thrombocytopenia
e)
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15.
A client receiving a magnetic resonance imaging procedure should have which of the following implemented?
a)
Informed consent and atropine 0.4mg
b)
Injection site scrub for 15 minutes
c)
Removal of any jewelry and inquiry regarding metal implants
d)
Administration of diphenhydramine (Benadryl) 50mg by mouth
e)
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16.
The adventure-seeking teenager who gets bored easily and requires action, movement, and quick changes is at risk for drug and sexual experimentation. The nurse counsels the client and family to avert these high-risk behaviors by:
a)
Getting an after-school job.
b)
Working with a mental health specialist.
c)
Engaging in physical activities that allow the client to push the limits.
d)
Volunteering at a homeless shelter.
e)
-
17.
A patient with a small, well-defined breast nodule asks the nurse about her treatment options. Which treatments would be considered for this patient?
a)
Lumpectomy and radiation
b)
Partial mastectomy and radiation
c)
Partial mastectomy and chemotherapy
d)
Total mastectomy and chemotherapy
e)
-
18.
A 32-year-old female client who is 5 months pregnant is diagnosed with pelvic inflammatory disease and given a prescription for metronidazole (Flagyl). Which substance should be avoided in this client in order to prevent an interaction with Flagyl?
a)
Furosemide (Lasix).
b)
Alcohol.
c)
Doxycycline (Vibramycin).
d)
St. John's wort.
e)
-
19.
When the nurse checks the fundus of a client on the first postpartum day, she notes that the fundus is firm, at the level of the umbilicus, and is displaced to the right. The next action the nurse should take is to:
a)
Check the client for bladder distention
b)
Assess the blood pressure for hypotension
c)
Determine whether an oxytoxic drug was given
d)
Check for the expulsion of small clots
e)
-
20.
A client is admitted to the hospital with a decubitus ulcer in the sacral area. The client is bed ridden and refuses to eat. The nurse realizes that the client is at risk for which complication?
a)
Knowledge deficit related to nutritional status.
b)
Impaired wound healing.
c)
Fluid volume deficit.
d)
Hemorrhage.
e)
-
21.
An elderly female is admitted with a fractured right femoral neck. Which clinical manifestation would the nurse expect to find?
a)
Free movement of the right leg
b)
Abduction of the right leg
c)
Internal rotation of the right hip
d)
Shortening of the right leg
e)
-
22.
Which clinical manifestation would the nurse expect if a client was experiencing right-sided congestive heart failure?
a)
Jugular vein distention
b)
Dry, nonproductive cough
c)
Orthopnea
d)
Crackles on chest auscultation
e)
-
23.
The client is admitted to the unit. Vaginal exam reveals that she is 3cm dilated. Which of the following statements would the nurse expect her to make?
a)
I can't decide what to name the baby.
b)
It feels good to push with each contraction.
c)
Don't touch me. I'm trying to concentrate.
d)
When can I get my epidural?
e)
-
24.
The client with a recent liver transplant asks the nurse how long he will have to take cyclosporine (Sandimmune). Which response is correct?
a)
1 year
b)
5 years
c)
10 years
d)
The rest of his life
e)
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25.
A patient is scheduled to have a descending colostomy. He is anxious and has many questions concerning the surgery, the care of a stoma, and lifestyle changes. It would be most appropriate for the nurse to refer the patient to which member of the health care team?
a)
Social worker
b)
Registered dietitian
c)
Occupational therapist
d)
Enterostomal nurse therapist
e)
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