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. 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, Option B, Option D
A. Auscultating lung sounds
B. Obtaining the client’s temperature
C. Assessing the strength of peripheral pulses
D. Obtaining information about the client’s respirations
Answer: 1,2,4
A focused assessment focuses on a limited or short-term problem, such as the client’s complaint. Because the client is complaining of symptoms of a cold, a cough, and lung congestion, the nurse would focus on the respiratory system and the presence of an infection. A complete assessment includes a complete health history and physical examination and forms a baseline database. Assessing the strength of peripheral pulses relates to a vascular assessment, which is not related to this client’s complaints. A musculoskeletal and neurological examination also is not related to this client’s complaints. However, the strength of peripheral pulses and a musculoskeletal and neurological examination would be included in a complete assessment. Likewise, asking the client about a family history of any illness or disease would be included in a complete
assessment
The Correct Answer is Option C
A. Five minutes
B. Thirty minutes
C. Ninety minutes
D. Four hours
NPH insulin onset is 90–120 minutes. Answer A is incorrect because Novalog insulin onset is 5–10 minutes. B is incorrect because regular insulin onset is 15–30 minutes. D is incorrect and is not associated with the onset of any insulin.
The Correct Answer is Option D
A. 1400
B. 1500
C. 1600
D. 1700
Blood must be finished within four hours of the start time. Answers in A, B, and C are before the 4-hour time limit, so they are incorrect.
The Correct Answer is Option B
A. Wheezing respirations
B. “Cherry red” skin
C. Gastric ulceration
D. “Burgundy” colored urine
The vasodilating action of carbon monoxide causes the client’s skin to become “cherry red” in color. Answer A refers to inhalation injury, not carbon monoxide poisoning; therefore, it is incorrect. Answer C is incorrect because it refers to Curling’s ulcer, which sometimes occurs as a result of major burn injury. Answer D is associated with myoglobinuria, not carbon monoxide poisoning; therefore, it is incorrect.
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 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 A
Teach the client to sleep with a foam wedge under the head.
Encourage the client to decrease the amount of smoking.
Instruct the client to take over-the-counter medication for relief of pain.
Discuss the need to attend Alcoholics Anonymous to quit drinking.
The behavioural modification a client can do is start sleeping with a foam wedge under the head to minimize the reflux of the gastric content after having food.
B,C and D are essential for GERD management aswell but the one that can be done promptly to help patient is option A.
The Correct Answer is Option D
A. Risedronate (Actonel)
B. Alendronate (Fosamax)
C. Ibandronate (Boniva)
D. Raloxifene (Evista)
Evista should not be given to clients with liver disease because it can make the condition worse. Answers A, B, and C are not contraindicated in liver disease clients, so they are incorrect.
The Correct Answer is Option A
A. Kernig’s sign
B. Brown-Sequard’s syndrome
C. Brudsinski’s sign
D. Doll’s eye reflex
A positive result would be indicated by pain in the hamstring when the actions in the stem are done. Answers B and D do not relate to meningitis. Brudsinski’s sign, Answer C, is elicited by attempting to flex the patients’ head causing severe pain if positive, so this is incorrect. Both Kernig’s and Brudsinski’s signs are indications of meningeal irritation found in meningitis.
The Correct Answer is Option C
A. Metabolic acidosis
B. Metabolic alkalosis
C. Respiratory acidosis
D. Respiratory alkalosis
When assessing arterial blood gases, the nurse should look at the pH. In this case, the pH is low. After assessing the pH, the nurse should look at the PaCO2. In this case, the PaCO2 is elevated. Finally, look at the HCO3. In this question, the HCO3 is elevated. Answers A, B, and D are incorrect findings because they are not consistent with the lab values given in the question.
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 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 C
A. Breath sounds
B. Deep tendon reflexes
C. Blood pressure
D. Bowel sounds
The patient is exhibiting symptoms of autonomic dysreflexia. The hypertension can be severe and requires treatment; therefore, this assessment is essential. The assessments in Answers A, B, and D might all be done, but C is the priority, so the others are incorrect.
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
A. Nitroprusside (Nipride)
B. Naloxone hydrochloride (Narcan)
C. Flumazenil (Romazicon)
D. Diphenhydramine (Benadryl)
The postoperative period, narcotics are given. Narcan is the antidote to narcotics, so answer B is correct. Nipride is utilized to lower blood pressure, so answer A is incorrect. Romazicon is the antidote for the benzodiazepines, so answer C is incorrect. Benadryl is an antihistamine, so answer D is incorrect.
The Correct Answer is Option C
A. Hiccups
B. Dysphagia
C. Fever
D. Bradycardia
Other clinical manifestations include pain, nausea, vomiting, rebound tenderness upon palpation, flatulence, and indigestion. Answers A, B, and D are not associated with cholecystitis, so they are incorrect.
The Correct Answer is Option B
A. Turn the clients to the left side
B. Immobilize the extremity by splinting above and below the fractured site
C. Provide manual traction of the fracture site
D. Reinsert any protruding bones and apply a sterile dressing
The nurse should splint the extremity, cover the area, and do a neurovascular assessment. Answer A is incorrect because the client should be in the supine position. Answer C is not recommended, so it is incorrect. Answer D is detrimental and increases the risk of infection, so it is incorrect.
The Correct Answer is Option B
A. Urinary output
B. Respirations
C. Temperature
D. Verbal responsiveness
Answer B is correct. 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 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.
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