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. Sickledex
B. Hemoglobin electrophoresis
C. Partial thromboplastin time
D. Complete blood count
Hemoglobin electrophoresis is the test that verifies the diagnosis of sickle cell and is the most accurate because it separates the different hemoglobins. Answer A is a screening tool that lacks the accuracy of electrophoresis, so it is incorrect. The answers in C and D are not directly related to sickle cell, so they are incorrect.
The Correct Answer is Option B
A. Prolactin
B. Human chorionic gonadotropin
C. Lecithin-sphingomyelin
D. Estriol
HCG levels elevate rapidly and can be detected as early as two days after the missed period. Answer A is incorrect because prolactin is elevated with a prolactinoma, a type of pituitary tumor. Answer C is incorrect because lecithin/sphingomyelin (L/S ratio) is indicative of lung maturity. Answer D is incorrect because estriol levels indicate fetal well-being.
The Correct Answer is Option B
The thyroid is located anterior to the trachea; therefore, laryngeal stridor and airway obstruction is a risk following a thyroidectomy. Answer A is incorrect because this action is not necessary. The need for extra blankets is associated with hypothyroidism, but is not directly associated with thyroid surgery. Answer C is incorrect because the client can talk. Answer D is incorrect because pain medication should be offered as needed, not every four hours.
The Correct Answer is Option A
A. Potassium level of 2.5
B. Sodium level of 140
C. Glucose level of 110
D. Calcium level of 8
Furosemide (Lasix) is a loop diuretic. Note that most of the loop diuretics end in ide. In answers B, C, and D, the findings are all within normal limits.
The Correct Answer is Option C
A. Creatinine
B. Cortisol levels
C. Blood glucose
D. Liver profile
Terbutaline (Brethine) is a bronchodilator that can also relax smooth muscles. Brethine can cause elevations in blood glucose levels so the client should have blood glucose levels checked prior to beginning treatment with Brethine. Answers A, B, and D are not laboratory studies that are required prior to beginning Brethine.
The Correct Answer is Option A
A. The client with Cushing’s disease
B. The client with diabetes
C. The client with acromegaly
D. The client with myxedema
The client with Cushing’s disease has adrenocortical hypersecretion. This increase in the level of cortisone causes the client to be immune-suppressed. The client with diabetes poses no risk to other clients and is not immunosuppressed, so answer B is incorrect. The client in answer C has an increase in growth hormone and poses no risk to himself or others, so the answer is incorrect. The client in answer D has hyperthyroidism, or myxedema, and poses no risk to others or himself, so it is incorrect.
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 B
A. The facility fails to provide literature in both Spanish and English.
B. The narcotic count has been incorrect on the unit for the past three days.
C. The client fails to receive an itemized account of his bills and services received during his hospital stay.
D. The nursing assistant assigned to the client with hepatitis fails to feed the client and give him a bath.
The accreditation committee of hospitals will probably be interested in the problems in answers A and C, so they are incorrect. The failure of the nursing assistant to assist the client with hepatitis should be reported to the charge nurse. If the behavior continues, termination can result, but it doesn’t need to be reported to the board, so answer 4 is incorrect. Option B is a reportable case to the board as this indicates malpractice to the nurses who have not reported a miscounted drug. This can also lead to an investigation as to why the count is incorrect. E.g, underdosing or overdosing a patient; a nurse deliberately stealing controlled medications.
The Correct Answer is Option B
A. The RN with 2 weeks experience in postpartum
B. The RN with 3 years experience in labor and delivery
C. The RN with 10 years experience in surgery
D. The RN with 1 year experience in the neonatal intensive care unit
The nurse in answer B has the most experience in knowing the possible complications involved with preeclampsia. The nurse in answer A is a new nurse to this unit, so the answer is incorrect. The nurse in answer C has no experience with the postpartum client, so the answer is incorrect. The nurse in answer D also has no experience with postpartum clients, so the answer is incorrect.
The Correct Answer is Option C
A. Constipation
B. White blood cell count of 14,000
C. Amylase of 460
D. Potassium of 3.1 mEq/L
Amylase and lipase are reliable tests used for pancreatitis diagnosis. The answers in A, B, and D are not directly related to the pancreas and not diagnostic, so 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 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, Option B, Option D
A. Auscultating lung sounds
B. Obtaining the client’s temperature
C. Assessing the strength of peripheral pulses
D. Obtaining information about the client’s respirations
Answer: 1,2,4
A focused assessment focuses on a limited or short-term problem, such as the client’s complaint. Because the client is complaining of symptoms of a cold, a cough, and lung congestion, the nurse would focus on the respiratory system and the presence of an infection. A complete assessment includes a complete health history and physical examination and forms a baseline database. Assessing the strength of peripheral pulses relates to a vascular assessment, which is not related to this client’s complaints. A musculoskeletal and neurological examination also is not related to this client’s complaints. However, the strength of peripheral pulses and a musculoskeletal and neurological examination would be included in a complete assessment. Likewise, asking the client about a family history of any illness or disease would be included in a complete
assessment
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. 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 Option C
A. Negligence
B. Tort
C. Assault
D. Malpractice
Assault is defined as striking or touching the client inappropriately. Negligence is failing to perform care for the client, so answer A is incorrect. A tort is a wrongful act committed on the client or his belongings, so answer B is incorrect. Malpractice is failing to perform an act that the nurse knows should be done or doing something wrong that causes harm to the client, so answer D is incorrect.
The Correct Answer is Option A
A. Kayexalate (sodium polystyrene sulfonate)
B. K-Dur (potassium chloride)
C. Cephulac (lactulose)
D. PhosLo (calcium acetate)
Kayexalate (sodium polystyrene sulfonate) is administered to lower potassium levels in the client with hyperkalemia. K-Dur is used for the client with hypokalemia; therefore, answer B is incorrect. Lactulose is used to lower ammonia levels in the client with liver disease; therefore, answer C is incorrect. PhosLo is used to lower phosphorus levels in the client with renal disease; therefore, Answer D is incorrect.
The Correct Answer is Option A
A. Checking the client’s blood sugar
B. Administering intravenous dextrose
C. Intubation and ventilator support
D. Administering regular insulin
The client has symptoms of insulin shock and the first step is to check the client’s blood sugar. If indicated, the client should be treated with intravenous dextrose. Answer B is wrong because it is not the first step the nurse should take. Answer C is wrong because it does not apply to the client’s symptoms. Answer D is wrong because it would be used for diabetic ketoacidosis, not insulin shock.
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 True
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