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. 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. Fear related to potential hearing loss
B. Risk for injury related to loss of balance
C. Activity intolerance related to perception of dizziness
D. Anxiety related to loss of control
The client with Ménière’s disease experiences a whirling sensation that could lead to falls. The nurse should give priority to the client’s safety. Answers A, C, and D should be considered when planning for the client’s care; however, they do not take priority over safety; therefore, they are incorrect choices.
The Correct Answer is Option B
A. Begin an IV of normal saline at keep-open rate
B. Continue the magnesium sulfate as ordered
C. Contact the doctor immediately
D. Prepare for an emergency delivery
The therapeutic range for magnesium sulfate is 4.0–9.6 meq/L; therefore, with a magnesium level of 6.3meq/L, the nurse should continue the infusion. Answers A, C, and D indicate that the nurse believes the level to be toxic. This is an incorrect conclusion, making these answers 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 True
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 A
A. Walk one to two steps ahead with the client’s hand on the nurse’s elbow
B. Walk beside the client while holding her hand.
C. Walk one to two steps behind with the nurse’s hand on the client’s elbow.
D. Walk beside the client without touching her.
When ambulating the client who is blind, the nurse should allow the client to grasp his arm at the elbow. The nurse’s arm should be kept close to the body so that the client can detect the nurse’s direction or movement. Answers B, C, and D are improper ways of ambulating the client who is blind; therefore, they are incorrect.
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 C
A. Cover the cord with dry, sterile gauze
B. Place the client in high Fowler’s position
C. Push up on the presenting part with an examining finger
D. Begin an IV of normal saline at keep-open rate
The nurse should push on the presenting part to relieve pressure on the cord and facilitate blood flow through the cord. Answer A is incorrect because the sterile gauze should be moist, not dry. Answer B is incorrect because the client should be placed in Trendelenburg position, not high Fowler’s position. Answer D is incorrect because the IV fluid should be rapid, not keep-open rate, to increase hydration and blood flow to the fetus.
The Correct Answer is Option C
A. Gemcitabine (Gemzar)
B. Gefitinib (Iressa)
C. Cabergoline (Dostinex)
D. Ganciclovir (Cytovene)
Dostinex is used to shrink the prolactin-based tumor. Answers A and B are antineoplastic drugs. Answer D is an antiviral medication.
The Correct Answer is Option B
A. Acetylcysteine
B. Deferoxamine
C. Calcium disodium acetate
D. British anti-lewisite
Deferoxamine is the antidote for iron poisoning. Answer A is the antidote for acetaminophen overdose, making it wrong. Answers C and D are antidotes for lead poisoning, so they are wrong.
The Correct Answer is Option B
A. Urinary output
B. Respirations
C. Temperature
D. Verbal responsiveness
Barbiturate overdose results in central nervous system depression, which leads to respiratory failure. Answers A and C are important to the client’s overall condition but are not specific to the question, so they are incorrect. The use of barbiturates results in slow, slurred speech, so answer D is expected, and therefore incorrect
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
Convert weight from pounds to kilograms (32lbs/2.2lbs) and multiply by required dose (20ml/kg) multiplied by drop factor (10drops/ml) over the required time of 60minutes.
32 lbs x kg x 20mL x 10drops
2.2lbs kg ml
___________________________ = 48.4848485 = 48 drops/minute (rounded off to whole number)
60 minutes
The Correct Answer is Option B
A. The client who is 40 weeks gestation having contractions every 5 minutes lasting 50 seconds
B. The client who is 32 weeks gestation with terbutaline (Brethine) intravenously
C. The one-day postpartum client who has changed two peri-pads in the last 6 hours
D. The diabetic obstetric client with a blood glucose level of 90 mg/dL
The client who is 32 weeks gestation receiving Brethrine is unstable and requires further nursing assessment. Answer A is incorrect because the client who is 40 weeks gestation having contractions every 5 minutes lasting 50 seconds is normal. Answer C is incorrect because changing two peripads in the last 6 hours is normal; therefore, it is not highest priority. Answer D is incorrect because a blood glucose of 90 mg/dL is within normal limits.
The Correct Answer is Option B
A. Dermatophytes that cause fungal infections are spread only by human-to-human contact.
B. Infection depends on inoculation and maintenance of the organism in the outer layers of the skin.
C. Treatment of fungal infections continues only until lesions have disappeared.
D. Systemic fungal infections are best treated with antibacterial medications.
Infection occurs when dermatophytes come in contact with a susceptible host that allows inoculation and maintenance in the outer layers of the skin. Answer A is incorrect because dermatophytes are spread by contact with contaminated soil, animals, or humans. Answer C is incorrect because therapy usually continues for one to two weeks after clearing in order to prevent recurrence. Answer D is incorrect because systemic fungal infections are treated with antifungal medications such as Nizoral (ketoconozole), not antibacterial medications.
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 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 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 A
A. Hypericum
B. Angelica
C. Chamomile
D. Echinacea
Clients taking antidepressant medication should avoid herbal preparations containing hypericum (St. John’s wort) unless directed by the physician. Answers B, C, and D do not specifically apply to the client taking prescription antidepressants; therefore, they are incorrect. Note: The client taking any prescription medication should check with the physician before using herbals or dietary supplements.
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