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 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 True
The Correct Answer is Option B
A. 2% milk
B. Fresh squeezed lemonade
C. Kool-aid
D. Ginger ale
Clients with a low neutrophil count should adhere to a low bacteria diet. Fresh squeezed lemonade can be contaminated from bacteria on the lemon rind. Answers A, C, and D are suitable for the client with neutropenia therefore they are incorrect.
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 B
A. Waterpik
B. Wire cutter
C. Humidifier
D. Oral rinse
Wire cutters must be at the bedside at all times to decrease the risk of aspiration with vomiting. Answers A and D are usually used in the care of clients with a fractured mandible, but are not as essential as the wire cutters, so they are incorrect. The answer in C is not a usual piece of equipment for clients with fractured mandibles, so it is incorrect.
The Correct Answer is Option B
A. TSH levels (thyroid-stimulating hormone levels)
B. AST levels (aspartate aminotransferase levels)
C. HCG levels (human gonaditropin levels)
D. LDH levels (lactic dehyrogenase levels)
Liver enzymes such as AST should be assessed along with renal function (creatinine levels) and cardiac function. Answer A is not correct because this medication does not alter thyroid function. Answer C is not correct because HCG levels are not affected by rosiglitazone (Avandia). This hormone is associated with pregnancy. Answer D is incorrect because an elevated LDH is associated with muscle trauma. It is, however, elevated in a myocardial infarction.
The Correct Answer is Option A
A. Taking supplements of B3
B. Increasing sodium intake
C. Eating a diet high in calcium
D. Drinking additional fluids
Taking supplements of B3 (niacin) helps to improve the symptoms associated with Ménière’s disease. Answer B is incorrect because the client needs to limit sodium intake. The client with Ménière’s does not need additional sources of calcium; therefore, answer C is incorrect. Ménière’s is not improved by increasing fluid intake; therefore, answer D is incorrect.
The Correct Answer is Option C
A. Return to the clinic in six weeks for a urinalysis
B. Avoid exercise for at least six weeks
C. Do not become pregnant for at least 12 months
D. Return to the clinic in six months for liver enzyme studies
The client that has experienced a hydatidiform mole should avoid becoming pregnant again for one year because chorionic carcinoma is associated with a hydatidiform mole. If the client does become pregnant and there are cells for chorionic carcinoma, the hormonal stimulation can cause rapid cell proliferation and growth of the cancer. Answer A is incorrect because a urinalysis in six weeks is not necessary. Answer B is incorrect because exercise is not contraindicated after a hydatidiform mole. Answer D is incorrect because checking liver enzymes in six months is not necessary after a hydatidiform mole.
The Correct Answer is Option A
A. “I should report any blurred vision or headache.”
B. “I have to take folic acid with this drug.”
C. “I should expect results in six months.”
D. “I should take this medication on an empty stomach.”
Clients on Plaquenil should have eye exams every 6–12 months because it can cause retinal damage. Answers B and C are inaccurate statements for the drug Plaquenil, so they are incorrect. Answer D is incorrect because the medication should be taken with food or a snack.
The Correct Answer is Option C
A. “I need to avoid certain foods and drinks to prevent an increase in blood pressure.”
B. “I will schedule an appointment each month to have my blood level checked.”
C. “I will use hard candy or gum to keep my mouth from feeling too dry.”
D. “I will need to take my medicine before meals to improve its effect.”
Dry mouth is a common side effect of antidepressant medications. Using hard candy or gum helps to prevent mouth dryness. Answer A is incorrect because it refers to treatment with MAOI. Answer B is incorrect because it refers to treatment with lithium. Answer D is incorrect because taking the medication with food enhances the absorption rate of the medication.
The Correct Answer is Option B
A. An internal fetal heart monitor
B. An IV rate controller
C. A blood administration set
D. A wall suction device
An IV rate controller must be obtained in order to safely administer magnesium sulfate. If magnesium sulfate is administered too quickly, toxicity can result, leading to respiratory arrest. Answer A is incorrect because there is no need to insert an internal fetal monitor. If magnesium sulfate is administered to the pregnant client, an external fetal monitor is sufficient. Answer C is incorrect because a standard IV administration set is used. Answer D is incorrect because there is no specific need for wall suction to be available with the administration of magnesium sulfate.
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. Administering a local anesthetic
B. Checking for an allergic response
C. Administering an anxiolytic
D. Withholding fluids for 6–8 hours
The nurse should perform the skin or eye test before administering antivenin. Answers A and D are unnecessary and therefore incorrect. Answer C would help calm the client but is not a priority before giving the antivenin, making it incorrect.
The Correct Answer is Option D
A. 12 months
B. 18 months
C. 24 months
D. 30 months
Most children have all their primary teeth by age 30 months. Answers A, B, and C are incorrect because tooth eruption is not complete.
The Correct Answer is Option A
A. Obtain an IV controller
B. Check the client’s vital signs hourly
C. Check the sodium level
D. Obtain an 18-gauge cathlon to begin the infusion
If potassium is added to IV fluids, a controller is required because a too-rapid infusion of potassium can lead to cardiac arrhythmias. Answer B is incorrect only because there is no data to indicate that hourly vital signs should be obtained. Answer C is incorrect because the client has an order for D51/2NS, which is the same in saline as the client’s normal sodium level. Answer D is incorrect because an 18-gauge cathlon is not required. The nurse can use any size cathlon for this infusion.
The Correct Answer is Option C
A. Hiccups
B. Dysphagia
C. Fever
D. Bradycardia
Other clinical manifestations include pain, nausea, vomiting, rebound tenderness upon palpation, flatulence, and indigestion. Answers A, B, and D are not associated with cholecystitis, so they are incorrect.
The Correct Answer is Option D
A. Eliminates the neurotransmitter acetylcholine
B. Increases the perception of external stimuli
C. Decreases levels of cortisol from the adrenal cortex
D. Produces a seizure that temporarily alters brain chemicals
Electroconvulsive therapy produces a tonic-clonic seizure that temporarily increases brain chemicals, serotonin, dopamine, and norepinephrine. Answers A, B, and C are not true statements; therefore, they are incorrect.
The Correct Answer is Option A
A. Hypericum
B. Angelica
C. Chamomile
D. Echinacea
Clients taking antidepressant medication should avoid herbal preparations containing hypericum (St. John’s wort) unless directed by the physician. Answers B, C, and D do not specifically apply to the client taking prescription antidepressants; therefore, they are incorrect. Note: The client taking any prescription medication should check with the physician before using herbals or dietary supplements.
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 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.
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