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. An internal fetal heart monitor
B. An IV rate controller
C. A blood administration set
D. A wall suction device
An IV rate controller must be obtained in order to safely administer magnesium sulfate. If magnesium sulfate is administered too quickly, toxicity can result, leading to respiratory arrest. Answer A is incorrect because there is no need to insert an internal fetal monitor. If magnesium sulfate is administered to the pregnant client, an external fetal monitor is sufficient. Answer C is incorrect because a standard IV administration set is used. Answer D is incorrect because there is no specific need for wall suction to be available with the administration of magnesium sulfate.
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 A
A. Propylthiouracil (PTU)
B. Fludrocortisone (Florinef)
C. Levothyroxine (Synthyroid)
D. Glipizide (Glucotrol)
Propylthiouracil (PTU) is an antithyroid medication. Answer B is incorrect because this is a cortisone preparation. Answer C is incorrect because this drug is used for hypothyroidism. Answer D is incorrect because this drug is used to treat diabetes.
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 the use of a standard precaution mask. Private negative airflow pressure rooms and personal respiratory protection devices are required for clients with airborne diseases 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. The nurse prepares an IV of D10W.
B. The nurse prepares to administer insulin IV.
C. The nurse obtains NPH insulin for administration.
D. The nurse inserts a Foley catheter.
The client with a blood glucose of 545 mg/dl is in metabolic acidosis. An IV with insulin will be ordered. Insulin takes the glucose into the cells hence, reducing the glucose levels. Answer A is incorrect because D10W will increase the glucose level and potentiate the client’s condition. Answer C is incorrect because regular insulin will be ordered, not NPH, which is long-acting. Answer D is incorrect because although a Foley catheter might be ordered, it is not necessary for the improvement of the client’s condition.
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 C
A. Third
B. Fifth
C. Seventh
D. Ninth
Damage to the seventh cranial nerve (facial nerve) might occur during a stapedectomy. Changes in facial sensation should be reported to the doctor. Stapedectomy complications do not include damage to the third, fifth, or ninth cranial nerves; therefore, answers A, B, and D are incorrect.
The Correct Answer is Option C
A. Magnetic resonance imaging
B. Ultrasonography
C. Noncontrast helical computerized tomography
D. X-ray of the kidneys, ureter, and bladder
Noncontrast helical computerized tomography is the most sensitive means for diagnosing renal calculi. Magnetic resonance imaging, ultrasonography, and x-ray of the kidneys, ureters, and bladder are not as sensitive; therefore, answers A, B, and D are incorrect.
The Correct Answer is Option A
A. Stop the blood transfusion and keep the vein open with normal saline
B. Administer epinephrine per unit protocol
C. Notify the physician
D. Obtain a set of vital signs
The nurse would first ensure that the patient doesn’t get any more of the wrong blood due to displaying symptoms of a hemolytic blood reaction. Answers B, C, and D are proper actions with a blood transfusion reaction, but none is the initial action, so they are incorrect.
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 B
A. Dry mouth
B. Palpitations
C. Hyperglycemia
D. Anemia
Side effects from bronchodilators such as theophylline include tremulousness, palpitations, and restlessness. Answers A, C, and D are incorrect because they are not expected side effects of bronchodilators.
The Correct Answer is Option B
A. No need for any medical treatment for radiation exposure
B. Have damage to the bones, kidneys, liver, and thyroid
C. Experience only erythema and desquamation
D. Not be radioactive because the radiation passes through the body
The client with incorporation radiation injuries requires immediate medical treatment. Most of the damage occurs to the bones, kidneys, liver, and thyroid. Answers A, C, and D refer to external irradiation, so they are wrong.
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 = (300mL / 2/3) – 300mL = (300mL x 3) / (1x2) – 300mL = 450mL – 300mL = 150mL
The Correct Answer is Option A
A. Develop an elevated digitalis level
B. Have a decrease in the digitalis levels
C. Have alterations in sodium levels
D. Develop tachycardia
The client taking digitalis should avoid constipation because constipation can lead to digitalis toxicity. Answer B is incorrect because constipation will not lead to a decrease in the digitalis levels. Answer C is incorrect because constipation does not result in alterations in the sodium level. Answer D is incorrect because digitalis toxicity will result in brachycardia, not tachycardia.
The Correct Answer is Option B
A. The facility fails to provide literature in both Spanish and English.
B. The narcotic count has been incorrect on the unit for the past three days.
C. The client fails to receive an itemized account of his bills and services received during his hospital stay.
D. The nursing assistant assigned to the client with hepatitis fails to feed the client and give him a bath.
The accreditation committee of hospitals will probably be interested in the problems in answers A and C, so they are incorrect. The failure of the nursing assistant to assist the client with hepatitis should be reported to the charge nurse. If the behavior continues, termination can result, but it doesn’t need to be reported to the board, so answer 4 is incorrect. Option B is a reportable case to the board as this indicates malpractice to the nurses who have not reported a miscounted drug. This can also lead to an investigation as to why the count is incorrect. E.g, underdosing or overdosing a patient; a nurse deliberately stealing controlled medications.
The Correct Answer is Option C
A. Constipation
B. White blood cell count of 14,000
C. Amylase of 460
D. Potassium of 3.1 mEq/L
Amylase and lipase are reliable tests used for pancreatitis diagnosis. The answers in A, B, and D are not directly related to the pancreas and not diagnostic, so they are incorrect.
The Correct Answer is True
The Correct Answer is Option A, Option B, Option D
A. Auscultating lung sounds
B. Obtaining the client’s temperature
C. Assessing the strength of peripheral pulses
D. Obtaining information about the client’s respirations
Answer: 1,2,4
A focused assessment focuses on a limited or short-term problem, such as the client’s complaint. Because the client is complaining of symptoms of a cold, a cough, and lung congestion, the nurse would focus on the respiratory system and the presence of an infection. A complete assessment includes a complete health history and physical examination and forms a baseline database. Assessing the strength of peripheral pulses relates to a vascular assessment, which is not related to this client’s complaints. A musculoskeletal and neurological examination also is not related to this client’s complaints. However, the strength of peripheral pulses and a musculoskeletal and neurological examination would be included in a complete assessment. Likewise, asking the client about a family history of any illness or disease would be included in a complete
assessment
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. 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.
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