Page 1 of 141
MDC4 FINAL EXAM AND PRACTICE EXAM NEWEST 2025
TEST BANK| COMPLETE 500 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
GRADED A+| MDC4 FINAL EXAM PREP (MOST RECENT!!)
A patient, age 23, has a comminuted fracture of T6-T7. She has a spinal
cord injury resulting in paraplegia. She manifests signs and symptoms of
autonomic dysreflexia, which is frequently triggered by
a. Bladder distention
b. Nausea
c. Food allergies
d. Electrolyte imbalance - Correct Answer -a. Bladder distention
The nurse clarifies that the difference between regional anesthesia and
procedural sedation anesthesia is that procedural sedation anesthesia
uses:
a. IV sedation and regional anesthesia
b. general anesthesia and IV sedation
c. alternative medicine herbs and regional anesthesia
d. IV sedation and local anesthesia - Correct Answer -a. IV sedation and
regional anesthesia
The patient, injured in an automobile accident, is being evaluated in the
emergency department for possible head injury. Which test should not be
done if there is an indication of increased intracranial pressure?
pg. 1
,Page 2 of 141
a. CT scan
b. MRI scan
c. Lumbar puncture
d. Electroencephalogram - Correct Answer -c. Lumbar puncture
A patient has a history of tonic-clonic seizures. She was admitted to the
neurological unit after having had three tonicclonic seizures in the past 2
days. Her husband reported that she had been sleeping for long periods
after each seizure. The nurse explains to him that this rest period after a
tonic-clonic seizure is called a
a. convalescent period
b. post-status epilepticus period
c. post-tonic-clonic period
d. postictal period - Correct Answer -d. postictal period
The client with a C-6 spinal cord injury (SCI) comes to the emergency
department complaining of a throbbing headache and has a BP of
200/120. Which intervention should the nurse implement first?
a. Place the client on a telemetry unit
b. Complete a neurological assessment
c. Insert an indwelling urinary catheter
d. Request a STAT CT scan on the head - Correct Answer -c. Insert an
indwelling urinary catheter
pg. 2
,Page 3 of 141
A patient, age 52, is brought to the emergency department by ambulance
after she hit her head on her bathroom sink and fell unconscious to the
floor. Which assessment should the nurse perform first?
a. History of health problems
b. Patency of airway
c. Neurological status
d. Status of bodily functions - Correct Answer -b. Patency of airway
A patient has been injured in a motorcycle accident and is presenting
with signs and symptoms of increased intracranial pressure. What is the
most significant sign or symptom of increased intracranial pressure?
a. Pupil changes
b. Ipsilateral paralysis
c. Vomiting
d. Decrease in the level of consciousness - Correct Answer -d. Decrease
in the level of consciousness
A patient has been diagnosed with organic brain pathology. He is
presenting with signs and symptoms of total or partial loss of the ability
to recognize familiar objects or people through sensory stimulation. This
condition is called?
a. Apraxia
b. Agnosia
c. Aphasia
pg. 3
, Page 4 of 141
d. Dysphagia - Correct Answer -b. Agnosia
Myasthenia gravis (MG) is an autoimmune disease of the neuromuscular
junction characterized by the fluctuating weakness of certain skeletal
muscle groups. The use of intravenous immune globulin
a. increases anxiety and depression
b. reduces the production of acetylcholine antibodies
c. removes the antibodies produced by the autoimmune response
d. increases the production of acetylcholine antibodies - Correct Answer
-b. reduces the production of acetylcholine antibodies
As the result of a stroke, a patient has difficulty discerning the position
of his body without looking at it. In the nurse's documentation, which
would best describe the patient's inability to assess spatial position of his
body?
a. Agnosia
b. Proprioception
c. Apraxia
d. Sensation - Correct Answer -b. Proprioception
Which body system would the nurse choose to closely monitor in a
patient diagnosed with Guillain-Barré syndrome?
a. CNS
b. GI
pg. 4
MDC4 FINAL EXAM AND PRACTICE EXAM NEWEST 2025
TEST BANK| COMPLETE 500 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
GRADED A+| MDC4 FINAL EXAM PREP (MOST RECENT!!)
