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 C
A. Hyperacute graft rejection is due to chronic inflammation and scaring.
B. Hyperacute graft rejection is a cellular response that occurs 1–3 weeks after transplantation.
C. Hyperacute graft rejection is more likely in clients who have received multiple blood transfusions.
D. Hyperacute graft rejection is managed by use of immunosuppressive medications.
Hyperacute graft rejection is more likely to occur in clients who receive a transplant from a donor with an ABO type different from their own, in those with a history of multiple blood transfusions, those with multiple pregnancies, or those with a previous transplant. Answers A and D are incorrect because they describe chronic graft rejection. Answer B describes acute graft rejection; therefore, it is incorrect.
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. 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 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 B
A. Phosphorus 2.5 mEq/L
B. Potassium 1.8 mEq/L
C. Calcium 9.4 mg/dl
D. Magnesium 2.4 mEq/L
The client taking furosemide is at risk for developing hypokalemia (decreased potassium) because this drug is a non–potassium-sparing diuretic. A potassium level of 1.8 is extremely low and might result in cardiac dysrhythmias. Answers A, C, and D are incorrect because the levels noted in the question are within normal levels.
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 D
A. Diarrheal illness caused by salmonella
B. Routine childhood immunization
C. Eruption of primary teeth
D. Otitis media
Facial cellulitis is associated with otitis media, a common ear infection in young children. Answers A, B, and C are not associated with the development of facial cellulitis; therefore, they are incorrect.
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 True
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.
The Correct Answer is Option B
A. Call the board of nursing
B. File a formal reprimand and monitor the nurse
C. Terminate the nurse
D. Charge the nurse with a tort
The next action after discussing the problem with the nurse is to document the incident. If the behavior continues or if harm has resulted to the client, the nurse might be terminated and reported to the board of nursing, so answers A and C are incorrect. A tort is a wrongful act to the client or her belongings, so answer D is 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 B
A. Hyperthyroidism
B. Hypothyroidism
C. Hypoparathyroidism
D. Hyperparathoidism
Answer B is correct because in Hashimoto’s thyroiditis, antibodies against thyroid hormone are produced, which leads to a decrease in thyroid hormone release. For this reason answers A, C, and D are incorrect.
The Correct Answer is Option C
A. Assess for allergy to iodine
B. Check pulses proximal to the site
C. Assess the urinary output
D. Check to ensure that the client has a consent form signed
The dye used in the procedure can cause a decrease in renal function. The client’s renal function should be assessed and changes reported to the doctor immediately. Answer A is incorrect because the client’s allergies should be checked prior to the procedure, not after the procedure. The femoral artery is commonly used as the site for a catheterization. Answer B is incorrect because the pulses should be checked distal to the site. Answer D is incorrect because the permit should be signed prior to the procedure.
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 D
A. Amoxil (amoxicillin)
B. K-Dur (potassium)
C. B12 (cyanocobalamine)
D. Tegretol (carbamazepine)
Tegretol (carbamazepine) is ototoxic. Answers A, B, and C do not pose a risk of ototoxicity; therefore, they are incorrect.
The Correct Answer is Option C
A. Amevive (alefacept)
B. Folex (methotrexate)
C. Famvir (famciclovir)
D. Raptiva (efalizumab)
Famvir (famciclovir), an antiviral medication, is used to shorten the outbreak of herpes zoster. Amevive, Folex, and Raptiva are used in the treatment of the client with psoriasis; therefore, answers A, B, and D are incorrect.
The Correct Answer is Option B
A. Increase her intake of milk and dairy products.
B. Avoid taking bubble baths
C. Use underwear made from nylon
D. Drink orange juice for breakfast
The nurse should tell the client to avoid tub baths as well as bubble baths. The client should be instructed to wear cotton underwear and to avoid tight-fitting clothing such as jeans. Answers A, C, and D do not decrease the incidence of cystitis; therefore, they are incorrect.
The Correct Answer is Option C
Volume of water to add (mL) = total volume of formula on hand (mL) – total volume of formula on hand (mL)
Diluted strength
mL water = (480mL / ½) – 480mL = (480mL x 2) – 480mL = 960mL – 480mL = 480mL
The Correct Answer is Option B
A. Urinary output
B. Respirations
C. Temperature
D. Verbal responsiveness
Barbiturate overdose results in central nervous system depression, which leads to respiratory failure. Answers A and C are important to the client’s overall condition but are not specific to the question, so they are incorrect. The use of barbiturates results in slow, slurred speech, so answer D is expected, and therefore incorrect
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