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MDC 4 EXAM 2 LATEST 2025/2026 ACTUAL EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+| ||PROFESSOR VERIFIED||
||BRANDNEW!!!||
A client begins to show signs of shock. How should the client be
positioned?
a. In a prone position
b. Supine with legs elevated
c. Lithotomy position
d. High Fowler's position - ANSWER-b. Supine with legs elevated
________________________________
Shock Positioning
-Supine + legs up (mod Trendelenburg)
-↑ Venous return → ↑ CO → ↑ organ perfusion
A burn patient is brought into the emergency department with the
following burns: half of the front torso, entire left arm, and front of
both legs. The nurse should record the TBSA burns as:
a. 20% TBSA
b. 40% TBSA
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c. 36% TBSA
d. 27% TBSA - ANSWER-c. 36% TBSA
________________________________
Half torso= 9%
Entire L arm=9%
Front both legs=18%
9%+ 9%+ 18%= 36%
An older adult arrives in the emergency department after falling
off a roof. The nurse observes sucking inward of the loose chest
area during inspiration and outward movement of the same area
during expiration. Arterial blood gas results show severe
hypoxemia and hypercarbia. Which procedure does the nurse
prepare for?
a. Chest tube insertion
b. Endotracheal intubation
c. Needle thoracotomy
d. Tracheostomy - ANSWER-b. Endotracheal intubation
________________________________
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Flail Chest
S/S: CP, paradox mvmt, SOB, cyan, crepitus. ↓O₂ ↑CO₂
Dx: CXR, CT, ABG.
Tx: O₂, PEEP, mech vent, pain ctrl.
-Stabilize chest
-Correct O₂/CO₂ levels
Which of the following indicates that the fluid resuscitation for a
client with hypovolemic shock has been successful?
a. Decreased pulmonary artery wedge pressure (PAWP)
b. Normal tissue perfusion
c. Urine output of 20 mL over the last hour
d. Capillary refill of 4 seconds in the distal extremities - ANSWER-
b. Normal tissue perfusion
________________________________
Hypovolemic Shock
R: Hem, trauma, dehyd.
P: ↓Vol → ↓MAP, perf.
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S/S: ↑HR/RR, ↓BP, weak pulse, ↓UO, cool, ↑lactate/K, ↓H/H,
↓PAWP.
Dx: H/H, ABG, UO.
Tx: Airway, fluids, feet↑, mod trendel.
A nurse is assessing the fluid status of a client being treated for a
burn during the emergent phase. Which of the following is an
indicator of adequate fluid resuscitation?
a. Blood pressure 90/60 mmHg
b. Pulse 115 bpm
c. Client confusion
d. Urine output at least 30 mL/hr - ANSWER-d. Urine output at
least 30 mL/hr
________________________________
Burns (Emergent)
R: Airway compromise, hypovol.
P: Cap leak → ↓MAP, airway edema.
S/S: Hoarse, ↓UO, AMS, edema, ↑K.
Dx: ABG, COHb, CBC, lytes.
MDC 4 EXAM 2 LATEST 2025/2026 ACTUAL EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+| ||PROFESSOR VERIFIED||
||BRANDNEW!!!||
A client begins to show signs of shock. How should the client be
positioned?
a. In a prone position
b. Supine with legs elevated
c. Lithotomy position
d. High Fowler's position - ANSWER-b. Supine with legs elevated
________________________________
Shock Positioning
-Supine + legs up (mod Trendelenburg)
-↑ Venous return → ↑ CO → ↑ organ perfusion
A burn patient is brought into the emergency department with the
following burns: half of the front torso, entire left arm, and front of
both legs. The nurse should record the TBSA burns as:
a. 20% TBSA
b. 40% TBSA
,2|Page
c. 36% TBSA
d. 27% TBSA - ANSWER-c. 36% TBSA
________________________________
Half torso= 9%
Entire L arm=9%
Front both legs=18%
9%+ 9%+ 18%= 36%
An older adult arrives in the emergency department after falling
off a roof. The nurse observes sucking inward of the loose chest
area during inspiration and outward movement of the same area
during expiration. Arterial blood gas results show severe
hypoxemia and hypercarbia. Which procedure does the nurse
prepare for?
a. Chest tube insertion
b. Endotracheal intubation
c. Needle thoracotomy
d. Tracheostomy - ANSWER-b. Endotracheal intubation
________________________________
,3|Page
Flail Chest
S/S: CP, paradox mvmt, SOB, cyan, crepitus. ↓O₂ ↑CO₂
Dx: CXR, CT, ABG.
Tx: O₂, PEEP, mech vent, pain ctrl.
-Stabilize chest
-Correct O₂/CO₂ levels
Which of the following indicates that the fluid resuscitation for a
client with hypovolemic shock has been successful?
a. Decreased pulmonary artery wedge pressure (PAWP)
b. Normal tissue perfusion
c. Urine output of 20 mL over the last hour
d. Capillary refill of 4 seconds in the distal extremities - ANSWER-
b. Normal tissue perfusion
________________________________
Hypovolemic Shock
R: Hem, trauma, dehyd.
P: ↓Vol → ↓MAP, perf.
, 4|Page
S/S: ↑HR/RR, ↓BP, weak pulse, ↓UO, cool, ↑lactate/K, ↓H/H,
↓PAWP.
Dx: H/H, ABG, UO.
Tx: Airway, fluids, feet↑, mod trendel.
A nurse is assessing the fluid status of a client being treated for a
burn during the emergent phase. Which of the following is an
indicator of adequate fluid resuscitation?
a. Blood pressure 90/60 mmHg
b. Pulse 115 bpm
c. Client confusion
d. Urine output at least 30 mL/hr - ANSWER-d. Urine output at
least 30 mL/hr
________________________________
Burns (Emergent)
R: Airway compromise, hypovol.
P: Cap leak → ↓MAP, airway edema.
S/S: Hoarse, ↓UO, AMS, edema, ↑K.
Dx: ABG, COHb, CBC, lytes.
