Page 1 of 164
MDC4 EXAM 1 AND STUDY GUIDE NEWEST 2025 TEST
BANK| COMPLETE 450 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ (MOST RECENT!!)
During the first 24 hours after thrombolytic treatment for an ischemic
stroke, the nurse primary goal is to control which of the following vital
signs?
A. Pulse
B. Respirations
C. Blood Pressure
D. Temperature - Correct Answer -C. Blood Pressure
Before undergoing a computed tomographic (CT) scan with contrast
medium, the nurse assesses the patient for which of the following
potential complications?
A. Assess that the client is not allergic to seafood or iodine
B. Determine the clients ability to change positions frequently during the
procedure
C. Evaluate the ability to maintain 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 - Correct Answer -A. Assess that the client is not allergic to
seafood or iodine
pg. 1
,Page 2 of 164
As the result of a stroke, a patient has difficulty discerning the position
of his body without looking at it. In the nurse documentation, which
would best describe the client inability to assess the spatial position of
his body?
A. Agnosia
B. Proprioception
C. Apraxia
D. Sensation - Correct Answer -B. Proprioception
A patient with parkinsons disease is prescribed levodopa therapy.
Improvement in which area indicates the therapy is effective?
A. Mood
B. Muscle rigidity
C. Appetite
D. Alertness - Correct Answer -B. Muscle rigidity
A client presents to the ED with the inability to wrinkle her forehead or
pucker her lips. She is afraid she may be having a stroke. After a
complete workup is negative for a CVA, based on the information, what
can the patient have?
A. Trigeminal neuralgia
B. Bells palsy
C. Cerebral aneurysm
D. Epilepsy - Correct Answer -B. Bells palsy
pg. 2
,Page 3 of 164
When planning care for a client with myasthenia gravis, the nurse
understands that the client is at highest risk for which of the following?
A. Aspiration
B. Bladder dysfunction
C. Hypertension
D. Sensory loss - Correct Answer -A. Aspiration
The nurse is discussing different types of anesthesia with a group of
nursing students. The student correctly identifies which type of
anesthesia requires both inhalation and IV administrations routes?
A. General
B. Regional
C. Specific
D. Preoperative - Correct Answer -A. General
Emergency medical services arrived at the emergency department with
a. client who has a cervical spinal cord injury. Which priority assessment
foes the emergency department nurse perform at this time?
A. Level of consciousness and orientation
B. Heart rate and rythym
C. Muscle strength and reflexes
D. Respiratory status and airway patency - Correct Answer -D.
Respiratory status and airway patency
pg. 3
, Page 4 of 164
Myasthenia Gravis is an autoimmune disease in which the
neuromuscular junction characterized by the fluctuating weakness of
certain skeletal muscle groups. The use of IVIG is for which response?
A. Increase anxiety and depression
B. Reduce the productions of aCH antibodies
C. Removed the antibodies produced by the autoimmune response
D. Increased the productions of aCH antobodies - Correct Answer -D.
Increased the productions of aCH antobodies
Sudden chest pain combined with dyspnea, cyanosis and tachycardia are
symptoms associated with which of the following complications of
surgery?
A. Hypovolemic shock
B. Dehiscence
C. Atelectasis
D. Pulmonary Embolus - Correct Answer -D. Pulmonary Embolus
A client has been diagnosed with organic brain pathology. He is unable
to use words or object correctly. The nurse identifies the signs and
symptoms as which of the following?
A. Apraxia
B. Agnosia
C. Aphasia
D. Dysphagia - Correct Answer -A. Apraxia
pg. 4
MDC4 EXAM 1 AND STUDY GUIDE NEWEST 2025 TEST
BANK| COMPLETE 450 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ (MOST RECENT!!)
During the first 24 hours after thrombolytic treatment for an ischemic
stroke, the nurse primary goal is to control which of the following vital
signs?
A. Pulse
B. Respirations
C. Blood Pressure
D. Temperature - Correct Answer -C. Blood Pressure
Before undergoing a computed tomographic (CT) scan with contrast
medium, the nurse assesses the patient for which of the following
potential complications?
A. Assess that the client is not allergic to seafood or iodine
B. Determine the clients ability to change positions frequently during the
procedure
C. Evaluate the ability to maintain 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 - Correct Answer -A. Assess that the client is not allergic to
seafood or iodine
pg. 1
,Page 2 of 164
As the result of a stroke, a patient has difficulty discerning the position
of his body without looking at it. In the nurse documentation, which
would best describe the client inability to assess the spatial position of
his body?
A. Agnosia
B. Proprioception
C. Apraxia
D. Sensation - Correct Answer -B. Proprioception
A patient with parkinsons disease is prescribed levodopa therapy.
Improvement in which area indicates the therapy is effective?
A. Mood
B. Muscle rigidity
C. Appetite
D. Alertness - Correct Answer -B. Muscle rigidity
A client presents to the ED with the inability to wrinkle her forehead or
pucker her lips. She is afraid she may be having a stroke. After a
complete workup is negative for a CVA, based on the information, what
can the patient have?
A. Trigeminal neuralgia
B. Bells palsy
C. Cerebral aneurysm
D. Epilepsy - Correct Answer -B. Bells palsy
pg. 2
,Page 3 of 164
When planning care for a client with myasthenia gravis, the nurse
understands that the client is at highest risk for which of the following?
A. Aspiration
B. Bladder dysfunction
C. Hypertension
D. Sensory loss - Correct Answer -A. Aspiration
The nurse is discussing different types of anesthesia with a group of
nursing students. The student correctly identifies which type of
anesthesia requires both inhalation and IV administrations routes?
A. General
B. Regional
C. Specific
D. Preoperative - Correct Answer -A. General
Emergency medical services arrived at the emergency department with
a. client who has a cervical spinal cord injury. Which priority assessment
foes the emergency department nurse perform at this time?
A. Level of consciousness and orientation
B. Heart rate and rythym
C. Muscle strength and reflexes
D. Respiratory status and airway patency - Correct Answer -D.
Respiratory status and airway patency
pg. 3
, Page 4 of 164
Myasthenia Gravis is an autoimmune disease in which the
neuromuscular junction characterized by the fluctuating weakness of
certain skeletal muscle groups. The use of IVIG is for which response?
A. Increase anxiety and depression
B. Reduce the productions of aCH antibodies
C. Removed the antibodies produced by the autoimmune response
D. Increased the productions of aCH antobodies - Correct Answer -D.
Increased the productions of aCH antobodies
Sudden chest pain combined with dyspnea, cyanosis and tachycardia are
symptoms associated with which of the following complications of
surgery?
A. Hypovolemic shock
B. Dehiscence
C. Atelectasis
D. Pulmonary Embolus - Correct Answer -D. Pulmonary Embolus
A client has been diagnosed with organic brain pathology. He is unable
to use words or object correctly. The nurse identifies the signs and
symptoms as which of the following?
A. Apraxia
B. Agnosia
C. Aphasia
D. Dysphagia - Correct Answer -A. Apraxia
pg. 4
