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. 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. Phalen’s maneuver
B. Tinel’s sign
C. Chevotsky’s sign
D. Turner’s sign
This test is measured as described and can result in pain and a tingling sensation if the client has carpal tunnel syndrome (CTS). Answer A is incorrect because it is a test in which the client is asked to place the back of the hands together and flex the wrist at the same time causing pain. Answers C and D are exams not related to CTS, so they are incorrect.
The Correct Answer is Option B
A. Call the board of nursing
B. File a formal reprimand and monitor the nurse
C. Terminate the nurse
D. Charge the nurse with a tort
The next action after discussing the problem with the nurse is to document the incident. If the behavior continues or if harm has resulted to the client, the nurse might be terminated and reported to the board of nursing, so answers A and C are incorrect. A tort is a wrongful act to the client or her belongings, so answer D is incorrect.
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 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 C
A. Serum phosphorus of 3.0 mg/dL
B. Alkaline phosphatase of 70 units/L
C. Serum calcium 16.0 mg/dL
D. Aldolase 3.5 units/dL
Serum calcium levels rise with metastatic cancer of the bone. Normal calcium is 9.0 mg/dL–10.5 mg/dL. Answers A and D are incorrect because these are within normal limits and not related to bone metastasis. Normal phosphorus level is 3.0–4.5 mg/dL and normal aldolase level is 3.0–8.2 units/dL. Alkaline phosphatase is elevated in bone metastasis and Answer B is within the normal of 30–120 units/L, so it is incorrect.
The Correct Answer is Option A
To calculate for the rate in mL/hr:
Drug wanted x Conversion Factor (mcg/mg) / Drug on hand (in mg/mL) x flow rate in volume over time (mL/hr)
15mcg x 1mg x 250mL x 60mins = 9mL/hr
min 1000mcg 25mg 1 hour
The Correct Answer is Option C
A. “I need to avoid certain foods and drinks to prevent an increase in blood pressure.”
B. “I will schedule an appointment each month to have my blood level checked.”
C. “I will use hard candy or gum to keep my mouth from feeling too dry.”
D. “I will need to take my medicine before meals to improve its effect.”
Dry mouth is a common side effect of antidepressant medications. Using hard candy or gum helps to prevent mouth dryness. Answer A is incorrect because it refers to treatment with MAOI. Answer B is incorrect because it refers to treatment with lithium. Answer D is incorrect because taking the medication with food enhances the absorption rate of the medication.
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 A
A. Call for help immediately and stabilize the clients’ head in the neutral position.
B. Go to the nursing station and call the neurosurgeon immediately.
C. Lower the head of the bed and add more weight to the traction.
D. Turn the client to the left side, raising the knee gatch on the bed.
The priority concern is patient safety and prevention of damage to the spinal cord. Answers B, C, and D are not appropriate actions by the nurse, so they are incorrect.
The Correct Answer is Option D
A. Risedronate (Actonel)
B. Alendronate (Fosamax)
C. Ibandronate (Boniva)
D. Raloxifene (Evista)
Evista should not be given to clients with liver disease because it can make the condition worse. Answers A, B, and C are not contraindicated in liver disease clients, so they are incorrect.
The Correct Answer is Option D
A. Amoxil (amoxicillin)
B. K-Dur (potassium)
C. B12 (cyanocobalamine)
D. Tegretol (carbamazepine)
Tegretol (carbamazepine) is ototoxic. Answers A, B, and C do not pose a risk of ototoxicity; therefore, they are incorrect.
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 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.
The Correct Answer is Option B
A. Ancef (cefazolin sodium)
B. Cipro (ciprofloxacin)
C. Kantrex (kanamycin)
D. Garamycin (gentamicin)
Cipro (ciprofloxacin) is the drug of choice for treating anthrax. Answers A, C, and D are not used to treat anthrax, so they are incorrect.
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 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 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
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 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.
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