NUR 2755 MDC4 CERTIFICATION SCRIPT
2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◍ how to prevent hypertrophic scars after a burn.
Answer: compression/pressure garments
◍ pneumothorax.
Answer: air in the pleural cavity causing lung collapse
◍ flail chest.
Answer: chest trauma caused by fracture to 3 or more ribs, causing a free
floating segment and loss of chest wall stabilityparadoxical respirations
◍ 1600-Client has decreased level of consciousness Client is somewhat
restless and irritable Client is not answering questions appropriately and is
only alert to person at this time. Client is reporting a new headache but
unable to rate. The nurse suspects the client’s new symptoms are related to
which of the following?.
Answer: The patient is experiencing increased intracranial pressure
◍ full thickness burns damage:.
Answer: reach through entire dermis and into subcutaneous fatthe skin
cannot heal on its own
◍ what will you see on assessment of someone with atelectasis.
Answer: increased work of breathing hypoxemiadecreased breath
soundscracklesinfiltrates or consolidation on xray
◍ A client presents with a history of seizures and is scheduled for an EE
G. The nurse notes that the client consumed coffee and cola prior to the test.
What is the nurse’s best next action?.
, Answer: Inform the healthcare provider and discuss the possibility of
postponing the EEG
◍ what are the three zones of injury for each burned area.
Answer: innermost area: zone of coagulationmiddle area: zone of
stasisoutermost area: zone of hyperemia
◍ ventilator asynchrony s&s.
Answer: tachypneaaccessory muscle useanxiety"fighting the ventilator"
◍ A patient with a traumatic brain injury (TBI) is exhibiting signs of increased
intracranial pressure (ICP). How should you apply evidence-based care to
prioritize this patient’s needs?.
Answer: Position the head of bed at thirty degrees to promote venous
drainage.
◍ ventilator asynchrony.
Answer: occurs when ventilator breaths do not match patient effort
◍ a pt has a new onset cough and fever on day 5 of hospital stay, what is
likely.
Answer: HAP
◍ what should you teach pts to keep their water temp at.
Answer: below 120 degrees F
◍ A nurse is educating a client on signs of infection to watch for after surgery.
Which sign should the nurse emphasize?.
Answer: Redness and warmth at the incision site
◍ what can cause pleural effusion.
Answer: bacterial pneumonialung abscessbronchiectasiscould be a
complication of other disease- cancer, acute lung injury, ARDsempyema
◍ Which of the following are this client’s risk factors for ischemic stroke?
Select all that apply.
Answer: -Hypertension -Smoking -Hyperlipidemia -Atrial fibrillation
◍ key indicators of hypercapnic resp failure.
, Answer: altered mental statusflushed skinbounding pulsesHA from cerebral
vasodilationelevated PaCO2 >50resp acidosis (ph<7.35)
◍ A client is admitted to the emergency department reporting severe
abdominal pain and vomiting “coffee-ground” like emesis. The client is
diagnosed with a perforated gastric ulcer and is informed that they need
surgery. When can the client most likely anticipate that the surgery will be
scheduled?.
Answer: Without delay (Emergency)
◍ A client with a supratentorial lesion is exhibiting early signs of increased
intracranial pressure. Which assessment finding would require immediate
intervention?.
Answer: Pupillary changes and impaired extraocular movements.
◍ A client in the post-anesthesia care unit (PACU) is recovering from
abdominal surgery and begins to exhibit signs of hypopharyngeal
obstruction. What should the nurse do first?.
Answer: Perform a head-tilt chin-lift maneuver to open the airway
◍ Client with history of hypertension, hyperlipidemia, atrial fibrillation,
hypothyroid, and smoking 1 pack per day for 30 years experiences sudden
onset of left-sided weakness one hour prior to arriving to the emergency
department. Left facial droop is noted with slurred speech. The client is
noted to have tachycardia with an irregular rhythm. The client is to be
evaluated in the emergency department for cerebrovascular accident versus
transient ischemic attack. 1000-12-lead EKG prescribed and performed
showing atrial fibrillation 1015-IV labetalol is administered. 1030-Head CT
confirms ischemic stroke and rules out any evidence of bleeding.0900
198/94 118 20 99.2 F 98% RA 1045 175/90 110 18 99.2 F 98% RABased
on the evaluation and diagnostic test results, which of the following
interventions does the nurse determine to be a priority?.
Answer: Intravenous alteplase
◍ ARDS tx.
