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 Option C
A. 100 ml
B. 300 ml
C. 500 ml
D. 700 ml
Fluid intake for the client with acute glomerulonephritis is limited to urinary output plus 500 mL to 600 mL. Answers A and B are incorrect because the intake is too limited. Answer D is incorrect because the intake is excessive.
The Correct Answer is Option C
A. Fever and chills
B. Hypotension and tachycardia
C. Rash and hives
D. Decreased urinary output and hypertension
Other symptoms include respiratory distress and anaphylaxis. Answer A describes febrile nonhemolytic reaction, so it is incorrect. Answer B occurs with hemolytic reaction and answer D is not associated with a blood transfusion reaction, so they are incorrect.
The Correct Answer is Option C
A. Assess for allergy to iodine
B. Check pulses proximal to the site
C. Assess the urinary output
D. Check to ensure that the client has a consent form signed
The dye used in the procedure can cause a decrease in renal function. The client’s renal function should be assessed and changes reported to the doctor immediately. Answer A is incorrect because the client’s allergies should be checked prior to the procedure, not after the procedure. The femoral artery is commonly used as the site for a catheterization. Answer B is incorrect because the pulses should be checked distal to the site. Answer D is incorrect because the permit should be signed prior to the procedure.
The Correct Answer is Option A
A. Walk one to two steps ahead with the client’s hand on the nurse’s elbow
B. Walk beside the client while holding her hand.
C. Walk one to two steps behind with the nurse’s hand on the client’s elbow.
D. Walk beside the client without touching her.
When ambulating the client who is blind, the nurse should allow the client to grasp his arm at the elbow. The nurse’s arm should be kept close to the body so that the client can detect the nurse’s direction or movement. Answers B, C, and D are improper ways of ambulating the client who is blind; therefore, they are incorrect.
The Correct Answer is Option B
A. No need for any medical treatment for radiation exposure
B. Have damage to the bones, kidneys, liver, and thyroid
C. Experience only erythema and desquamation
D. Not be radioactive because the radiation passes through the body
The client with incorporation radiation injuries requires immediate medical treatment. Most of the damage occurs to the bones, kidneys, liver, and thyroid. Answers A, C, and D refer to external irradiation, so they are wrong.
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. Fear related to potential hearing loss
B. Risk for injury related to loss of balance
C. Activity intolerance related to perception of dizziness
D. Anxiety related to loss of control
The client with Ménière’s disease experiences a whirling sensation that could lead to falls. The nurse should give priority to the client’s safety. Answers A, C, and D should be considered when planning for the client’s care; however, they do not take priority over safety; therefore, they are incorrect choices.
The Correct Answer is Option C
A. Two hour post-prandial
B. Dextrostix
C. Glucose tolerance test
D. Hemoglobin A-1C
The most indicative test of diabetes is the glucose tolerance test. Answers A and B are used to detect an elevated blood glucose level, but are not the best to detect diabetes. Answer D is incorrect because this test detects compliance.
The Correct Answer is Option A
You are working on the 3pm-11pm shift. Estimate the patients 8 hour intake when administered with the following: IVF @ 25cc/hr continuous; TPN @ 50cc/hr continuous; Lipids at 10cc/hr for 12 hours (8pm-8am); NGT feeds @ 25 cc/hr continuous; 2 units of blood – 250ml/unit – first unit at 10am/ second unit at 4pm; IV Vancomycin – 250ml every 12 hours at 8am/8pm.
REMEMBER: cc = mL
IVF = 25 mL x 8 hours = 200 mL
TPN = 50 mL x 8 hours = 400 mL
Lipids = 10 mL x 3 hours (consider only 3hours 8pm-11pm as shift ends at 11pm) = 30 mL
NGT feeds = 25 mL x 8 hours = 200 mL
Blood - x1 unit given at 4pm included in 3pm-11pm shift = 250 mL
IV Vancomycin = 250 mL (given at 8pm, 8am shift not included)
TOTAL INTAKE = 1330 mLs
The Correct Answer is Option B
A. Leg cramps
B. Hot flashes
C. Urinary frequency
D. Cold extremities
This drug is in the same category as the chemotherapeutic agent tamoxifene (Novaldex) used for breast cancer. In the case of Evista, this drug is used to treat osteoporosis. Notice that the E stands for estrogen. This drug has an agonist effect, so it binds with estrogen and can cause hot flashes. This drug does not cause leg cramps, urinary frequency, or cold extremities, so answers A, C, and D are incorrect.
