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 D
A. Bleeding into the joints
B. Cutaneous bleeding
C. Bleeding into the oral cavity
D. Intracranial bleeding
The greatest danger from bleeding in the child with hemophilia is intracranial bleeding. The situations in Answers A, B, and C do not pose the greatest danger from bleeding; therefore, they are incorrect.
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. Take the medication before arising
B. Force fluids while taking this medication
C. Remain upright for 30 minutes after taking this medication
D. Take the medication in conjunction with estrogen
Alendronate sodium is a drug used to treat osteoporosis. Let’s use testing strategies for this question. Look at answers A and C; these are opposites. When you are in the bed, you are lying down. The drug should not be given while lying down, nor should it be taken with medication or with estrogen. In answer C, you are upright. This drug causes gastric reflux, so you should remain upright and take it with only water. Notice the clue in the name of the drug: fosa, as in fossils. All the drugs in this category contain the syllable dronate.
The Correct Answer is Option A
A. Metabolic acidosis
B. Metabolic alkalosis
C. Respiratory acidosis
D. Respiratory alkalosis
The client with internal bleeding will most likely have metabolic acidosis. The laboratory findings reflect this suspicion. The pH is down, the PaCO2 is down, and the HCO3 is down. Answers B, C, and D are incorrect because they are not consistent with the lab values given in the question.
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.
The Correct Answer is Option C
A. The client rigidly extends the arms with pronated forearms and plantar flexion of the feet
B. The client flexes a leg at the hip and knee and reports pain in the vertebral column when the leg is extended
C. The client passively flexes the hip and knee in response to neck flexion and reports pain in the vertebral column.
D. The client’s upper arms are flexed and held tightly to the sides of the body and the legs are extended and internally rotated.
Brudzinski’s sign is tested with the client in the supine position. The nurse flexes the client’s head (gently moves the head to the chest), and there should be no reports of pain or resistance to the neck flexion. A positive Brudzinski’s sign is observed if the client passively flexes the hip and knee in response to neck flexion and reports pain in the vertebral column. Kernig’s sign also tests for meningeal irritation and is positive when the client flexes the legs at the hip and knee and complains of pain along the vertebral column when the leg is extended. Decorticate posturing is abnormal flexion and is noted when the client’s upper arms are flexed and held tightly to the sides of the body and the legs are extended and internally rotated. Decerebrate posturing is abnormal extension and occurs when the arms are fully extended, forearms pronated, wrists and fingers flexed, jaws clenched, neck extended, and feet plantar-flexed
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. “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 A
A. Constriction of blood flow
B. Immobilization of the joint
C. Formation of a decubitus ulcer
D. Oozing of blood from the wound
Wrapping an elastic bandage on a stump using the circular technique can cause the wrap to act as a tourniquet and restrict blood flow, so a figure eight technique is utilized to prevent this from occurring. Answers B, C, and D are not the primary reasons for use of the figure eight technique, so they 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 B
A. Instruct the aggressive patient to help you with ambulating the bedridden patient
B. Instruct the ambulant patient to assist the 78-year-old in the evacuation process while you seek help in evacuating the bedridden patient
C. Call the switchboard for help in the evacuation
D. Tell everyone the building is on fire and that all take the fire exit
Ambulant patients can assist semi ambulant patients in case of emergency. Take the full dependent and aggressive patients last. There is no point in asking the switchboard as the alarm has been activated. The fire warden is in charge of instructing all people in the building, no the nurse.
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 D
A. Share hats and caps
B. Wear training pants
C. Engage in imitative play
D. Have hand-to-mouth contact
Enterobiasis is most common in young children because of frequent hand-to-mouth contact. Answer A is incorrect because sharing hats and caps contributes to the spread of pediculosis capitis. Wearing training pants and playing with imitative toys is not associated with enterobiasis; therefore, Answers B and C are incorrect.
The Correct Answer is Option C
A. A defect in the cochlea
B. A defect in cranial nerve VIII
C. A physical obstruction to the transmission of sound waves
D. A defect in the sensory fibers that lead to the cerebral cortex
A conductive hearing loss occurs as a result of a physical obstruction to the transmission of sound waves. A sensorineural hearing loss occurs as a result of a pathological process in the inner ear, a defect in cranial nerve VIII, or a defect of the sensory fibers that lead to the cerebral cortex.
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 D
A. Placing the client in the prone position
B. Starting an IV with an 18-gauge needle
C. Obtaining a lipid profile
D. Assessing that the client empties the bladder
The bladder should be empty for a paracentesis procedure to prevent incidental puncturing. Answer A is incorrect because the client sits upright for the procedure and prone places the client on the abdomen. Answers B and C are not necessary interventions for a paracentesis, so they are incorrect.
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 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 C
A. An involuntary rhythmic, rapid, twitching of the eyeballs
B. A dorsiflexion of the great toe with fanning of the other toes
C. A significant sway when the client stands erect with feet together, arms at the side, and the eyes closed
D. A lack of normal sense of position when the client is unable to return extended fingers to a point of reference
In Romberg’s test, the client is asked to stand with the feet together and the arms at the sides, and to close the eyes and hold the position; normally the client can maintain posture and balance. A positive Romberg’s sign is a vestibular neurological sign that is found when a client exhibits a loss of balance when closing the eyes. This may occur with cerebellar ataxia, loss of proprioception, and loss of vestibular function. A lack of a normal sense of position coupled with an inability to return extended fingers to a point of reference is a finding that indicates a problem with coordination. A positive gaze nystagmus evaluation results in an involuntary rhythmic, rapid twitching of the eyeballs. A positive Babinski’s test results in dorsiflexion of the great toe with fanning of the other toes; if this occurs in anyone older than 2 years it indicates the presence of central nervous system disease.
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.
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