MDC 4 Exam 1 Newest 2025/2026 Complete 150 Questions
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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
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
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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
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
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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
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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.
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