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 A
A. Develop an elevated digitalis level
B. Have a decrease in the digitalis levels
C. Have alterations in sodium levels
D. Develop tachycardia
The client taking digitalis should avoid constipation because constipation can lead to digitalis toxicity. Answer B is incorrect because constipation will not lead to a decrease in the digitalis levels. Answer C is incorrect because constipation does not result in alterations in the sodium level. Answer D is incorrect because digitalis toxicity will result in brachycardia, not tachycardia.
The Correct Answer is Option A
A. Hard palate
B. Palms of the hands
C. Sclera
D. Soles of the feet
Jaundice in the dark-skinned client is best assessed by examining the hard palate. Answers B and D are incorrect because the palms and soles might take on a yellowish appearance if calluses are present. Answer C is incorrect because normal deposits of fat can produce a yellowish appearance of the sclera.
The Correct Answer is Option B
A. The correct way to perform postural drainage
B. The preparation and use of isotonic enemas
C. The collection of a specimen using the tape test
D. The use of pinwheels and suckers to improve speech
The parents of a child with Hirschsprung’s disease should be taught how to prepare and administer isotonic enemas. Answers A, C, and D are incorrect because they do not relate to the care of the child with Hirschsprung’s disease.
The Correct Answer is Option B
A. 2–4 mm
B. 3–5 mm
C. 6–8 mm
D. 7–9 mm
The normal pupil diameter is between 3 and 5 mm in size. Answers A, C, and D are not normal pupil diameters; therefore, they 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. 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 A
A. Severe headache
B. Slight nausea
C. Decreased urination
D. Itching
A severe headache can indicate impending seizure activity. Slight nausea is expected when beginning the therapy, so answer B is incorrect. A client with renal failure already has itching and decreased urination, so answers C and D are incorrect.
The Correct Answer is Option C
A. Elevate the extremity on a pillow
B. Administer pain medication
C. Administer pain medication
D. Perform a neurovascular reassessment
The physician must be notified because the client is at risk for compartment syndrome. The healthcare provider might order that the cast be bivalved, or a fasciotomy might be required. Answers A, B, and D will not take the action necessary to prevent the complication of compartment syndrome.
The Correct Answer is Option D
A. Amoxil (amoxicillin)
B. K-Dur (potassium)
C. B12 (cyanocobalamine)
D. Tegretol (carbamazepine)
Tegretol (carbamazepine) is ototoxic. Answers A, B, and C do not pose a risk of ototoxicity; therefore, they are incorrect.
The Correct Answer is Option B
A. Nitroprusside (Nipride)
B. Naloxone hydrochloride (Narcan)
C. Flumazenil (Romazicon)
D. Diphenhydramine (Benadryl)
The postoperative period, narcotics are given. Narcan is the antidote to narcotics, so answer B is correct. Nipride is utilized to lower blood pressure, so answer A is incorrect. Romazicon is the antidote for the benzodiazepines, so answer C is incorrect. Benadryl is an antihistamine, so answer D is incorrect.
The Correct Answer is Option B
A. The client who is 40 weeks gestation having contractions every 5 minutes lasting 50 seconds
B. The client who is 32 weeks gestation with terbutaline (Brethine) intravenously
C. The one-day postpartum client who has changed two peri-pads in the last 6 hours
D. The diabetic obstetric client with a blood glucose level of 90 mg/dL
The client who is 32 weeks gestation receiving Brethrine is unstable and requires further nursing assessment. Answer A is incorrect because the client who is 40 weeks gestation having contractions every 5 minutes lasting 50 seconds is normal. Answer C is incorrect because changing two peripads in the last 6 hours is normal; therefore, it is not highest priority. Answer D is incorrect because a blood glucose of 90 mg/dL is within normal limits.
The Correct Answer is Option C
Change 1 g to milligrams, knowing that 1000 mg =1 g.
Also, when converting from grams to milligrams (larger to smaller), move the decimal point three places to the right: 1 g = 1000 mg.
Next, use the formula for calculating the correct dose.
Formula: Desired / Available x Tablet = 1000 mg / 500 mg = 2 tablets
The Correct Answer is Option C
Volume of water to add (mL) = total volume of formula on hand (mL) – total volume of formula on hand (mL)
Diluted strength
mL water = (480mL / ½) – 480mL = (480mL x 2) – 480mL = 960mL – 480mL = 480mL
The Correct Answer is Option A
A. Acyclovir (Zovirax)
B. Podophyllin
C. AZT (Retrovir)
D. Isoniazid (Lanzid)
Acyclovir is used to treat genital herpes. Answer B is incorrect because Podophyllin is used to treat condyloma acuminata (venereal warts). Answer C is incorrect because AZT (Retrovir) is used to prevent HIV transmission from mother to baby. Answer D is incorrect because isoniazid is used to treat tuberculosis, not herpes.
The Correct Answer is Option C
A. Contractions every 5–6 minutes lasting 60 seconds
B. Variability of 6–8 beats per minute
C. Drops in fetal heart tones after contractions lasting 90 seconds with hesitant return to baseline
D. Drops in fetal heart tones prior to the contractions during pushing
This describes a late deceleration. These decelerations are caused by uteroplacental insufficiency and require intervention by the nurse. The treatment is STOP (Stop Pitocin if infusing; Turn the client to her side; begin Oxygen therapy; Prepare for delivery). Increasing IV fluids helps to increase blood to the uterus. Answer A is within normal limits. Answer B is also within normal limits. Answer D is incorrect because a drop in fetal heart tones prior to the contraction describes an early deceleration caused by head compression. This is expected during pushing.
The Correct Answer is Option B
A. Begin an IV of normal saline at keep-open rate
B. Continue the magnesium sulfate as ordered
C. Contact the doctor immediately
D. Prepare for an emergency delivery
The therapeutic range for magnesium sulfate is 4.0–9.6 meq/L; therefore, with a magnesium level of 6.3meq/L, the nurse should continue the infusion. Answers A, C, and D indicate that the nurse believes the level to be toxic. This is an incorrect conclusion, making these answers incorrect.
The Correct Answer is Option C
A. Restrict fluids 200mL/shift
B. Ice to painful joints
C. Start O2 at 3 L/min
D. Ambulate in hall every 2 hours
It is not unusual for patients to receive oxygen to prevent additional sickling of cells. The answers in A and B are incorrect because these are contraindicated in sickle cell anemia. Answer D is not recommended for patients in sickle cell crisis, so it is incorrect.
The Correct Answer is False
Hot compress is contraindicated to traumatic injuries within 24 hours
The Correct Answer is Option D
A. The 78-year-old who had a gastrectomy three weeks ago with a PEG tube
B. The 5-month-old discharged one week ago with pneumonia who is being treated with amoxicillin liquid suspension
C. The 50-year-old with MRSA being treated with vancomycin via a PICC line
D. The 30-year-old with an exacerbation of multiple sclerosis being treated with cortisone via a centrally placed venous catheter
The client who should receive priority is the client with multiple sclerosis being treated with cortisone via the central line because this client is at the highest risk for complications. The clients described in answers A and B are stable at the time of the assigned visit. They can be seen later. The client in C has methicillin-resistant staphylococcus aureus (MRSA). Vancomycin is the drug of choice and can be administered later, but it must be scheduled at specific times of the day to maintain a therapeutic level, so answer C is incorrect.
The Correct Answer is Option C
To calculate for the volume dose:
Drug wanted / Drug on hand x volume = 8000 units / 10,000 units x 1mL = 0.8mL
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