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 A
A. Kayexalate (sodium polystyrene sulfonate)
B. K-Dur (potassium chloride)
C. Cephulac (lactulose)
D. PhosLo (calcium acetate)
Kayexalate (sodium polystyrene sulfonate) is administered to lower potassium levels in the client with hyperkalemia. K-Dur is used for the client with hypokalemia; therefore, answer B is incorrect. Lactulose is used to lower ammonia levels in the client with liver disease; therefore, answer C is incorrect. PhosLo is used to lower phosphorus levels in the client with renal disease; therefore, Answer D is incorrect.
The Correct Answer is Option D
A. Allow the manipulation because it will allow the client a sense of control
B. Appeal to the client’s sense of reason to maintain a therapeutic milieu
C. Realize that the client will not need to manipulate after a sense of trust is established
D. Recognize that the client’s anxiety will increase when manipulations are unsuccessful
The client with a personality disorder will experience increasing anxiety as manipulative behaviors fail. The staff should approach the client professionally, rather than friendly, and should set firm limits on the client’s behavior; therefore, Answers A, B, and C are incorrect.
The Correct Answer is Option C
A. 100 ml
B. 300 ml
C. 500 ml
D. 700 ml
Fluid intake for the client with acute glomerulonephritis is limited to urinary output plus 500 mL to 600 mL. Answers A and B are incorrect because the intake is too limited. Answer D is incorrect because the intake is excessive.
The Correct Answer is Option A
A. Constriction of blood flow
B. Immobilization of the joint
C. Formation of a decubitus ulcer
D. Oozing of blood from the wound
Wrapping an elastic bandage on a stump using the circular technique can cause the wrap to act as a tourniquet and restrict blood flow, so a figure eight technique is utilized to prevent this from occurring. Answers B, C, and D are not the primary reasons for use of the figure eight technique, so they are incorrect.
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 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 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 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 B, Option D
A. Wear airborne precaution PPE
B. Obtain nasopharyngeal and oropharyngeal swabs
C. The swab product is the same swab used for MRSA testing
D. Instruct patient to self isolate until swab results are back
Answer: 2,4
Droplet precautions must be worn unless performing aerosolized procedures such as nebulizers or intubation. MRSA swab test is for the identification of bacterial microorganisms, COVID is a virus, therefore a virus swab must be used.
The nurse should conduct an oronasal pharyngeal swab and must instruct the patient to self-isolate, proper hand hygiene, and cough etiquette.
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 C
A. Polydipsia and bradycardia
B. Euphoria and polyuria
C. Muscle weakness and irritability
D. Ringing in the ears and blurred vision
Other symptoms of SIADH include loss of thirst, tachycardia, hostility, and decreased urinary output. This makes Answers A and B incorrect. The answer in D is not associated with SIADH, so it is incorrect.
The Correct Answer is Option A
Total Volume / Time x Drip Factor = 1000 mL / 24 hours x 15drops/mL = 625 drops/hour
625drops/hour x 1hour/60minutes = 10.4166667 = 10 drops/minute (rounded off to a whole number)
The Correct Answer is Option D
A. Ambu bag
B. IV controller
C. Bit drill
D. Torque screwdriver
This equipment is necessary in case the pins become loose. The family should also be instructed in this before discharge for home care. The answers in A, B, and C are not necessary are appropriate due to a halo vest application.
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 the use of a standard precaution mask. Private negative airflow pressure rooms and personal respiratory protection devices are required for clients with airborne diseases 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. 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 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 Option A
A. Checking the client’s blood sugar
B. Administering intravenous dextrose
C. Intubation and ventilator support
D. Administering regular insulin
The client has symptoms of insulin shock and the first step is to check the client’s blood sugar. If indicated, the client should be treated with intravenous dextrose. Answer B is wrong because it is not the first step the nurse should take. Answer C is wrong because it does not apply to the client’s symptoms. Answer D is wrong because it would be used for diabetic ketoacidosis, not insulin shock.
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 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 D
A. Amoxil (amoxicillin)
B. K-Dur (potassium)
C. B12 (cyanocobalamine)
D. Tegretol (carbamazepine)
Tegretol (carbamazepine) is ototoxic. Answers A, B, and C do not pose a risk of ototoxicity; therefore, they are incorrect.
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