WorksheetsGCC 2001 - 2025
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
A nurse failed to administer a medication to a patient according to accepted standards. Consequently, the patient suffered adverse effects. Failure to provide patient care and to follow appropriate standards is called:
a)
A breach of duty.
b)
B breach of contract.
c)
C battery.
d)
D tort.
e)
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2.
The nurse who is caring for a client with cancer notes a WBC of 1,000. Which intervention would be most appropriate to include when caring for this client?
a)
A Assess temperature every 4 hours, due to risk for hypothermia
b)
B Instruct the client to avoid large crowds and people who are sick
c)
C Instruct in the use of a soft toothbrush
d)
D Assess for hematuria
e)
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3.
Which of the following would the nurse identify as the priority to achieve when developing the plan of care for a primigravid client at 38 weeks' gestation who is hospitalized with severe preeclampsia and receiving intravenous magnesium sulfate?
a)
A Decreased generalized edema within 8 hours.
b)
B Decreased urinary output during the first 24 hours.
c)
C Sedation and decreased reflex excitability within 48 hours.
d)
D Absence of any seizure activity during the first 48 hours.
e)
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4.
A client is exposed to an organism that causes disease. The physician prescribes an immunoglobulin to prevent illness. This is an example of:
a)
A Passive immunity.
b)
B Active immunity.
c)
C Acquired immunity.
d)
D Herd immunity.
e)
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5.
The nurse is responding to questions from a client with polycythemia vera. Which would be included in the nurse's explanations? The client should:
a)
A Avoid large crowds
b)
B Keep the head of the bed elevated at night
c)
C Wear socks and gloves when going outside
d)
D Recognize clinical manifestations of thrombosis
e)
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6.
A client with severe anxiety has been prescribed haloperidol (Haldol). What clinical manifestation suggests that the client is experiencing side effects from this medication?
a)
A Cough
b)
B Tremors
c)
C Diarrhea
d)
D Pitting edema
e)
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7.
The nurse is preparing a client with gastroesophageal reflux disease (GERD) for discharge. The nurse should tell the client to:
a)
A Eat a small snack before bedtime
b)
B Sleep on his right side
c)
C Avoid colas, tea, and coffee
d)
D Increase his intake of citrus fruits
e)
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8.
The nurse is admitting a newborn to the nursery. Which finding is expected in the full-term newborn?
a)
A Absence of sucking pads
b)
B Presence of vernix caseosa
c)
C Presence of the scarf sign
d)
D Absence of solar creases
e)
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9.
The nurse working in a long-term care facility knows that elder abuse most often consists of:
a)
A Financial exploitation.
b)
B Neglect.
c)
C Physical abuse.
d)
D Sexual abuse.
e)
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10.
When planning the postoperative care of a patient who underwent surgery for repair of a lacerated spleen after an alcohol-related motor vehicle accident, what intervention should take priority in the immediate postoperative period?
a)
A Monitoring the patient for signs and symptoms of alcohol withdrawal
b)
B Encouraging early ambulation
c)
C Splinting the abdomen for coughing and deep-breathing exercise
d)
D Monitoring the patient's renal function
e)
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11.
A client diagnosed with end-stage liver disease notices a decrease in ascites. The nurse should expect which finding to accompany the decrease in ascites?
a)
A Increased urine output.
b)
B Increased ankle edema.
c)
C Shiny abdominal skin.
d)
D Shallow respirations.
e)
-
12.
A primagravid client at 16 weeks' gestation has had an amniocentesis and has received teaching concerning signs and symptoms to report. Which statement indicates that the client needs further teaching?
a)
A "I need to call if I start to leak fluid from my vagina."
b)
B "If I start bleeding, I will need to call back."
c)
C "If my baby does not move, I need to call my health care provider."
d)
D "If I start running a fever, I should let the office know."
e)
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13.
