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WorksheetsGCC 1976- 2000
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
The nurse cares for a client with a diagnosis of diabetes mellitus type 1 who is admitted to hospital for treatment of ketoacidosis. Which client behavior most likely contributed to the development of ketoacidosis?
a)
Taking too much insulin.
b)
Failing to take insulin regularly.
c)
Not following sick day instructions.
d)
Exercising too vigorously.
e)
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2.
A client has a broken lower leg with a nonweightbearing cast. Which crutch gait would be most appropriate for the nurse to teach?
a)
Swing-through.
b)
Two-point.
c)
Three-point.
d)
Four-point alternating.
e)
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3.
Which is an initiative of Healthy People 2010 to improve dental health?
a)
Decrease tooth loss caused by tooth decay or periodontal disease for the economically disadvantaged.
b)
Reduce the number of older adults who have lost their natural teeth.
c)
Increase the use of proper flossing techniques.
d)
Reduce the rate of periodontal disease in the economically disadvantaged.
e)
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4.
What diagnostic test would be used to evaluate the presence of rhabdomyolysis?
a)
Glycosylated hemoglobin
b)
Serum troponin
c)
Serum myoglobin
d)
Bone biopsy
e)
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5.
An example of internal family coping strategies includes:
a)
Maintaining active links with community groups and organizations.
b)
Role flexibility.
c)
Seeking and using spiritual supports.
d)
Seeking information and professional help.
e)
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6.
The nurse is instructing a client with chronic obstructive pulmonary disease (COPD) how to perform pursed-lip breathing. The nurse determines the client understands the instructions when the nurse observes the client:
a)
Lying flat and inhaling deeply and exhaling slowly.
b)
Sitting in an upright position, inhaling deeply and exhaling slowly through slightly closed lips.
c)
Sitting with arms draped over the over-bed table and breathing normally.
d)
Inhaling, holding the breath, and then exhaling forcefully.
e)
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7.
An 8-year-old client needs to have an intravenous line placed peripherally. The parents request "that cream be used to help deaden the area." Which information is correct regarding prilocaine (EMLA) cream?
a)
If rapid access is necessary, prilocaine (EMLA) cream is not used, because it must be on the skin for 20 to 60 minutes.
b)
Prilocaine (EMLA) cream is only approved for use in the geriatric population and therefore cannot be used in this situation.
c)
Prilocaine (EMLA) cream causes a stinging type of pain at the site and can cause children to become frightened.
d)
Children can absorb increased amounts of the prilocaine (EMLA) cream through their skin with significant negative outcomes.
e)
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8.
The nurse is caring for a newborn with hypospadias. Which statement describes hypospadias?
a)
The urinary meatus is located on the underside of the penis rather than the tip.
b)
The ureters allow a reflux of urine into the kidneys.
c)
The urinary meatus is located on the topside of the penis rather than the tip.
d)
The bladder lies outside the abdominal cavity.
e)
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9.
An 82-year-old female client is prescribed meperidine (Demerol) to be given every 4 hours as needed for pain. Why should the nurse question this order?
a)
The older adult cannot rate his or her pain well, and therefore may overdose on the medication.
b)
The older adult may not excrete metabolites of this medication easily due to the normal aging process.
c)
The older adult always has a decrease in liver function and will not metabolize the medication readily.
d)
The older adult has sensory deprivations and may not tolerate normal side effects of this medication.
e)
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10.
As the client reaches 8cm dilation, the nurse notes a pattern on the fetal monitor that shows a drop in the fetal heart rate of 30bpm beginning at the peak of the contraction and ending at the end of the contraction. The FHR baseline is 165–175bpm with variability of 0–2bpm. What is the most likely explanation of this pattern?
a)
The baby is asleep.
b)
The umbilical cord is compressed.
c)
There is a vagal response.
d)
There is uteroplacental insufficiency.
e)
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11.
The nurse cares for a postoperative mastectomy client. A wound drain is attached to a Hemovac drainage system. Which action should the nurse take?
a)
Apply pressure around the drain insertion site to promote drainage.
b)
Clamp the catheter when emptying the Hemovac drain.
c)
Flush the drainage catheter if it becomes obstructed.
d)
Assess the color and amount of drainage in the Hemovac chamber.
e)
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12.
The health care provider at a prenatal clinic has ordered multivitamins for a woman who is 3 months' pregnant. The client calls the nurse to report that she has gone to the pharmacy to fill her prescription but is unable to buy it as it costs too much. The nurse should refer the client to:
a)
The charge nurse.
b)
The hospital finance office.
c)
Her hospital social worker.
d)
Her insurance company.
e)
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13.
