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WorksheetsGCC 2051 - 2075
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
The physician has ordered Cephulac (lactulose) for a client with increased serum ammonia. The nurse knows the medication is having its desired effect if the client experiences:
a)
A Increased urination
b)
B Diarrhea
c)
C Increased appetite
d)
D Decreased weight
e)
-
2.
Which assessment finding in a client with emphysema indicates to the nurse that the respiratory problem is chronic?
a)
A Wheezing on exhalation
b)
B Productive cough
c)
C Clubbing of fingers
d)
D Cyanosis
e)
-
3.
Which of the following nursing interventions has the highest priority for the client scheduled for an intravenous pyelogram?
a)
A Providing the client with a favorite meal for dinner
b)
B Asking if the client has allergies to shellfish
c)
C Encouraging fluids the evening before the test
d)
D Telling the client what to expect during the test
e)
-
4.
After instructing a 20-year-old nulligravid client about adverse effects of oral contraceptives, the nurse determines that further instruction is needed when the client states which of the following as an adverse effect?
a)
A Weight gain.
b)
B Nausea.
c)
C Headache.
d)
D Ovarian cancer.
e)
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5.
In the levels of basic human needs as defined by Abraham Maslow, which of the following levels is most basic?
a)
A Physiologic
b)
B Safety and security
c)
C Love, affection, and belonging
d)
D Esteem
e)
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6.
Ageism is a negative attitude toward older adults. To prevent ageism when working with older adult clients, the nurse should:
a)
A Have knowledge about normal aging while maintaining contact with healthy, independent, older clients.
b)
B Speak slowly with increased volume while providing educational pamphlets and brochures.
c)
C Limit the client's activities to prevent injury and promote rest.
d)
D Involve the family in decision making and financial concerns.
e)
-
7.
An infant who weighs 8 pounds at birth would be expected to weigh how many pounds at 1 year?
a)
A 14 pounds
b)
B 16 pounds
c)
C 18 pounds
d)
D 24 pounds
e)
-
8.
Which medication is important to have available for clients who have received Versed?
a)
A Diazepam (Valium)
b)
B Naloxone (Narcan)
c)
C Flumazenil (Romazicon)
d)
D Florinef (Fludrocortisone)
e)
-
9.
A client is admitted to the emergency room with a complaint of chest pain. The physician suspects a myocardial infarction and orders heparin and nitroglycerin. Which home medication, taken just before admission, would the nurse report to the ER physician immediately?
a)
A Acetaminophen (Tylenol)
b)
B Sildenafil (Viagra)
c)
C Chlordiazepoxide/clidinium (Librax)
d)
D Escitalopram (Lexapro)
e)
-
10.
The nurse recognizes which of the following types of leukemia as being more common in an older adult?
a)
A Acute myelocytic leukemia
b)
B Acute lymphocytic leukemia
c)
C Chronic lymphocytic leukemia
d)
D Chronic granulocytic leukemia
e)
-
11.
A client is to receive an intravenous line and has requested that lidocaine hydrochloride 1% (Lidocaine) be used to locally anesthetize the area. Which is a potential complication that can occur with the use of this technique?
a)
A Obliteration of the vein.
b)
B Thrombosis.
c)
C Phlebitis.
d)
D Fluid infiltration.
e)
-
12.
The nurse is caring for a client following a stroke that left him with apraxia. The nurse knows that the client will:
a)
A Be unable to communicate through speech
b)
B Have difficulty swallowing
c)
C Have difficulty with voluntary movements
d)
D Be unable to perform previously learned skills
e)
-
13.
Which medication is added to the client's central line infusion/flush setup to maintain the patency of the hemodynamic monitoring system?
a)
A Aspirin.
b)
B Heparin.
c)
C Normal saline.
d)
D Zantac.
e)
-
14.
A 10-year-old has an order for Demerol (meperidine) 35mg IM for pain. The medication is available as Demerol 50mg per mL. How much should the nurse administer?
a)
A .5mL
b)
B .6mL
c)
C .7mL
d)
D .8mL
e)
-
15.
