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 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 B
A. Ancef (cefazolin sodium)
B. Cipro (ciprofloxacin)
C. Kantrex (kanamycin)
D. Garamycin (gentamicin)
Cipro (ciprofloxacin) is the drug of choice for treating anthrax. Answers A, C, and D are not used to treat anthrax, so they are incorrect.
The Correct Answer is Option C
A. Magnetic resonance imaging
B. Ultrasonography
C. Noncontrast helical computerized tomography
D. X-ray of the kidneys, ureter, and bladder
Noncontrast helical computerized tomography is the most sensitive means for diagnosing renal calculi. Magnetic resonance imaging, ultrasonography, and x-ray of the kidneys, ureters, and bladder are not as sensitive; therefore, answers A, B, and D are incorrect.
The Correct Answer is Option C
A. Serum phosphorus of 3.0 mg/dL
B. Alkaline phosphatase of 70 units/L
C. Serum calcium 16.0 mg/dL
D. Aldolase 3.5 units/dL
Serum calcium levels rise with metastatic cancer of the bone. Normal calcium is 9.0 mg/dL–10.5 mg/dL. Answers A and D are incorrect because these are within normal limits and not related to bone metastasis. Normal phosphorus level is 3.0–4.5 mg/dL and normal aldolase level is 3.0–8.2 units/dL. Alkaline phosphatase is elevated in bone metastasis and Answer B is within the normal of 30–120 units/L, so it is incorrect.
The Correct Answer is Option B
A. Metabolic alkalosis
B. Metabolic acidosis
C. Respiratory alkalosis
D. Respiratory acidosis
The client with anorexia nervosa is in a state of negative nitrogen balance. She is likely experiencing metabolic acidosis. Answer A is incorrect because metabolic alkalosis is reflected as an increase in HCO3. Clients with anorexia will show a deficit in HCO3. Answers C and D are incorrect because anorexia nervosa clients have a metabolic disorder, not a respiratory disorder
The Correct Answer is Option C
A. Call for help.
B. Extinguish the fire.
C. Activate the fire alarm.
D. Confine the fire by closing the room door.
The order of priority in the event of a fire is to rescue the clients who are in immediate danger. The next step is to activate the fire alarm. The fire then is confined by closing all doors and, finally, the fire is extinguished.
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 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. 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 True
The Correct Answer is Option A
A. A 42-year-old with dyspnea and chest asymmetry
B. A 17-year-old with a fractured arm
C. A 4-year-old with facial lacerations
D. A 30-year-old with blunt abdominal trauma
Following the ABCDs of basic emergency care, the client with dyspnea and asymmetrical chest should be cared for first because these symptoms are associated with flail chest. Answer D is incorrect because he should be cared for second because of the likelihood of organ damage and bleeding. Answer B is incorrect because he should be cared for after the client with abdominal trauma. Answer C is incorrect because he should receive care last because his injuries are less severe.
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 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. Diarrheal illness caused by salmonella
B. Routine childhood immunization
C. Eruption of primary teeth
D. Otitis media
Facial cellulitis is associated with otitis media, a common ear infection in young children. Answers A, B, and C are not associated with the development of facial cellulitis; therefore, they are incorrect.
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 B
A. Mole 2 mm in diameter on the chest
B. Tenting of the skin on the forearms
C. Patches of vitiligo around both eyes
D. Scattered brown macules on the face
Tenting of the skin on younger clients may indicate dehydration and the need for oral or IV fluid administration. The other data will be recorded but do not require any rapid interventions.
The Correct Answer is Option C
A. Syndenham’s chorea
B. Polymigratory arthritis
C. Splinter hemorrhages
D. Erythema marginatum
Splinter hemorrhages, dark lines beneath the nails, are associated with embolization. Answers A, B, and D are associated with rheumatic fever, not infective bacterial endocarditis; therefore, they are incorrect.
The Correct Answer is Option C
A. Stabilize clots in the vascular system
B. Decrease the chance of a blood reaction
C. Eliminate iron excess
D. Boost oxygen delivery to the cells
A chelating agent such as deferoxamine (Desferal) is given to eliminate excess iron. The answers in A, B, and D are not the action of chelating agents, so they are incorrect.
The Correct Answer is True
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.
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