Question 1

A client with severe PIH receiving MgSO4 is placed in a quiet, darkened room. The nurse bases this action on the following understanding:

Options :

A : The client is restless.

B : The elevated blood pressure causes photophobia.

C : Noise or bright lights may precipitate a convulsion.

D : External stimuli are annoying to the client with PIH.

Answer: C

Question 2

During his hospitalization, a 3-year-old child has become unusually aggressive in his play activities. His parents
report this change in behavior to the primary nurse. How could the nurse explain the child’s change in
behavior?

Options :

A : Deep-seated feelings of hostility

B : A lack of interest in socializing

C : Usual behavior for this child

D : A coping response

Answer: D

Question 3

A client is 6 weeks pregnant. During her first prenatal visit, she asks, “How much alcohol is safe to drink during
pregnancy?” The nurse’s response is:

Options :

A : Up to 1 oz daily

B : Up to 2 oz daily

C : Up to 4 oz weekly

D : No alcohol

Answer: D

Question 4

A client diagnosed with bipolar disorder continues to be hyperactive and to lose weight. Which of the following
nutritional interventions would be most therapeutic for him at this time?

Options :

A : Small, frequent feedings of foods that can be carried

B : Tube feedings with nutritional supplements

C : Allowing him to eat when and what he wants

D : Giving him a quiet place where he can sit down to eat meals

Answer: A

Question 5

Which of the following would the nurse expect to find following respiratory assessment of a client with advanced
emphysema?

Options :

A : Distant breath sounds

B : Increased heart sounds

C : Decreased anteroposterior chest diameter

D : Collapsed neck veins

Answer: A