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. 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 B
A. Begin an IV of normal saline at keep-open rate
B. Continue the magnesium sulfate as ordered
C. Contact the doctor immediately
D. Prepare for an emergency delivery
The therapeutic range for magnesium sulfate is 4.0–9.6 meq/L; therefore, with a magnesium level of 6.3meq/L, the nurse should continue the infusion. Answers A, C, and D indicate that the nurse believes the level to be toxic. This is an incorrect conclusion, making these answers 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 D
A. Aplastic
B. Vaso-occlusive
C. Splenic sequestration
D. Erythropoiesis
Erythropoiesis is the formation of RBCs not related to sickle cell crisis. The answers in A, B, and C are types of sickle cell anemia crises, so they are incorrect.
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 Option B
A. 2–4 mm
B. 3–5 mm
C. 6–8 mm
D. 7–9 mm
The normal pupil diameter is between 3 and 5 mm in size. Answers A, C, and D are not normal pupil diameters; therefore, they are incorrect.
The Correct Answer is Option B
A. Initiate the IV line without the use of a pump.
B. Contact the electrical maintenance department for assistance.
C. Plug in the pump cord in the available plug above the room sink.
D. Use an extension cord from the nurses’ lounge for the pump plug.
Electrical equipment must be maintained in good working order and should be grounded; otherwise, it presents a physical hazard. An IV line that contains a dose of potassium chloride should be administered by an infusion pump. The nurse needs to use hospital resources for assistance. A regular extension cord should not be used because it poses a risk for fire. Use of electrical appliances near a sink also presents a hazard.
The Correct Answer is Option D
A. Droplet precautions
B. Airborne precautions
C. Contact precautions
D. No isolation precautions are needed
No isolation precautions are needed because there is no evidence of human-to-human transmission. Answers A, B, and C are incorrect because they are not indicated in the care of the client with Legionnaires’ disease.
The Correct Answer is Option B
A. Nitroprusside (Nipride)
B. Naloxone hydrochloride (Narcan)
C. Flumazenil (Romazicon)
D. Diphenhydramine (Benadryl)
The postoperative period, narcotics are given. Narcan is the antidote to narcotics, so answer B is correct. Nipride is utilized to lower blood pressure, so answer A is incorrect. Romazicon is the antidote for the benzodiazepines, so answer C is incorrect. Benadryl is an antihistamine, so answer D is incorrect.
The Correct Answer is Option B
A. Continue the collection as ordered by the physician
B. Discard the collected urine, obtain a new bottle, and begin the collection again
C. Record the information in the client’s chart and continue the collection
D. Extend the collection time to replace the last voiding
Failure to collect all urine voided in the 24-hour period invalidates specimen results; therefore, the nurse should obtain a new collection bottle, discard the collected urine, and begin the collection again. Answers A, C, and D are incorrect because they are improper ways of obtaining a 24-hour urine specimen.
The Correct Answer is Option B
A. Waterpik
B. Wire cutter
C. Humidifier
D. Oral rinse
Wire cutters must be at the bedside at all times to decrease the risk of aspiration with vomiting. Answers A and D are usually used in the care of clients with a fractured mandible, but are not as essential as the wire cutters, so they are incorrect. The answer in C is not a usual piece of equipment for clients with fractured mandibles, so it is incorrect.
The Correct Answer is Option B
A. One to two weeks after surgery
B. Four to six weeks after surgery
C. Six months after surgery
D. One year after surgery
The final best vision will not be present until four to six weeks following cataract removal. Answer A is incorrect because sufficient healing has not taken place. Answers C and D are incorrect because the best vision is present four to six weeks after surger
The Correct Answer is Option D
A. Adolescent males
B. Preteen males
C. Preteen females
D. Adolescent females
The most likely group to have scoliosis is adolescent girls. The groups in Answers A, B, and C are not as likely to have scoliosis; therefore, those answers are incorrect.
The Correct Answer is Option C
A. Cover the cord with dry, sterile gauze
B. Place the client in high Fowler’s position
C. Push up on the presenting part with an examining finger
D. Begin an IV of normal saline at keep-open rate
The nurse should push on the presenting part to relieve pressure on the cord and facilitate blood flow through the cord. Answer A is incorrect because the sterile gauze should be moist, not dry. Answer B is incorrect because the client should be placed in Trendelenburg position, not high Fowler’s position. Answer D is incorrect because the IV fluid should be rapid, not keep-open rate, to increase hydration and blood flow to the fetus.
The Correct Answer is Option A
A. Potassium level of 2.5
B. Sodium level of 140
C. Glucose level of 110
D. Calcium level of 8
Furosemide (Lasix) is a loop diuretic. Note that most of the loop diuretics end in ide. In answers B, C, and D, the findings are all within normal limits.
The Correct Answer is Option A
Clients with GERD should eat four to six small meals per day to prevent reflux rather than three large meals. Answers B, C, and D are recommendations for health promotion tactics to control reflux. Other aspects include no snacking in the evening; no food two to three hours before bedtime; elevating the head of the bed at night; avoiding heavy lifting and straining; and limiting fatty, spicy foods, coffee, chocolate, alcohol, and colas.
The Correct Answer is Option B
A. Leg cramps
B. Hot flashes
C. Urinary frequency
D. Cold extremities
This drug is in the same category as the chemotherapeutic agent tamoxifene (Novaldex) used for breast cancer. In the case of Evista, this drug is used to treat osteoporosis. Notice that the E stands for estrogen. This drug has an agonist effect, so it binds with estrogen and can cause hot flashes. This drug does not cause leg cramps, urinary frequency, or cold extremities, so answers A, C, and D are incorrect.
The Correct Answer is Option A
A. Kernig’s sign
B. Brown-Sequard’s syndrome
C. Brudsinski’s sign
D. Doll’s eye reflex
A positive result would be indicated by pain in the hamstring when the actions in the stem are done. Answers B and D do not relate to meningitis. Brudsinski’s sign, Answer C, is elicited by attempting to flex the patients’ head causing severe pain if positive, so this is incorrect. Both Kernig’s and Brudsinski’s signs are indications of meningeal irritation found in meningitis.
The Correct Answer is Option C
A. 3-4 days
B. 5-9 days
C. 10-14 days
D. 2-3 weeks
The incubation period (the period of time from exposure to the onset of the first symptoms) is 10 to 14 days. The first symptoms of smallpox infection include an abrupt onset of chills, high fever, headache, backache, severe malaise, vomiting, possible delirium, stupor and coma
The Correct Answer is Option C
A. Metabolic acidosis
B. Metabolic alkalosis
C. Respiratory acidosis
D. Respiratory alkalosis
When assessing arterial blood gases, the nurse should look at the pH. In this case, the pH is low. After assessing the pH, the nurse should look at the PaCO2. In this case, the PaCO2 is elevated. Finally, look at the HCO3. In this question, the HCO3 is elevated. Answers A, B, and D are incorrect findings because they are not consistent with the lab values given in the question.
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