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
Total Volume / Time x Drip Factor = 1000 mL / 24 hours x 15drops/mL = 625 drops/hour
625drops/hour x 1hour/60minutes = 10.4166667 = 10 drops/minute (rounded off to a whole number)
The Correct Answer is Option D
A. Hemarthrosis of the elbow
B. Bruise of the ankle
C. Bruise of the ankle
D. Unilateral numbness and lack of movement of arm
The neurological symptoms could mean an intracranial bleed has occurred. The answers in A, B, and C are reasons for concern, but they are not the priority, so they are incorrect.
The Correct Answer is Option A
A. Recent cardio thoracic surgery
B. Diabetes mellitus
C. Rheumatoid arthritis
D. Emphysema
Recent abdominal or thoracic surgery are contraindications for chest physiotherapy. Chest physiotherapy includes the use of percussion, vibration and postural chest drainage. Chest physiotherapy is not contraindicated for the client with diabetes mellitus, rheumatoid arthritis, or emphysema, therefore answers B, C, and D are incorrect.
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 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 C
Change 1 g to milligrams, knowing that 1000 mg =1 g.
Also, when converting from grams to milligrams (larger to smaller), move the decimal point three places to the right: 1 g = 1000 mg.
Next, use the formula for calculating the correct dose.
Formula: Desired / Available x Tablet = 1000 mg / 500 mg = 2 tablets
The Correct Answer is False
Hot compress is contraindicated to traumatic injuries within 24 hours
The Correct Answer is Option C
A. Weight loss
B. Decreased appetite
C. Hirsutism
D. Integumentary bronzing
Notice that the testing strategy “odd item out” can be used in this question. Answers A, B, and D are symptoms of Addison’s disease. Answer C is the answer that is different from the rest. Hirsutism, or facial hair, is a side effect of cortisone therapy.
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 D
A. The 78-year-old who had a gastrectomy three weeks ago with a PEG tube
B. The 5-month-old discharged one week ago with pneumonia who is being treated with amoxicillin liquid suspension
C. The 50-year-old with MRSA being treated with vancomycin via a PICC line
D. The 30-year-old with an exacerbation of multiple sclerosis being treated with cortisone via a centrally placed venous catheter
The client who should receive priority is the client with multiple sclerosis being treated with cortisone via the central line because this client is at the highest risk for complications. The clients described in answers A and B are stable at the time of the assigned visit. They can be seen later. The client in C has methicillin-resistant staphylococcus aureus (MRSA). Vancomycin is the drug of choice and can be administered later, but it must be scheduled at specific times of the day to maintain a therapeutic level, so answer C is incorrect.
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 C
A. Take the medication before arising
B. Force fluids while taking this medication
C. Remain upright for 30 minutes after taking this medication
D. Take the medication in conjunction with estrogen
Alendronate sodium is a drug used to treat osteoporosis. Let’s use testing strategies for this question. Look at answers A and C; these are opposites. When you are in the bed, you are lying down. The drug should not be given while lying down, nor should it be taken with medication or with estrogen. In answer C, you are upright. This drug causes gastric reflux, so you should remain upright and take it with only water. Notice the clue in the name of the drug: fosa, as in fossils. All the drugs in this category contain the syllable dronate.
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. 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
A. Hyperthyroidism
B. Hypothyroidism
C. Hypoparathyroidism
D. Hyperparathoidism
Answer B is correct because in Hashimoto’s thyroiditis, antibodies against thyroid hormone are produced, which leads to a decrease in thyroid hormone release. For this reason answers A, C, and D are incorrect.
The Correct Answer is Option A
Clients with GERD should eat four to six small meals per day to prevent reflux rather than three large meals. Answers B, C, and D are recommendations for health promotion tactics to control reflux. Other aspects include no snacking in the evening; no food two to three hours before bedtime; elevating the head of the bed at night; avoiding heavy lifting and straining; and limiting fatty, spicy foods, coffee, chocolate, alcohol, and colas.
The Correct Answer is Option C
A. Hyperacute graft rejection is due to chronic inflammation and scaring.
B. Hyperacute graft rejection is a cellular response that occurs 1–3 weeks after transplantation.
C. Hyperacute graft rejection is more likely in clients who have received multiple blood transfusions.
D. Hyperacute graft rejection is managed by use of immunosuppressive medications.
Hyperacute graft rejection is more likely to occur in clients who receive a transplant from a donor with an ABO type different from their own, in those with a history of multiple blood transfusions, those with multiple pregnancies, or those with a previous transplant. Answers A and D are incorrect because they describe chronic graft rejection. Answer B describes acute graft rejection; therefore, it is incorrect.
The Correct Answer is Option A
A. Constriction of blood flow
B. Immobilization of the joint
C. Formation of a decubitus ulcer
D. Oozing of blood from the wound
Wrapping an elastic bandage on a stump using the circular technique can cause the wrap to act as a tourniquet and restrict blood flow, so a figure eight technique is utilized to prevent this from occurring. Answers B, C, and D are not the primary reasons for use of the figure eight technique, so 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 C
A. Take the medication as ordered prior to the exam
B. Limit the amount of protein in the diet prior to the exam
C. Discontinue the medication prior to the exam
D. Take the medication with only water prior to the exam
Glucophage can cause renal problems. The dye used in cardiac catheterizations is also detrimental to the kidneys. The client may be placed on sliding scale insulin for 48 hours after the dye procedure or until renal function returns. Note the syllable phage, as seen in the syllable phagia, which means eating. Also note that answers A and C are opposites. Answer A is incorrect because the medication should be withheld; answer B is incorrect because limiting the amount of protein in the diet prior to the exam has no correlation to the medication. Taking the medication with water is not necessary, so answer D is incorrect.
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