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
A. The 78-year-old who had a gastrectomy three weeks ago with a PEG tube
B. The 5-month-old discharged one week ago with pneumonia who is being treated with amoxicillin liquid suspension
C. The 50-year-old with MRSA being treated with vancomycin via a PICC line
D. The 30-year-old with an exacerbation of multiple sclerosis being treated with cortisone via a centrally placed venous catheter
The client who should receive priority is the client with multiple sclerosis being treated with cortisone via the central line because this client is at the highest risk for complications. The clients described in answers A and B are stable at the time of the assigned visit. They can be seen later. The client in C has methicillin-resistant staphylococcus aureus (MRSA). Vancomycin is the drug of choice and can be administered later, but it must be scheduled at specific times of the day to maintain a therapeutic level, so answer C is 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 A
A. Rebound tenderness
B. Rovsing’s sign
C. Turner’s sign
D. Ascites
Rebound tenderness indicates peritoneal irritation. The client experiences increased pain when the examiner releases pressure in a positive result of this assessment technique. Answers B and C are exhibited by other assessment measures, so they are incorrect. Answer D is a condition of excessive peritoneal fluid in the abdominal cavity associated with liver disorders.
The Correct Answer is Option B
A. Check the client’s temperature.
B. Isolate the client in a private room.
C. Check a complete set of vital signs
D. Contact the primary health care provider.
The nurse should suspect the potential for Ebola virus disease (EVD) because of the client’s recent travel to Nigeria. The nurse needs to consider the symptoms that the client is reporting, and clients who meet the exposure criteria should be isolated in a private room before other treatment measures are taken. Exposure criteria include a fever reported at home or in the ED of 38.0° C (100.4° F) or headache, fatigue, weakness, muscle pain, vomiting, diarrhea, abdominal pain, or signs of bleeding.
This client is reporting a fever and is showing other signs of EVD, and therefore should be isolated. After isolating the client, it would be acceptable to then collect further data and notify the primary health care provider and other state and local authorities of the client’s signs and symptoms
The Correct Answer is Option A
A. Hard palate
B. Palms of the hands
C. Sclera
D. Soles of the feet
Jaundice in the dark-skinned client is best assessed by examining the hard palate. Answers B and D are incorrect because the palms and soles might take on a yellowish appearance if calluses are present. Answer C is incorrect because normal deposits of fat can produce a yellowish appearance of the sclera.
The Correct Answer is Option C
A. Schedule frequent eye exams
B. Expect red discoloration of his urine
C. Increase his fluid intake
D. Expect dizziness and ringing in his ears
The use of pyrazinamide can result in gout-like symptoms; therefore, the client should increase his fluid intake. Answers A, B, and D are incorrect because they are associated with other antitubercular medications.
The Correct Answer is Option C
A. Call for help.
B. Extinguish the fire.
C. Activate the fire alarm.
D. Confine the fire by closing the room door.
The order of priority in the event of a fire is to rescue the clients who are in immediate danger. The next step is to activate the fire alarm. The fire then is confined by closing all doors and, finally, the fire is extinguished.
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. 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 B
A. Clear liquids the day before the test
B. Nothing by mouth the night before the test
C. High-fat meal two hours before the test
D. Asking the client to bring a sputum sample with her for analysis
The only preparation for H. pylori urea breath test is NPO after midnight. In this test, the client drinks a carbon-enriched urea liquid and then CO2 is measured for H. pylori. Answers A, C, and D are not part of the preparation for an H. pylori urea breath test, so they are incorrect options.
The Correct Answer is Option C
A. Gemcitabine (Gemzar)
B. Gefitinib (Iressa)
C. Cabergoline (Dostinex)
D. Ganciclovir (Cytovene)
Dostinex is used to shrink the prolactin-based tumor. Answers A and B are antineoplastic drugs. Answer D is an antiviral medication.
The Correct Answer is Option A
A. Ribavirin
B. Respigam
C. Sandimmune
D. Synagis
The only effective treatment of bronchiolitis (respiratory synctial virus) is ribavirin. Answers B and D are incorrect because they are used prophylactically, not as a treatment for bronchiolitis. Sandimmune, an immunosuppressive drug, is not used for treating bronchiolitis; therefore, Answer C is incorrect.
The Correct Answer is Option B
A. Metabolic alkalosis
B. Metabolic acidosis
C. Respiratory alkalosis
D. Respiratory acidosis
The client with anorexia nervosa is in a state of negative nitrogen balance. She is likely experiencing metabolic acidosis. Answer A is incorrect because metabolic alkalosis is reflected as an increase in HCO3. Clients with anorexia will show a deficit in HCO3. Answers C and D are incorrect because anorexia nervosa clients have a metabolic disorder, not a respiratory disorder
The Correct Answer is Option A
A. Hyponatremia
B. Hypercalcemia
C. Hypocalcemia
D. Hypernatremia
The client who is taking lithium needs an adequate intake of sodium and fluid to prevent the development of lithium toxicity. Answers B, C, and D 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. 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
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 True
The Correct Answer is Option A
A. Recent cardio thoracic surgery
B. Diabetes mellitus
C. Rheumatoid arthritis
D. Emphysema
Recent abdominal or thoracic surgery are contraindications for chest physiotherapy. Chest physiotherapy includes the use of percussion, vibration and postural chest drainage. Chest physiotherapy is not contraindicated for the client with diabetes mellitus, rheumatoid arthritis, or emphysema, therefore answers B, C, and D are incorrect.
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.
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