Rasmussen College MDC 4 Exam
Rasmussen College MDC 4 Exam 2
Verified Questions and Answers with
Detailed Rationales |
100% Verified Answers (50 Qs - 6 or 7
SATA; 3 or 4 Dose Calc;-Trinity)
When the charge nurse is evaluating the skills of a new RN, which action by the new RN
indicated a need for further education in the care of clients with shock?
a. Placing the pulse oximeter on the ear for a client with septic shock
b. Keeping the head of the bed flat for a patient with hypovolemic shock
c. Decreasing the room temperature to 68 F for a patient with neurogenic shock
d. Increasing the nitroprusside (Nipride) infusion rate for a patient with high SVR
- Answer ✓✓c. Decreasing the room temperature to 68 F for a patient with neurogenic shock
A nurse is reviewing the health records of clients. Which client is at least risk for developing
acute respiratory distress syndrome?
a. A client who experienced a near drowning incident in freshwater
b. A client following coronary artery bypass graft surgery
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, Rasmussen College MDC 4 Exam
c. A client who has hemoglobin of 10.1 mg/dl post 1 unit PRBC
d. A client who is experiencing acute pancreatitis and vomiting
- Answer ✓✓c. A client who has hemoglobin of 10.1 mg/dl post 1 unit PRBC
A client is admitted to the emergency department with a full thickness burn to the right arm.
Upon assessment, the arm is edematous, fingers are mottled, and radial pulse is now absent.
The client states that the pain is 8 on a scale of 1 to 10. The nurse should perform which of the
following?
a. Administer morphine sulfate IV push for severe pain
b. Call the healthcare provider to report the loss of the radial pulse
c. Continue to assess the arm every hour for any additional changes
d. Instruct the client to exercise the fingers and wrist
- Answer ✓✓b. Call the healthcare provider to report the loss of the radial pulse
A nurse is teaching a client who has septic shock about the development of disseminated
intravascular coagulation. Which statement indicates the nurses correct understanding of
DIC?
a. DIC is controllable with lifelong heparin usage
b. DIC is a genetic disorder characterized by an elevated factor VII count
c. DIC is caused by abnormal coagulation involving fibrinogen
d. DIC is a genetic disorder involving a vitamin K deficiency
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, Rasmussen College MDC 4 Exam
- Answer ✓✓c. DIC is caused by abnormal coagulation involving fibrinogen
A client begins to show signs of shock. How should the client be positioned?
a. With the head lower than the body
b. Flat with legs elevated
c. High fowlers position
d. In a side lying position
- Answer ✓✓b. Flat with legs elevated
The nurse is caring for a ventilated client. Which intervention is appropriate for this client?
a. Ensure there is a manual resuscitation bag at the bedside
b. Monitor the clients pulse oximeter reading every shift
c. Assess the clients respiratory status every 8 hours
d. Turn alarm volumes down to allow the client to rest
- Answer ✓✓a. Ensure there is a manual resuscitation bag at the bedside
Which intervention will the nurse include in the plan of care for a client who has cardiogenic
shock?
a. Avoid elevating head of bed
b. Check temperature every 2 hours
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, Rasmussen College MDC 4 Exam
c. Monitor breath sounds frequently
d. Assess skin for flushing and itching
- Answer ✓✓c. Monitor breath sounds frequently
A client is being treated for distributive shock with IV norepinephrine. The nurse expects the
drug to have which effect on the clients mean arterial pressure?
a. Increased MAP with no change in vascular volume
b. Increased MAP by increasing vascular volume
c. Decreased MAP from widespread capillary leak
d. Decreased MAP by decreasing vascular volume
- Answer ✓✓a. Increased MAP with no change in vascular volume
A nurse is reviewing the health records of clients. Which client is at greatest risk for
developing acute respiratory distress syndrome and multiple organ dysfunction syndrome?
