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. Reduces spasticity
B. Skeletal muscle relaxation
C. Immune suppression
D. Prevents viral infections
The drug Baclofen (Lioresal) might also improve bowel and bladder function. Answers B, C, and D do not refer to the drug Lioresal, so they are incorrect.
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. 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 B
A. Lying on a firm surface that does not distribute weight
B. Resting in a semi-sitting position that allows gradual downward movement
C. Rubbing or irritating the skin so that epithelial cells are removed
D. Compression of blood vessels that leads to ischemia, inflammation, and tissue necrosis
Shear or shearing forces occur whenever the skin is stationary while tissues below the skin are able to shift or move. Answers A and D are incorrect because they describe the physical force of pressure. Answer C refers to friction; therefore, it is incorrect.
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 C
A. Tracheal deviation toward the affected side
B. Symmetry of the thorax and equal breath sounds
C. Tracheal deviation toward the unaffected side
D. Decreased heart rate and decreased respirations
Assessment of the client with a tension pneumothorax reveals tracheal deviations towards the unaffected side. Answer A is incorrect because the deviation is toward the unaffected, not the affected side. Answer B is incorrect because the thorax is asymmetrical and breath sounds are absent on the affected side. Answer D is incorrect because the heart rate and respiratory rate are not decreased.
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 B
A. Day hall supervision
B. Constant supervision
C. Checks every 15 minutes
D. One-on-one night supervision
The client admitted with suicidal thoughts or suicidal gestures is best cared for by constant supervision. Answers A, C, and D do not provide for continual observations to ensure the client’s safety; therefore, they are incorrect.
The Correct Answer is Option C
A. Creatinine
B. Cortisol levels
C. Blood glucose
D. Liver profile
Terbutaline (Brethine) is a bronchodilator that can also relax smooth muscles. Brethine can cause elevations in blood glucose levels so the client should have blood glucose levels checked prior to beginning treatment with Brethine. Answers A, B, and D are not laboratory studies that are required prior to beginning Brethine.
The Correct Answer is Option B
A. Waterpik
B. Wire cutter
C. Humidifier
D. Oral rinse
Wire cutters must be at the bedside at all times to decrease the risk of aspiration with vomiting. Answers A and D are usually used in the care of clients with a fractured mandible, but are not as essential as the wire cutters, so they are incorrect. The answer in C is not a usual piece of equipment for clients with fractured mandibles, so it is incorrect.
The Correct Answer is Option B
A. The client who is 40 weeks gestation having contractions every 5 minutes lasting 50 seconds
B. The client who is 32 weeks gestation with terbutaline (Brethine) intravenously
C. The one-day postpartum client who has changed two peri-pads in the last 6 hours
D. The diabetic obstetric client with a blood glucose level of 90 mg/dL
The client who is 32 weeks gestation receiving Brethrine is unstable and requires further nursing assessment. Answer A is incorrect because the client who is 40 weeks gestation having contractions every 5 minutes lasting 50 seconds is normal. Answer C is incorrect because changing two peripads in the last 6 hours is normal; therefore, it is not highest priority. Answer D is incorrect because a blood glucose of 90 mg/dL is within normal limits.
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 A
A. Amenorrhea
B. Headache
C. Blurred vision
D. Weight loss
Prolactinoma tumors are tumors arising from hyperplasia of the pituitary gland that are prolactin hormone–based. Amenorrhea and anovulation are associated with prolactinomas because the pituitary gland assists with stimulation of the ovaries and ovulation, so answer A is correct. Because the pituitary is located in the center of the skull, adjacent to the brain, answers B and C are associated with increased intracranial pressure. Answer D is incorrect because weight gain can occur, not weight loss.
The Correct Answer is Option C
A. Syndenham’s chorea
B. Polymigratory arthritis
C. Splinter hemorrhages
D. Erythema marginatum
Splinter hemorrhages, dark lines beneath the nails, are associated with embolization. Answers A, B, and D are associated with rheumatic fever, not infective bacterial endocarditis; therefore, they are incorrect.
The Correct Answer is Option C
A. A defect in the cochlea
B. A defect in cranial nerve VIII
C. A physical obstruction to the transmission of sound waves
D. A defect in the sensory fibers that lead to the cerebral cortex
A conductive hearing loss occurs as a result of a physical obstruction to the transmission of sound waves. A sensorineural hearing loss occurs as a result of a pathological process in the inner ear, a defect in cranial nerve VIII, or a defect of the sensory fibers that lead to the cerebral cortex.
The Correct Answer is Option B
A. Wear protective clothing and sunglasses when she is outside
B. Avoid using dietary supplements and over the counter medications
C. Make sure that she consumes adequate fluids each day
D. Increase her intake of iron, including liver and lentils
Nardil, an MAOI, should not be used with dietary supplements or over the counter medications. Answer A refers to care of the client receiving antipsychotic medication; therefore, it is incorrect. Answer C refers to the client taking lithium; therefore, it is incorrect. Answer D is incorrect because liver is high in tyramine and should be avoided by the client taking Nardil.
The Correct Answer is Option B
A. Check the client’s temperature.
B. Isolate the client in a private room.
C. Check a complete set of vital signs
D. Contact the primary health care provider.
The nurse should suspect the potential for Ebola virus disease (EVD) because of the client’s recent travel to Nigeria. The nurse needs to consider the symptoms that the client is reporting, and clients who meet the exposure criteria should be isolated in a private room before other treatment measures are taken. Exposure criteria include a fever reported at home or in the ED of 38.0° C (100.4° F) or headache, fatigue, weakness, muscle pain, vomiting, diarrhea, abdominal pain, or signs of bleeding.
This client is reporting a fever and is showing other signs of EVD, and therefore should be isolated. After isolating the client, it would be acceptable to then collect further data and notify the primary health care provider and other state and local authorities of the client’s signs and symptoms
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 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
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
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