MDC IV Exam 2 Comprehensive
Questions (Frequently Tested) with
Verified Answers Graded A+
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,1. It 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.
B. Notify the physician immediately.
2. The 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. Evaluate airway and circulation.
3. A 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)
D. Possible allergic reaction to silver sulfadiazine (Silvadene)
4. A 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. Initiate intravenous fluid resuscitation.
5. When 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
B. Increased heart rate
6. Which 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
A. 24-year-old male admitted with blunt chest trauma and aspiration
7. A 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?
Questions (Frequently Tested) with
Verified Answers Graded A+
Professional Academic Assistance Services
Services Offered
• Proctored Exam Assistance
• Online Class Management (Full Course Support)
• Exam Preparation & Study Materials
• Assignments and Coursework Support
• Essay and Research Paper Writing
• Discussion Posts & Responses
• Editing and Proofreading
• Confidential Academic Consultation
Contact Information
Email:
WhatsApp link: https://wa.me/254704846336
Fast Response | Confidential | Reliable Academic Support
Helping Students Achieve Academic Excellence
,1. It 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.
B. Notify the physician immediately.
2. The 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. Evaluate airway and circulation.
3. A 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)
D. Possible allergic reaction to silver sulfadiazine (Silvadene)
4. A 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. Initiate intravenous fluid resuscitation.
5. When 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
B. Increased heart rate
6. Which 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
A. 24-year-old male admitted with blunt chest trauma and aspiration
7. A 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?
