Demo Quiz
Welcome to the Demo Quiz! Below, you will find numerous sample questions. This demo quiz is set up with questions and the question's answer with Answer reason.
The Correct Answer is True
The Correct Answer is Option A
A. Warming the intravenous fluids
B. Determining whether the client can take oral fluids
C. Checking for the strength of pedal pulses
D. Obtaining the specific gravity of the urine
Warming the intravenous fluid helps to prevent further stress on the vascular system. Thirst is a sign of hypovolemia; however, oral fluids alone will not meet the fluid needs of the client in hypovolemic shock, so answer B is incorrect. Answers C and D are wrong because they can be used for baseline information but will not help stabilize the client.
The Correct Answer is Option C
A. Gemcitabine (Gemzar)
B. Gefitinib (Iressa)
C. Cabergoline (Dostinex)
D. Ganciclovir (Cytovene)
Dostinex is used to shrink the prolactin-based tumor. Answers A and B are antineoplastic drugs. Answer D is an antiviral medication.
The Correct Answer is Option C
A. AV node
B. Purkinje fibers
C. SA node
D. Bundle of His
The pacemaker of the heart is the SA node. The impulse moves from the SA node to the AV node on to the right and left bundle branches and finally to the Purkinje fibers. This makes answers A, B, and D incorrect.
The Correct Answer is Option B
A. Presence of serum albumin in the interstitial space
B. Increased capillary permeability
C. Erratic drainage of the lymphatic system
D. Altered osmotic pressure in the blood vessels
Hypovolemic shock is the result of increased capillary permeability that leads to third spacing or capillary leak syndrome. The loss of plasma fluids and proteins decreases blood volume and blood pressure. Answers A, C, and D do not relate to hypovolemic shock; therefore, they are incorrect.
The Correct Answer is Option B
A. The nurse offers extra blankets.
B. The nurse places a tracheostomy tube at the bedside.
C. The nurse insists that the client refrain from talking.
D. The nurse administers pain medication every four hours.
The thyroid is located anterior to the trachea; therefore, laryngeal stridor and airway obstruction is a risk following a thyroidectomy. Answer A is incorrect because this action is not necessary. The need for extra blankets is associated with hypothyroidism, but is not directly associated with thyroid surgery. Answer C is incorrect because the client can talk. Answer D is incorrect because pain medication should be offered as needed, not every four hours.
The Correct Answer is Option C
A. Walk 20 minutes a day to maintain muscle strength
B. Expect a reddish discoloration of her urine
C. Notify the doctor of a sore throat or fever
D. Eat smaller, more frequent meals
Cytoxan is an immunosuppressive drug; therefore, the client should notify the doctor of symptoms associated with infection. Answers A and D are not associated with the use of Cytoxan; therefore, they are incorrect. The client taking Cytoxan can experience hemorrhagic cystitis due to inadequate fluid intake, but it is not an expected finding; therefore, answer B is incorrect.
The Correct Answer is Option D
A. Webbed neckWebbed neck
B. High arched palate
C. Scaphoid abdomen
D. Low-set ears
Structural anomalies in the infant with polycystic kidney disease include low-set ears, pointed nose, and small chin. Answers A, B, and C are not associated with polycystic kidney disease; therefore, they are incorrect.
The Correct Answer is Option C
A. Serum phosphorus of 3.0 mg/dL
B. Alkaline phosphatase of 70 units/L
C. Serum calcium 16.0 mg/dL
D. Aldolase 3.5 units/dL
Serum calcium levels rise with metastatic cancer of the bone. Normal calcium is 9.0 mg/dL–10.5 mg/dL. Answers A and D are incorrect because these are within normal limits and not related to bone metastasis. Normal phosphorus level is 3.0–4.5 mg/dL and normal aldolase level is 3.0–8.2 units/dL. Alkaline phosphatase is elevated in bone metastasis and Answer B is within the normal of 30–120 units/L, so it is incorrect.
The Correct Answer is Option B
A. Surgical ANTT
B. Standard ANTT
C. Sterile ANTT
D. Clean procedure
Simple procedures requiring asepsis will require Standard ANTT. These procedures include simple wound dressings, IV medication preparation and administration, removal of surgical drains, and changing of IV fluids.
