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 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.
The Correct Answer is Option B
A. The nurse prepares an IV of D10W.
B. The nurse prepares to administer insulin IV.
C. The nurse obtains NPH insulin for administration.
D. The nurse inserts a Foley catheter.
The client with a blood glucose of 545 mg/dl is in metabolic acidosis. An IV with insulin will be ordered. Insulin takes the glucose into the cells hence, reducing the glucose levels. Answer A is incorrect because D10W will increase the glucose level and potentiate the client’s condition. Answer C is incorrect because regular insulin will be ordered, not NPH, which is long-acting. Answer D is incorrect because although a Foley catheter might be ordered, it is not necessary for the improvement of the client’s condition.
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
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 B
A. Test the corneal reflexes.
B. Test the 6 cardinal positions of gaze.
C. Test visual acuity, using a Snellen eye chart.
D. Test sensory function by asking the client to close the eyes and then lightly touching the forehead, cheeks, and chin.
Testing the 6 cardinal positions of gaze (diagnostic positions test) is done to assess for muscle weakness in the eyes. The client is asked to hold the head steady, and then to follow the movement of an object through the positions of gaze. The client should follow the object in a parallel manner with the 2 eyes. A Snellen eye chart assesses visual acuity and cranial nerve II (optic). Testing sensory function by having the client close his or her eyes and then lightly touching areas of the face and testing the corneal reflexes assess cranial nerve V (trigeminal).
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. Hyponatremia
B. Hypercalcemia
C. Hypocalcemia
D. Hypernatremia
The client who is taking lithium needs an adequate intake of sodium and fluid to prevent the development of lithium toxicity. Answers B, C, and D 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 B
A. Day hall supervision
B. Constant supervision
C. Checks every 15 minutes
D. One-on-one night supervision
The client admitted with suicidal thoughts or suicidal gestures is best cared for by constant supervision. Answers A, C, and D do not provide for continual observations to ensure the client’s safety; therefore, they are incorrect.
The Correct Answer is Option A, Option B, Option C
A. Ingestion of contaminated undercooked meat or deer flies
B. Inhalation of bacterial spores
C. Through a cut or abrasion in the skin
D. Direct contact with an infected individual
Answer: A,B,C
Anthrax is caused by Bacillus anthracis and can be contracted through the digestive system or abrasions in the skin, or inhaled through the lungs. It cannot be spread from person to person, and it is not contracted via bites from ticks or deer flies.
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 D
A. Autograft
B. Isograft
C. Allograft
D. Xenograft
Xenografts are taken from animal sources. Answers A, B, and C are incorrect because they originate from human donors.
The Correct Answer is Option B
A. Turn the clients to the left side
B. Immobilize the extremity by splinting above and below the fractured site
C. Provide manual traction of the fracture site
D. Reinsert any protruding bones and apply a sterile dressing
The nurse should splint the extremity, cover the area, and do a neurovascular assessment. Answer A is incorrect because the client should be in the supine position. Answer C is not recommended, so it is incorrect. Answer D is detrimental and increases the risk of infection, so it is incorrect.
The Correct Answer is Option B
A. One to two weeks after surgery
B. Four to six weeks after surgery
C. Six months after surgery
D. One year after surgery
The final best vision will not be present until four to six weeks following cataract removal. Answer A is incorrect because sufficient healing has not taken place. Answers C and D are incorrect because the best vision is present four to six weeks after surger
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 Option C
A. Bowel sound auscultation
B. Pupillary response to light
C. Assessing for hematuria
D. Cranial nerve 8 assessment
The pelvis is close to major organs and the nurse needs to assess for damage to associated organs. The bladder could have been damaged and hematuria assessment would be a priority. Answers A, B, and D are important assessments, but are not the priority, 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 D
A. Adolescent males
B. Preteen males
C. Preteen females
D. Adolescent females
The most likely group to have scoliosis is adolescent girls. The groups in Answers A, B, and C are not as likely to have scoliosis; therefore, those answers are incorrect.
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 B
A. Continue to monitor the vital signs
B. Contact the physician
C. Ask the client how he feels
D. Ask the LPN to continue the postop care
The vital signs are abnormal and should be reported immediately. Continuing to monitor the vital signs can result in deterioration of the client’s condition, so answer A is incorrect. Asking the client how he feels would supply only subjective data, so answer C is incorrect. The LPN is not the best nurse to be assigned to this client because he is unstable, so answer D is incorrect.
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