NUR 2755 MDC4 Final Exam Guide 2023/2024 Questions and Answers.

NUR 2755 MDC4 Final Exam Guide 2023/2024 Questions and Answers. 1. A 56-year-old client comes to the triage area with le8-sided chest pain, diaphoresis, and dizziness, with an oxygen saturaon of 88% on room air. What is the priority acon? A. Nofy the emergency department physician. B. Establish IV access. C. Administer oxygen via nasal cannula. D. Place the client on connuous electrocardiographic monitoring. 2. The nurse is evaluang pre-admission laboratory studies, including a complete blood count, coagulaon studies, and electrolytes and creanine levels. Which of the following laboratory results should be reported to the surgeon's office knowing that it could cause the surgery to be postponed? A. Serum creanine, 0.8 mg/dL. B. Hemoglobin, 14.8 g/dL. C. Sodium, 141 mEq/L. D. Platelets, 40,000/mm3. 3. A client is receiving warfarin a8er pulmonary embolisms (PE). The nurse evaluates the lab results and nofies the physician that the client's warfarin level is therapeu,c when which of the following is reported? A. Internaonal Normalized Rao (INR) 1.1. B. Paral thromboplasn me (PTT) 24 seconds. C. Internaonal normalized rao (INR) 2.8. D. Prothrombin me (PT) 14 seconds. 4. A nurse is caring for a client suspected of having heatstroke. Which findings are consistent with this diagnosis? Select all that apply. A. Tachypnea. B. Decreased urinary output. C. Hallucinaons. D. Bradycardia. E. Dysrhythmias. NUR 2755 MDC4 Final Exam Guide 2023/2024 Questions and Answers. 5. A nurse prepares to administer intravenous pantoprazole to a client who has a new burn injury. The client asks "Why am I taking this medicaon?" How should the nurse respond? A. Pantoprazole protects the kidneys from damage caused by dehydraon. B. It improves fluid retenon, which helps prevent hypovolemic shock. C. It helps prevent stomach ulcers, which are common in burns. D. Pantoprozaloe smulates intesnal movement so you can eat more. 6. A client's blood pressure reading is 104/50 mm Hg. A8er determining the mean arterial pressure, the nurse understands the client is at risk for which of the following complicaons? A. Increase in organ perfusion. B. Increased stroke volume. C. Decrease in cardiac output. D. Rebound hypertension. 7. The client is admiced to the hospital with a diagnosis of Guillian-Barre syndrome. During the nursing admission interview, the nurse inquires if the client has a history of which of the following? A. Meningis during the last five years. B. Respiratory or gastrointesnal infecon during the previous month. C. Seizures or trauma to the brain. D. Back injury or trauma to the spinal cord. 8. Following a stroke, a client has dysphagia and le8-side paralysis. Which feeding technique will be most helpful at this me? A. Feed the client a so8 diet from a spoon into the le8 side of the mouth. B. Posion the client with the bed at a 30 degree angle. C. Offer solid foods from the unaffected side of the mouth. D. Encourage sipping diluted liquid meal supplements from a straw. 9. A client with a chest injury has suffered a flail chest. A nurse assesses the client for which most disncve sign of flail chest? A. Cyanosis. B. Hypertension. C. Dyspnea, especially on exhalaon. D. Paradoxical chest movement. 10. A nurse is triaging clients in the emergency department, which client would the nurse classify as urgent? A. A 79-year-old with a temperature of 104 F (40 C). B. A 50-year-old with chest trauma and absent breath sounds. C. A 44-year old with chest pain and diaphoresis. D. A 62-year old with a simple fracture of the le8 arm. 11. A nurse is reviewing the health records of six clients. Which of the following clients are at risk for developing acute respiratory distress syndrome? (Select all that apply) A. A client who experienced sepsis. B. A client who experienced a stroke with aspiraon. C. A client who experienced an inhalaon burn. D. A client who experienced a near-drowning incident. E. A client who experienced blunt force trauma. F. A client who experienced a pulmonary contusion. 12. A nurse is caring for an elderly client who has suffered from a myocardial infarcon. The nurse idenfies the need for vigilant monitoring against which form of shock? A. Sepc shock. B. Hypovolemic shock. C. Cardiogenic shock. D. Obstrucve shock. 13. A client has accidentally received twice the normal dose of medicaon that was administered on the previous shi8. What should the nurse who discovers the error do next? A. Call the person who made the error and request that an incident report be completed. B. Call the healthcare provider (HCP) to obtain a prescripon for addional intravenous fluids to dilutethe drug. C. Administer a drug andote per standing prescripon. D. Assess the client, and note any changes in condion. 14. The nurse assesses a client with drainage from the nose following a basilar skull fracture. Which evaluaon by the nurse helps posively idenfy the drainage as cerebrospinal fluid? A. The fluid is clear and tests negave for glucose. B. The fluid is grossly bloody in appearance and has a pH of 6. C. The fluid clumps together on the dressing and has a pH of 7. D. The fluid separates into concentric rings and tests posive for glucose. 15. A nurse wants to become part of a Disaster Medical Assistance Team (DMAT) but is concerned about maintaining licensure in several states. Which statement best addresses these concerns? A. The government has a program for quick licensure acvaon wherever you are deployed. B. During a me of crisis, licensure issues would not be the government's priority concern. C. If you are deployed, you will be issued a temporary license in the state in which you are working. D. Deployed DMAT providers are federal employees, so their licenses are good in all 50 states. 16. A nurse in monitoring the status of a postoperave client. Which of the following clinical manifestaons would the nurse be most concerned with in a postoperave client? A. Decreased level of consciousness (LOC). B. Blood pressure of 128/80 mm Hg. C. Hyperacve bowel sounds in all four quadrants. D. A pulse of 86 beats/min.