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MDC 4 Exam 1 Review A and B combined Comprehensive Questions (Frequently Tested) and Complete Solutions Graded A+

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MDC 4 Exam 1 Review A and B combined Comprehensive Questions (Frequently Tested) and Complete Solutions Graded A+

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MDC 4 Exam 1 Review A and B
combined Comprehensive
Questions (Frequently Tested) and
Complete Solutions Graded A+
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,1. A client has been in a MVC and presents with signs and symptoms of
increased intracranial pressure. What is the most significant sign or
symptoms in increased ICP?

a. Pupil changes

b. Ipsilateral paralysis

c. Vomiting

d. Decrease in LOC - Answer: D



2. A client has recently suffered a stroke with left-sided weakness. A
nurse assesses for dysphagia, especially with thin liquids. Which nursing
intervention is most helpful in assessing this client to swallow safely?

a. The client should avoid all liquids

b. Instructing to tuck the chin when swallowing

c. Give sips of water with each bite

d. Turn head to the left - Answer: B



3. A nurse assesses a 27 y.o. female client who presents with muscle
weakness and decreased muscle coordination over the past few
months. What nervous system disease is she most likely suffering from?

a. Systemic lupus erythematous

b. Multiple sclerosis

c. Guillain-Barre syndrome

,d. Myasthenia gravis - Answer: B



4. During an assessment of a recent seizure client, the nurse interprets
which finding is congruent with the postictal state?

a. The clients motor function is returning to baseline

b. The client states there is a visible aura

c. The client has brief jerking of the extremities

d. The client O2 saturation is 80% - Answer: A



5. The client has a head injury and is presenting with signs and
symptoms of increased ICP. Which nursing intervention would be
helpful in reducing this pressure?

a. Place the neck in a neutral position to promote venous drainage

b. Suction hourly to stimulate the cough reflex

c. Add extra blankets to keep the client warm

d. Turn the client frequently to prevent skin impairment - Answer: A



6. A client injured in an MVA is being evaluated at the emergency
department for a possible head injury. Which test should NOT be done
if there is indication of increased ICP?

a. CT Scan

, b. MRI Scan

c. Lumbar Puncture

d. Electroencephalogram - Answer: C



7. The nurse is obtaining a health history for a 45-year-old woman with
Guillain-Barré syndrome (GBS). Which statement by the client does the
nurse correlate with the client's diagnosis?

a. "I have a history of a cardiac dysrhythmia.

b. "I just got over the flu a couple of weeks ago, and now this."

c. "My neighbor also has Guillain-Barré syndrome."

d. "I am an artist and work with oil paints." - Answer: B



8. A client arrives in the emergency department with an ischemic
stroke. Because the healthcare team is considering administering tissue
plasminogen activator (t-PA), what should the nurse perform first?

a. Ask what medications the client is taking

b. Complete the history and health assessment

c. Identify the time of onset of the stroke

Determine if the client is scheduled for any surgical procedures -
Answer: C

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