a. A client who experienced neurogenic shock
b. A client who experienced anaphylactic shock
c. A client who is experiencing septic shock
d. A client who is experiencing obstructive shock
- Answer ✓✓b. A client who experienced anaphylactic shock
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Rasmussen College MDC 4 Exam 2
Verified Questions and Answers with
Detailed Rationales |
100% Verified Answers (50 Qs - 6 or 7
SATA; 3 or 4 Dose Calc;-Trinity)
When the charge nurse is evaluating the skills of a new RN, which action by the new RN
indicated a need for further education in the care of clients with shock?
a. Placing the pulse oximeter on the ear for a client with septic shock
b. Keeping the head of the bed flat for a patient with hypovolemic shock
c. Decreasing the room temperature to 68 F for a patient with neurogenic shock
d. Increasing the nitroprusside (Nipride) infusion rate for a patient with high SVR
- Answer ✓✓c. Decreasing the room temperature to 68 F for a patient with neurogenic shock
A nurse is reviewing the health records of clients. Which client is at least risk for developing
acute respiratory distress syndrome?
a. A client who experienced a near drowning incident in freshwater
b. A client following coronary artery bypass graft surgery
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, Rasmussen College MDC 4 Exam
c. A client who has hemoglobin of 10.1 mg/dl post 1 unit PRBC
d. A client who is experiencing acute pancreatitis and vomiting
- Answer ✓✓c. A client who has hemoglobin of 10.1 mg/dl post 1 unit PRBC
A client is admitted to the emergency department with a full thickness burn to the right arm.
Upon assessment, the arm is edematous, fingers are mottled, and radial pulse is now absent.
The client states that the pain is 8 on a scale of 1 to 10. The nurse should perform which of the
following?
a. Administer morphine sulfate IV push for severe pain
b. Call the healthcare provider to report the loss of the radial pulse
c. Continue to assess the arm every hour for any additional changes
d. Instruct the client to exercise the fingers and wrist
- Answer ✓✓b. Call the healthcare provider to report the loss of the radial pulse
A nurse is teaching a client who has septic shock about the development of disseminated
intravascular coagulation. Which statement indicates the nurses correct understanding of
DIC?
a. DIC is controllable with lifelong heparin usage
b. DIC is a genetic disorder characterized by an elevated factor VII count
c. DIC is caused by abnormal coagulation involving fibrinogen
d. DIC is a genetic disorder involving a vitamin K deficiency
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, Rasmussen College MDC 4 Exam
- Answer ✓✓c. DIC is caused by abnormal coagulation involving fibrinogen
A client begins to show signs of shock. How should the client be positioned?
a. With the head lower than the body
b. Flat with legs elevated
c. High fowlers position
d. In a side lying position
- Answer ✓✓b. Flat with legs elevated
The nurse is caring for a ventilated client. Which intervention is appropriate for this client?
a. Ensure there is a manual resuscitation bag at the bedside
b. Monitor the clients pulse oximeter reading every shift
c. Assess the clients respiratory status every 8 hours
d. Turn alarm volumes down to allow the client to rest
- Answer ✓✓a. Ensure there is a manual resuscitation bag at the bedside
Which intervention will the nurse include in the plan of care for a client who has cardiogenic
shock?
a. Avoid elevating head of bed
b. Check temperature every 2 hours
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, Rasmussen College MDC 4 Exam
c. Monitor breath sounds frequently
d. Assess skin for flushing and itching
- Answer ✓✓c. Monitor breath sounds frequently
A client is being treated for distributive shock with IV norepinephrine. The nurse expects the
drug to have which effect on the clients mean arterial pressure?
a. Increased MAP with no change in vascular volume
b. Increased MAP by increasing vascular volume
c. Decreased MAP from widespread capillary leak
d. Decreased MAP by decreasing vascular volume
- Answer ✓✓a. Increased MAP with no change in vascular volume
A nurse is reviewing the health records of clients. Which client is at greatest risk for
developing acute respiratory distress syndrome and multiple organ dysfunction syndrome?
a. A client who experienced neurogenic shock
b. A client who experienced anaphylactic shock
c. A client who is experiencing septic shock
d. A client who is experiencing obstructive shock
- Answer ✓✓b. A client who experienced anaphylactic shock
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