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. Hiccups
B. Dysphagia
C. Fever
D. Bradycardia
Other clinical manifestations include pain, nausea, vomiting, rebound tenderness upon palpation, flatulence, and indigestion. Answers A, B, and D are not associated with cholecystitis, so they are incorrect.
The Correct Answer is Option A
A. Taking supplements of B3
B. Increasing sodium intake
C. Eating a diet high in calcium
D. Drinking additional fluids
Taking supplements of B3 (niacin) helps to improve the symptoms associated with Ménière’s disease. Answer B is incorrect because the client needs to limit sodium intake. The client with Ménière’s does not need additional sources of calcium; therefore, answer C is incorrect. Ménière’s is not improved by increasing fluid intake; therefore, answer D is incorrect.
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 C
Change 1 g to milligrams, knowing that 1000 mg =1 g.
Also, when converting from grams to milligrams (larger to smaller), move the decimal point three places to the right: 1 g = 1000 mg.
Next, use the formula for calculating the correct dose.
Formula: Desired / Available x Tablet = 1000 mg / 500 mg = 2 tablets
The Correct Answer is Option B
A. No need for any medical treatment for radiation exposure
B. Have damage to the bones, kidneys, liver, and thyroid
C. Experience only erythema and desquamation
D. Not be radioactive because the radiation passes through the body
The client with incorporation radiation injuries requires immediate medical treatment. Most of the damage occurs to the bones, kidneys, liver, and thyroid. Answers A, C, and D refer to external irradiation, so they are wrong.
The Correct Answer is Option C
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 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 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 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. Dermatophytes that cause fungal infections are spread only by human-to-human contact.
B. Infection depends on inoculation and maintenance of the organism in the outer layers of the skin.
C. Treatment of fungal infections continues only until lesions have disappeared.
D. Systemic fungal infections are best treated with antibacterial medications.
Infection occurs when dermatophytes come in contact with a susceptible host that allows inoculation and maintenance in the outer layers of the skin. Answer A is incorrect because dermatophytes are spread by contact with contaminated soil, animals, or humans. Answer C is incorrect because therapy usually continues for one to two weeks after clearing in order to prevent recurrence. Answer D is incorrect because systemic fungal infections are treated with antifungal medications such as Nizoral (ketoconozole), not antibacterial medications.
The Correct Answer is Option A
A. “I can soak the ear mold in mild soap and water to clean it.”
B. “I will need to keep an extra supply of batteries on hand.”
C. “I need to adjust the volume to the lowest setting that permits hearing.”
D. “I can use a toothpick to clean debris from the hole of the hearing aid.”
The client should avoid excessive wetting of the ear mold; therefore, the client needs further teaching. Answers B, C, and D indicate that the client understands the nurse’s teaching, so they are incorrect.
The Correct Answer is Option C
A. Creatinine
B. Cortisol levels
C. Blood glucose
D. Liver profile
Terbutaline (Brethine) is a bronchodilator that can also relax smooth muscles. Brethine can cause elevations in blood glucose levels so the client should have blood glucose levels checked prior to beginning treatment with Brethine. Answers A, B, and D are not laboratory studies that are required prior to beginning Brethine.
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.
The Correct Answer is Option C
A. Anorexia
B. Difficulty swallowing
C. Hirsutism
D. Hot flashes
Hirsutism is facial hair. This is associated with hypersecretion of cortisol. Answers A, B, and D are not associated with Cushing’s disease.
The Correct Answer is Option C
A. Syndenham’s chorea
B. Polymigratory arthritis
C. Splinter hemorrhages
D. Erythema marginatum
Splinter hemorrhages, dark lines beneath the nails, are associated with embolization. Answers A, B, and D are associated with rheumatic fever, not infective bacterial endocarditis; therefore, they are incorrect.
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 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 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. The facility fails to provide literature in both Spanish and English.
B. The narcotic count has been incorrect on the unit for the past three days.
C. The client fails to receive an itemized account of his bills and services received during his hospital stay.
D. The nursing assistant assigned to the client with hepatitis fails to feed the client and give him a bath.
The accreditation committee of hospitals will probably be interested in the problems in answers A and C, so they are incorrect. The failure of the nursing assistant to assist the client with hepatitis should be reported to the charge nurse. If the behavior continues, termination can result, but it doesn’t need to be reported to the board, so answer 4 is incorrect. Option B is a reportable case to the board as this indicates malpractice to the nurses who have not reported a miscounted drug. This can also lead to an investigation as to why the count is incorrect. E.g, underdosing or overdosing a patient; a nurse deliberately stealing controlled medications.
The Correct Answer is Option D
A. Inserting a Foley catheter
B. Discontinuing a nasogastric tube
C. Obtaining a sputum specimen
D. Starting a blood transfusion
The LPN can be assigned to insert Foley and French urinary catheters, discontinue Levin and gavage gastric tubes, and obtain all types of specimens. Administering a blood transfusion is outside the scope of practice of an LPN. Another practice outside of an LPN's scope is administering a controlled medication such as Morphine. LPNs can witness the commencement of blood transfusion and witness the administration of controlled medications.
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