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. 100 ml
B. 300 ml
C. 500 ml
D. 700 ml
Fluid intake for the client with acute glomerulonephritis is limited to urinary output plus 500 mL to 600 mL. Answers A and B are incorrect because the intake is too limited. Answer D is incorrect because the intake is excessive.
The Correct Answer is Option B
A. Control HCO3 levels
B. Retain or blow off CO2
C. Regulate potassium levels
D. Maintain sodium levels
The lungs assist in the control of acid/base balance by regulating the amount of CO2 that is retained or exhaled. The lungs are not in control of HCO3, potassium, or sodium; therefore, Answers A, C, and D are incorrect.
The Correct Answer is Option A
A. Walk one to two steps ahead with the client’s hand on the nurse’s elbow
B. Walk beside the client while holding her hand.
C. Walk one to two steps behind with the nurse’s hand on the client’s elbow.
D. Walk beside the client without touching her.
When ambulating the client who is blind, the nurse should allow the client to grasp his arm at the elbow. The nurse’s arm should be kept close to the body so that the client can detect the nurse’s direction or movement. Answers B, C, and D are improper ways of ambulating the client who is blind; therefore, they are incorrect.
The Correct Answer is Option D
A. Diarrheal illness caused by salmonella
B. Routine childhood immunization
C. Eruption of primary teeth
D. Otitis media
Facial cellulitis is associated with otitis media, a common ear infection in young children. Answers A, B, and C are not associated with the development of facial cellulitis; therefore, they are incorrect.
The Correct Answer is Option A
A. Severe headache
B. Slight nausea
C. Decreased urination
D. Itching
A severe headache can indicate impending seizure activity. Slight nausea is expected when beginning the therapy, so answer B is incorrect. A client with renal failure already has itching and decreased urination, so answers C and D are incorrect.
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 A
A. Obtain an IV controller
B. Check the client’s vital signs hourly
C. Check the sodium level
D. Obtain an 18-gauge cathlon to begin the infusion
If potassium is added to IV fluids, a controller is required because a too-rapid infusion of potassium can lead to cardiac arrhythmias. Answer B is incorrect only because there is no data to indicate that hourly vital signs should be obtained. Answer C is incorrect because the client has an order for D51/2NS, which is the same in saline as the client’s normal sodium level. Answer D is incorrect because an 18-gauge cathlon is not required. The nurse can use any size cathlon for this infusion.
The Correct Answer is Option C
A. Polydipsia and bradycardia
B. Euphoria and polyuria
C. Muscle weakness and irritability
D. Ringing in the ears and blurred vision
Other symptoms of SIADH include loss of thirst, tachycardia, hostility, and decreased urinary output. This makes Answers A and B incorrect. The answer in D is not associated with SIADH, so it is incorrect.
The Correct Answer is Option D
A. Placing the client in the prone position
B. Starting an IV with an 18-gauge needle
C. Obtaining a lipid profile
D. Assessing that the client empties the bladder
The bladder should be empty for a paracentesis procedure to prevent incidental puncturing. Answer A is incorrect because the client sits upright for the procedure and prone places the client on the abdomen. Answers B and C are not necessary interventions for a paracentesis, so they are incorrect.
The Correct Answer is Option A
A. Warming the intravenous fluids
B. Determining whether the client can take oral fluids
C. Checking for the strength of pedal pulses
D. Obtaining the specific gravity of the urine
Warming the intravenous fluid helps to prevent further stress on the vascular system. Thirst is a sign of hypovolemia; however, oral fluids alone will not meet the fluid needs of the client in hypovolemic shock, so answer B is incorrect. Answers C and D are wrong because they can be used for baseline information but will not help stabilize the client.
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 A
A. “Guillain-Barrè does not affect cognitive function.”
B. “Don’t worry about school at this time.”
C. “I will ask your doctor for you.”
D. “You should get in touch with your school because you will not be able to handle the stress of trying to learn.”
Cognitive function is not affected by Guillain-Barrè. The answers in B, C, and D offer no reply to the stated question and are inappropriate communication techniques, so they are incorrect.
The Correct Answer is Option C
A. Amevive (alefacept)
B. Folex (methotrexate)
C. Famvir (famciclovir)
D. Raptiva (efalizumab)
Famvir (famciclovir), an antiviral medication, is used to shorten the outbreak of herpes zoster. Amevive, Folex, and Raptiva are used in the treatment of the client with psoriasis; therefore, answers A, B, and D are incorrect.
The Correct Answer is Option D
A. Painting
B. Watching television
C. Attending the opera
D. Golfing
Golfing should be avoided by the client following cataract removal because it requires activity that increases intraocular pressure. Answers A, B, and C are incorrect because they do not increase intraocular pressure.
The Correct Answer is Option D
A. Wearing gloves when emptying the client’s bedpan
B. Keeping all linens in the room until the implant is removed
C. Wearing a lead apron when providing direct care to the client
D. Placing the client in a 4 bedded room with shared toilet
A private room with a private bath is essential if a client has an internal radiation implant. This is necessary to prevent accidental exposure of other clients to radiation. The remaining options identify accurate interventions for a client with an internal radiation implant and protect the nurse from exposure.
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 True
The Correct Answer is Option A
A. Potassium level of 2.5
B. Sodium level of 140
C. Glucose level of 110
D. Calcium level of 8
Furosemide (Lasix) is a loop diuretic. Note that most of the loop diuretics end in ide. In answers B, C, and D, the findings are all within normal limits.
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. Increase her intake of milk and dairy products.
B. Avoid taking bubble baths
C. Use underwear made from nylon
D. Drink orange juice for breakfast
The nurse should tell the client to avoid tub baths as well as bubble baths. The client should be instructed to wear cotton underwear and to avoid tight-fitting clothing such as jeans. Answers A, C, and D do not decrease the incidence of cystitis; therefore, they are incorrect.
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