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. 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 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 C
A. Assess for allergy to iodine
B. Check pulses proximal to the site
C. Assess the urinary output
D. Check to ensure that the client has a consent form signed
The dye used in the procedure can cause a decrease in renal function. The client’s renal function should be assessed and changes reported to the doctor immediately. Answer A is incorrect because the client’s allergies should be checked prior to the procedure, not after the procedure. The femoral artery is commonly used as the site for a catheterization. Answer B is incorrect because the pulses should be checked distal to the site. Answer D is incorrect because the permit should be signed prior to the procedure.
The Correct Answer is Option A
A. Private room or cohort client
B. Personal respiratory protection device
C. Private room with negative airflow pressure
D. Mask worn by staff when the client needs to leave the room
Meningitis is transmitted by droplet infection. Precautions for this disease include a private room or cohort client and use of a standard precaution mask. Private negative airflow pressure rooms and personal respiratory protection devices are required for clients with airborne disease such as tuberculosis. When appropriate, a mask must be worn by the client and not the staff when the client leaves the room.
The Correct Answer is Option B
A. Acetylcysteine
B. Deferoxamine
C. Calcium disodium acetate
D. British anti-lewisite
Deferoxamine is the antidote for iron poisoning. Answer A is the antidote for acetaminophen overdose, making it wrong. Answers C and D are antidotes for lead poisoning, so they are wrong.
The Correct Answer is Option C
A. Restrict fluids 200mL/shift
B. Ice to painful joints
C. Start O2 at 3 L/min
D. Ambulate in hall every 2 hours
It is not unusual for patients to receive oxygen to prevent additional sickling of cells. The answers in A and B are incorrect because these are contraindicated in sickle cell anemia. Answer D is not recommended for patients in sickle cell crisis, so it is 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 C
A. Negligence
B. Tort
C. Assault
D. Malpractice
Assault is defined as striking or touching the client inappropriately. Negligence is failing to perform care for the client, so answer A is incorrect. A tort is a wrongful act committed on the client or his belongings, so answer B is incorrect. Malpractice is failing to perform an act that the nurse knows should be done or doing something wrong that causes harm to the client, so answer D is incorrect.
The Correct Answer is Option A
A. The client receiving radium linear accelerator radiation therapy for cancer
B. The client with a radium implant for vaginal cancer
C. The client who has just been administered radioactive isotopes for cancer
D. The client who returned from placement of iridium seeds for prostate cancer
The pregnant nurse should not be assigned to any client with radioactivity present. The client receiving linear accelerator therapy travels to the radium department for therapy, and the radiation stays in the department. Thus, the client is not radioactive. The client in answer B poses a risk to the pregnant client, so answer B is incorrect. Answer C is incorrect because the client is radioactive in very small doses. For approximately 72 hours, the client should dispose of urine and feces in special containers and use plastic spoons and forks. The client in answer D is also radioactive in small amounts, especially upon return from the procedure, so answer D is incorrect.
The Correct Answer is Option A
You are working on the 3pm-11pm shift. Estimate the patients 8 hour intake when administered with the following: IVF @ 25cc/hr continuous; TPN @ 50cc/hr continuous; Lipids at 10cc/hr for 12 hours (8pm-8am); NGT feeds @ 25 cc/hr continuous; 2 units of blood – 250ml/unit – first unit at 10am/ second unit at 4pm; IV Vancomycin – 250ml every 12 hours at 8am/8pm.
REMEMBER: cc = mL
IVF = 25 mL x 8 hours = 200 mL
TPN = 50 mL x 8 hours = 400 mL
Lipids = 10 mL x 3 hours (consider only 3hours 8pm-11pm as shift ends at 11pm) = 30 mL
NGT feeds = 25 mL x 8 hours = 200 mL
Blood - x1 unit given at 4pm included in 3pm-11pm shift = 250 mL
IV Vancomycin = 250 mL (given at 8pm, 8am shift not included)
TOTAL INTAKE = 1330 mLs
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 Option B
A. Urinary output
B. Respirations
C. Temperature
D. Verbal responsiveness
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 D
A. Culture
B. VDRL
C. RPR
D. FTA-ABS
The fluorescent treponemal antibody test (FTA-ABS) is most diagnostic for syphilis. Answer A is incorrect because a culture of the discharge is used to diagnose gonorrhea, not syphilis. Answers B and C are incorrect because they are screening tests and are not as diagnostic as the FTA-ABS is.
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 B
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. Webbed neckWebbed neck
B. High arched palate
C. Scaphoid abdomen
D. Low-set ears
Structural anomalies in the infant with polycystic kidney disease include low-set ears, pointed nose, and small chin. Answers A, B, and C are not associated with polycystic kidney disease; therefore, they 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
A. Anorexia
B. Difficulty swallowing
C. Hirsutism
D. Hot flashes
Hirsutism is facial hair. This is associated with hypersecretion of cortisol. Answers A, B, and D are not associated with Cushing’s disease.
The Correct Answer is Option C
A. Return to the clinic in six weeks for a urinalysis
B. Avoid exercise for at least six weeks
C. Do not become pregnant for at least 12 months
D. Return to the clinic in six months for liver enzyme studies
The client that has experienced a hydatidiform mole should avoid becoming pregnant again for one year because chorionic carcinoma is associated with a hydatidiform mole. If the client does become pregnant and there are cells for chorionic carcinoma, the hormonal stimulation can cause rapid cell proliferation and growth of the cancer. Answer A is incorrect because a urinalysis in six weeks is not necessary. Answer B is incorrect because exercise is not contraindicated after a hydatidiform mole. Answer D is incorrect because checking liver enzymes in six months is not necessary after a hydatidiform mole.
The Correct Answer is Option D
A. Kernig’s
B. Chadwick
C. McBurney’s
D. Chvostek’s
The test for Chvostek’s sign is performed by tapping the facial nerve (C7) and the trigeminal nerve (C5) and observing for grimacing. Answer A is incorrect because Kernig’s sign is nuchal (neck) rigidity associated with meningitis. Answer B is incorrect because Chadwick’s sign is a bluish vagina associated with hormonal changes. Answer C is incorrect because McBurney’s sign is rebound tenderness associated with appendicitis.
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