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Question 1 of 5

A 14-year-old boy fell off his bike while 'popping a wheelie' on the dirt trails. He has sustained a head injury with laceration of his scalp over his temporal lobe. If he were to complain of headache during the first 24 hours of his hospitalization, the nurse would:

Correct Answer: D

Rationale: Diversion may help the child to focus on a pleasant activity instead of on his headache.

Question 2 of 5

The nurse is teaching about irritable bowel syndrome (IBS). Which of the following would be most important?

Correct Answer: A

Rationale: A balanced diet with adequate fiber (soluble for IBS) helps regulate bowel function and reduce IBS symptoms. High fluid intake with meals may exacerbate symptoms, low-fiber diets can worsen constipation, and limiting fruits/vegetables is not advised.

Question 3 of 5

A gravida 2 para 1 client is hospitalized with severe preeclampsia. While she receives magnesium sulfate (MgSO4) therapy, the nurse knows it is safe to repeat the dosage if:

Correct Answer: D

Rationale: Respirations >16 breaths/min indicate that toxic magnesium levels have not been reached, making it safe to repeat the dose.

Question 4 of 5

A client with an abdominal aortic aneurysm is admitted in preparation for surgery. Which finding should be reported to the doctor?

Correct Answer: A

Rationale: A WBC of 14,000 cu.mm indicates possible infection or inflammation, which is concerning pre-surgery and should be reported. Abdominal bruit and lower back pain are expected with an abdominal aortic aneurysm, and a platelet count of 175,000 is normal.

Question 5 of 5

A young boy tells the nurse, 'I don't like my Dad to kiss or hug my Mom. I love my Mom and want to marry her.' The nurse recognizes this stage of growth and development as:

Correct Answer: B

Rationale: The Oedipus complex involves a young boy's erotic attachment to his mother and jealousy toward his father.

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