The nurse is reviewing assessment data for a patient with a diagnosis of stage III Hodgkin's disease. This diagnosis is most strongly supported by lymphatic involvement on both sides of the:
a)
A blood-brain barrier.
b)
B diaphragm.
c)
C descending aorta.
d)
D spinal column.
e)
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14.
A client receiving chemotherapy has Sjogren's syndrome. The nurse can help relieve the discomfort caused by Sjogren's syndrome by:
a)
A Providing cool, noncarbonated beverages
b)
B Instilling eyedrops
c)
C Administering prescribed antiemetics
d)
D Providing small, frequent meals
e)
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15.
A patient who is human immunodeficiency virus (HIV)-positive begins zidovudine therapy. Which statement best describes the action of this drug?
a)
A It eliminates the virus that causes AIDS.
b)
B It interferes with viral replication.
c)
C It stimulates the immune system.
d)
D It clears up skin lesions.
e)
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16.
When performing a physical examination on a 2-year-old client, the nurse:
a)
A Performs a head-to-toe examination in the same manner as a physical examination performed on an adult client.
b)
B Sedates the client to achieve cooperation.
c)
C Performs the minimally invasive maneuvers such as the examination of the ears and eyes at the beginning of the exam.
d)
D Listens to the heart, lungs, and bowel sounds first.
e)
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17.
A patient develops left ventricular dysfunction secondary to an MI. During the physical assessment, the nurse would expect to find:
a)
A bilateral basilar crackles.
b)
B elevated central venous pressure.
c)
C pitting sacral edema.
d)
D hepatojugular reflux.
e)
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18.
During a childbirth preparation class, a primigravid client at 36 weeks' gestation tells the nurse, "My lower back has really been bothering me lately." Which of the following exercises suggested by the nurse would be most helpful?
a)
A Pelvic rocking.
b)
B Deep breathing.
c)
C Tailor sitting.
d)
D Squatting.
e)
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19.
The nurse is taking the blood pressure of an obese client. If the blood pressure cuff is too small, the results will be:
a)
A A false elevation
b)
B A false low reading
c)
C A blood pressure reading that is correct
d)
D A subnormal finding
e)
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20.
The nurse is caring for a client with a malignancy. The classification of the primary tumor is Tis. The nurse should plan care for a tumor:
a)
A That cannot be assessed
b)
B That is in situ
c)
C With increasing lymph node involvement
d)
D With distant metastasis
e)
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21.
Thrombolytic therapy reduces mortality and limits infarct size in clients with acute myocardial infarction associated with ST segment elevation or with left bundle branch block (LBBB). The greatest benefit occurs if treatment is initiated:
a)
A Within the first 3 days.
b)
B Within the first 30 days.
c)
C Within the first 3 hours.
d)
D Within 30 minutes.
e)
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22.
A home health nurse is planning for her daily visits. Which client should the home health nurse visit first?
a)
A A client with AIDS being treated with Foscarnet
b)
B A client with a fractured femur in a long leg cast
c)
C A client with laryngeal cancer with a laryngectomy
d)
D A client with diabetic ulcers to the left foot
e)
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23.
Which of the following increases a 40-year-old patient's risk of developing cataracts?
a)
A A history of frequent streptococcal throat infections
b)
B Maternal exposure to rubella during pregnancy
c)
C Increased IOP
d)
D Prolonged use of steroidal anti-inflammatory agents
e)
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24.
A client returns from surgery after an abdominal perineal resection. The client has a nasogastric (NG) tube in place that is connected to low suction. After several hours, drainage from the NG tube stops. Which action should the nurse take first?
a)
A Advance the NG tube into the nasopharynx.
b)
B Check the suction tubing for kinks.
c)
C Increase the amount of suction.
d)
D Irrigate the NG tube.
e)
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25.
A client is being monitored using a central venous pressure monitor. If the pressure is 2cm of water, the nurse should:
a)
A Call the doctor immediately
b)
B Slow the intravenous infusion
c)
C Listen to the lungs for rales
d)
D Administer a diuretic
e)
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