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. Stop the blood transfusion and keep the vein open with normal saline
B. Administer epinephrine per unit protocol
C. Notify the physician
D. Obtain a set of vital signs
The nurse would first ensure that the patient doesn’t get any more of the wrong blood due to displaying symptoms of a hemolytic blood reaction. Answers B, C, and D are proper actions with a blood transfusion reaction, but none is the initial action, so they are incorrect.
The Correct Answer is Option A
The child with conduct disorder and the adult with antisocial personality disorder are characterized by lack of guilt or remorse for wrongdoings. Answer B is incorrect because both can have a higher than average IQ. Answer C is incorrect because both have a history of parental neglect or inconsistent parenting. Answer D is incorrect because both lack close friendships.
The Correct Answer is Option D
A. Painting
B. Watching television
C. Attending the opera
D. Golfing
Golfing should be avoided by the client following cataract removal because it requires activity that increases intraocular pressure. Answers A, B, and C are incorrect because they do not increase intraocular pressure.
The Correct Answer is Option D
A. Culture
B. VDRL
C. RPR
D. FTA-ABS
The fluorescent treponemal antibody test (FTA-ABS) is most diagnostic for syphilis. Answer A is incorrect because a culture of the discharge is used to diagnose gonorrhea, not syphilis. Answers B and C are incorrect because they are screening tests and are not as diagnostic as the FTA-ABS is.
The Correct Answer is Option C
Answer: C. A weight of 22.5 pounds is equal to 10.22 kilograms.
At 50 mg/kg, this child would need 511 milligrams of medication.
Using the formula:
Drug Desired / Drug Available x Volume = 511mg / 100mg x mL = 5.1 mL
At 100 mg/mL, the proper dose in milliliters is 5.1 milliliters.
The Correct Answer is Option D
A. Gloves and gown
B. Gloves and goggles
C. Gloves, gown, and shoe protectors
D. Gloves, gown, goggles, and a mask or face shield
Splashes of body secretions can occur when providing colostomy care. Goggles and a mask or face shield are worn to protect the face and mucous membranes of the eyes during interventions that may produce splashes of blood, body fluids, secretions, or excretions. In addition, contact precautions require the use of gloves, and a gown should be worn if direct client contact is anticipated. Shoe protectors are not necessary.
The Correct Answer is Option B
A. Call the board of nursing
B. File a formal reprimand and monitor the nurse
C. Terminate the nurse
D. Charge the nurse with a tort
The next action after discussing the problem with the nurse is to document the incident. If the behavior continues or if harm has resulted to the client, the nurse might be terminated and reported to the board of nursing, so answers A and C are incorrect. A tort is a wrongful act to the client or her belongings, so answer D is incorrect.
The Correct Answer is Option A
A. After a shower or bath
B. While standing to void
C. After having a bowel movement
D. While lying in bed before arising
The nurse needs to teach the client how to perform a TSE. The nurse should instruct the client to perform the exam on the same day each month. The nurse should also instruct the client that the best time to perform a TSE is after a shower or bath when the hands are warm and soapy and the scrotum is warm. Palpation is easier and the client will be better able to identify any abnormalities. The client would stand to perform the exam, but it would be difficult to perform the exam while voiding. Having a bowel movement is unrelated to performing a TSE.
The Correct Answer is Option B
A. LDH
B. Troponin
C. Creatinine
D. AST
The best diagnostic tool for confirming that the client has experienced a myocardial infarction is the troponin level. Another lab value associated with a myocardial infarction is the CKMB. Answer A is incorrect because the LDH is also elevated in clients with muscle trauma not associated with an MI. Answer C is incorrect because the creatinine level indicates renal function. Answer D is incorrect because the AST level is elevated with gallbladder and liver disease as well as muscle inflammation.
The Correct Answer is Option C
A. Clamp the tubing for 15 minutes every hour
B. Irrigate the tubing with normal saline to remove clots
C. Avoid clamping or kinking the tubing
D. Suspend the tubing above the level of the abdomen
The nurse should avoid clamping or kinking the nephrostomy because urine would be retained in the kidney. Answer A is incorrect because the tubing should not be clamped. Answer B is incorrect because the tubing should not be irrigated because it would damage the renal tissue. Answer D is incorrect because suspending the tubing would cause urine to be retained in the kidney.
The Correct Answer is Option A
A. Chloride level
B. Potassium transport
C. Serum sodium
D. Calcium level
A positive sweat test is reflected by elevations in the chloride level. Answers B, C, and D are not measured by the sweat test; therefore, they are incorrect.
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 D
Use the medication formula:
Desired / Available x Volume = 1,000,000units / 1,200,000units x 2mL = 1.66666666667 mL
Rounded off to two decimal places: 1.67 mL
The Correct Answer is Option A
A. The client receiving radium linear accelerator radiation therapy for cancer
B. The client with a radium implant for vaginal cancer
C. The client who has just been administered radioactive isotopes for cancer
D. The client who returned from placement of iridium seeds for prostate cancer
The pregnant nurse should not be assigned to any client with radioactivity present. The client receiving linear accelerator therapy travels to the radium department for therapy, and the radiation stays in the department. Thus, the client is not radioactive. The client in answer B poses a risk to the pregnant client, so answer B is incorrect. Answer C is incorrect because the client is radioactive in very small doses. For approximately 72 hours, the client should dispose of urine and feces in special containers and use plastic spoons and forks. The client in answer D is also radioactive in small amounts, especially upon return from the procedure, so answer D is incorrect.
The Correct Answer is Option A
A. Private room or cohort client
B. Personal respiratory protection device
C. Private room with negative airflow pressure
D. Mask worn by staff when the client needs to leave the room
Meningitis is transmitted by droplet infection. Precautions for this disease include a private room or cohort client and use of a standard precaution mask. Private negative airflow pressure rooms and personal respiratory protection devices are required for clients with airborne disease such as tuberculosis. When appropriate, a mask must be worn by the client and not the staff when the client leaves the room.
The Correct Answer is Option C
A. Sliced turkey on white bread
B. Beef broth
C. Spinach salad
D. Froot Loops cereal with milk
Spinach has a larger amount of fiber than any of the other choices listed. The answers in A, B, and D have minimal fiber content, so they are incorrect.
The Correct Answer is Option C
A. Weight loss
B. Decreased appetite
C. Hirsutism
D. Integumentary bronzing
Notice that the testing strategy “odd item out” can be used in this question. Answers A, B, and D are symptoms of Addison’s disease. Answer C is the answer that is different from the rest. Hirsutism, or facial hair, is a side effect of cortisone therapy.
The Correct Answer is Option C
A. Hyperacute graft rejection is due to chronic inflammation and scaring.
B. Hyperacute graft rejection is a cellular response that occurs 1–3 weeks after transplantation.
C. Hyperacute graft rejection is more likely in clients who have received multiple blood transfusions.
D. Hyperacute graft rejection is managed by use of immunosuppressive medications.
Hyperacute graft rejection is more likely to occur in clients who receive a transplant from a donor with an ABO type different from their own, in those with a history of multiple blood transfusions, those with multiple pregnancies, or those with a previous transplant. Answers A and D are incorrect because they describe chronic graft rejection. Answer B describes acute graft rejection; therefore, it is incorrect.
The Correct Answer is Option C
A. Stabilize clots in the vascular system
B. Decrease the chance of a blood reaction
C. Eliminate iron excess
D. Boost oxygen delivery to the cells
A chelating agent such as deferoxamine (Desferal) is given to eliminate excess iron. The answers in A, B, and D are not the action of chelating agents, so they are incorrect.
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.
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