MDC IV FINAL EXAM STUDY GUIDE GRADED
A+ QUESTIONS AND SOLUTIONS
◉ A provider tells the nurse that a patient is having a simple
pneumothorax. What treatment might be prescribed for the patient?
Answer: Chest Tube
◉ A provider tells the nurse that a patient is having a tension
pneumothorax. What could the nurse anticipate about how this will
be treated?
Answer: With a needle decompression thoracotomy
◉ A nurse sees a patient coming into the trauma bay with
paradoxical chest movement. What might the patient be having?
Answer: Flail Chest
◉ A provider tells the ED nurse that the patient has a flail chest.
What does the nurse anticipate will happen next for the patient?
Answer: Intubation and mechanical ventilation
◉ What is an early manifestation of hypovolemic shock?
Answer: Decreased urine output
,◉ A nurse is caring for a patient who is critically ill and has a fever,
low BP and yellowish mucus coming from the nose. What type of
shock is occurring with this patient?
Answer: Septic Shock
◉ What is the main nursing issues revolving around rib fractures?
Answer: Pain! Puncturing vasculature or organs.
◉ What can the nurse teach the patient who has had a rib fracture to
decrease pain?
Answer: Splint when coughing
◉ A nurse is caring for a patient with ARDS in the ICU. What
manifestations might she see?
Answer: Low oxygen levels that do not get better with 100% oxygen
applied, bilateral pulmonary edema that is not cardiac related,
broken glass lung appearance on the X-ray.
◉ A client ate peanuts and has an allergy to peanuts and tree nuts.
What manifestations might the nurse see upon client arrival related
to anaphylactic shock?
Answer: Stridor and angioedema
, ◉ A client is having anaphylactic shock due to a bee sting. What
medication should be given to treat this?
Answer: Epinephrine
◉ A nurse is caring for a patient with ARDS. What treatment orders
might the nurse see from the provider for the patient?
Answer: Place them prone and on PEEP
◉ What are complications of PEEP?
Answer: Pneumothorax
Low BP
◉ What is ventilator associated pneumonia?
Answer: Infection from being on the ventilator for a long time
◉ A nurse is learning about ARDS. What are the causes of ARDS?
Answer: Sepsis, Infection, burns, near drowning, trauma, shock.
◉ A client with a bone infection is getting information on ensuring
his infection does not progress into sepsis or septic shock. What
might be some risk factors of the conditions?
Answer: Infection risks, chancer, chemo, immunocompromised
states, immunosuppressants, HIV
A+ QUESTIONS AND SOLUTIONS
◉ A provider tells the nurse that a patient is having a simple
pneumothorax. What treatment might be prescribed for the patient?
Answer: Chest Tube
◉ A provider tells the nurse that a patient is having a tension
pneumothorax. What could the nurse anticipate about how this will
be treated?
Answer: With a needle decompression thoracotomy
◉ A nurse sees a patient coming into the trauma bay with
paradoxical chest movement. What might the patient be having?
Answer: Flail Chest
◉ A provider tells the ED nurse that the patient has a flail chest.
What does the nurse anticipate will happen next for the patient?
Answer: Intubation and mechanical ventilation
◉ What is an early manifestation of hypovolemic shock?
Answer: Decreased urine output
,◉ A nurse is caring for a patient who is critically ill and has a fever,
low BP and yellowish mucus coming from the nose. What type of
shock is occurring with this patient?
Answer: Septic Shock
◉ What is the main nursing issues revolving around rib fractures?
Answer: Pain! Puncturing vasculature or organs.
◉ What can the nurse teach the patient who has had a rib fracture to
decrease pain?
Answer: Splint when coughing
◉ A nurse is caring for a patient with ARDS in the ICU. What
manifestations might she see?
Answer: Low oxygen levels that do not get better with 100% oxygen
applied, bilateral pulmonary edema that is not cardiac related,
broken glass lung appearance on the X-ray.
◉ A client ate peanuts and has an allergy to peanuts and tree nuts.
What manifestations might the nurse see upon client arrival related
to anaphylactic shock?
Answer: Stridor and angioedema
, ◉ A client is having anaphylactic shock due to a bee sting. What
medication should be given to treat this?
Answer: Epinephrine
◉ A nurse is caring for a patient with ARDS. What treatment orders
might the nurse see from the provider for the patient?
Answer: Place them prone and on PEEP
◉ What are complications of PEEP?
Answer: Pneumothorax
Low BP
◉ What is ventilator associated pneumonia?
Answer: Infection from being on the ventilator for a long time
◉ A nurse is learning about ARDS. What are the causes of ARDS?
Answer: Sepsis, Infection, burns, near drowning, trauma, shock.
◉ A client with a bone infection is getting information on ensuring
his infection does not progress into sepsis or septic shock. What
might be some risk factors of the conditions?
Answer: Infection risks, chancer, chemo, immunocompromised
states, immunosuppressants, HIV
