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 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 True
The Correct Answer is Option C
A. The client rigidly extends the arms with pronated forearms and plantar flexion of the feet
B. The client flexes a leg at the hip and knee and reports pain in the vertebral column when the leg is extended
C. The client passively flexes the hip and knee in response to neck flexion and reports pain in the vertebral column.
D. The client’s upper arms are flexed and held tightly to the sides of the body and the legs are extended and internally rotated.
Brudzinski’s sign is tested with the client in the supine position. The nurse flexes the client’s head (gently moves the head to the chest), and there should be no reports of pain or resistance to the neck flexion. A positive Brudzinski’s sign is observed if the client passively flexes the hip and knee in response to neck flexion and reports pain in the vertebral column. Kernig’s sign also tests for meningeal irritation and is positive when the client flexes the legs at the hip and knee and complains of pain along the vertebral column when the leg is extended. Decorticate posturing is abnormal flexion and is noted when the client’s upper arms are flexed and held tightly to the sides of the body and the legs are extended and internally rotated. Decerebrate posturing is abnormal extension and occurs when the arms are fully extended, forearms pronated, wrists and fingers flexed, jaws clenched, neck extended, and feet plantar-flexed
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 B
A. Metabolic alkalosis
B. Metabolic acidosis
C. Respiratory alkalosis
D. Respiratory acidosis
The client with anorexia nervosa is in a state of negative nitrogen balance. She is likely experiencing metabolic acidosis. Answer A is incorrect because metabolic alkalosis is reflected as an increase in HCO3. Clients with anorexia will show a deficit in HCO3. Answers C and D are incorrect because anorexia nervosa clients have a metabolic disorder, not a respiratory disorder
The Correct Answer is Option B
A. LDH
B. Troponin
C. Creatinine
D. AST
The best diagnostic tool for confirming that the client has experienced a myocardial infarction is the troponin level. Another lab value associated with a myocardial infarction is the CKMB. Answer A is incorrect because the LDH is also elevated in clients with muscle trauma not associated with an MI. Answer C is incorrect because the creatinine level indicates renal function. Answer D is incorrect because the AST level is elevated with gallbladder and liver disease as well as muscle inflammation.
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 B
A. Celestone
B. Dopamine
C. Serotonin
D. Anti-diuretic hormone
The neurotransmitter dopamine is missing in clients with Parkinson’s disease. Most of the treatment involves replacement of this drug. Answer A is a steroid. Answer C is a neurotransmitter not missing in Parkinson’s disease, and Answer D is secreted by the pituitary gland not related to the stated diagnosis; therefore Answers A, C, and D are incorrect.
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 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. Dermatophytes that cause fungal infections are spread only by human-to-human contact.
B. Infection depends on inoculation and maintenance of the organism in the outer layers of the skin.
C. Treatment of fungal infections continues only until lesions have disappeared.
D. Systemic fungal infections are best treated with antibacterial medications.
Infection occurs when dermatophytes come in contact with a susceptible host that allows inoculation and maintenance in the outer layers of the skin. Answer A is incorrect because dermatophytes are spread by contact with contaminated soil, animals, or humans. Answer C is incorrect because therapy usually continues for one to two weeks after clearing in order to prevent recurrence. Answer D is incorrect because systemic fungal infections are treated with antifungal medications such as Nizoral (ketoconozole), not antibacterial medications.
The Correct Answer is Option A
A. Hard palate
B. Palms of the hands
C. Sclera
D. Soles of the feet
Jaundice in the dark-skinned client is best assessed by examining the hard palate. Answers B and D are incorrect because the palms and soles might take on a yellowish appearance if calluses are present. Answer C is incorrect because normal deposits of fat can produce a yellowish appearance of the sclera.
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 C
A. A headache
B. Shortness of breath only during sleep
C. Lower back pain
D. Difficulty voiding
Clients with abdominal aortic aneurysms often complain of nausea, lower back pain, and feeling their heart beat in the abdomen. Answer A is incorrect because a headache is a symptom of a cerebral aneurysm. Answer B is incorrect because, although the client with an abdominal aneurysm might have shortness of breath, this symptom is not particular to during sleep. Answer D is incorrect because difficulty voiding is not associated with an abdominal aneurysm.
The Correct Answer is Option B
A. Begin an IV of normal saline at keep-open rate
B. Continue the magnesium sulfate as ordered
C. Contact the doctor immediately
D. Prepare for an emergency delivery
The therapeutic range for magnesium sulfate is 4.0–9.6 meq/L; therefore, with a magnesium level of 6.3meq/L, the nurse should continue the infusion. Answers A, C, and D indicate that the nurse believes the level to be toxic. This is an incorrect conclusion, making these answers incorrect.
The Correct Answer is Option C
A. Clamp the tubing for 15 minutes every hour
B. Irrigate the tubing with normal saline to remove clots
C. Avoid clamping or kinking the tubing
D. Suspend the tubing above the level of the abdomen
The nurse should avoid clamping or kinking the nephrostomy because urine would be retained in the kidney. Answer A is incorrect because the tubing should not be clamped. Answer B is incorrect because the tubing should not be irrigated because it would damage the renal tissue. Answer D is incorrect because suspending the tubing would cause urine to be retained in the kidney.
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.
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 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. Schedule frequent eye exams
B. Expect red discoloration of his urine
C. Increase his fluid intake
D. Expect dizziness and ringing in his ears
The use of pyrazinamide can result in gout-like symptoms; therefore, the client should increase his fluid intake. Answers A, B, and D are incorrect because they are associated with other antitubercular medications.
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