MDC IV Exam 2 [latest 2025-
26} Questions And Answers
100%Guaranteed Pass
B. Evaluate airway and circulation. - correct answerThe nurse is caring for a patient who is
admitted to the ED with burns to the lower legs and hands. During the initial management,
what is the priority nursing care?
A. Assess and treat pain.
B. Evaluate airway and circulation.
C. Place two IV catheters and initiate fluid resuscitation.
D. Use the rule of nines to estimate percent of body surface area burned.
B. Notify the physician immediately. - correct answerIt has been 12 hours since a patient has
been admitted for burns to the face and neck with associated inhalation injuries. The patient
had been wheezing audibly and the wheezing has now stopped. What nursing action is
appropriate?
A. Check the patient's Spo2 level.
B. Notify the physician immediately.
C. Re-assess breathing in 1 hour.
D. Document improvement in patient's condition.
D. Possible allergic reaction to silver sulfadiazine (Silvadene) - correct answerA patient has been
receiving dressing changes with silver sulfadiazine (Silvadene) for burn injuries over both lower
,arms. The nurse notices that the patient's white blood cell count has dropped significantly over
the past 4 days. How does the nurse interpret this finding?
A. Electrolyte imbalance
B. Infection is improving
C. Impending kidney disease
D. Possible allergic reaction to silver sulfadiazine (Silvadene)
A. 24-year-old male admitted with blunt chest trauma and aspiration - correct answerWhich
patient is at greatest risk of developing acute respiratory distress syndrome (ARDS)?
A. 24-year-old male admitted with blunt chest trauma and aspiration
B. 56-year-old male with a history of alcohol abuse and chronic pancreatitis
C. 72-year-old male post heart valve surgery receiving 1 unit of packed red blood cells
D. 82-year-old female on antibiotics for pneumonia
B. "I should eat more green leafy vegetables like spinach." - correct answerA patient is being
discharged to home on warfarin (Coumadin) therapy to manage an acute pulmonary embolism.
Which patient response indicates a need for further teaching by the nurse?
A. "I should limit my alcohol consumption."
B. "I should eat more green leafy vegetables like spinach."
C. "I should take the medication at the same time every day."
D. "I should make a doctor's appointment for weekly blood draws."
D. Opioid analgesic overdose - correct answerA patient in acute respiratory failure is classified
as having ventilatory failure. The nurse understands that which finding is a potential cause of
ventilatory failure?
, A. Pulmonary edema
B. Hypovolemic shock
C. Pulmonary embolus
D. Opioid analgesic overdose
B. Initiate intravenous fluid resuscitation. - correct answerA 37-year-old male is admitted with a
severely abscessed tooth, BP 90/42, HR 136, RR 28, Spo2 90% on room air, temperature 38.7º C.
The nurse suspects that the patient has developed sepsis. What is the priority nursing
intervention?
A. Insert an indwelling urinary catheter.
B. Initiate intravenous fluid resuscitation.
C. Obtain a complete chemistry for laboratory analysis.
D. Administer prescribed antibiotics prior to blood cultures.
B. Increased heart rate - correct answerWhen assessing a patient for shock, the nurse knows
that which symptom is the earliest manifestation of shock?
A. Anuria
B. Increased heart rate
C. A decrease in respiratory rate and depth
D. A change in both systolic and diastolic blood pressure
D. Bleeding, oozing from IV sites - correct answerWhich clinical manifestations does the nurse
recognize that indicates worsening in the condition of a patient in the refractory phase of
shock?
26} Questions And Answers
100%Guaranteed Pass
B. Evaluate airway and circulation. - correct answerThe nurse is caring for a patient who is
admitted to the ED with burns to the lower legs and hands. During the initial management,
what is the priority nursing care?
A. Assess and treat pain.
B. Evaluate airway and circulation.
C. Place two IV catheters and initiate fluid resuscitation.
D. Use the rule of nines to estimate percent of body surface area burned.
B. Notify the physician immediately. - correct answerIt has been 12 hours since a patient has
been admitted for burns to the face and neck with associated inhalation injuries. The patient
had been wheezing audibly and the wheezing has now stopped. What nursing action is
appropriate?
A. Check the patient's Spo2 level.
B. Notify the physician immediately.
C. Re-assess breathing in 1 hour.
D. Document improvement in patient's condition.
D. Possible allergic reaction to silver sulfadiazine (Silvadene) - correct answerA patient has been
receiving dressing changes with silver sulfadiazine (Silvadene) for burn injuries over both lower
,arms. The nurse notices that the patient's white blood cell count has dropped significantly over
the past 4 days. How does the nurse interpret this finding?
A. Electrolyte imbalance
B. Infection is improving
C. Impending kidney disease
D. Possible allergic reaction to silver sulfadiazine (Silvadene)
A. 24-year-old male admitted with blunt chest trauma and aspiration - correct answerWhich
patient is at greatest risk of developing acute respiratory distress syndrome (ARDS)?
A. 24-year-old male admitted with blunt chest trauma and aspiration
B. 56-year-old male with a history of alcohol abuse and chronic pancreatitis
C. 72-year-old male post heart valve surgery receiving 1 unit of packed red blood cells
D. 82-year-old female on antibiotics for pneumonia
B. "I should eat more green leafy vegetables like spinach." - correct answerA patient is being
discharged to home on warfarin (Coumadin) therapy to manage an acute pulmonary embolism.
Which patient response indicates a need for further teaching by the nurse?
A. "I should limit my alcohol consumption."
B. "I should eat more green leafy vegetables like spinach."
C. "I should take the medication at the same time every day."
D. "I should make a doctor's appointment for weekly blood draws."
D. Opioid analgesic overdose - correct answerA patient in acute respiratory failure is classified
as having ventilatory failure. The nurse understands that which finding is a potential cause of
ventilatory failure?
, A. Pulmonary edema
B. Hypovolemic shock
C. Pulmonary embolus
D. Opioid analgesic overdose
B. Initiate intravenous fluid resuscitation. - correct answerA 37-year-old male is admitted with a
severely abscessed tooth, BP 90/42, HR 136, RR 28, Spo2 90% on room air, temperature 38.7º C.
The nurse suspects that the patient has developed sepsis. What is the priority nursing
intervention?
A. Insert an indwelling urinary catheter.
B. Initiate intravenous fluid resuscitation.
C. Obtain a complete chemistry for laboratory analysis.
D. Administer prescribed antibiotics prior to blood cultures.
B. Increased heart rate - correct answerWhen assessing a patient for shock, the nurse knows
that which symptom is the earliest manifestation of shock?
A. Anuria
B. Increased heart rate
C. A decrease in respiratory rate and depth
D. A change in both systolic and diastolic blood pressure
D. Bleeding, oozing from IV sites - correct answerWhich clinical manifestations does the nurse
recognize that indicates worsening in the condition of a patient in the refractory phase of
shock?