In terms of cognitive development, a 2-year-old would be expected to:
a)
A Think abstractly
b)
B Use magical thinking
c)
C Understand conservation of matter
d)
D See things from the perspective of others
e)
-
16.
A client is scheduled for open heart surgery. The nurse enters the client's room to perform preoperative teaching and finds the client crying. The client states, "I really do not want to go through open heart surgery. I have told my children this, but they still want me to go through with the surgery. I don't know what to do." What is the best response for the nurse as client advocate?
a)
A Your children are correct. The open heart surgery is the best thing for your health.
b)
B From what you are telling me, you have some genuine concerns about the open heart surgery, and you feel as if your children are not addressing your concerns. You and your family will need to resolve this before you go to surgery.
c)
C I can contact your physician so that you can discuss your concerns regarding open heart surgery.
d)
D From what you are telling me, you have some genuine concerns about the open heart surgery, and you feel as if your children are not addressing your concerns. It is important to me and to the health care team that we follow your wishes regarding surgery and treatment. Would you feel comfortable telling me more about your concerns and your children's attitudes toward the surgery?
e)
-
17.
The nurse is teaching the client regarding use of sodium warfarin. Which statement made by the client would require further teaching?
a)
A "I will have blood drawn every month."
b)
B "I will assess my skin for a rash."
c)
C "I take aspirin for a headache."
d)
D "I will use an electric razor to shave."
e)
-
18.
After a dilatation and curettage (D&C) to evacuate a molar pregnancy, assessing the client for signs and symptoms of which of the following would be most important?
a)
A Urinary tract infection.
b)
B Hemorrhage.
c)
C Abdominal distention.
d)
D Chorioamnionitis.
e)
-
19.
A 10-year-old received an injury to his face and mouth in a bicycle accident. Examination reveals that a permanent tooth has been evulsed. Emergency care following evulsion of a permanent tooth includes:
a)
A Rinsing the tooth in milk before reimplantation
b)
B Wiping the tooth with gauze before reimplantation
c)
C Holding the tooth by the root as it is rinsed
d)
D Putting the tooth underneath the child's tongue
e)
-
20.
A client has an order for streptokinase. Before administering the medication, the nurse should assess the client for:
a)
A Allergies to pineapples and bananas
b)
B A history of streptococcal infections
c)
C Prior therapy with phenytoin
d)
D A history of alcohol abuse
e)
-
21.
The nurse prepares to give an intramuscular injection to a client. Which is considered the safest and preferred site for intramuscular injections?
a)
A Vastus lateralis.
b)
B Dorsogluteal.
c)
C Ventrogluteal.
d)
D Deltoid.
e)
-
22.
The nurse admits a client to the hospital for a carotid endarterectomy. The nurse should expect to find which condition documented in the client's history?
a)
A End-stage liver disease.
b)
B Chronic kidney disease.
c)
C Cancer.
d)
D Atherosclerosis.
e)
-
23.
An adolescent with borderline personality disorders is hospitalized with suicidal ideation and self-mutilation. Which goal is both therapeutic and realistic for this client?
a)
A The client will remain in her room when feeling overwhelmed by sadness.
b)
B The client will request medication when feeling loss of emotional control.
c)
C The client will leave group activities to pace when feeling anxious.
d)
D The client will seek out a staff member to verbalize feelings of anger and sadness.
e)
-
24.
A client is admitted to the emergency department with a diagnosis of sickle-cell crisis. The nurse anticipates which priority nursing intervention to be ordered by the physician?
a)
A Administer oxygen.
b)
B Perform laboratory tests.
c)
C Conduct genetic counseling.
d)
D Administer transfusion of platelets.
e)
-
25.
The nurse is preparing a patient for surgery on the lower abdomen. Which position would the nurse most likely place the client in for surgery on this area?
a)
A Lithotomy
b)
B Sims
c)
C Prone
d)
D Trendelenburg
e)
-
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