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. Fear related to potential hearing loss
B. Risk for injury related to loss of balance
C. Activity intolerance related to perception of dizziness
D. Anxiety related to loss of control
The client with Ménière’s disease experiences a whirling sensation that could lead to falls. The nurse should give priority to the client’s safety. Answers A, C, and D should be considered when planning for the client’s care; however, they do not take priority over safety; therefore, they are incorrect choices.
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 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. 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. 2% milk
B. Fresh squeezed lemonade
C. Kool-aid
D. Ginger ale
Clients with a low neutrophil count should adhere to a low bacteria diet. Fresh squeezed lemonade can be contaminated from bacteria on the lemon rind. Answers A, C, and D are suitable for the client with neutropenia therefore they are incorrect.
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 A
The child with conduct disorder and the adult with antisocial personality disorder are characterized by lack of guilt or remorse for wrongdoings. Answer B is incorrect because both can have a higher than average IQ. Answer C is incorrect because both have a history of parental neglect or inconsistent parenting. Answer D is incorrect because both lack close friendships.
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 C
A. Bowel sound auscultation
B. Pupillary response to light
C. Assessing for hematuria
D. Cranial nerve 8 assessment
The pelvis is close to major organs and the nurse needs to assess for damage to associated organs. The bladder could have been damaged and hematuria assessment would be a priority. Answers A, B, and D are important assessments, but are not the priority, so they are incorrect.
The Correct Answer is Option C
A. An involuntary rhythmic, rapid, twitching of the eyeballs
B. A dorsiflexion of the great toe with fanning of the other toes
C. A significant sway when the client stands erect with feet together, arms at the side, and the eyes closed
D. A lack of normal sense of position when the client is unable to return extended fingers to a point of reference
In Romberg’s test, the client is asked to stand with the feet together and the arms at the sides, and to close the eyes and hold the position; normally the client can maintain posture and balance. A positive Romberg’s sign is a vestibular neurological sign that is found when a client exhibits a loss of balance when closing the eyes. This may occur with cerebellar ataxia, loss of proprioception, and loss of vestibular function. A lack of a normal sense of position coupled with an inability to return extended fingers to a point of reference is a finding that indicates a problem with coordination. A positive gaze nystagmus evaluation results in an involuntary rhythmic, rapid twitching of the eyeballs. A positive Babinski’s test results in dorsiflexion of the great toe with fanning of the other toes; if this occurs in anyone older than 2 years it indicates the presence of central nervous system disease.
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 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 B
Volume of water to add (mL) = total volume of formula on hand (mL) – total volume of formula on hand (mL)
Diluted strength
mL water = (240mL / 1/3) – 240mL = (240mL x 3) – 240mL = 720mL – 240mL = 480mL
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 C
A. A headache
B. Shortness of breath only during sleep
C. Lower back pain
D. Difficulty voiding
Clients with abdominal aortic aneurysms often complain of nausea, lower back pain, and feeling their heart beat in the abdomen. Answer A is incorrect because a headache is a symptom of a cerebral aneurysm. Answer B is incorrect because, although the client with an abdominal aneurysm might have shortness of breath, this symptom is not particular to during sleep. Answer D is incorrect because difficulty voiding is not associated with an abdominal aneurysm.
The Correct Answer is Option C
A. Creatinine
B. Cortisol levels
C. Blood glucose
D. Liver profile
Terbutaline (Brethine) is a bronchodilator that can also relax smooth muscles. Brethine can cause elevations in blood glucose levels so the client should have blood glucose levels checked prior to beginning treatment with Brethine. Answers A, B, and D are not laboratory studies that are required prior to beginning Brethine.
The Correct Answer is Option A
A. After a shower or bath
B. While standing to void
C. After having a bowel movement
D. While lying in bed before arising
The nurse needs to teach the client how to perform a TSE. The nurse should instruct the client to perform the exam on the same day each month. The nurse should also instruct the client that the best time to perform a TSE is after a shower or bath when the hands are warm and soapy and the scrotum is warm. Palpation is easier and the client will be better able to identify any abnormalities. The client would stand to perform the exam, but it would be difficult to perform the exam while voiding. Having a bowel movement is unrelated to performing a TSE.
The Correct Answer is Option B, Option D
A. Wear airborne precaution PPE
B. Obtain nasopharyngeal and oropharyngeal swabs
C. The swab product is the same swab used for MRSA testing
D. Instruct patient to self isolate until swab results are back
Answer: 2,4
Droplet precautions must be worn unless performing aerosolized procedures such as nebulizers or intubation. MRSA swab test is for the identification of bacterial microorganisms, COVID is a virus, therefore a virus swab must be used.
The nurse should conduct an oronasal pharyngeal swab and must instruct the patient to self-isolate, proper hand hygiene, and cough etiquette.
The Correct Answer is Option A
A. Chloride level
B. Potassium transport
C. Serum sodium
D. Calcium level
A positive sweat test is reflected by elevations in the chloride level. Answers B, C, and D are not measured by the sweat test; therefore, they are incorrect.
The Correct Answer is Option C
Answer: C. A weight of 22.5 pounds is equal to 10.22 kilograms.
At 50 mg/kg, this child would need 511 milligrams of medication.
Using the formula:
Drug Desired / Drug Available x Volume = 511mg / 100mg x mL = 5.1 mL
At 100 mg/mL, the proper dose in milliliters is 5.1 milliliters.
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