MDC 4 Exam 2 Newest 2025/2026 Complete 100 Questions
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When assessing a client who has suffered a burn injury, the
nurse classifies the burn as a superficial partial-thickness burn
based on observing which characteristics?
a. Painful, reddened skin
b. Charred skin with milky-white areas
c. Erythema and blisters
d. Erythema, pain, and swelling
c. Erythema and blisters
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Superficial Partial Burn
Layers: Epidermis + partial dermis
S/S: Redness, blisters, moist, pain
Heal: 1-2 wks, minimal scar
A client is receiving warfarin after a pulmonary embolism (PE).
The nurse evaluates the lab results and notifies the physician that
the client’s warfarin level is therapeutic when which of the
following numbers is reported?
a. International normalized ratio (INR) 1:1
b. Partial thromboplastin time (PTT) 24 seconds
c. International normalized ratio (INR) 2.8
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d. Prothrombin time (PT) 14 seconds
c. International normalized ratio (INR) 2.8
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INR: 0.8-1.2 (on warfarin: 2.0-3.0; high-risk: 2.5-3.5)
A nurse is reviewing the health records of clients. Which client
is at least at risk for developing acute respiratory distress
syndrome (ARDS)?
a. A client following coronary artery bypass graft surgery
b. A client who experienced a near-drowning incident in
freshwater
c. A client who is experiencing acute pancreatitis and vomiting
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d. A client who has hemoglobin of 10.1mg/dL post 1 unit PRBC
d. A client who has hemoglobin of 10.1mg/dL post 1 unit PRBC
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ARDS Risks:
Direct: Aspiration, drowning, pneumonia
Indirect: Sepsis, trauma, pancreatitis, major surg
Hgb 10.1= ↑ O₂ capacity, no ARDS risk
After receiving reports of four clients, the nurse determines the
order of care of the clients. Based on the report, the nurse will
prioritize the clients to see which one first?