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WorksheetsGCC 2176 - 2200
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
The nurse teaches an elderly client about the use of subcutaneous therapy (hypodermoclysis) for fluid infusion. Which statement by the client indicates an understanding of the therapy?
a)
I understand this therapy can be used for extended periods of time.
b)
I don't have any bleeding problems, so that should make it OK for me to have this therapy.
c)
I will be getting massive amounts of fluids through this injection.
d)
I was told that large-sized needles have to be used for this therapy.
e)
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2.
Implied consent differs from informed consent for an invasive procedure. Which scenario describes implied consent?
a)
The nurse enters a client's room with the consent form for an invasive procedure. The client reads and signs the consent form but does not engage in conversation with the nurse.
b)
A fully alert and oriented patient is intubated and unable to speak, but nods, gestures, and writes notes to communicate. The client reads and signs the consent for a tracheotomy after the physician explains the risks and benefits of the procedure to the client with the family present.
c)
A paraplegic client listens carefully to the physician's explanation of a proposed invasive procedure, the risks and benefits, and then gives consent verbally. The physician and nurse both document this and cosign the consent form as witnesses.
d)
A client arrives at the emergency department severely short of breath, then collapses unconscious on the floor. The ED staff provides emergent treatment to the client for resuscitation and airway protection. The client's consent to treatment was implied by the client voluntarily coming to the ED for treatment, even though the client is currently unconscious and unable to give informed consent.
e)
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3.
A newborn of 32 weeks gestation is diagnosed with respiratory distress syndrome 3 hours after birth. An assessment finding in the newborn with respiratory distress syndrome is:
a)
Feeding difficulties
b)
Nasal flaring
c)
Increased blood pressure
d)
Temperature instability
e)
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4.
A 22-year-old female is being discharged after an admission for bipolar disorder. Discharge medications include valproate (Depakote). Which statement by the client would cause the nurse concern because of the prescription?
a)
I am trying to get pregnant.
b)
My career as a secretary is just beginning.
c)
I usually exercise 4 times a week.
d)
I am on a well-balanced diet.
e)
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5.
The nurse is speaking to a group of women about early detection of breast cancer. The average age of the women in the group is 47. Following the American Cancer Society guidelines, the nurse should recommend that the women:
a)
perform BSE annually.
b)
have a mammogram annually.
c)
have a hormonal receptor assay annually.
d)
have a practitioner conduct a clinical examination every 2 years.
e)
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6.
The nurse is observing a student perform the skill of intramuscular injection by the Z track method. Which technique would the student utilize to prevent tracking of the medication?
a)
Inject the medication in the deltoid muscle when described by the patient
b)
Use a 22-gauge needle
c)
Omit aspirating for blood before injecting
d)
Draw up 0.2mL of air after the proper medication dose
e)
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7.
Which condition is characterized by weight loss, excessive thirst, and dry mucous membranes?
a)
Hyperosmolality.
b)
Hypoosmolality.
c)
Volume depletion.
d)
Volume overload
e)
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8.
An unstable client's blood pressure is 64/30. The client has hetastarch (Hespan) 500 mL IV bolus ordered PRN for a systolic blood pressure of 鈮?100. What should be the nurse's first priority for the care of this client?
a)
The nurse should contact the client's physician first, to give an update regarding the client's low blood pressure and receive further orders.
b)
The nurse should first begin the hetastarch IV bolus to treat the client's low blood pressure and ask another staff member to place a call to the client's physician.
c)
The nurse should first read the medication information on hetastarch thoroughly, even though the client has a blood pressure of 64/30 and is unstable.
d)
The nurse should take no intervention at this time, but recheck the client's vital signs in 15 minutes to determine the trend of the blood pressure.
e)
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9.
A 34-year-old multiparous client at 16 weeks' gestation who received regular prenatal care for all of her previous pregnancies tells the nurse that she has already felt the baby move. The nurse interprets this as which of the following?
a)
The possibility that the client is carrying twins.
b)
Unusual because most multiparous clients do not experience quickening until 30 weeks' gestation.
c)
Evidence that the client's estimated date of delivery is probably off by a few weeks.
d)
Normal because multiparous clients can experience quickening between 14 and 20 weeks' gestation.
e)
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10.
The nurse is caring for a client following a right nephrolithotomy. Post-operatively, the client should be positioned:
a)
On the right side
b)
Supine
c)
On the left side
d)
Prone
e)
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11.
The physician has ordered prostaglandin gel to be administered vaginally to a newly admitted primigravid client. Which of the following indicate that the client has had a therapeutic response to the medication?
a)
Resting period of 2 minutes between contractions.
b)
Normal patellar and elbow reflexes for the past 2 hours.
c)
Softening of the cervix and beginning effacement.
d)
Leaking of clear amniotic fluid in small amounts.
e)
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12.