Answer: prone positioning (when severe)elevate HOBmechanical
2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◍ how to prevent hypertrophic scars after a burn.
Answer: compression/pressure garments
◍ pneumothorax.
Answer: air in the pleural cavity causing lung collapse
◍ flail chest.
Answer: chest trauma caused by fracture to 3 or more ribs, causing a free
floating segment and loss of chest wall stabilityparadoxical respirations
◍ 1600-Client has decreased level of consciousness Client is somewhat
restless and irritable Client is not answering questions appropriately and is
only alert to person at this time. Client is reporting a new headache but
unable to rate. The nurse suspects the client’s new symptoms are related to
which of the following?.
Answer: The patient is experiencing increased intracranial pressure
◍ full thickness burns damage:.
Answer: reach through entire dermis and into subcutaneous fatthe skin
cannot heal on its own
◍ what will you see on assessment of someone with atelectasis.
Answer: increased work of breathing hypoxemiadecreased breath
soundscracklesinfiltrates or consolidation on xray
◍ A client presents with a history of seizures and is scheduled for an EE
G. The nurse notes that the client consumed coffee and cola prior to the test.
What is the nurse’s best next action?.
, Answer: Inform the healthcare provider and discuss the possibility of
postponing the EEG
◍ what are the three zones of injury for each burned area.
Answer: innermost area: zone of coagulationmiddle area: zone of
stasisoutermost area: zone of hyperemia
◍ ventilator asynchrony s&s.
Answer: tachypneaaccessory muscle useanxiety"fighting the ventilator"
◍ A patient with a traumatic brain injury (TBI) is exhibiting signs of increased
intracranial pressure (ICP). How should you apply evidence-based care to
prioritize this patient’s needs?.
Answer: Position the head of bed at thirty degrees to promote venous
drainage.
◍ ventilator asynchrony.
Answer: occurs when ventilator breaths do not match patient effort
◍ a pt has a new onset cough and fever on day 5 of hospital stay, what is
likely.
Answer: HAP
◍ what should you teach pts to keep their water temp at.
Answer: below 120 degrees F
◍ A nurse is educating a client on signs of infection to watch for after surgery.
Which sign should the nurse emphasize?.
Answer: Redness and warmth at the incision site
◍ what can cause pleural effusion.
Answer: bacterial pneumonialung abscessbronchiectasiscould be a
complication of other disease- cancer, acute lung injury, ARDsempyema
◍ Which of the following are this client’s risk factors for ischemic stroke?
Select all that apply.
Answer: -Hypertension -Smoking -Hyperlipidemia -Atrial fibrillation
◍ key indicators of hypercapnic resp failure.
, Answer: altered mental statusflushed skinbounding pulsesHA from cerebral
vasodilationelevated PaCO2 >50resp acidosis (ph<7.35)
◍ A client is admitted to the emergency department reporting severe
abdominal pain and vomiting “coffee-ground” like emesis. The client is
diagnosed with a perforated gastric ulcer and is informed that they need
surgery. When can the client most likely anticipate that the surgery will be
scheduled?.
Answer: Without delay (Emergency)
◍ A client with a supratentorial lesion is exhibiting early signs of increased
intracranial pressure. Which assessment finding would require immediate
intervention?.
Answer: Pupillary changes and impaired extraocular movements.
◍ A client in the post-anesthesia care unit (PACU) is recovering from
abdominal surgery and begins to exhibit signs of hypopharyngeal
obstruction. What should the nurse do first?.
Answer: Perform a head-tilt chin-lift maneuver to open the airway
◍ Client with history of hypertension, hyperlipidemia, atrial fibrillation,
hypothyroid, and smoking 1 pack per day for 30 years experiences sudden
onset of left-sided weakness one hour prior to arriving to the emergency
department. Left facial droop is noted with slurred speech. The client is
noted to have tachycardia with an irregular rhythm. The client is to be
evaluated in the emergency department for cerebrovascular accident versus
transient ischemic attack. 1000-12-lead EKG prescribed and performed
showing atrial fibrillation 1015-IV labetalol is administered. 1030-Head CT
confirms ischemic stroke and rules out any evidence of bleeding.0900
198/94 118 20 99.2 F 98% RA 1045 175/90 110 18 99.2 F 98% RABased
on the evaluation and diagnostic test results, which of the following
interventions does the nurse determine to be a priority?.
Answer: Intravenous alteplase
◍ ARDS tx.
Answer: prone positioning (when severe)elevate HOBmechanical
