MDC 4 ACTUAL 2026 STUDY GUIDE QUESTIONS AND
SOLUTIONS RATED A+
✔✔60. A child has been brought to the emergency department after a motor vehicle
accident (MVA). The client has suffered traumatic injures and has no waveform on the
electroencephalogram (EEG) Glasgow Coma Score is 3. The organ procurement team
has
been notified of a potential donor. Following protocols, the nurse performs, which of the
following actions?
a. maintain perfusion and care of the client to allow the possibility of a healthy organ
harvest.
b. Discuss the surgical harvesting and donation process with the family.
c. Prepare to remove all lines and tubes to ensure a rapid transition to the OR after
expiration.
d. Remove any potentially nephrotoxic medications to preserve organ function for
possible transplant. - ✔✔a. maintain perfusion and care of the client to allow the
possibility of a healthy organ harvest.
✔✔61. A client presents to the emergency department (ED) with the inability to wrinkle
her forehead or pucker her lips. She is afraid she may be having a stroke. After a
complete clinical workup is negative for a cerebral vascular accident (CVA), the nurse
provides discharge information on which of the following disorders?
a. Trigeminal neuralgia
b. Bell's Palsy
c. cerebral aneurysm
d. Epilepsy - ✔✔b. Bell's Palsy
✔✔62. The nurse assesses a client who presents with progressive proximal to distal
muscle weakness and mild diplopia. The nurse realizes these manifestations indicate
the client most likely suffers from which peripheral nervous system disease?
a. Systemic lupus erythematosus
b. multiple sclerosis
c. Guillan- barre syndrome
d. Myasthenia gravis - ✔✔d. Myasthenia gravis
✔✔63. The nurse explains which role is responsible for verifying that the consent form
is signed and that the surgical site is marked?
a. scrub nurse
b. surgeon
c. anesthesiologist
d. circulating nurse - ✔✔d. circulating nurse
✔✔64. During the first 24 hours after thrombolytic treatment for an ischemic stroke, the
nurse's primary goal is to control which of the following vital signs?
a. pulse
, b. respirations
c. blood pressure
d. temperature - ✔✔c. blood pressure
✔✔65. The client who is to receive general anesthesia has a serum potassium level of
5.8 mEq/L.
What should be the nurse's first response?
a. Call the operating room to cancel surgery
b. Send the client to surgery
c. Make a note on the client's record
d. Notify the surgeon - ✔✔d. Notify the surgeon
✔✔66. Which of the following is true about the surgical scrub?
a. It is completed before masking and after sterile gowning and gloving.
b. It makes the skin sterile.
c. Hands are dried with a laundered towel outside the surgical suite.
d. It involves vigorous hand and lower arm scrubbing for 3-5 minutes. - ✔✔d. It involves
vigorous hand and lower arm scrubbing for 3-5 minutes.
✔✔67. A client with Alzheimer's disease is admitted to the hospital. Which psychosocial
assessment is most important for the nurse to complete?
a. Ability to recall past events
b. Ability to perform self-care
c. Reaction to a change of environment
d. Relationship with close family members - ✔✔c. Reaction to a change of environment
✔✔68. A graduate nurse is performing discharge teaching for a client newly diagnosed
with migraine headaches. Which statement made by the graduate nurse indicates a
correct understanding of this disorder?
a. Auras are not a symptom present with migraines.
b. Beta blockers are contraindicated in clients with migraines
c. Increasing stimulating activities during an episode will help resolve the
migraines.
d. Verapamil is not an abortive migraine medication but used to manage and prevent
migraines. - ✔✔d. Verapamil is not an abortive migraine medication but used to manage
and prevent migraines.
✔✔69. A client with Parkinson's disease is prescribed levodopa (l-dopa) therapy.
Improvement in which area indicates the therapy is effective?
a. Mood
b. Muscle rigidity
c. Appetite
d. Alertness - ✔✔b. Muscle rigidity
SOLUTIONS RATED A+
✔✔60. A child has been brought to the emergency department after a motor vehicle
accident (MVA). The client has suffered traumatic injures and has no waveform on the
electroencephalogram (EEG) Glasgow Coma Score is 3. The organ procurement team
has
been notified of a potential donor. Following protocols, the nurse performs, which of the
following actions?
a. maintain perfusion and care of the client to allow the possibility of a healthy organ
harvest.
b. Discuss the surgical harvesting and donation process with the family.
c. Prepare to remove all lines and tubes to ensure a rapid transition to the OR after
expiration.
d. Remove any potentially nephrotoxic medications to preserve organ function for
possible transplant. - ✔✔a. maintain perfusion and care of the client to allow the
possibility of a healthy organ harvest.
✔✔61. A client presents to the emergency department (ED) with the inability to wrinkle
her forehead or pucker her lips. She is afraid she may be having a stroke. After a
complete clinical workup is negative for a cerebral vascular accident (CVA), the nurse
provides discharge information on which of the following disorders?
a. Trigeminal neuralgia
b. Bell's Palsy
c. cerebral aneurysm
d. Epilepsy - ✔✔b. Bell's Palsy
✔✔62. The nurse assesses a client who presents with progressive proximal to distal
muscle weakness and mild diplopia. The nurse realizes these manifestations indicate
the client most likely suffers from which peripheral nervous system disease?
a. Systemic lupus erythematosus
b. multiple sclerosis
c. Guillan- barre syndrome
d. Myasthenia gravis - ✔✔d. Myasthenia gravis
✔✔63. The nurse explains which role is responsible for verifying that the consent form
is signed and that the surgical site is marked?
a. scrub nurse
b. surgeon
c. anesthesiologist
d. circulating nurse - ✔✔d. circulating nurse
✔✔64. During the first 24 hours after thrombolytic treatment for an ischemic stroke, the
nurse's primary goal is to control which of the following vital signs?
a. pulse
, b. respirations
c. blood pressure
d. temperature - ✔✔c. blood pressure
✔✔65. The client who is to receive general anesthesia has a serum potassium level of
5.8 mEq/L.
What should be the nurse's first response?
a. Call the operating room to cancel surgery
b. Send the client to surgery
c. Make a note on the client's record
d. Notify the surgeon - ✔✔d. Notify the surgeon
✔✔66. Which of the following is true about the surgical scrub?
a. It is completed before masking and after sterile gowning and gloving.
b. It makes the skin sterile.
c. Hands are dried with a laundered towel outside the surgical suite.
d. It involves vigorous hand and lower arm scrubbing for 3-5 minutes. - ✔✔d. It involves
vigorous hand and lower arm scrubbing for 3-5 minutes.
✔✔67. A client with Alzheimer's disease is admitted to the hospital. Which psychosocial
assessment is most important for the nurse to complete?
a. Ability to recall past events
b. Ability to perform self-care
c. Reaction to a change of environment
d. Relationship with close family members - ✔✔c. Reaction to a change of environment
✔✔68. A graduate nurse is performing discharge teaching for a client newly diagnosed
with migraine headaches. Which statement made by the graduate nurse indicates a
correct understanding of this disorder?
a. Auras are not a symptom present with migraines.
b. Beta blockers are contraindicated in clients with migraines
c. Increasing stimulating activities during an episode will help resolve the
migraines.
d. Verapamil is not an abortive migraine medication but used to manage and prevent
migraines. - ✔✔d. Verapamil is not an abortive migraine medication but used to manage
and prevent migraines.
✔✔69. A client with Parkinson's disease is prescribed levodopa (l-dopa) therapy.
Improvement in which area indicates the therapy is effective?
a. Mood
b. Muscle rigidity
c. Appetite
d. Alertness - ✔✔b. Muscle rigidity
