MDC4 FINAL EXPECTED QUESTIONS WITH VERIFIED
ANSWERS
Question 1.
Preoperative EEG (electroencephalogram), the teaching focuses on
ANSWER
preparing the patient to get accurate brain wave readings
Question 2.
Applying a clients dressing for a burn patient with an ordered topi- cal antibiotic ointment, what
should you perform when administering the medication? SATA
ANSWER
i. Hand hygiene and sterile technique.
ii. Remove old dressing and debride necrotic tissue as ordered.
iii. Apply thin, even layer of topical (silver sulfadiazine, bacitracin).
iv. Cover with sterile non-adherent dressing.
Question 3.
DOSAGE 2
ANSWER
26
Question 4.
Constant bubbling in the water seal chamber. What is the problem?
ANSWER
air leak
,Question 5.
An immunocompromised
65-year-old client has developed a urinary tract infection, and the care team recognizes the need to
prevent an exacerbation of the client's infection that could result in urosepsis and septic shock. Which
action should the nurse perform to reduce the client's risk of septic shock?
ANSWER
Remove invasive devices as soon as they are no longer needed.
Question 6.
A patient with TBI in the ICU requires maintenance of adequate cerebral perfusion pressure. What
nursing action is most appropriate?
ANSWER
Administer hypertonic saline
Question 7.
Patient had a stroke 24 hours ago, has expressive aphasia what are appropriate nursing interventions
to help the patient communicate
ANSWER
i. Use simple yes/no questions.
ii. Allow time for responses.
iii. Use communication boards or writing if able. Encourage gestures.
iv. Collaborate with speech therapy.
Question 8.
BURN 1
ANSWER
27
Question 9.
Patient with chronic illness and malnutrition is admitted with septic shock, high risk for MODS. What
action decreases progression?
ANSWER
Strict infection control + early antibiotics + nutritional support
, Question 10.
A patient is brought by ambulance to the ED after suffering what the family thinks is a stroke. The
nurse caring for this patient is aware that an absolute contraindication for thrombolytic therapy is
what?
ANSWER
Evidence of hemorrhagic stroke
Question 11.
A patient with possible septic shock has normal BP, tachycardia, decreased bowel sounds, and cold
clammy skin. What stage is this?
ANSWER
Compensatory
Question 12.
A nurse is caring for a patient receiving a norepinephrine infusion. Which adverse effects should the
nurse closely monitor for?
ANSWER
Bradycardia, hypertension, and peripheral ischemia
Question 13.
The nurse is caring for a client who is known to be at risk for cardio- genic embolic strokes. What
arrhythmia does this client most likely have.
ANSWER
Atrial fibrillation
Question 14.
DOSAGE 1
ANSWER
31
ANSWERS
Question 1.
Preoperative EEG (electroencephalogram), the teaching focuses on
ANSWER
preparing the patient to get accurate brain wave readings
Question 2.
Applying a clients dressing for a burn patient with an ordered topi- cal antibiotic ointment, what
should you perform when administering the medication? SATA
ANSWER
i. Hand hygiene and sterile technique.
ii. Remove old dressing and debride necrotic tissue as ordered.
iii. Apply thin, even layer of topical (silver sulfadiazine, bacitracin).
iv. Cover with sterile non-adherent dressing.
Question 3.
DOSAGE 2
ANSWER
26
Question 4.
Constant bubbling in the water seal chamber. What is the problem?
ANSWER
air leak
,Question 5.
An immunocompromised
65-year-old client has developed a urinary tract infection, and the care team recognizes the need to
prevent an exacerbation of the client's infection that could result in urosepsis and septic shock. Which
action should the nurse perform to reduce the client's risk of septic shock?
ANSWER
Remove invasive devices as soon as they are no longer needed.
Question 6.
A patient with TBI in the ICU requires maintenance of adequate cerebral perfusion pressure. What
nursing action is most appropriate?
ANSWER
Administer hypertonic saline
Question 7.
Patient had a stroke 24 hours ago, has expressive aphasia what are appropriate nursing interventions
to help the patient communicate
ANSWER
i. Use simple yes/no questions.
ii. Allow time for responses.
iii. Use communication boards or writing if able. Encourage gestures.
iv. Collaborate with speech therapy.
Question 8.
BURN 1
ANSWER
27
Question 9.
Patient with chronic illness and malnutrition is admitted with septic shock, high risk for MODS. What
action decreases progression?
ANSWER
Strict infection control + early antibiotics + nutritional support
, Question 10.
A patient is brought by ambulance to the ED after suffering what the family thinks is a stroke. The
nurse caring for this patient is aware that an absolute contraindication for thrombolytic therapy is
what?
ANSWER
Evidence of hemorrhagic stroke
Question 11.
A patient with possible septic shock has normal BP, tachycardia, decreased bowel sounds, and cold
clammy skin. What stage is this?
ANSWER
Compensatory
Question 12.
A nurse is caring for a patient receiving a norepinephrine infusion. Which adverse effects should the
nurse closely monitor for?
ANSWER
Bradycardia, hypertension, and peripheral ischemia
Question 13.
The nurse is caring for a client who is known to be at risk for cardio- genic embolic strokes. What
arrhythmia does this client most likely have.
ANSWER
Atrial fibrillation
Question 14.
DOSAGE 1
ANSWER
31
