MDC 4 CERTIFICATION EVALUATION
QUESTIONS AND CORRECT ANSWERS
PRACTICE PACK
●● 6. A client's neurological status deteriorates over hours, and a
craniotomy is performed to
evacuate a hematoma. Which nursing intervention is indicated to help
decrease the threat of increased intracranial pressure?
a. Elevate the head of the bed 30 degrees
b. Cluster nursing interventions to provide uninterrupted periods of rest
c. Teach the client to cough and deep breathe to prevent the necessity for
suctioning
d. Teach the client to hold his breath and bear down while repositioning
in bed.
Answer: a. Elevate the head of the bed 30 degrees
●● 7. A client presents to the emergency room with complaints of
bilateral lower extremity loss of sensation that started in the feet but has
now progressed to the knees and hips. The nurse interprets these
symptoms to indicate an immediate workup for which of the following
diseases?
a. Myasthenia gravis
b. Simple, partial seizure
c. Guillain-Barre Syndrome
,d. Cerebrovascular accident
Answer: c. Guillain-Barre Syndrome
●● 8. The charge nurse is obtaining the client's signature on a surgical
consent form. The client
states, I didn't really understand what my surgeon explained, but I trust
him completely, which response by the charge nurse is correct?
a. I need to contact your surgeon so your questions can be answered
b. I can answer any questions that you might have regarding your
surgery.
c. As long as you are comfortable, then you may sign the consent form.
d. Maybe you should call your surgeon to be sure it is okay to sign the
consent.
Answer: a. I need to contact your surgeon so your questions can be
answered
●● 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
,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.
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
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
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.
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
Answer: c. Relieves muscular spasticity
QUESTIONS AND CORRECT ANSWERS
PRACTICE PACK
●● 6. A client's neurological status deteriorates over hours, and a
craniotomy is performed to
evacuate a hematoma. Which nursing intervention is indicated to help
decrease the threat of increased intracranial pressure?
a. Elevate the head of the bed 30 degrees
b. Cluster nursing interventions to provide uninterrupted periods of rest
c. Teach the client to cough and deep breathe to prevent the necessity for
suctioning
d. Teach the client to hold his breath and bear down while repositioning
in bed.
Answer: a. Elevate the head of the bed 30 degrees
●● 7. A client presents to the emergency room with complaints of
bilateral lower extremity loss of sensation that started in the feet but has
now progressed to the knees and hips. The nurse interprets these
symptoms to indicate an immediate workup for which of the following
diseases?
a. Myasthenia gravis
b. Simple, partial seizure
c. Guillain-Barre Syndrome
,d. Cerebrovascular accident
Answer: c. Guillain-Barre Syndrome
●● 8. The charge nurse is obtaining the client's signature on a surgical
consent form. The client
states, I didn't really understand what my surgeon explained, but I trust
him completely, which response by the charge nurse is correct?
a. I need to contact your surgeon so your questions can be answered
b. I can answer any questions that you might have regarding your
surgery.
c. As long as you are comfortable, then you may sign the consent form.
d. Maybe you should call your surgeon to be sure it is okay to sign the
consent.
Answer: a. I need to contact your surgeon so your questions can be
answered
●● 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
,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.
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
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
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.
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
Answer: c. Relieves muscular spasticity
