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. Tuna sandwich, pickle spear, potato chips, and iced tea
B. Ham slice, tossed salad with dressing, gelatin, and coffee
C. Tomato soup, crackers, peanut butter sandwich, and milk
D. Hamburger steak, baked potato, lima beans, and milk
The client with nephrotic syndrome needs a diet with complete proteins and restricted sodium. Answers A, B, and C are incorrect because they contain high-sodium foods.
The Correct Answer is Option D
A. The 78-year-old who had a gastrectomy three weeks ago with a PEG tube
B. The 5-month-old discharged one week ago with pneumonia who is being treated with amoxicillin liquid suspension
C. The 50-year-old with MRSA being treated with vancomycin via a PICC line
D. The 30-year-old with an exacerbation of multiple sclerosis being treated with cortisone via a centrally placed venous catheter
The client who should receive priority is the client with multiple sclerosis being treated with cortisone via the central line because this client is at the highest risk for complications. The clients described in answers A and B are stable at the time of the assigned visit. They can be seen later. The client in C has methicillin-resistant staphylococcus aureus (MRSA). Vancomycin is the drug of choice and can be administered later, but it must be scheduled at specific times of the day to maintain a therapeutic level, so answer C is incorrect.
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.
The Correct Answer is Option C
A. Dry the skin thoroughly and apply the cream
B. Use a vigorous circular motion to apply the cream
C. Apply the cream 2–3 minutes after the bath
D. Use the cream only if flaking of the skin is noted
The application of an emollient cream to the skin two or three minutes after bathing helps seal in moisture. Answers A, B, and D are incorrect because they do not facilitate rehydration of the skin.
The Correct Answer is Option D
Volume of water to add (mL) = total volume of formula on hand (mL) – total volume of formula on hand (mL)
Diluted strength
mL water = (200mL / ¾) – 200mL = (200mL x 4) / (1x3) – 200mL = 267mL – 200mL = 66.6666667 = 67mL
The Correct Answer is Option D
A. Kernig’s
B. Chadwick
C. McBurney’s
D. Chvostek’s
The test for Chvostek’s sign is performed by tapping the facial nerve (C7) and the trigeminal nerve (C5) and observing for grimacing. Answer A is incorrect because Kernig’s sign is nuchal (neck) rigidity associated with meningitis. Answer B is incorrect because Chadwick’s sign is a bluish vagina associated with hormonal changes. Answer C is incorrect because McBurney’s sign is rebound tenderness associated with appendicitis.
The Correct Answer is Option B
A. Place a tourniquet proximal to the laceration
B. Elevate the leg above the level of the heart
C. Cover the laceration and apply an ice compress
D. Apply pressure to the femoral artery
If bleeding does not subside with direct pressure, the nurse should elevate the extremity above the level of the heart. Answers A and D are done only if other measures are ineffective, so they are incorrect. Answer C would slow the bleeding, but will not stop it, so it’s incorrect.
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 D
A. Pheochromocytoma
B. Intermittent claudication
C. Kawasaki disease
D. Thromboangiitis obliterans
The other name for Buerger’s disease is thromboangiitis obliterans. Answer A is incorrect because pheochromocytoma is an adrenal tumor. Answer B is incorrect because intermittent claudication is pain in an extremity when walking. Answer C is incorrect because Kawasaki disease is an acute vasculitis that can result in an aneurysm in the thoracic area.
The Correct Answer is Option B
A. The nurse offers extra blankets.
B. The nurse places a tracheostomy tube at the bedside.
C. The nurse insists that the client refrain from talking.
D. The nurse administers pain medication every four hours.
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 B
Volume of water to add (mL) = total volume of formula on hand (mL) – total volume of formula on hand (mL)
Diluted strength
mL water = (300mL / 2/3) – 300mL = (300mL x 3) / (1x2) – 300mL = 450mL – 300mL = 150mL
The Correct Answer is Option C
A. Cleansing the skin with a pH-balanced soap
B. Lubricating the skin with a moisturizing cream
C. Massaging reddened areas of the skin
D. Using absorbent garments for incontinence
The nurse should avoid massaging reddened areas of the skin because it can result in damage to capillary beds and lead to tissue necrosis. Answers A, B, and D are appropriate interventions for the client at risk for pressure ulcers; therefore, 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 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. Schedule frequent eye exams
B. Expect red discoloration of his urine
C. Increase his fluid intake
D. Expect dizziness and ringing in his ears
The use of pyrazinamide can result in gout-like symptoms; therefore, the client should increase his fluid intake. Answers A, B, and D are incorrect because they are associated with other antitubercular medications.
The Correct Answer is Option C
A. The procedure will take one to two hours.
B. The client will be given oral medication to prepare for the test.
C. The urine will be bright green until the dye is excreted.
D. The client will need to limit fluid intake after the test.
Fluorescein will cause the client’s urine to be bright green in color until the dye is excreted. Answer A is incorrect; the procedure takes only a few minutes because the vessels fill rapidly. Answer B is incorrect because the dye is injected intravenously. Answer D is incorrect because the client will need to drink additional fluids to help eliminate the dye.
The Correct Answer is Option D
A. Hemarthrosis of the elbow
B. Bruise of the ankle
C. Bruise of the ankle
D. Unilateral numbness and lack of movement of arm
The neurological symptoms could mean an intracranial bleed has occurred. The answers in A, B, and C are reasons for concern, but they are not the priority, so they are incorrect.
The Correct Answer is True
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. 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.
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