MDC IV EXAM 2 EXAMINATION TEST FINAL
PAPER FULL SOLUTION 2026 GRADED A+.
⫸ B. Notify the physician immediately.. Answer: It has been 12 hours
since a patient has been admitted for burns to the face and neck with
associated inhalation injuries. The patient had been wheezing audibly
and the wheezing has now stopped. What nursing action is
appropriate?
A. Check the patient's Spo2 level.
B. Notify the physician immediately.
C. Re-assess breathing in 1 hour.
D. Document improvement in patient's condition.
⫸ D. Possible allergic reaction to silver sulfadiazine (Silvadene).
Answer: A patient has been receiving dressing changes with silver
sulfadiazine (Silvadene) for burn injuries over both lower arms. The
nurse notices that the patient's white blood cell count has dropped
significantly over the past 4 days. How does the nurse interpret this
finding?
A. Electrolyte imbalance
B. Infection is improving
C. Impending kidney disease
D. Possible allergic reaction to silver sulfadiazine (Silvadene)
,⫸ A. 24-year-old male admitted with blunt chest trauma and
aspiration. Answer: Which patient is at greatest risk of developing
acute respiratory distress syndrome (ARDS)?
A. 24-year-old male admitted with blunt chest trauma and aspiration
B. 56-year-old male with a history of alcohol abuse and chronic
pancreatitis
C. 72-year-old male post heart valve surgery receiving 1 unit of
packed red blood cells
D. 82-year-old female on antibiotics for pneumonia
⫸ B. "I should eat more green leafy vegetables like spinach.".
Answer: A patient is being discharged to home on warfarin
(Coumadin) therapy to manage an acute pulmonary embolism. Which
patient response indicates a need for further teaching by the nurse?
A. "I should limit my alcohol consumption."
B. "I should eat more green leafy vegetables like spinach."
C. "I should take the medication at the same time every day."
D. "I should make a doctor's appointment for weekly blood draws."
⫸ D. Opioid analgesic overdose. Answer: A patient in acute
respiratory failure is classified as having ventilatory failure. The nurse
understands that which finding is a potential cause of ventilatory
failure?
, A. Pulmonary edema
B. Hypovolemic shock
C. Pulmonary embolus
D. Opioid analgesic overdose
⫸ B. Initiate intravenous fluid resuscitation.. Answer: A 37-year-old
male is admitted with a severely abscessed tooth, BP 90/42, HR 136,
RR 28, Spo2 90% on room air, temperature 38.7º C. The nurse
suspects that the patient has developed sepsis. What is the priority
nursing intervention?
A. Insert an indwelling urinary catheter.
B. Initiate intravenous fluid resuscitation.
C. Obtain a complete chemistry for laboratory analysis.
D. Administer prescribed antibiotics prior to blood cultures.
⫸ B. Increased heart rate. Answer: When assessing a patient for
shock, the nurse knows that which symptom is the earliest
manifestation of shock?
A. Anuria
B. Increased heart rate
C. A decrease in respiratory rate and depth
D. A change in both systolic and diastolic blood pressure
PAPER FULL SOLUTION 2026 GRADED A+.
⫸ B. Notify the physician immediately.. Answer: It has been 12 hours
since a patient has been admitted for burns to the face and neck with
associated inhalation injuries. The patient had been wheezing audibly
and the wheezing has now stopped. What nursing action is
appropriate?
A. Check the patient's Spo2 level.
B. Notify the physician immediately.
C. Re-assess breathing in 1 hour.
D. Document improvement in patient's condition.
⫸ D. Possible allergic reaction to silver sulfadiazine (Silvadene).
Answer: A patient has been receiving dressing changes with silver
sulfadiazine (Silvadene) for burn injuries over both lower arms. The
nurse notices that the patient's white blood cell count has dropped
significantly over the past 4 days. How does the nurse interpret this
finding?
A. Electrolyte imbalance
B. Infection is improving
C. Impending kidney disease
D. Possible allergic reaction to silver sulfadiazine (Silvadene)
,⫸ A. 24-year-old male admitted with blunt chest trauma and
aspiration. Answer: Which patient is at greatest risk of developing
acute respiratory distress syndrome (ARDS)?
A. 24-year-old male admitted with blunt chest trauma and aspiration
B. 56-year-old male with a history of alcohol abuse and chronic
pancreatitis
C. 72-year-old male post heart valve surgery receiving 1 unit of
packed red blood cells
D. 82-year-old female on antibiotics for pneumonia
⫸ B. "I should eat more green leafy vegetables like spinach.".
Answer: A patient is being discharged to home on warfarin
(Coumadin) therapy to manage an acute pulmonary embolism. Which
patient response indicates a need for further teaching by the nurse?
A. "I should limit my alcohol consumption."
B. "I should eat more green leafy vegetables like spinach."
C. "I should take the medication at the same time every day."
D. "I should make a doctor's appointment for weekly blood draws."
⫸ D. Opioid analgesic overdose. Answer: A patient in acute
respiratory failure is classified as having ventilatory failure. The nurse
understands that which finding is a potential cause of ventilatory
failure?
, A. Pulmonary edema
B. Hypovolemic shock
C. Pulmonary embolus
D. Opioid analgesic overdose
⫸ B. Initiate intravenous fluid resuscitation.. Answer: A 37-year-old
male is admitted with a severely abscessed tooth, BP 90/42, HR 136,
RR 28, Spo2 90% on room air, temperature 38.7º C. The nurse
suspects that the patient has developed sepsis. What is the priority
nursing intervention?
A. Insert an indwelling urinary catheter.
B. Initiate intravenous fluid resuscitation.
C. Obtain a complete chemistry for laboratory analysis.
D. Administer prescribed antibiotics prior to blood cultures.
⫸ B. Increased heart rate. Answer: When assessing a patient for
shock, the nurse knows that which symptom is the earliest
manifestation of shock?
A. Anuria
B. Increased heart rate
C. A decrease in respiratory rate and depth
D. A change in both systolic and diastolic blood pressure
