GMCH Staff Nurse Exam 2016 Questions Papers.pdf
2.7 MB
GMCH Staff Nurse Exam 2016 Questions Papers.pdf
❤1
A nurse is performing continuous bladder irrigation at 1 L/h. Which assessment is the priority?
Anonymous Quiz
47%
The amount of fluid being returned
18%
The size of the indwelling catheter
20%
The client’s knowledge level of the procedure
14%
The percentage of formalin ordered for irrigation
A nurse is discharging a client who has been undergoing chemotherapy. When discussing at home care, the priority instruction should be to:
Anonymous Quiz
16%
avoid public places
40%
include fresh fruits and vegetables in your diet
26%
limit visitors in the home
18%
wash your hands often
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A client is 24 hours postop from gastric bypass surgery. Which of the following nursing actions is best in preventing thrombus formation?
Anonymous Quiz
28%
The application of sequential compression devices
29%
Ambulating the client
34%
Administering salicylate (Aspirin)
9%
Massaging of lower extremities
❤2
What is the most appropriate action for a rapidly occurring wide QRS complex with no discernable p-waves?
Anonymous Quiz
28%
Shock the client with 200 J
42%
Perform chest compressions
21%
Administer oxygen
8%
Take a manual blood pressure
❤3
A school nurse should schedule which type of screening exam for all 12-year-olds enrolled in the school?
Anonymous Quiz
31%
Scoliosis
19%
Diabetes
21%
Hypertension
29%
Hearing
❤2
Which site is the best for administering total parenteral nutrition to a client whose feeding contains greater than 10% glucose?
Anonymous Quiz
11%
PEG tube
34%
NG tube
19%
Peripheral site
35%
Central catheter site
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A client who takes digoxin (Lanoxin) at home has presented with a digoxin level of 4 ng/mL and a heart rate of 38. What is the priority nursing action?
Anonymous Quiz
8%
Set up the client for external pacing
29%
Administer Atropine 1 mg IV
39%
Administer Digibind 228 mg IV
24%
Assess the client for visual changes and nausea/ vomiting
❤2
A client is admitted with active tuberculosis. Which form of isolation should the client be placed on?
Anonymous Quiz
7%
Contact
47%
Droplet
38%
Airborne
8%
Standard
❤2
A client presents with a history of illegal use of prescription narcotics. Which assessment data is the earliest sign of withdrawal?
Anonymous Quiz
21%
BP 90/60, HR 100
47%
Anxiety, irritability
21%
Insomnia, diarrhea
12%
Nausea, vomiting
A client is being weaned from a patient controlled analgesic pump (PCA pump). Which nursing intervention would be best to assist in the control of pain?
Anonymous Quiz
19%
Provide small chatter in the background
31%
Play classical music in the background
23%
Darken the room and close the door
28%
Teach the client to only call for pain meds when pain is a 10/10
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The nurse will plan to avoid performing which nursing actions on the left arm of a client with an arteriovenous fistula?
Anonymous Quiz
48%
Blood pressure monitoring
24%
Oxygen saturation monitoring
14%
Blood glucose monitoring
14%
Assessment of capillary refill
❤1
While developing the clinical pathway of four clients, which client will need a referral to speech therapy based on the nurse’s assessment?
Anonymous Quiz
11%
A client who experienced a fractured hip
66%
A client who underwent a laryngectomy
12%
A client who underwent a cholecystectomy
11%
A client who was admitted for congestive heart failure
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A 33-year-old client reports left leg pain, right-sided chest pain, and a sudden onset of shortness of breath. Which action should be taken immediately by the nurse?
Anonymous Quiz
5%
Take the client’s temperature
67%
Auscultate the client’s the lung sounds
14%
Percuss the client’s abdomen
14%
Request a stat chest x-ray
❤1
Which rationale should a nurse use to explain the reason for oxygen being bubbled through a humidifier to a client receiving 2 liters of oxygen by nasal cannula?
Anonymous Quiz
16%
Prevents the burning sensation of direction oxygen
58%
Prevents drying of the nasal passages
18%
Prevents a chemical reaction between the tubing and oxygen
8%
Prevents contamination with environmental gases
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