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MDC 4 Final Exam Newest 2025/2026 Complete 100
Questions And Correct Detailed Answers (Verified Answers)
|Already Graded A+||Brand New Version!!
An emergency department nurse is assessing a client who has
sustained a blunt injury to the chest wall. Which of these signs
would indicate the presence of a pneumothorax in this client? -
ANSWER- diminished breath sounds
The nurse is orienting a new nurse to the pediatric intensive care
unit and discussing the care of a client recovering from
drowning. Which statement by the new nurse accurately
demonstrates an understanding of this condition? - ANSWER-
Drowning results in the collapse of alveoli and pulmonary
edema
When the nurse is assessing victims in an emergency situation,
what is the priority to assess? - ANSWER- Hemorrhage
The nurse has given instructions to the client with Parkinson's
disease about maintaining mobility. The nurse determines that
the client understands the directions if the clients states that he
or she will: - ANSWER- Rock back and forth to start movement
with bradykinesia
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An elderly man was found unresponsive in his home and unable
to give a history of any contributing events. The nurse
recognizes the man's skin color of "cherry red" as a sign that he
has suffered from? - ANSWER- carbon monoxide poisoning
A nurse is assessing a client's surgical incision for signs of
infection. Which finding by the nurse is interpreted as a normal
finding at the surgical site? - ANSWER- serious drainage
The client recovering from a head injury is arousable and
participating in care. The nurse determines that the client
understands measures to prevent elevations in intracranial
pressure if the nurse observes the client doing which of the
following activities? - ANSWER- Exhaling during repositioning
A client has experienced a pulmonary embolism. A nurse
assesses for which most commonly reported symptoms? -
ANSWER- Chest pain that occurs suddenly
A 56-year-old client comes to the triage area with left-sided
chest pain, diaphoresis, and dizziness, with an oxygen saturation
of 88% on room air. What is the priority action? - ANSWER-
administer O2 via nasal cannula
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A client is on intravenous heparin to treat a pulmonary
embolism. The client's most recent partial thromboplastin time
(PTT) was 25 seconds. What order should the nurse anticipate? -
ANSWER- increase heparin rate
The nurse is assessing a client for the adequacy of ventilation.
What assessment findings would indicate the client has good
ventilation? (SATA) - ANSWER- -The oxygen saturation level
is 98%
-Nail bed are pink with good capillary refill
- There is a presence of quiet, effortless breath sounds at lung
bases bilaterally
A client with a head injury regains consciousness after several
days. When the client first awakes, What should the nurse say to
the client? - ANSWER- You are in the hospital. You were in an
accident and unconscious
The nurse cautions that when cooling down a victim of
heatstroke, one must be careful to prevent shivering because
shivering can cause which of the following? - ANSWER-
increase in temperature
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For which event would the hospital's disaster plan typically be
activated? - ANSWER- explosion at a chemical factory
The nurse comes upon a car accident while driving home from
work. Which of the following may be included in the nurse's
primary survey of injury? (SATA) - ANSWER- - assess LOC
- remove clothing soaked with gasoline
- apply tourniquet proximal to an actively bleeding open tibia
fracture
The nurse is caring for an elderly client who has suffered from a
myocardial infarction. The nurse identifies the need for vigilant
monitoring against which form of shock in this client? -
ANSWER- cardiogenic shock
The nurse in the emergency department is using a triage system
because this system ranks clients by what? - ANSWER- severity
of illness or injury
The experienced nurse is teaching a new nurse about hospital
emergency plans and personal emergency preparedness. Which
statement by the new nurse indicates a need for further teaching?
MDC 4 Final Exam Newest 2025/2026 Complete 100
Questions And Correct Detailed Answers (Verified Answers)
|Already Graded A+||Brand New Version!!
An emergency department nurse is assessing a client who has
sustained a blunt injury to the chest wall. Which of these signs
would indicate the presence of a pneumothorax in this client? -
ANSWER- diminished breath sounds
The nurse is orienting a new nurse to the pediatric intensive care
unit and discussing the care of a client recovering from
drowning. Which statement by the new nurse accurately
demonstrates an understanding of this condition? - ANSWER-
Drowning results in the collapse of alveoli and pulmonary
edema
When the nurse is assessing victims in an emergency situation,
what is the priority to assess? - ANSWER- Hemorrhage
The nurse has given instructions to the client with Parkinson's
disease about maintaining mobility. The nurse determines that
the client understands the directions if the clients states that he
or she will: - ANSWER- Rock back and forth to start movement
with bradykinesia
,2|Page
An elderly man was found unresponsive in his home and unable
to give a history of any contributing events. The nurse
recognizes the man's skin color of "cherry red" as a sign that he
has suffered from? - ANSWER- carbon monoxide poisoning
A nurse is assessing a client's surgical incision for signs of
infection. Which finding by the nurse is interpreted as a normal
finding at the surgical site? - ANSWER- serious drainage
The client recovering from a head injury is arousable and
participating in care. The nurse determines that the client
understands measures to prevent elevations in intracranial
pressure if the nurse observes the client doing which of the
following activities? - ANSWER- Exhaling during repositioning
A client has experienced a pulmonary embolism. A nurse
assesses for which most commonly reported symptoms? -
ANSWER- Chest pain that occurs suddenly
A 56-year-old client comes to the triage area with left-sided
chest pain, diaphoresis, and dizziness, with an oxygen saturation
of 88% on room air. What is the priority action? - ANSWER-
administer O2 via nasal cannula
,3|Page
A client is on intravenous heparin to treat a pulmonary
embolism. The client's most recent partial thromboplastin time
(PTT) was 25 seconds. What order should the nurse anticipate? -
ANSWER- increase heparin rate
The nurse is assessing a client for the adequacy of ventilation.
What assessment findings would indicate the client has good
ventilation? (SATA) - ANSWER- -The oxygen saturation level
is 98%
-Nail bed are pink with good capillary refill
- There is a presence of quiet, effortless breath sounds at lung
bases bilaterally
A client with a head injury regains consciousness after several
days. When the client first awakes, What should the nurse say to
the client? - ANSWER- You are in the hospital. You were in an
accident and unconscious
The nurse cautions that when cooling down a victim of
heatstroke, one must be careful to prevent shivering because
shivering can cause which of the following? - ANSWER-
increase in temperature
, 4|Page
For which event would the hospital's disaster plan typically be
activated? - ANSWER- explosion at a chemical factory
The nurse comes upon a car accident while driving home from
work. Which of the following may be included in the nurse's
primary survey of injury? (SATA) - ANSWER- - assess LOC
- remove clothing soaked with gasoline
- apply tourniquet proximal to an actively bleeding open tibia
fracture
The nurse is caring for an elderly client who has suffered from a
myocardial infarction. The nurse identifies the need for vigilant
monitoring against which form of shock in this client? -
ANSWER- cardiogenic shock
The nurse in the emergency department is using a triage system
because this system ranks clients by what? - ANSWER- severity
of illness or injury
The experienced nurse is teaching a new nurse about hospital
emergency plans and personal emergency preparedness. Which
statement by the new nurse indicates a need for further teaching?
