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 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. Syndenham’s chorea
B. Polymigratory arthritis
C. Splinter hemorrhages
D. Erythema marginatum
Splinter hemorrhages, dark lines beneath the nails, are associated with embolization. Answers A, B, and D are associated with rheumatic fever, not infective bacterial endocarditis; therefore, they are incorrect.
The Correct Answer is Option C
A. Two hour post-prandial
B. Dextrostix
C. Glucose tolerance test
D. Hemoglobin A-1C
The most indicative test of diabetes is the glucose tolerance test. Answers A and B are used to detect an elevated blood glucose level, but are not the best to detect diabetes. Answer D is incorrect because this test detects compliance.
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 True
The Correct Answer is Option D
Volume of water to add (mL) = total volume of formula on hand (mL) – total volume of formula on hand (mL)
Diluted strength
mL water = (200mL / ¾) – 200mL = (200mL x 4) / (1x3) – 200mL = 267mL – 200mL = 66.6666667 = 67mL
The Correct Answer is Option B
A. Prolactin
B. Human chorionic gonadotropin
C. Lecithin-sphingomyelin
D. Estriol
HCG levels elevate rapidly and can be detected as early as two days after the missed period. Answer A is incorrect because prolactin is elevated with a prolactinoma, a type of pituitary tumor. Answer C is incorrect because lecithin/sphingomyelin (L/S ratio) is indicative of lung maturity. Answer D is incorrect because estriol levels indicate fetal well-being.
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 C
A. Insulin
B. Inderal (propanolol)
C. Lasix (furosemide)
D. Valium (diazepam)
Lasix is a non–potassium-sparing diuretic. This drug can potentiate fluid volume deficit. Answer A is incorrect because insulin will force fluid back into the cell and will not increase fluid volume deficit. Answer B is incorrect because Inderal (propanolol) is a beta-blocker used for the treatment of hypertension and cardiac disease. Inderal does not potentiate diuresis. Answer D is incorrect because Valium (diazepam) is a phenothiazine used as an anti-anxiety medication. This drug does not potentiate fluid volume deficit.
The Correct Answer is Option D
A. Autograft
B. Isograft
C. Allograft
D. Xenograft
Xenografts are taken from animal sources. Answers A, B, and C are incorrect because they originate from human donors.
The Correct Answer is Option B
A. An elementary school teacher
B. A resident in a nursing home
C. An office worker
D. A local firefighter
Clients over age 65 and those with chronic conditions should receive priority in receiving influenza vaccine when supplies are limited. Answers A, C, and D are incorrect because they do not receive priority in receiving the immunization.
The Correct Answer is Option A
A. A 42-year-old with dyspnoea and chest asymmetry
B. A 17-year-old with a fractured arm
C. A 4-year-old with facial lacerations
D. A 30-year-old with blunt abdominal trauma
Following the ABCDs of basic emergency care, the client with dyspnea and asymmetrical chest should be cared for first because these symptoms are associated with flail chest. Answer D is incorrect because he should be cared for second because of the likelihood of organ damage and bleeding. Answer B is incorrect because he should be cared for after the client with abdominal trauma. Answer C is incorrect because he should receive care last because his injuries are less severe.
The Correct Answer is Option A
A. Reduces spasticity
B. Skeletal muscle relaxation
C. Immune suppression
D. Prevents viral infections
The drug Baclofen (Lioresal) might also improve bowel and bladder function. Answers B, C, and D do not refer to the drug Lioresal, so they are incorrect.
The Correct Answer is Option A, Option B, Option C
A. CVAD dressing
B. TPN changing
C. VAC dressing
D. drainage of urinary catheter
Answer: A, B, C
Procedures 1,2,3 require a high level of ANTT. CVAD dressing and TPN change are crucial procedures as this goes to the central vein. VAC dressing is a complex dressing.
Drainage of urinary catheterization requires PPE to protect a health practitioner from splashes, but not asepsis. Insertion of urinary catheter
The Correct Answer is Option B
A. Lying on a firm surface that does not distribute weight
B. Resting in a semi-sitting position that allows gradual downward movement
C. Rubbing or irritating the skin so that epithelial cells are removed
D. Compression of blood vessels that leads to ischemia, inflammation, and tissue necrosis
Shear or shearing forces occur whenever the skin is stationary while tissues below the skin are able to shift or move. Answers A and D are incorrect because they describe the physical force of pressure. Answer C refers to friction; therefore, it is incorrect.
The Correct Answer is Option A
A. Blood or body fluid exposure to the virus
B. Emptying her cat’s litter box
C. Contaminated food or water
D. Pigeon feces
Cytomegalovirus virus is transmitted predominantly by blood or body fluid exposure to the virus. Answer B is incorrect, toxoplasmosis is transmitted through contaminated cat feces. Answer C is incorrect because contaminated food or water can cause many illnesses; for example, E. coli, listeria, Clostridium difficile, and many others. Answer D is incorrect because histoplasmosis is transmitted by bird feces.
The Correct Answer is Option C
A. Contractions every 5–6 minutes lasting 60 seconds
B. Variability of 6–8 beats per minute
C. Drops in fetal heart tones after contractions lasting 90 seconds with hesitant return to baseline
D. Drops in fetal heart tones prior to the contractions during pushing
This describes a late deceleration. These decelerations are caused by uteroplacental insufficiency and require intervention by the nurse. The treatment is STOP (Stop Pitocin if infusing; Turn the client to her side; begin Oxygen therapy; Prepare for delivery). Increasing IV fluids helps to increase blood to the uterus. Answer A is within normal limits. Answer B is also within normal limits. Answer D is incorrect because a drop in fetal heart tones prior to the contraction describes an early deceleration caused by head compression. This is expected during pushing.
The Correct Answer is Option A
A. CSF protein elevation with a normal cell count
B. WBC count of 2800 mm
C. Abnormal liver function test
D. Abnormal electromyographic (EMG) studies
This is the most definitive diagnostic result. The client would experience an elevated white blood cell count, which makes Answer B incorrect. Answers C and D can occur with many diagnoses, so they are not specific for Guillain-Barrè and are incorrect.
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 D
Use the medication formula:
Desired / Available x Volume = 1,000,000units / 1,200,000units x 2mL = 1.66666666667 mL
Rounded off to two decimal places: 1.67 mL
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