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 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. 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 D
A. Tuna sandwich, pickle spear, potato chips, and iced tea
B. Ham slice, tossed salad with dressing, gelatin, and coffee
C. Tomato soup, crackers, peanut butter sandwich, and milk
D. Hamburger steak, baked potato, lima beans, and milk
The client with nephrotic syndrome needs a diet with complete proteins and restricted sodium. Answers A, B, and C are incorrect because they contain high-sodium foods.
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 D
A. Aplastic
B. Vaso-occlusive
C. Splenic sequestration
D. Erythropoiesis
Erythropoiesis is the formation of RBCs not related to sickle cell crisis. The answers in A, B, and C are types of sickle cell anemia crises, so they are incorrect.
The Correct Answer is Option B
A. Presence of serum albumin in the interstitial space
B. Increased capillary permeability
C. Erratic drainage of the lymphatic system
D. Altered osmotic pressure in the blood vessels
Hypovolemic shock is the result of increased capillary permeability that leads to third spacing or capillary leak syndrome. The loss of plasma fluids and proteins decreases blood volume and blood pressure. Answers A, C, and D do not relate to hypovolemic shock; therefore, they are incorrect.
The Correct Answer is Option B
A. Phosphorus 2.5 mEq/L
B. Potassium 1.8 mEq/L
C. Calcium 9.4 mg/dl
D. Magnesium 2.4 mEq/L
The client taking furosemide is at risk for developing hypokalemia (decreased potassium) because this drug is a non–potassium-sparing diuretic. A potassium level of 1.8 is extremely low and might result in cardiac dysrhythmias. Answers A, C, and D are incorrect because the levels noted in the question are within normal levels.
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. Obtain an IV controller
B. Check the client’s vital signs hourly
C. Check the sodium level
D. Obtain an 18-gauge cathlon to begin the infusion
If potassium is added to IV fluids, a controller is required because a too-rapid infusion of potassium can lead to cardiac arrhythmias. Answer B is incorrect only because there is no data to indicate that hourly vital signs should be obtained. Answer C is incorrect because the client has an order for D51/2NS, which is the same in saline as the client’s normal sodium level. Answer D is incorrect because an 18-gauge cathlon is not required. The nurse can use any size cathlon for this infusion.
The Correct Answer is Option B
A. The nurse prepares an IV of D10W.
B. The nurse prepares to administer insulin IV.
C. The nurse obtains NPH insulin for administration.
D. The nurse inserts a Foley catheter.
The client with a blood glucose of 545 mg/dl is in metabolic acidosis. An IV with insulin will be ordered. Insulin takes the glucose into the cells hence, reducing the glucose levels. Answer A is incorrect because D10W will increase the glucose level and potentiate the client’s condition. Answer C is incorrect because regular insulin will be ordered, not NPH, which is long-acting. Answer D is incorrect because although a Foley catheter might be ordered, it is not necessary for the improvement of the client’s condition.
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.
The Correct Answer is Option A
A. Notify the physician
B. Remove the weight to release the pressure on the pin
C. Reposition the client to the supine position
D. Try to remove the pin for examination
The nurse should notify the physician so that the pin can be repaired. Answers B and D are actions that can have negative results on the bone healing process, so they are incorrect. Answer C will not help, so it is wrong.
The Correct Answer is Option B
The thyroid is located anterior to the trachea; therefore, laryngeal stridor and airway obstruction is a risk following a thyroidectomy. Answer A is incorrect because this action is not necessary. The need for extra blankets is associated with hypothyroidism, but is not directly associated with thyroid surgery. Answer C is incorrect because the client can talk. Answer D is incorrect because pain medication should be offered as needed, not every four hours.
The Correct Answer is Option B
A. Instruct the aggressive patient to help you with ambulating the bedridden patient
B. Instruct the ambulant patient to assist the 78-year-old in the evacuation process while you seek help in evacuating the bedridden patient
C. Call the switchboard for help in the evacuation
D. Tell everyone the building is on fire and that all take the fire exit
Ambulant patients can assist semi ambulant patients in case of emergency. Take the full dependent and aggressive patients last. There is no point in asking the switchboard as the alarm has been activated. The fire warden is in charge of instructing all people in the building, no the nurse.
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. Dry mouth
B. Palpitations
C. Hyperglycemia
D. Anemia
Side effects from bronchodilators such as theophylline include tremulousness, palpitations, and restlessness. Answers A, C, and D are incorrect because they are not expected side effects of bronchodilators.
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. Vaccination with a live virus
B. Weakened immune system
C. Inoculation with BCG vaccine
D. Poor testing technique
Inoculation with BCG vaccine will produce a false positive TB skin test. Vaccination with a live virus, weakened immune system, and poor testing technique are factors that can produce a false negative TB skin test, therefore Answers A, B, and D are incorrect.
The Correct Answer is Option C
A. Return to the clinic in six weeks for a urinalysis
B. Avoid exercise for at least six weeks
C. Do not become pregnant for at least 12 months
D. Return to the clinic in six months for liver enzyme studies
The client that has experienced a hydatidiform mole should avoid becoming pregnant again for one year because chorionic carcinoma is associated with a hydatidiform mole. If the client does become pregnant and there are cells for chorionic carcinoma, the hormonal stimulation can cause rapid cell proliferation and growth of the cancer. Answer A is incorrect because a urinalysis in six weeks is not necessary. Answer B is incorrect because exercise is not contraindicated after a hydatidiform mole. Answer D is incorrect because checking liver enzymes in six months is not necessary after a hydatidiform mole.
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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