QUIZ AND ANS ) + RATIONALES | FORM A/B/C | 100 %
VERIFIED
What diet is recommended for chronic renal failure?
A. High protein, high potassium
B. Low protein, low potassium
C. High sodium, high fat
D. High carbohydrate only
Answer: B
Rationale: Low protein reduces nitrogenous waste buildup, and low potassium prevents
hyperkalemia, a dangerous complication of renal failure.
What is essential foot care teaching for a diabetic patient?
A. Soak feet daily
B. Walk barefoot at home
C. Change shoes and wash feet daily with soap and water
D. Apply heating pads to feet
Answer: C
Rationale: Daily inspection, hygiene, and proper footwear prevent ulcers and infections.
How is pulse pressure calculated?
A. Diastolic minus systolic
B. Systolic minus diastolic
C. Systolic plus diastolic
D. Heart rate minus blood pressure
Answer: B
Rationale: Pulse pressure = systolic BP − diastolic BP.
Which insulin should NEVER be mixed?
A. Regular insulin
B. NPH insulin
C. Lantus (glargine)
D. Lispro insulin
,Answer: C
Rationale: Lantus is long-acting and must not be mixed with other insulins due to altered
pharmacokinetics.
When is Rhogam administered?
A. At 12 weeks only
B. At delivery only
C. At 28 weeks and within 72 hours postpartum
D. Only during miscarriage
Answer: C
Rationale: Rhogam prevents Rh sensitization in Rh-negative mothers exposed to Rh-positive
fetal blood.
Which sign indicates improving infant dehydration?
A. Sunken fontanel
B. Bulging fontanel
C. Smooth, flat fontanel
D. Dry mucous membranes
Answer: C
Rationale: A flat, soft fontanel indicates improved hydration status.
Where should a patient with orthostatic hypotension be placed?
A. Far from nurses’ station
B. Near nurses’ station
C. In isolation
D. In hallway bed
Answer: B
Rationale: Close monitoring reduces fall risk.
What is correct wound cleaning technique?
A. Dirty to clean
B. Clean to dirty
C. Random direction
D. Center outward always
,Answer: B
Rationale: Prevents contamination of clean areas.
Classic symptom of peripheral arterial disease (PAD)?
A. Burning pain at rest
B. Intermittent claudication
C. Continuous numbness
D. Swelling only
Answer: B
Rationale: Cramping pain during walking relieved by rest is hallmark of PAD.
Best position during seizure precautions?
A. Supine flat
B. Prone
C. Side-lying
D. Sitting upright
Answer: C
Rationale: Side-lying prevents aspiration.
Test for UTI in pregnant patient with frequency at 20 weeks?
A. CBC only
B. Urinalysis and culture
C. MRI
D. No testing needed
Answer: B
Rationale: UA and culture diagnose urinary infection.
Priority during shift change report?
A. Stable patient at x-ray
B. Unstable patient condition changes
C. Medication refill
D. Discharge planning
Answer: B
Rationale: Instability takes priority in handoff.
, Sign of hemolytic transfusion reaction?
A. Bradycardia
B. Flank pain
C. Mild headache
D. Increased appetite
Answer: B
Rationale: Flank pain indicates kidney involvement from RBC destruction.
Priority for rape victim in ER?
A. Legal interview first
B. Assess anxiety and stabilize
C. Discharge immediately
D. Family counseling first
Answer: B
Rationale: Emotional and physical stabilization comes first.
Recommended macronutrient distribution?
A. 70% protein
B. 45% carbs, 10–15% protein
C. 10% carbs only
D. 90% fat
Answer: B
Rationale: Balanced nutrition supports metabolic needs.
Latex allergy precaution?
A. Use latex gloves
B. Use powder gloves
C. Tape cords and avoid latex products
D. No precautions needed
Answer: C
Rationale: Eliminates exposure to latex proteins.
First ingredient on food label indicates:
A. Least amount
B. Most amount