MDC 4 ACTUAL 2026 TEST PAPER QUESTIONS AND
SOLUTIONS RATED A+
✔✔40. Hey client is admitted to the neurological unit after having had three tonic-clonic
seizures in the past two days. Her husband reported that she had been sleeping for
long periods after each
seizure. The nurse explains to him that this rest period after a tonic-clonic seizure is
which of the following?
a. Convalescent. Convulsant.
b. Post status epilepticus period
c. Post tonic clonic period
d. postictal period - ✔✔d. postictal period
✔✔41. The three components of Cushing's response (triad) are of the following? Select
all that apply
a. decreased blood pressure
b. widened pulse pressure
c. Bradycardia
d. increased systolic blood pressure
e. uncontrolled thermal regulation - ✔✔b. widened pulse pressure
c. Bradycardia
d. increased systolic blood pressure
✔✔42. A client with new onset status epilepticus is prescribed phenytoin. Ever teaching
the client about this treatment regimen , the nurse assesses the client's understanding.
Which statement indicates that the client understands the teaching?
a. I must drink at least 2 liters of water daily
b. this will stop me from getting an aura before a seizure
c. I will not be able to be employed while taking this medication
d. even when my seizures stop, I will take this drug. - ✔✔d. even when my seizures
stop, I will take this drug.
✔✔43. C: Chart the clients level of consciousness as coma - ✔✔Glascow Score of of 7
generally indicates coma
✔✔44. A nurse is providing teaching to a class about transient ischemic attacks (TIAs).
Which information should the nurse include in the teaching?
a. A TIA can cause irreversible hemiparesis
b. A TIA can be the result of cerebral bleeding
c. A TIA can cause cerebral edema
d. A TIA can precede an ischemic stroke - ✔✔d. A TIA can precede an ischemic stroke
✔✔45. The nurse enters a room and witnesses a client experiencing a seizure. What is
the nurse's priority actions?
a. Establish a large-bore catheter and start 0.9% sodium chloride
, b. Start the client on 8L of oxygen via non-rebreather mask
c. Place the client in the supine, left-lateral position
d. Remove items that may cause client injury - ✔✔c. Place the client in the supine, left-
lateral position
✔✔46. A nurse is developing a care plan for a client with bacterial meningitis. Which of
the following interventions will reduce the risk of increased intracranial pressure?
a. Initiate seizure precautions per facility protocol
b. Assess glasgow Coma scale once per shift
c. Keep the head of the bed elevated as high as tolerated
d. Start 0.9% normal saline at 75 ml/hr via peripheral IV - ✔✔c. Keep the head of the
bed elevated as high as tolerated
✔✔47. Which of the following statements by your client's son indicate the need for
further teaching when using patient controlled analgesia (PCA)?
a. The medication is flowing through my mothers intravenous line
b. I can push the button for my mother if she is too drowsy
c. My mother or I should notify the nurse if her pain is uncontrolled while using the PCA
d. My mother will push the PCA button when she is experiencing increased pain - ✔✔b.
I can push the button for my mother if she is too drowsy
✔✔48. In preparing the client for abdominal surgery, the nurse delegates which tasks to
the unlicensed assistive personnel? (Select all that apply)
a. Vital signs
b. Insertions of nasogastric tube (NGT)
c. Height and weight
d. Obtain operative consent
e. Sterile gowning - ✔✔a. Vital signs
c. Height and weight
✔✔49. The nurse is educating a client on the types of anesthesia used in surgery.