A patient, age 23, has a comminuted fracture of T6-T7. She has a spinal
cord injury resulting in paraplegia. She manifests signs and symptoms of
autonomic dysreflexia, which is frequently triggered by
a. Bladder distention
b. Nausea
c. Food allergies
d. Electrolyte imbalance - Correct Answer -a. Bladder distention
The nurse clarifies that the difference between regional anesthesia and
procedural sedation anesthesia is that procedural sedation anesthesia
uses:
a. IV sedation and regional anesthesia
b. general anesthesia and IV sedation
c. alternative medicine herbs and regional anesthesia
d. IV sedation and local anesthesia - Correct Answer -a. IV sedation and
regional anesthesia
The patient, injured in an automobile accident, is being evaluated in the
emergency department for possible head injury. Which test should not be
done if there is an indication of increased intracranial pressure?
pg. 1
,Page 2 of 141
a. CT scan
b. MRI scan
c. Lumbar puncture
d. Electroencephalogram - Correct Answer -c. Lumbar puncture
A patient has a history of tonic-clonic seizures. She was admitted to the
neurological unit after having had three tonicclonic seizures in the past 2
days. Her husband reported that she had been sleeping for long periods
after each seizure. The nurse explains to him that this rest period after a
tonic-clonic seizure is called a
a. convalescent period
b. post-status epilepticus period
c. post-tonic-clonic period
d. postictal period - Correct Answer -d. postictal period
The client with a C-6 spinal cord injury (SCI) comes to the emergency
department complaining of a throbbing headache and has a BP of
200/120. Which intervention should the nurse implement first?
a. Place the client on a telemetry unit
b. Complete a neurological assessment
c. Insert an indwelling urinary catheter
d. Request a STAT CT scan on the head - Correct Answer -c. Insert an
indwelling urinary catheter
pg. 2
,Page 3 of 141
A patient, age 52, is brought to the emergency department by ambulance
after she hit her head on her bathroom sink and fell unconscious to the
floor. Which assessment should the nurse perform first?
a. History of health problems
b. Patency of airway
c. Neurological status
d. Status of bodily functions - Correct Answer -b. Patency of airway
A patient has been injured in a motorcycle accident and is presenting
with signs and symptoms of increased intracranial pressure. What is the
most significant sign or symptom of increased intracranial pressure?
a. Pupil changes
b. Ipsilateral paralysis
c. Vomiting
d. Decrease in the level of consciousness - Correct Answer -d. Decrease
in the level of consciousness
A patient has been diagnosed with organic brain pathology. He is
presenting with signs and symptoms of total or partial loss of the ability
to recognize familiar objects or people through sensory stimulation. This
condition is called?
a. Apraxia
b. Agnosia
c. Aphasia
pg. 3
, Page 4 of 141
d. Dysphagia - Correct Answer -b. Agnosia
Myasthenia gravis (MG) is an autoimmune disease of the neuromuscular
junction characterized by the fluctuating weakness of certain skeletal
muscle groups. The use of intravenous immune globulin
a. increases anxiety and depression
b. reduces the production of acetylcholine antibodies
c. removes the antibodies produced by the autoimmune response
d. increases the production of acetylcholine antibodies - Correct Answer
-b. reduces the production of acetylcholine antibodies
As the result of a stroke, a patient has difficulty discerning the position
of his body without looking at it. In the nurse's documentation, which
would best describe the patient's inability to assess spatial position of his
body?
a. Agnosia
b. Proprioception
c. Apraxia
d. Sensation - Correct Answer -b. Proprioception
Which body system would the nurse choose to closely monitor in a
patient diagnosed with Guillain-Barré syndrome?
a. CNS
b. GI
pg. 4
