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)
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
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
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
A+ 1
, Rasmussen College MDC 4 Exam
c. Guillain-Barre syndrome
d. Myasthenia gravis
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%
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
A
GRADE 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
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.
A+ 2
, Rasmussen College MDC 4 Exam
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."
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
C
GRADE A+!
9. During the first 24 hours after thrombolytic treatment for an ischemic stroke, the nurse's
primary goal is to control which of the following vital signs?
a. Pulse
b. Respirations
c. Blood pressure
d. Temperature
C
10. The nurse is educating a client on the types of anesthesia used in surgery. Which client
statement indicates a correct understanding?
a. "I am having general anesthesia, so I will be given a gas to 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."
A
A+ 3
, Rasmussen College MDC 4 Exam
11. A client with new-onset status epileptics is prescribed phenytoin. After teaching the client
about this treatment regimen, the nurse assesses the client's understanding. Which
statement indicates that the client understands the teaching?
a. "I must drink at least 2 liters of water daily."
b. "This will stop me from getting an aura before a seizure."
c. "I will not be able to be employed while taking this medication."
d. "Even when my seizures stop, I will take this drug."
D
12. As the result of a stroke, a client has difficulty discerning the position of his body without
looking at it. In the nurse's documentation, which would best describe the client's inability to
assess the spatial position of his body?
a. Agnosia
b. Proprioception
c. Apraxia
d. Sensation
B
13. Before undergoing a computed tomographic (CT) scan with a contrast medium, the nurse
assesses the client for which of the following potential complications?
a. Assess that the client is not allergic to seafood or iodine.
b. Determine the client's ability to change position frequently during the procedure.
c. Evaluate the ability to maintain a safe distance from the client to reduce exposure to
radiation.
d. Confirm that the client has no metal objects such as an implant or a pacemaker.
A
14. A client with Alzheimer's disease is admitted to the hospital. Which psychosocial
assessment is most important for the nurse to complete?
a. Ability to recall past events
b. Ability to perform self-care
c. Reaction to a change of environment
d. Relationship with close family members
C
A+ 4
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)
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
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
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
A+ 1
, Rasmussen College MDC 4 Exam
c. Guillain-Barre syndrome
d. Myasthenia gravis
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%
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
A
GRADE 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
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.
A+ 2
, Rasmussen College MDC 4 Exam
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."
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
C
GRADE A+!
9. During the first 24 hours after thrombolytic treatment for an ischemic stroke, the nurse's
primary goal is to control which of the following vital signs?
a. Pulse
b. Respirations
c. Blood pressure
d. Temperature
C
10. The nurse is educating a client on the types of anesthesia used in surgery. Which client
statement indicates a correct understanding?
a. "I am having general anesthesia, so I will be given a gas to 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."
A
A+ 3
, Rasmussen College MDC 4 Exam
11. A client with new-onset status epileptics is prescribed phenytoin. After teaching the client
about this treatment regimen, the nurse assesses the client's understanding. Which
statement indicates that the client understands the teaching?
a. "I must drink at least 2 liters of water daily."
b. "This will stop me from getting an aura before a seizure."
c. "I will not be able to be employed while taking this medication."
d. "Even when my seizures stop, I will take this drug."
D
12. As the result of a stroke, a client has difficulty discerning the position of his body without
looking at it. In the nurse's documentation, which would best describe the client's inability to
assess the spatial position of his body?
a. Agnosia
b. Proprioception
c. Apraxia
d. Sensation
B
13. Before undergoing a computed tomographic (CT) scan with a contrast medium, the nurse
assesses the client for which of the following potential complications?
a. Assess that the client is not allergic to seafood or iodine.
b. Determine the client's ability to change position frequently during the procedure.
c. Evaluate the ability to maintain a safe distance from the client to reduce exposure to
radiation.
d. Confirm that the client has no metal objects such as an implant or a pacemaker.
A
14. A client with Alzheimer's disease is admitted to the hospital. Which psychosocial
assessment is most important for the nurse to complete?
a. Ability to recall past events
b. Ability to perform self-care
c. Reaction to a change of environment
d. Relationship with close family members
C
A+ 4
