MDC 4 Exam 2 Rasmussen LATESR WITH QUESTIONS AND CORRECT VERIFIED
ANSWERS GRADED A+
A patient comes to the ED having diminished breath sounds on his left lung and asymmetrical chest
expansion when asked to breathe. The nurse feels the patient's trachea has deviated to the right side of
the throat. What is the patient suffering from? - (answer)Pneumothorax
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.
, MDC 4 Exam 2 Rasmussen LATESR WITH QUESTIONS AND CORRECT VERIFIED
ANSWERS GRADED A+
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 nurse will be preparing to care for a newly intubated patient. What are some things she must prepare
and remember while caring for the patient? - (answer)Place ambu bag at bedside, suction PRN, switch
tube once a shift, assess respiratory status every 2 hrs, oral and mouth care every 2 hrs, wash hands,
expect orders for PPI or H2RB,
ANSWERS GRADED A+
A patient comes to the ED having diminished breath sounds on his left lung and asymmetrical chest
expansion when asked to breathe. The nurse feels the patient's trachea has deviated to the right side of
the throat. What is the patient suffering from? - (answer)Pneumothorax
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.
, MDC 4 Exam 2 Rasmussen LATESR WITH QUESTIONS AND CORRECT VERIFIED
ANSWERS GRADED A+
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 nurse will be preparing to care for a newly intubated patient. What are some things she must prepare
and remember while caring for the patient? - (answer)Place ambu bag at bedside, suction PRN, switch
tube once a shift, assess respiratory status every 2 hrs, oral and mouth care every 2 hrs, wash hands,
expect orders for PPI or H2RB,
