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. 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 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 A
A. Blood or body fluid exposure to the virus
B. Emptying her cat’s litter box
C. Contaminated food or water
D. Pigeon feces
Cytomegalovirus virus is transmitted predominantly by blood or body fluid exposure to the virus. Answer B is incorrect, toxoplasmosis is transmitted through contaminated cat feces. Answer C is incorrect because contaminated food or water can cause many illnesses; for example, E. coli, listeria, Clostridium difficile, and many others. Answer D is incorrect because histoplasmosis is transmitted by bird feces.
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 C
To calculate for the volume dose:
Drug wanted / Drug on hand x volume = 8000 units / 10,000 units x 1mL = 0.8mL
The Correct Answer is Option B
A. No need for any medical treatment for radiation exposure
B. Have damage to the bones, kidneys, liver, and thyroid
C. Experience only erythema and desquamation
D. Not be radioactive because the radiation passes through the body
The client with incorporation radiation injuries requires immediate medical treatment. Most of the damage occurs to the bones, kidneys, liver, and thyroid. Answers A, C, and D refer to external irradiation, so they are wrong.
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 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 A
A. Vancomycin (Vancocin) IV
B. Ampicillin (Omnipen) PO
C. Ceftriazone (Rocephin) IM
D. Cefotaxime sodium (Claforan)
Vancomycin IV would be the antibiotic of choice for resistant strands of meningitis. The client would need the medication to work quickly, making Answers B and C incorrect. Answer D is an antibiotic used for meningitis, but would not be the one of choice for resistant strains of meningitis, so it is wrong.
The Correct Answer is Option B
A. Increase her intake of milk and dairy products.
B. Avoid taking bubble baths
C. Use underwear made from nylon
D. Drink orange juice for breakfast
The nurse should tell the client to avoid tub baths as well as bubble baths. The client should be instructed to wear cotton underwear and to avoid tight-fitting clothing such as jeans. Answers A, C, and D do not decrease the incidence of cystitis; therefore, they are incorrect.
The Correct Answer is Option B
A. The nurse offers extra blankets.
B. The nurse places a tracheostomy tube at the bedside.
C. The nurse insists that the client refrain from talking.
D. The nurse administers pain medication every four hours.
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 D
A. Take half the dose to control the problem
B. Take cough medication to control the problem
C. Stop the medication
D. Report the problem to the doctor
A hacking cough is a common side effect and should be reported to the doctor. The client should not be told to half the dose because this can result in an elevated blood pressure, so answer A is incorrect. Answer B is incorrect because taking a cough medication will mask the symptom of a possible allergic reaction. Answer C is incorrect because, although the client stops taking the medication, this answer states that the client can report the finding to the doctor at the time of the scheduled visit. She should report this finding immediately.
The Correct Answer is Option D
A. Eliminates the neurotransmitter acetylcholine
B. Increases the perception of external stimuli
C. Decreases levels of cortisol from the adrenal cortex
D. Produces a seizure that temporarily alters brain chemicals
Electroconvulsive therapy produces a tonic-clonic seizure that temporarily increases brain chemicals, serotonin, dopamine, and norepinephrine. Answers A, B, and C are not true statements; therefore, they are incorrect.
The Correct Answer is Option C
A. Amevive (alefacept)
B. Folex (methotrexate)
C. Famvir (famciclovir)
D. Raptiva (efalizumab)
Famvir (famciclovir), an antiviral medication, is used to shorten the outbreak of herpes zoster. Amevive, Folex, and Raptiva are used in the treatment of the client with psoriasis; therefore, answers A, B, and D are incorrect.
The Correct Answer is Option B
A. Chocolate milk
B. Grapefruit juice
C. Orange juice
D. Milk
Sandimmune oral solution should not be mixed with grapefruit juice. Answers A, C, and D are all suitable beverages for mixing with the medication; therefore, they are incorrect.
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. 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 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 C
A. An involuntary rhythmic, rapid, twitching of the eyeballs
B. A dorsiflexion of the great toe with fanning of the other toes
C. A significant sway when the client stands erect with feet together, arms at the side, and the eyes closed
D. A lack of normal sense of position when the client is unable to return extended fingers to a point of reference
In Romberg’s test, the client is asked to stand with the feet together and the arms at the sides, and to close the eyes and hold the position; normally the client can maintain posture and balance. A positive Romberg’s sign is a vestibular neurological sign that is found when a client exhibits a loss of balance when closing the eyes. This may occur with cerebellar ataxia, loss of proprioception, and loss of vestibular function. A lack of a normal sense of position coupled with an inability to return extended fingers to a point of reference is a finding that indicates a problem with coordination. A positive gaze nystagmus evaluation results in an involuntary rhythmic, rapid twitching of the eyeballs. A positive Babinski’s test results in dorsiflexion of the great toe with fanning of the other toes; if this occurs in anyone older than 2 years it indicates the presence of central nervous system disease.
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.
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