The Correct Answer is Option A
A. Recent cardio thoracic surgery
B. Diabetes mellitus
C. Rheumatoid arthritis
D. Emphysema
Recent abdominal or thoracic surgery are contraindications for chest physiotherapy. Chest physiotherapy includes the use of percussion, vibration and postural chest drainage. Chest physiotherapy is not contraindicated for the client with diabetes mellitus, rheumatoid arthritis, or emphysema, therefore answers B, C, and D are incorrect.
The Correct Answer is Option B
A. Call the doctor
B. Stop the IV infusion of Vancomycin
C. Administer Benadryl as ordered
D. Take the vital signs
All are important however, the initial step is to stop the cause of the allergy.
The Correct Answer is Option B
A. Clear liquids the day before the test
B. Nothing by mouth the night before the test
C. High-fat meal two hours before the test
D. Asking the client to bring a sputum sample with her for analysis
The only preparation for H. pylori urea breath test is NPO after midnight. In this test, the client drinks a carbon-enriched urea liquid and then CO2 is measured for H. pylori. Answers A, C, and D are not part of the preparation for an H. pylori urea breath test, so they are incorrect options.
The Correct Answer is Option C
A. Vaccination with a live virus
B. Weakened immune system
C. Inoculation with BCG vaccine
D. Poor testing technique
Inoculation with BCG vaccine will produce a false positive TB skin test. Vaccination with a live virus, weakened immune system, and poor testing technique are factors that can produce a false negative TB skin test, therefore Answers A, B, and D are incorrect.
The Correct Answer is Option C
A. Prepare the child for surgery
B. Document the finding only
C. Notify the physician
D. Palpate the child’s abdomen
The passage of a soft formed brown stool is an indication that the intussusception is resolving. Answer A is incorrect because the condition is resolving without surgery. Answer B is incorrect because the physician should be notified in addition to documenting the finding. Answer D is incorrect because the nurse should not palpate the abdomen of a child recovering from intussusception.
The Correct Answer is Option D
A. Adolescent males
B. Preteen males
C. Preteen females
D. Adolescent females
The most likely group to have scoliosis is adolescent girls. The groups in Answers A, B, and C are not as likely to have scoliosis; therefore, those answers are incorrect.
The Correct Answer is Option D
A. Telling the child how important it is to drink fluids
B. Telling the child how important it is to drink fluids
C. Providing soup on the lunch and dinner meals
D. Offering flavored ice pops or iced Slurpees
A child will likely accept the fluids in this answer better than the others listed. The child is too young to understand the statement in answer A, so it is inappropriate. Answers B and C are good sources of fluids but would not be best or acceptable for a 3-year-old, so they are incorrect.
The Correct Answer is Option C
A. Have one of the client’s family members interpret.
B. Have the Spanish-speaking triage receptionist interpret.
C. Page an interpreter from the hospital’s interpreter services.
D. Obtain a Spanish-English dictionary and attempt to triage the client.
The best action is to have a professional hospital-based interpreter translate for the client. English-speaking family members may not appropriately understand what is asked of them and may paraphrase what the client is actually saying. Also, client confidentiality, as well as accurate information, may be compromised when a family member or a non–health care provider acts as an interpreter.
The Correct Answer is Option A
A. Propylthiouracil (PTU)
B. Fludrocortisone (Florinef)
C. Levothyroxine (Synthyroid)
D. Glipizide (Glucotrol)
Propylthiouracil (PTU) is an antithyroid medication. Answer B is incorrect because this is a cortisone preparation. Answer C is incorrect because this drug is used for hypothyroidism. Answer D is incorrect because this drug is used to treat diabetes.
The Correct Answer is Option C
A. Excitability
B. Tremors
C. Heart rate 150
D. Nausea
Adverse effects of epinephrine include hypertension and tachycardia. Answers A, B, and D are expected side effects of racemic epinephrine.
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