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. 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 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 A
A. Call for help immediately and stabilize the clients’ head in the neutral position.
B. Go to the nursing station and call the neurosurgeon immediately.
C. Lower the head of the bed and add more weight to the traction.
D. Turn the client to the left side, raising the knee gatch on the bed.
The priority concern is patient safety and prevention of damage to the spinal cord. Answers B, C, and D are not appropriate actions by the nurse, so they are incorrect.
The Correct Answer is Option A
A. After a shower or bath
B. While standing to void
C. After having a bowel movement
D. While lying in bed before arising
The nurse needs to teach the client how to perform a TSE. The nurse should instruct the client to perform the exam on the same day each month. The nurse should also instruct the client that the best time to perform a TSE is after a shower or bath when the hands are warm and soapy and the scrotum is warm. Palpation is easier and the client will be better able to identify any abnormalities. The client would stand to perform the exam, but it would be difficult to perform the exam while voiding. Having a bowel movement is unrelated to performing a TSE.
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. 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. 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 D
A. Telling the child how important it is to drink fluids
B. Telling the child how important it is to drink fluids
C. Providing soup on the lunch and dinner meals
D. Offering flavored ice pops or iced Slurpees
A child will likely accept the fluids in this answer better than the others listed. The child is too young to understand the statement in answer A, so it is inappropriate. Answers B and C are good sources of fluids but would not be best or acceptable for a 3-year-old, so they are incorrect.
The Correct Answer is Option D
A. Wearing gloves when emptying the client’s bedpan
B. Keeping all linens in the room until the implant is removed
C. Wearing a lead apron when providing direct care to the client
D. Placing the client in a 4 bedded room with shared toilet
A private room with a private bath is essential if a client has an internal radiation implant. This is necessary to prevent accidental exposure of other clients to radiation. The remaining options identify accurate interventions for a client with an internal radiation implant and protect the nurse from exposure.
The Correct Answer is Option A, Option B, Option C
A. Ingestion of contaminated undercooked meat or deer flies
B. Inhalation of bacterial spores
C. Through a cut or abrasion in the skin
D. Direct contact with an infected individual
Answer: A,B,C
Anthrax is caused by Bacillus anthracis and can be contracted through the digestive system or abrasions in the skin, or inhaled through the lungs. It cannot be spread from person to person, and it is not contracted via bites from ticks or deer flies.
The Correct Answer is Option A
A. Acyclovir (Zovirax)
B. Podophyllin
C. AZT (Retrovir)
D. Isoniazid (Lanzid)
Acyclovir is used to treat genital herpes. Answer B is incorrect because Podophyllin is used to treat condyloma acuminata (venereal warts). Answer C is incorrect because AZT (Retrovir) is used to prevent HIV transmission from mother to baby. Answer D is incorrect because isoniazid is used to treat tuberculosis, not herpes.
The Correct Answer is True
The Correct Answer is Option B
A. Continue the collection as ordered by the physician
B. Discard the collected urine, obtain a new bottle, and begin the collection again
C. Record the information in the client’s chart and continue the collection
D. Extend the collection time to replace the last voiding
Failure to collect all urine voided in the 24-hour period invalidates specimen results; therefore, the nurse should obtain a new collection bottle, discard the collected urine, and begin the collection again. Answers A, C, and D are incorrect because they are improper ways of obtaining a 24-hour urine specimen.
The Correct Answer is Option B
A. Call the doctor
B. Stop the IV infusion of Vancomycin
C. Administer Benadryl as ordered
D. Take the vital signs
All are important however, the initial step is to stop the cause of the allergy.
The Correct Answer is Option C
A. Fever and chills
B. Hypotension and tachycardia
C. Rash and hives
D. Decreased urinary output and hypertension
Other symptoms include respiratory distress and anaphylaxis. Answer A describes febrile nonhemolytic reaction, so it is incorrect. Answer B occurs with hemolytic reaction and answer D is not associated with a blood transfusion reaction, so they are incorrect.
The Correct Answer is Option A
A. Rhythmic respirations with periods of apnea
B. Regular rapid and deep, sustained respirations
C. Totally irregular respiration in rhythm and depth
D. Irregular respirations with pauses at the end of inspiration and expiration
Cheyne-Stokes respirations are rhythmic respirations with periods of apnea and can indicate a metabolic dysfunction in the cerebral hemisphere or basal ganglia. Neurogenic hyperventilation is a regular, rapid and deep, sustained respiration that can indicate a dysfunction in the low midbrain and middle pons. Ataxic respirations are totally irregular in rhythm and depth and indicate a dysfunction in the medulla. Apneustic respirations are irregular respirations with pauses at the end of inspiration and expiration and can indicate a dysfunction in the middle or caudal pons.
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. Chloride level
B. Potassium transport
C. Serum sodium
D. Calcium level
A positive sweat test is reflected by elevations in the chloride level. Answers B, C, and D are not measured by the sweat test; therefore, they are incorrect.
The Correct Answer is Option D
A. Culture
B. VDRL
C. RPR
D. FTA-ABS
The fluorescent treponemal antibody test (FTA-ABS) is most diagnostic for syphilis. Answer A is incorrect because a culture of the discharge is used to diagnose gonorrhea, not syphilis. Answers B and C are incorrect because they are screening tests and are not as diagnostic as the FTA-ABS is.
The Correct Answer is Option C
A. Third
B. Fifth
C. Seventh
D. Ninth
Damage to the seventh cranial nerve (facial nerve) might occur during a stapedectomy. Changes in facial sensation should be reported to the doctor. Stapedectomy complications do not include damage to the third, fifth, or ninth cranial nerves; therefore, answers A, B, and D are incorrect.
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