A 28-year-old woman is scheduled for a glucose tolerance test. She asks the nurse what results indicate diabetes mellitus. The nurse should respond that the minimum parameter for indication of diabetes mellitus is a 2-hour blood glucose level greater than:
a)
120 mg/dl
b)
150 mg/dL.
c)
200 mg/dL.
d)
250 mg/dL.
e)
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13.
A client is to undergo insertion of an esophageal gastric balloon tube. Which instruction would the nurse include in teaching about the purpose of the device?
a)
The device applies pressure to the veins in the esophagus and stomach.
b)
It is used to prevent the accumulation of ascites.
c)
It will prevent bleeding of arteries in the esophagus.
d)
The doctor will use the tube to inject sclerosing solution into esophageal varices.
e)
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14.
A 2-month-old infant has just received her first Tetramune injection. The nurse should tell the mother that the immunization:
a)
Will need to be repeated when the child is 4 years of age
b)
Is given to determine whether the child is susceptible to pertussis
c)
Is one of a series of injections that protects against dpt and Hib
d)
Is a one-time injection that protects against MMR and varicella
e)
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15.
The nurse is reviewing a 52-year-old patient's laboratory values. The platelet count is 75,000/ul. This value indicates which of the following?
a)
A normal platelet count
b)
Thrombocytopenia
c)
Thrombocytopathy
d)
Thrombocytosis
e)
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16.
Which of the following medication orders needs further clarification?
a)
Darvocet (propoxyphene) 65mg PO every 4-6 hrs. PRN
b)
Mysoline (primidone) 250mg PO TID
c)
Coumadin (warfarin sodium) 10mg PO
d)
Premarin (conjugated estrogen) .625mg PO daily
e)
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17.
What does the nurse recognize as the primary reason that food and fluids are withheld from clients with pancreatitis?
a)
Decrease blood flow to the pancreas
b)
Decrease stimulation of the pancreas
c)
Increase secretion of pancreatic enzymes
d)
Increase insulin production by the pancreas
e)
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18.
The 84-year-old male has returned from the recovery room following a total hip repair. He complains of pain and is medicated by morphine sulfate and promethazine. Which medication should be kept available for the client being treated with opoid analgesics?
a)
Nalozone (Narcan)
b)
Ketorolac (Toradol)
c)
Acetylsalicylic acid (aspirin)
d)
Atropine sulfate (Atropine)
e)
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19.
Which client would be an appropriate candidate for oral hydration?
a)
A pregnant client with uncontrolled nausea and vomiting.
b)
A client with aspiration pneumonia.
c)
A client who has had a stroke, has right-sided facial droop, and coughs when trying to swallow oral secretions.
d)
A client who has had knee surgery.
e)
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20.
A patient with Hodgkin's disease has lymph node involvement on both sides of the diaphragm and involvement of the spleen. According to the Ann Harbor classification system, what stage lymphoma does this patient have?
a)
Stage I
b)
Stage II
c)
Stage III
d)
Stage IV
e)
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21.
The nurse instructs a client with newly diagnosed diabetes mellitus that hypoglycemia occurs when the blood sugar level is less than:
a)
100 mg/dL
b)
58 mg/dL.
c)
75 mg/dL
d)
140 mg/dL.
e)
-
22.
The nurse is caring for the client admitted after trauma to the neck in an automobile accident. The client suddenly becomes unresponsive and pale, with a BP of 60 systolic. The initial nurse's action should be to:
a)
Place the client in Trendelenburg position
b)
Increase the infusion of normal saline
c)
Administer atropine IM
d)
Obtain a crash cart
e)
-
23.
When teaching a primigravid client at 24 weeks' gestation about the diagnostic tests to determine fetal well-being, which of the following should the nurse include?
a)
A fetal biophysical profile involves assessments of breathing movements, body movements, tone, amniotic fluid volume, and fetal heart rate reactivity.
b)
A reactive nonstress test is an ominous sign and requires further evaluation with fetal echocardiography.
c)
Contraction stress testing, performed on most pregnant women, can be initiated as early as 16 weeks' gestation.
d)
Percutaneous umbilical blood sampling uses a needle inserted through the vagina to obtain a sample.
e)
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24.
Which of the following clients is most likely to be a victim of elder abuse?
a)
A 62-year-old female with diverticulitis
b)
A 76-year-old female with right-sided hemiplegia
c)
A 65-year-old male with a hip replacement
d)
A 72-year-old male with diabetes mellitus
e)
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25.
Which measure most effectively reduces the risk of health care-associated infections?
a)
Keeping employee health records up-to-date
b)
Performing hand hygiene
c)
Providing annual influenza vaccinations
d)
Always wearing a mask when caring for patients
e)
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