Which client statement indicates a correct understanding of the topic?
a. I am having general anesthesia, so I will be given gas to breathe and medication in
my IV
b. I may still be aware of what's happening with general anesthesia
c. An epidural is used for general anesthesia
d. When I had my skin cancer removed on my leg, the doctor used general anesthesia
to numb this area. - ✔✔a. I am having general anesthesia, so I will be given gas to
breathe and medication in my IV
✔✔50. A client has been admitted to the neurological department because of seizures
of unknown cause. Which of the following is the priority intervention?
a. Placing the client in protective restaurants
b. Being sure padded side rails are present
c. Suggesting that the family monitor the client
SOLUTIONS RATED A+
✔✔40. Hey client is admitted to the neurological unit after having had three tonic-clonic
seizures in the past two days. Her husband reported that she had been sleeping for
long periods after each
seizure. The nurse explains to him that this rest period after a tonic-clonic seizure is
which of the following?
a. Convalescent. Convulsant.
b. Post status epilepticus period
c. Post tonic clonic period
d. postictal period - ✔✔d. postictal period
✔✔41. The three components of Cushing's response (triad) are of the following? Select
all that apply
a. decreased blood pressure
b. widened pulse pressure
c. Bradycardia
d. increased systolic blood pressure
e. uncontrolled thermal regulation - ✔✔b. widened pulse pressure
c. Bradycardia
d. increased systolic blood pressure
✔✔42. A client with new onset status epilepticus is prescribed phenytoin. Ever teaching
the client about this treatment regimen , the nurse assesses the client's understanding.
Which statement indicates that the client understands the teaching?
a. I must drink at least 2 liters of water daily
b. this will stop me from getting an aura before a seizure
c. I will not be able to be employed while taking this medication
d. even when my seizures stop, I will take this drug. - ✔✔d. even when my seizures
stop, I will take this drug.
✔✔43. C: Chart the clients level of consciousness as coma - ✔✔Glascow Score of of 7
generally indicates coma
✔✔44. A nurse is providing teaching to a class about transient ischemic attacks (TIAs).
Which information should the nurse include in the teaching?
a. A TIA can cause irreversible hemiparesis
b. A TIA can be the result of cerebral bleeding
c. A TIA can cause cerebral edema
d. A TIA can precede an ischemic stroke - ✔✔d. A TIA can precede an ischemic stroke
✔✔45. The nurse enters a room and witnesses a client experiencing a seizure. What is
the nurse's priority actions?
a. Establish a large-bore catheter and start 0.9% sodium chloride
, b. Start the client on 8L of oxygen via non-rebreather mask
c. Place the client in the supine, left-lateral position
d. Remove items that may cause client injury - ✔✔c. Place the client in the supine, left-
lateral position
✔✔46. A nurse is developing a care plan for a client with bacterial meningitis. Which of
the following interventions will reduce the risk of increased intracranial pressure?
a. Initiate seizure precautions per facility protocol
b. Assess glasgow Coma scale once per shift
c. Keep the head of the bed elevated as high as tolerated
d. Start 0.9% normal saline at 75 ml/hr via peripheral IV - ✔✔c. Keep the head of the
bed elevated as high as tolerated
✔✔47. Which of the following statements by your client's son indicate the need for
further teaching when using patient controlled analgesia (PCA)?
a. The medication is flowing through my mothers intravenous line
b. I can push the button for my mother if she is too drowsy
c. My mother or I should notify the nurse if her pain is uncontrolled while using the PCA
d. My mother will push the PCA button when she is experiencing increased pain - ✔✔b.
I can push the button for my mother if she is too drowsy
✔✔48. In preparing the client for abdominal surgery, the nurse delegates which tasks to
the unlicensed assistive personnel? (Select all that apply)
a. Vital signs
b. Insertions of nasogastric tube (NGT)
c. Height and weight
d. Obtain operative consent
e. Sterile gowning - ✔✔a. Vital signs
c. Height and weight
✔✔49. The nurse is educating a client on the types of anesthesia used in surgery.
Which client statement indicates a correct understanding of the topic?
a. I am having general anesthesia, so I will be given gas to breathe and medication in
my IV
b. I may still be aware of what's happening with general anesthesia
c. An epidural is used for general anesthesia
d. When I had my skin cancer removed on my leg, the doctor used general anesthesia
to numb this area. - ✔✔a. I am having general anesthesia, so I will be given gas to
breathe and medication in my IV
✔✔50. A client has been admitted to the neurological department because of seizures
of unknown cause. Which of the following is the priority intervention?
a. Placing the client in protective restaurants
b. Being sure padded side rails are present
c. Suggesting that the family monitor the client
