MDC IV Exam 2 Questions With Correct
Answers
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. - CORRECT ANSWER✔✔-B. Evaluate airway and circulation.
| | | | | | |
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. - CORRECT
| | | | | | | |
ANSWER✔✔-B. Notify the physician immediately. | | | |
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) - CORRECT
| | | | | | | | | |
ANSWER✔✔-D. Possible allergic reaction to silver sulfadiazine
| | | | | | |
(Silvadene)
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 - CORRECT
| | | | | | | | |
ANSWER✔✔-A. 24-year-old male admitted with blunt chest trauma and
| | | | | | | |
aspiration
|
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?
| | | | | | | |
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." -
| | | | | | | | | | | |
CORRECT ANSWER✔✔-B. "I should eat more green leafy vegetables like
| | | | | | | | | |
spinach."
A 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 - CORRECT ANSWER✔✔-D. Opioid
| | | | | | | |
analgesic overdose |
Answers
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. - CORRECT ANSWER✔✔-B. Evaluate airway and circulation.
| | | | | | |
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. - CORRECT
| | | | | | | |
ANSWER✔✔-B. Notify the physician immediately. | | | |
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) - CORRECT
| | | | | | | | | |
ANSWER✔✔-D. Possible allergic reaction to silver sulfadiazine
| | | | | | |
(Silvadene)
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 - CORRECT
| | | | | | | | |
ANSWER✔✔-A. 24-year-old male admitted with blunt chest trauma and
| | | | | | | |
aspiration
|
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?
| | | | | | | |
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." -
| | | | | | | | | | | |
CORRECT ANSWER✔✔-B. "I should eat more green leafy vegetables like
| | | | | | | | | |
spinach."
A 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 - CORRECT ANSWER✔✔-D. Opioid
| | | | | | | |
analgesic overdose |
