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 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
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 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 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 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 D
A. Bleeding into the joints
B. Cutaneous bleeding
C. Bleeding into the oral cavity
D. Intracranial bleeding
The greatest danger from bleeding in the child with hemophilia is intracranial bleeding. The situations in Answers A, B, and C do not pose the greatest danger from bleeding; therefore, they are incorrect.
The Correct Answer is Option D
A. Culture
B. VDRL
C. RPR
D. FTA-ABS
The fluorescent treponemal antibody test (FTA-ABS) is most diagnostic for syphilis. Answer A is incorrect because a culture of the discharge is used to diagnose gonorrhea, not syphilis. Answers B and C are incorrect because they are screening tests and are not as diagnostic as the FTA-ABS is.
The Correct Answer is Option C
A. Have one of the client’s family members interpret.
B. Have the Spanish-speaking triage receptionist interpret.
C. Page an interpreter from the hospital’s interpreter services.
D. Obtain a Spanish-English dictionary and attempt to triage the client.
The best action is to have a professional hospital-based interpreter translate for the client. English-speaking family members may not appropriately understand what is asked of them and may paraphrase what the client is actually saying. Also, client confidentiality, as well as accurate information, may be compromised when a family member or a non–health care provider acts as an interpreter.
The Correct Answer is Option D
A. Telling the child how important it is to drink fluids
B. Telling the child how important it is to drink fluids
C. Providing soup on the lunch and dinner meals
D. Offering flavored ice pops or iced Slurpees
A child will likely accept the fluids in this answer better than the others listed. The child is too young to understand the statement in answer A, so it is inappropriate. Answers B and C are good sources of fluids but would not be best or acceptable for a 3-year-old, so they are incorrect.
The Correct Answer is True
The Correct Answer is Option A
Teach the client to sleep with a foam wedge under the head.
Encourage the client to decrease the amount of smoking.
Instruct the client to take over-the-counter medication for relief of pain.
Discuss the need to attend Alcoholics Anonymous to quit drinking.
The behavioural modification a client can do is start sleeping with a foam wedge under the head to minimize the reflux of the gastric content after having food.
B,C and D are essential for GERD management aswell but the one that can be done promptly to help patient is option A.
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.
The Correct Answer is Option D
A. Instruct the client to perform the Valsalva maneuver
B. Elevate the tubing above the client’s chest level
C. Decrease the amount of suction being applied
D. Form a water seal and obtain a new connector
The nurse should form a water seal, remove the contaminated end, and insert a new sterile connector. The Valsalva maneuver is used when the chest tube is being removed, therefore Answer A is incorrect. Answer B is incorrect because the chest drainage system is maintained below the client’s chest level. Answer C is incorrect because the nurse cannot alter the amount of suction being applied without a doctor’s order.
The Correct Answer is Option B
A. Presence of serum albumin in the interstitial space
B. Increased capillary permeability
C. Erratic drainage of the lymphatic system
D. Altered osmotic pressure in the blood vessels
Hypovolemic shock is the result of increased capillary permeability that leads to third spacing or capillary leak syndrome. The loss of plasma fluids and proteins decreases blood volume and blood pressure. Answers A, C, and D do not relate to hypovolemic shock; therefore, they are incorrect.
The Correct Answer is Option C
A. Take the medication before arising
B. Force fluids while taking this medication
C. Remain upright for 30 minutes after taking this medication
D. Take the medication in conjunction with estrogen
Alendronate sodium is a drug used to treat osteoporosis. Let’s use testing strategies for this question. Look at answers A and C; these are opposites. When you are in the bed, you are lying down. The drug should not be given while lying down, nor should it be taken with medication or with estrogen. In answer C, you are upright. This drug causes gastric reflux, so you should remain upright and take it with only water. Notice the clue in the name of the drug: fosa, as in fossils. All the drugs in this category contain the syllable dronate.
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. 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 C
A. Frontal lobe
B. Occipital lobe
C. Temporal lobe
D. Parietal lobe
Partial seizures usually originate in the temporal lobe, making Answers A, B, and D incorrect because partial seizures do not usually occur in the other lobes.
The Correct Answer is Option A
A. Acyclovir (Zovirax)
B. Podophyllin
C. AZT (Retrovir)
D. Isoniazid (Lanzid)
Acyclovir is used to treat genital herpes. Answer B is incorrect because Podophyllin is used to treat condyloma acuminata (venereal warts). Answer C is incorrect because AZT (Retrovir) is used to prevent HIV transmission from mother to baby. Answer D is incorrect because isoniazid is used to treat tuberculosis, not herpes.
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
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