Several clients are admitted to the emergency room following a three-car vehicle accident. Which clients can be assigned to share a room in the emergency department during the disaster?
a)
The schizophrenic client having visual and auditory hallucinations and the client with ulcerative colitis.
b)
The client who is 6 months pregnant with abdominal pain and the client with facial lacerations and a broken arm.
c)
A child whose pupils are fixed and dilated and his parents, and the client with a frontal head injury.
d)
The client who arrives with a large puncture wound to the abdomen and the client with chest pain.
e)
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14.
Six hours after birth, the infant is found to have an area of swelling over the right parietal area that does not cross the suture line. The nurse should chart this finding as:
a)
A cephalohematoma.
b)
Molding.
c)
Subdural hematoma.
d)
Caput succedaneum.
e)
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15.
The nurse cares for a client following a modified left radical mastectomy in the treatment of breast cancer. Which is the proper position for the nurse to place the client's left arm?
a)
Elevated above the shoulder.
b)
Elevated on a pillow.
c)
Dependent to right atrium.
d)
Level with the right atrium.
e)
-
16.
A student nurse is having difficulty determining the liver span of a client. The experienced nurse educates the student:
a)
Since the liver span varies considerably between individuals, its measurement is of little value.
b)
To percuss in the midclavicular line from the nipple line downward and the iliac crest upward.
c)
To palpate the position of the liver first, and then attempt to percuss its position.
d)
That having the client flex his knees will relax the abdominal musculature.
e)
-
17.
The nurse is evaluating a patient postoperatively for infection. Which of the following would be most indicative of infection?
a)
The presence of an indwelling urinary catheter
b)
A rectal temperature of 100° F (37.8º C)
c)
Redness, warmth, and tenderness in the incision area
d)
A white blood cell (WBC) count of 8,000/ul.
e)
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18.
When reviewing the laboratory values of a patient recently diagnosed with chronic lymphocytic leukemia, which finding might the nurse expect to find?
a)
Elevated sedimentation rate
b)
Uncontrolled proliferation of granulocytes
c)
Thrombocytopenia and increased lymphocytes
d)
Elevated aspartate aminotransferase and alanine aminotransferase levels
e)
-
19.
The client is admitted to the postpartum unit with an order to continue the infusion of Pitocin. Which finding indicates that the Pitocin is having the desired effect?
a)
The fundus is deviated to the left.
b)
The fundus is firm and in the midline.
c)
The fundus is boggy.
d)
The fundus is two finger breadths below the umbilicus.
e)
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20.
The nurse performs a follow-up assessment of a client who was involved in a motor vehicle accident and sustained massive head injuries. The client is weaned off the ventilator and is breathing independently. The nurse notices the client's respirations have a rhythmic crescendo and decrescendo of rate and depth of respiration and include brief periods of apnea. This type of respiratory pattern is:
a)
Apneustic.
b)
Ataxic.
c)
Cheyne-Stokes.
d)
Cluster.
e)
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21.
To reduce the possibility of having a baby with a neural tube defect, the client should be told to increase her intake of folic acid. Dietary sources of folic acid include:
a)
Meat, liver, eggs
b)
Pork, fish, chicken
c)
Oranges, cabbage, cantaloupe
d)
Dried beans, sweet potatoes, Brussels sprouts
e)
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22.
A client with a hiatal hernia has been taking magnesium hydroxide for relief of heartburn. Overuse of magnesium-based antacids can cause the client to have:
a)
Constipation
b)
Weight gain
c)
Anorexia
d)
Diarrhea
e)
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23.
A key nursing task is to administer injections to clients. This requires the nurse's knowledge of needle sizes and lengths. Which needle size is the largest?
a)
25 gauge.
b)
22 gauge.
c)
20 gauge.
d)
18 gauge.
e)
-
24.
The health care provider has determined that a preterm labor client at 34 weeks' gestation has no fetal fibronectin present. The nurse should assess the client for which of the following outcomes in the next week?
a)
The client will develop preeclampsia.
b)
The fetus will develop mature lungs.
c)
The client will not likely develop preterm labor.
d)
The fetus will not develop gestational diabetes.
e)
-
25.
Which emergency treatment is appropriate for the client who suddenly develops ventricular fibrillations?
a)
Cardioversion
b)
Intubation
c)
Defibrillation
d)
Anticonvulsant medication
e)
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