MDC 4 Exam 1
1. A nurse is preparing to administer heparin 3.500. units SQ every 12h. Available 5000
units/ml. How many ml should the nurse administer per dose? 0.7ml/hr
2. The client has an order for 0.45% sodium chloride 1 liter to infuse over 15 hours. At what
rate in ml/hr would the nurse set the infusion pump (nearest whole number) 67ml/hr
3. When planning care for a client with myasthenia gravis, the nurse understands that the client
is at the highest risk for which of the following?
a) Aspiration
b) Bladder dysfunction
c) Hypertension
d) Sensory loss
4. A client with Parkinson’s disease is prescribed levodopa therapy. Improvement in which area
indicates the therapy is effective?
a) Mood
b) Muscle rigidity
c) Appetite
d) Alertness
5. A client arrives at the ed with new-onset slurred speech and weakness. The nurse inquires
when the client was last seen as normal. What priority assessment information does the
health care team need to know before a stroke alert is initiated?
a) Clients’ weight
b) Glasgow coma scale
c) Blood glucose scale
d) Temperature
6. During the first 24 hours after thrombolytic treatment for an ischemic stroke, the nurse’s
primary goal is to control of the following vital signs?
a) Pulse
b) Respirations
c) Blood Pressure
d) temperature
7. The nurse is educating a client on the types of anesthesia used in surgery. Which client
statements indicate a correct understanding to the topic?
a) I am having general anesthesia, so I will be given a gas 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 the area.”
, 8. Myasthenia gravis is an autoimmune disease of the neuromuscular junction characterized by
the fluctuating weakness of certain skeletal muscle groups. The use of intravenous immune
globulin is for which response?
a) Increase anxiety and depression
b) Reduces the production of acetylcholine antibodies
c) Removes the antibodies produced by the autoimmune response
d) Increases the production of acetylcholine antibodies
9. A nurse is preparing a teaching plan for a client with migraine headaches who has been
prescribed a beta-blocker daily to help manage this disorder. Which instructions would be
appropriate to relay to this client?
a) Take this drug only when you have prodromal symptoms indicating the onset of a
migraine headache
b) Take this drug as ordered even when feelings well, to prevent vascular changes
associated with migraine headaches
c) This drug will relieve the pain during the aura phase soon after a headache has started
d) This medication is prescribed for migraines; you won’t experience any effect on your
heart rate or blood pressure.
10. Ergotamine tartrate medications are beneficial in migraine headaches due to which action?
a) Dilate cerebral blood vessels
b) Constrict cerebral blood vessels
c) Reduce neurotransmission of pain impulses
d) Enhance endorphin secretion
The nurse understands that Ergotamine medications are beneficial in migraine headaches.
11. Which medications will the nurse administer to the client who is experiencing status
epilepticus?
a) Phenobarbital
b) Lorazepam/Diazepam
c) Chlordiazepoxide
d) phenytoin
12. Sudden chest pains combined with dyspnea, cyanosis, and tachycardia are symptoms
associated with which complications?
a) Hypovolemic shock
b) Dehiscence
c) Atelectasis
d) Pulmonary embolus
13. 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 the disorder?
a) Auras are not a symptom present with migraines
b) Beta-blockers or Antiepileptic are contraindicated in clients with migraines
c) Increasing stimulating activities during an episode will help resolve the migraines
1. A nurse is preparing to administer heparin 3.500. units SQ every 12h. Available 5000
units/ml. How many ml should the nurse administer per dose? 0.7ml/hr
2. The client has an order for 0.45% sodium chloride 1 liter to infuse over 15 hours. At what
rate in ml/hr would the nurse set the infusion pump (nearest whole number) 67ml/hr
3. When planning care for a client with myasthenia gravis, the nurse understands that the client
is at the highest risk for which of the following?
a) Aspiration
b) Bladder dysfunction
c) Hypertension
d) Sensory loss
4. A client with Parkinson’s disease is prescribed levodopa therapy. Improvement in which area
indicates the therapy is effective?
a) Mood
b) Muscle rigidity
c) Appetite
d) Alertness
5. A client arrives at the ed with new-onset slurred speech and weakness. The nurse inquires
when the client was last seen as normal. What priority assessment information does the
health care team need to know before a stroke alert is initiated?
a) Clients’ weight
b) Glasgow coma scale
c) Blood glucose scale
d) Temperature
6. During the first 24 hours after thrombolytic treatment for an ischemic stroke, the nurse’s
primary goal is to control of the following vital signs?
a) Pulse
b) Respirations
c) Blood Pressure
d) temperature
7. The nurse is educating a client on the types of anesthesia used in surgery. Which client
statements indicate a correct understanding to the topic?
a) I am having general anesthesia, so I will be given a gas 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 the area.”
, 8. Myasthenia gravis is an autoimmune disease of the neuromuscular junction characterized by
the fluctuating weakness of certain skeletal muscle groups. The use of intravenous immune
globulin is for which response?
a) Increase anxiety and depression
b) Reduces the production of acetylcholine antibodies
c) Removes the antibodies produced by the autoimmune response
d) Increases the production of acetylcholine antibodies
9. A nurse is preparing a teaching plan for a client with migraine headaches who has been
prescribed a beta-blocker daily to help manage this disorder. Which instructions would be
appropriate to relay to this client?
a) Take this drug only when you have prodromal symptoms indicating the onset of a
migraine headache
b) Take this drug as ordered even when feelings well, to prevent vascular changes
associated with migraine headaches
c) This drug will relieve the pain during the aura phase soon after a headache has started
d) This medication is prescribed for migraines; you won’t experience any effect on your
heart rate or blood pressure.
10. Ergotamine tartrate medications are beneficial in migraine headaches due to which action?
a) Dilate cerebral blood vessels
b) Constrict cerebral blood vessels
c) Reduce neurotransmission of pain impulses
d) Enhance endorphin secretion
The nurse understands that Ergotamine medications are beneficial in migraine headaches.
11. Which medications will the nurse administer to the client who is experiencing status
epilepticus?
a) Phenobarbital
b) Lorazepam/Diazepam
c) Chlordiazepoxide
d) phenytoin
12. Sudden chest pains combined with dyspnea, cyanosis, and tachycardia are symptoms
associated with which complications?
a) Hypovolemic shock
b) Dehiscence
c) Atelectasis
d) Pulmonary embolus
13. 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 the disorder?
a) Auras are not a symptom present with migraines
b) Beta-blockers or Antiepileptic are contraindicated in clients with migraines
c) Increasing stimulating activities during an episode will help resolve the migraines
