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Question 1 of 5

The clinical triad of abnormalities seen in serotonin syndrome includes all of the following EXCEPT

Correct Answer: D

Rationale: Serotonin syndrome involves cognitive (confusion), autonomic (fever, sweating), and somatic (tremors, rigidity) effects. Behavioral effects are not part of the classic triad.

Question 2 of 5

A client is admitted with symptoms of pseudomembranous colitis. Which finding is associated with Clostridium difficile?

Correct Answer: A

Rationale: Clostridium difficile infection causes pseudomembranous colitis, characterized by diarrhea with blood and mucus due to toxin-mediated colonic inflammation.

Question 3 of 5

A client is upset that the physician has refused to order a stronger pain medication for the client and berates the nurse, calling the nurse 'worthless and stupid' when the nurse brings the prescribed medication. Which of the following ego defense mechanisms is the client exhibiting?

Correct Answer: C

Rationale: Displacement (
C) involves redirecting anger from the physician to the nurse. Compensation (
A), reaction formationCDATA(
B), and regression (
D) do not fit this behavior.

Question 4 of 5

A client complains of sharp, stabbing pain in the right lower quadrant that is graded as level 8 on a scale of 10. The nurse knows that pain of this severity can best be managed using:

Correct Answer: D

Rationale: Morphine sulfate is the most effective for severe, acute pain due to its strong opioid properties.

Question 5 of 5

A client weighing 150 pounds has received burns over 50% of his body at 1200 hours. Using the Parkland formula, calculate the expected amount of fluid that the client should receive by 2000 hours.

Correct Answer: B

Rationale: Parkland formula: 4 mL × kg × % TBSA. Weight = 150 lb ÷ 2.2 = 68 kg. 4 × 68 × 50 = 13,600 mL total. Half (6,800 mL) is given in the first 8 hours (1200 to 2000).

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