Surgical ANTT is for invasive procedures such as IV cannulation and Urinary catheterization
Clean procedures are for non-invasive, non-sterile skills such as NGT insertion or colostomy care.
The Correct Answer is Option B
A. Chocolate milk
B. Grapefruit juice
C. Orange juice
D. Milk
Sandimmune oral solution should not be mixed with grapefruit juice. Answers A, C, and D are all suitable beverages for mixing with the medication; therefore, they are incorrect.
The Correct Answer is Option B
A. A schizophrenic client having visual and auditory hallucinations and the client with ulcerative colitis
B. The client who is six 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 a 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
Out of all these clients, it is best to hold the pregnant client and the client with a broken arm and facial lacerations in the same room. The other clients need to be placed in separate rooms, so answers A, C, and D are incorrect.
The Correct Answer is Option C
A. Anorexia
B. Difficulty swallowing
C. Hirsutism
D. Hot flashes
Hirsutism is facial hair. This is associated with hypersecretion of cortisol. Answers A, B, and D are not associated with Cushing’s disease.
The Correct Answer is Option C
A. A headache
B. Shortness of breath only during sleep
C. Lower back pain
D. Difficulty voiding
Clients with abdominal aortic aneurysms often complain of nausea, lower back pain, and feeling their heart beat in the abdomen. Answer A is incorrect because a headache is a symptom of a cerebral aneurysm. Answer B is incorrect because, although the client with an abdominal aneurysm might have shortness of breath, this symptom is not particular to during sleep. Answer D is incorrect because difficulty voiding is not associated with an abdominal aneurysm.
The Correct Answer is Option A
Clients with GERD should eat four to six small meals per day to prevent reflux rather than three large meals. Answers B, C, and D are recommendations for health promotion tactics to control reflux. Other aspects include no snacking in the evening; no food two to three hours before bedtime; elevating the head of the bed at night; avoiding heavy lifting and straining; and limiting fatty, spicy foods, coffee, chocolate, alcohol, and colas.
The Correct Answer is Option B
A. Phalen’s maneuver
B. Tinel’s sign
C. Chevotsky’s sign
D. Turner’s sign
This test is measured as described and can result in pain and a tingling sensation if the client has carpal tunnel syndrome (CTS). Answer A is incorrect because it is a test in which the client is asked to place the back of the hands together and flex the wrist at the same time causing pain. Answers C and D are exams not related to CTS, so they are incorrect.
The Correct Answer is Option B
A. Initiate the IV line without the use of a pump.
B. Contact the electrical maintenance department for assistance.
C. Plug in the pump cord in the available plug above the room sink.
D. Use an extension cord from the nurses’ lounge for the pump plug.
Electrical equipment must be maintained in good working order and should be grounded; otherwise, it presents a physical hazard. An IV line that contains a dose of potassium chloride should be administered by an infusion pump. The nurse needs to use hospital resources for assistance. A regular extension cord should not be used because it poses a risk for fire. Use of electrical appliances near a sink also presents a hazard.
The Correct Answer is Option D
A. Wearing gloves when emptying the client’s bedpan
B. Keeping all linens in the room until the implant is removed
C. Wearing a lead apron when providing direct care to the client
D. Placing the client in a 4 bedded room with shared toilet
A private room with a private bath is essential if a client has an internal radiation implant. This is necessary to prevent accidental exposure of other clients to radiation. The remaining options identify accurate interventions for a client with an internal radiation implant and protect the nurse from exposure.
The Correct Answer is Option A
A. Fractures of the ribs
B. Contusions of the lower legs
C. Fractures of the humerus
D. Lacerations of the face
Fractures of the ribs can result in a closed pneumothorax, a life-threatening emergency, that requires early detection and treatment. Answers B, C, and D are incorrect because they do not pose a risk to the life of the client.
The Correct Answer is Option B
A. Turn the clients to the left side
B. Immobilize the extremity by splinting above and below the fractured site
C. Provide manual traction of the fracture site
D. Reinsert any protruding bones and apply a sterile dressing
The nurse should splint the extremity, cover the area, and do a neurovascular assessment. Answer A is incorrect because the client should be in the supine position. Answer C is not recommended, so it is incorrect. Answer D is detrimental and increases the risk of infection, so it is incorrect.
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