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 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 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 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.
The Correct Answer is Option D
A. Instruct the client to perform the Valsalva maneuver
B. Elevate the tubing above the client’s chest level
C. Decrease the amount of suction being applied
D. Form a water seal and obtain a new connector
The nurse should form a water seal, remove the contaminated end, and insert a new sterile connector. The Valsalva maneuver is used when the chest tube is being removed, therefore Answer A is incorrect. Answer B is incorrect because the chest drainage system is maintained below the client’s chest level. Answer C is incorrect because the nurse cannot alter the amount of suction being applied without a doctor’s order.
The Correct Answer is Option B
A. The correct way to perform postural drainage
B. The preparation and use of isotonic enemas
C. The collection of a specimen using the tape test
D. The use of pinwheels and suckers to improve speech
The parents of a child with Hirschsprung’s disease should be taught how to prepare and administer isotonic enemas. Answers A, C, and D are incorrect because they do not relate to the care of the child with Hirschsprung’s disease.
The Correct Answer is Option C
A. Weight loss
B. Decreased appetite
C. Hirsutism
D. Integumentary bronzing
Notice that the testing strategy “odd item out” can be used in this question. Answers A, B, and D are symptoms of Addison’s disease. Answer C is the answer that is different from the rest. Hirsutism, or facial hair, is a side effect of cortisone therapy.
The Correct Answer is Option C
A. Sliced turkey on white bread
B. Beef broth
C. Spinach salad
D. Froot Loops cereal with milk
Spinach has a larger amount of fiber than any of the other choices listed. The answers in A, B, and D have minimal fiber content, so they are incorrect.
The Correct Answer is Option A
A. Private room or cohort client
B. Personal respiratory protection device
C. Private room with negative airflow pressure
D. Mask worn by staff when the client needs to leave the room
Meningitis is transmitted by droplet infection. Precautions for this disease include a private room or cohort client and use of a standard precaution mask. Private negative airflow pressure rooms and personal respiratory protection devices are required for clients with airborne disease such as tuberculosis. When appropriate, a mask must be worn by the client and not the staff when the client leaves the room.
The Correct Answer is Option A
A. Fractures of the ribs
B. Contusions of the lower legs
C. Fractures of the humerus
D. Lacerations of the face
Fractures of the ribs can result in a closed pneumothorax, a life-threatening emergency, that requires early detection and treatment. Answers B, C, and D are incorrect because they do not pose a risk to the life of the client.
The Correct Answer is Option B
A. Control HCO3 levels
B. Retain or blow off CO2
C. Regulate potassium levels
D. Maintain sodium levels
The lungs assist in the control of acid/base balance by regulating the amount of CO2 that is retained or exhaled. The lungs are not in control of HCO3, potassium, or sodium; therefore, Answers A, C, and D are incorrect.
The Correct Answer is Option B
A. Hyperthyroidism
B. Hypothyroidism
C. Hypoparathyroidism
D. Hyperparathoidism
Answer B is correct because in Hashimoto’s thyroiditis, antibodies against thyroid hormone are produced, which leads to a decrease in thyroid hormone release. For this reason answers A, C, and D are incorrect.
The Correct Answer is Option C
A. “I need to avoid certain foods and drinks to prevent an increase in blood pressure.”
B. “I will schedule an appointment each month to have my blood level checked.”
C. “I will use hard candy or gum to keep my mouth from feeling too dry.”
D. “I will need to take my medicine before meals to improve its effect.”
Dry mouth is a common side effect of antidepressant medications. Using hard candy or gum helps to prevent mouth dryness. Answer A is incorrect because it refers to treatment with MAOI. Answer B is incorrect because it refers to treatment with lithium. Answer D is incorrect because taking the medication with food enhances the absorption rate of the medication.
The Correct Answer is Option A
A. CSF protein elevation with a normal cell count
B. WBC count of 2800 mm
C. Abnormal liver function test
D. Abnormal electromyographic (EMG) studies
This is the most definitive diagnostic result. The client would experience an elevated white blood cell count, which makes Answer B incorrect. Answers C and D can occur with many diagnoses, so they are not specific for Guillain-Barrè and are incorrect.
The Correct Answer is Option A
A. Stop the blood transfusion and keep the vein open with normal saline
B. Administer epinephrine per unit protocol
C. Notify the physician
D. Obtain a set of vital signs
The nurse would first ensure that the patient doesn’t get any more of the wrong blood due to displaying symptoms of a hemolytic blood reaction. Answers B, C, and D are proper actions with a blood transfusion reaction, but none is the initial action, so they are incorrect.
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 D
A. Painting
B. Watching television
C. Attending the opera
D. Golfing
Golfing should be avoided by the client following cataract removal because it requires activity that increases intraocular pressure. Answers A, B, and C are incorrect because they do not increase intraocular pressure.
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. 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 A
A. “I can soak the ear mold in mild soap and water to clean it.”
B. “I will need to keep an extra supply of batteries on hand.”
C. “I need to adjust the volume to the lowest setting that permits hearing.”
D. “I can use a toothpick to clean debris from the hole of the hearing aid.”
The client should avoid excessive wetting of the ear mold; therefore, the client needs further teaching. Answers B, C, and D indicate that the client understands the nurse’s teaching, so they are incorrect.
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.
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