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 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. 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 A
A. Chloride level
B. Potassium transport
C. Serum sodium
D. Calcium level
A positive sweat test is reflected by elevations in the chloride level. Answers B, C, and D are not measured by the sweat test; therefore, they are incorrect.
The Correct Answer is Option C
A. Five minutes
B. Thirty minutes
C. Ninety minutes
D. Four hours
NPH insulin onset is 90–120 minutes. Answer A is incorrect because Novalog insulin onset is 5–10 minutes. B is incorrect because regular insulin onset is 15–30 minutes. D is incorrect and is not associated with the onset of any insulin.
The Correct Answer is Option C
A. A headache
B. Shortness of breath only during sleep
C. Lower back pain
D. Difficulty voiding
Clients with abdominal aortic aneurysms often complain of nausea, lower back pain, and feeling their heart beat in the abdomen. Answer A is incorrect because a headache is a symptom of a cerebral aneurysm. Answer B is incorrect because, although the client with an abdominal aneurysm might have shortness of breath, this symptom is not particular to during sleep. Answer D is incorrect because difficulty voiding is not associated with an abdominal aneurysm.
The Correct Answer is Option D
A. Ambu bag
B. IV controller
C. Bit drill
D. Torque screwdriver
This equipment is necessary in case the pins become loose. The family should also be instructed in this before discharge for home care. The answers in A, B, and C are not necessary are appropriate due to a halo vest application.
The Correct Answer is Option D
A. Hemarthrosis of the elbow
B. Bruise of the ankle
C. Bruise of the ankle
D. Unilateral numbness and lack of movement of arm
The neurological symptoms could mean an intracranial bleed has occurred. The answers in A, B, and C are reasons for concern, but they are not the priority, so they are incorrect.
The Correct Answer is Option B
A. Prolactin
B. Human chorionic gonadotropin
C. Lecithin-sphingomyelin
D. Estriol
HCG levels elevate rapidly and can be detected as early as two days after the missed period. Answer A is incorrect because prolactin is elevated with a prolactinoma, a type of pituitary tumor. Answer C is incorrect because lecithin/sphingomyelin (L/S ratio) is indicative of lung maturity. Answer D is incorrect because estriol levels indicate fetal well-being.
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 D
A. Eliminates the neurotransmitter acetylcholine
B. Increases the perception of external stimuli
C. Decreases levels of cortisol from the adrenal cortex
D. Produces a seizure that temporarily alters brain chemicals
Electroconvulsive therapy produces a tonic-clonic seizure that temporarily increases brain chemicals, serotonin, dopamine, and norepinephrine. Answers A, B, and C are not true statements; therefore, they are incorrect.
The Correct Answer is Option B
A. Lying on a firm surface that does not distribute weight
B. Resting in a semi-sitting position that allows gradual downward movement
C. Rubbing or irritating the skin so that epithelial cells are removed
D. Compression of blood vessels that leads to ischemia, inflammation, and tissue necrosis
Shear or shearing forces occur whenever the skin is stationary while tissues below the skin are able to shift or move. Answers A and D are incorrect because they describe the physical force of pressure. Answer C refers to friction; therefore, it is 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 B
A. The correct way to perform postural drainage
B. The preparation and use of isotonic enemas
C. The collection of a specimen using the tape test
D. The use of pinwheels and suckers to improve speech
The parents of a child with Hirschsprung’s disease should be taught how to prepare and administer isotonic enemas. Answers A, C, and D are incorrect because they do not relate to the care of the child with Hirschsprung’s disease.
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 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. Wearing gloves when emptying the client’s bedpan
B. Keeping all linens in the room until the implant is removed
C. Wearing a lead apron when providing direct care to the client
D. Placing the client in a 4 bedded room with shared toilet
A private room with a private bath is essential if a client has an internal radiation implant. This is necessary to prevent accidental exposure of other clients to radiation. The remaining options identify accurate interventions for a client with an internal radiation implant and protect the nurse from exposure.
The Correct Answer is Option B
A. Celestone
B. Dopamine
C. Serotonin
D. Anti-diuretic hormone
The neurotransmitter dopamine is missing in clients with Parkinson’s disease. Most of the treatment involves replacement of this drug. Answer A is a steroid. Answer C is a neurotransmitter not missing in Parkinson’s disease, and Answer D is secreted by the pituitary gland not related to the stated diagnosis; therefore Answers A, C, and D are incorrect.
The Correct Answer is Option C
A. Serum phosphorus of 3.0 mg/dL
B. Alkaline phosphatase of 70 units/L
C. Serum calcium 16.0 mg/dL
D. Aldolase 3.5 units/dL
Serum calcium levels rise with metastatic cancer of the bone. Normal calcium is 9.0 mg/dL–10.5 mg/dL. Answers A and D are incorrect because these are within normal limits and not related to bone metastasis. Normal phosphorus level is 3.0–4.5 mg/dL and normal aldolase level is 3.0–8.2 units/dL. Alkaline phosphatase is elevated in bone metastasis and Answer B is within the normal of 30–120 units/L, so it is incorrect.
The Correct Answer is Option B
A. A schizophrenic client having visual and auditory hallucinations and the client with ulcerative colitis
B. The client who is six months pregnant with abdominal pain and the client with facial lacerations and a broken arm
C. A child whose pupils are fixed and dilated and his parents and a client with a frontal head injury
D. The client who arrives with a large puncture wound to the abdomen and the client with chest pain
Out of all these clients, it is best to hold the pregnant client and the client with a broken arm and facial lacerations in the same room. The other clients need to be placed in separate rooms, so answers A, C, and D are incorrect.
The Correct Answer is Option A
A. Vancomycin (Vancocin) IV
B. Ampicillin (Omnipen) PO
C. Ceftriazone (Rocephin) IM
D. Cefotaxime sodium (Claforan)
Vancomycin IV would be the antibiotic of choice for resistant strands of meningitis. The client would need the medication to work quickly, making Answers B and C incorrect. Answer D is an antibiotic used for meningitis, but would not be the one of choice for resistant strains of meningitis, so it is wrong.
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