MDC IV EXAM 1 {Latest 2025-
26} Questions And Verified
Answers 100% Guaranteed
Pass
9. A client has a head injury and is presenting with signs and symptoms of increased intracranial
pressure. Which nursing intervention would be helpful in reducing this pressure?
a. Place the neck in a neutral position to promote venous drainage
b. Suction hourly to stimulate the cough reflex
c. Add extra blankets to keep the client warm.
d. Turn the client frequently to prevent skin impairment - correct answer a. Place the neck in a
neutral position to promote venous drainage
10. A client has recently suffered a stroke with left-sided weakness. The nurse assesses for
dysphagia, especially with thin liquids. Which nursing intervention is most helpful in assisting
this patient to swallow safely?
a. The client should avoid all liquids.
b. Instructing to tuck the chin when swallowing
c. Give sips of water with each bite
d. Turn head to the left. - correct answer b. Instructing to tuck the chin when swallowing
11. A client has a comminuted fracture of T6-T7, resulting in paraplegia. The nurse educates the
client on preventing autonomic dysreflexia. Which of the following is the priority intervention in
this medical emergency?
,a. Scheduled bladder and bowel training
b. Choosing foods to prevent nausea
c. Avoiding food allergies
d. Preventing electrolyte imbalances - correct answer a. Scheduled bladder and bowel training
12. The nurse develops a care plan for a client recovering from surgery. What nursing
interventions will the nurse include to minimize the effects of venous stasis?
a. Pillows under the knee in a position of comfort
b. Sitting with feet flat on the floor
c. Early ambulation
d. Gentle leg massage - correct answer c. Early ambulation
13. The client has an order for 0.45% sodium chloride 1 liter to infuse over 15 hours. At what
rate in mL/hr would the nurse set the infusion pump? Round to the nearest whole number, do
not use a trailing zero. - correct answer 67 ml/hr
14. A client with multiple sclerosis (MS) is receiving baclofen. The nurse determines that the
drug is effective when it causes which action?
a. Induces sleep
b. Stimulates the client's appetite
c. Relieves muscular spasticity
d. Reduces the urine bacterial count - correct answer c. Relieves muscular spasticity
15. Sudden chest pain combined with dyspnea, cyanosis, and tachycardia are symptoms
associated with which of the following complications of surgery?
a. Hypovolemic shock
b. Dehiscence
c. Atelectasis
, d. Pulmonary embolus - correct answer d. Pulmonary embolus
16. A client presents to the emergency department with signs of a stroke. After a computed
tomography (CT) scan, which revealed a hemorrhage, the nurse anticipates directives for which
one of the following plans?
A. TPA administration
B. Call a code blue
C. Prep for a client surgery
D. Place the client in Trendelenburg - correct answer b. Prep for a client surgery
17. A client arrives in the emergency department with an ischemic stroke. Because the
healthcare team is considering tissue plasminogen activator (tPA), what should the nurse
perform FIRST?
a. Ask what medications the client is taking
b. Complete the history and health assessment
c. Identify the time of onset of the stroke
d. Determine if the client is scheduled for any surgical procedures - correct answer c. Identify
the time of onset of the stroke
18. The client has presented with a basilar skull fracture. While assessing the client, the nurse
notes clear drainage from the nose with a "halo sign" and is concerned about a potential
cerebrospinal fluid (CSF) leakage. What should the nurse do next?
a. Document this as serous drainage and continue to monitor the client
b. Check for the presence of glucose in the drainage and report to the provider
c. Apply an ice pack to the nasal bridge and a large, fluffy dressing.
d. Assist the client in blowing his nose to clear secretions and re-evaluate. - correct answer b.
Check for the presence of glucose in the drainage and report to the provider
26} Questions And Verified
Answers 100% Guaranteed
Pass
9. A client has a head injury and is presenting with signs and symptoms of increased intracranial
pressure. Which nursing intervention would be helpful in reducing this pressure?
a. Place the neck in a neutral position to promote venous drainage
b. Suction hourly to stimulate the cough reflex
c. Add extra blankets to keep the client warm.
d. Turn the client frequently to prevent skin impairment - correct answer a. Place the neck in a
neutral position to promote venous drainage
10. A client has recently suffered a stroke with left-sided weakness. The nurse assesses for
dysphagia, especially with thin liquids. Which nursing intervention is most helpful in assisting
this patient to swallow safely?
a. The client should avoid all liquids.
b. Instructing to tuck the chin when swallowing
c. Give sips of water with each bite
d. Turn head to the left. - correct answer b. Instructing to tuck the chin when swallowing
11. A client has a comminuted fracture of T6-T7, resulting in paraplegia. The nurse educates the
client on preventing autonomic dysreflexia. Which of the following is the priority intervention in
this medical emergency?
,a. Scheduled bladder and bowel training
b. Choosing foods to prevent nausea
c. Avoiding food allergies
d. Preventing electrolyte imbalances - correct answer a. Scheduled bladder and bowel training
12. The nurse develops a care plan for a client recovering from surgery. What nursing
interventions will the nurse include to minimize the effects of venous stasis?
a. Pillows under the knee in a position of comfort
b. Sitting with feet flat on the floor
c. Early ambulation
d. Gentle leg massage - correct answer c. Early ambulation
13. The client has an order for 0.45% sodium chloride 1 liter to infuse over 15 hours. At what
rate in mL/hr would the nurse set the infusion pump? Round to the nearest whole number, do
not use a trailing zero. - correct answer 67 ml/hr
14. A client with multiple sclerosis (MS) is receiving baclofen. The nurse determines that the
drug is effective when it causes which action?
a. Induces sleep
b. Stimulates the client's appetite
c. Relieves muscular spasticity
d. Reduces the urine bacterial count - correct answer c. Relieves muscular spasticity
15. Sudden chest pain combined with dyspnea, cyanosis, and tachycardia are symptoms
associated with which of the following complications of surgery?
a. Hypovolemic shock
b. Dehiscence
c. Atelectasis
, d. Pulmonary embolus - correct answer d. Pulmonary embolus
16. A client presents to the emergency department with signs of a stroke. After a computed
tomography (CT) scan, which revealed a hemorrhage, the nurse anticipates directives for which
one of the following plans?
A. TPA administration
B. Call a code blue
C. Prep for a client surgery
D. Place the client in Trendelenburg - correct answer b. Prep for a client surgery
17. A client arrives in the emergency department with an ischemic stroke. Because the
healthcare team is considering tissue plasminogen activator (tPA), what should the nurse
perform FIRST?
a. Ask what medications the client is taking
b. Complete the history and health assessment
c. Identify the time of onset of the stroke
d. Determine if the client is scheduled for any surgical procedures - correct answer c. Identify
the time of onset of the stroke
18. The client has presented with a basilar skull fracture. While assessing the client, the nurse
notes clear drainage from the nose with a "halo sign" and is concerned about a potential
cerebrospinal fluid (CSF) leakage. What should the nurse do next?
a. Document this as serous drainage and continue to monitor the client
b. Check for the presence of glucose in the drainage and report to the provider
c. Apply an ice pack to the nasal bridge and a large, fluffy dressing.
d. Assist the client in blowing his nose to clear secretions and re-evaluate. - correct answer b.
Check for the presence of glucose in the drainage and report to the provider
