MDC4 EXAM 2025/2026 QUESTIONS AND
ANSWERS 100% PASS
Which of the following describes the process of initial surveillance of victims injury severity
when administering first aid in an emergency situation?
The Good Samaritan law
an emergency interview
Triage
taking vital signs - ANS Triage
The nurse reminds a group of certified nursing assistants (CNA) that for a client with an
elevated temperature, the quickest and simplest technique to reduce a temperature is Which
of the following?
Apply cool wash cloth to forehead
bathe in tepid water
C. remove clothing and bed linen
give chilled drinks- don't want to give them drinks cuz they could aspirate - ANS C. remove
clothing and bed linen
Which time of the day should the nurse encourage a client with Parkinson's disease to schedule
the most demanding physical activities to minimize the effects of hypokinesia?
early in the morning when the clients energy level is high
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
,to coincide with the peak action of drug therapy - ANS to coincide with the peak action of
drug therapy
A client with multiple sclerosis(MS) is receiving baclofen. The nurse determines that the drug is
effective with which of the following outcomes
A. Induces sleep
B. stimulatestheclient'sappetite
C. relieve muscular spasticity
D. reduces the urine bacterial count - ANS C. relieve muscular spasticity
The nurse is caring for several clients on the Burn Unit who have sustained extensive tissue
damage. The nurse should monitor for which electrolyte imbalance that is typical associated
with the initial third spacing fluid shift?
A. Hypercalcemia
B. Hypernatremia
C. Hyperkalemia
D. Hypokalemia - ANS C. Hyperkalemia
The nurse is assessing a client with multiple traumas who is at risk for developing acute
respiratory distress syndrome(ARDS). the nurse assesses for which earliest sign ofacute
respiratory distress syndrome?
A. Bilateral wheezing
B. inspiratory crackles
C. intercostalretractions
D. increased respiratory rate - ANS D. increased respiratory rate
An emergency department charge nurse notes an increase in sick calls and bickering among the
staff after a week with multiple trauma incidents. What action would the nurse take?
Organize a pizza party for each shift
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
, Remind the staff of the facilities sick leave policy
Arrange for critical incident stress debriefing
Talk individually with staff members - ANS Arrange for critical incident stress debriefing
The nurse is assessing a client for decorticate posturing. What should the nurse assess the client
for?
A. Internal rotation and adduction of arms with flexion of elbows, wrists, and fingers
B. Back hunched over and rigid flexion of all four extremities with supination of arms and
plantar flexion of feet
C. Supination of arms and dorsiflexion of the feet
D. Back arched and rigid extension of all four extremities - ANS A. Internal rotation and
adduction of arms with flexion of elbows, wrists, and fingers
A client with a serious head injury with increased intracranial pressure is to be discharged to a
rehabilitation facility. Which outcome of rehab would be appropriate for the client? The client
will:
A. Exhibit no further episodes of short-term memory loss
B. Be able to return to his construction job in 3 weeks
C. Actively participate in the rehabilitation process as appropriate
D. Be emotionally stable and display preinjury personality traits - ANS C. Actively participate
in the rehabilitation process as appropriate
Which findings will the nurse observe in the client in the ictal phase of generalized tonic-clonic
seizure?
Jerking in one extremity that spreads gradually to adjacent areas
Vacant staring and abruptly ceasing all activity
Facial grimaces, patting motions, and lip-smacking
Loss of consciousness, body stiffening, and violent muscle contractions - ANS Loss of
consciousness, body stiffening, and violent muscle contractions
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
ANSWERS 100% PASS
Which of the following describes the process of initial surveillance of victims injury severity
when administering first aid in an emergency situation?
The Good Samaritan law
an emergency interview
Triage
taking vital signs - ANS Triage
The nurse reminds a group of certified nursing assistants (CNA) that for a client with an
elevated temperature, the quickest and simplest technique to reduce a temperature is Which
of the following?
Apply cool wash cloth to forehead
bathe in tepid water
C. remove clothing and bed linen
give chilled drinks- don't want to give them drinks cuz they could aspirate - ANS C. remove
clothing and bed linen
Which time of the day should the nurse encourage a client with Parkinson's disease to schedule
the most demanding physical activities to minimize the effects of hypokinesia?
early in the morning when the clients energy level is high
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
,to coincide with the peak action of drug therapy - ANS to coincide with the peak action of
drug therapy
A client with multiple sclerosis(MS) is receiving baclofen. The nurse determines that the drug is
effective with which of the following outcomes
A. Induces sleep
B. stimulatestheclient'sappetite
C. relieve muscular spasticity
D. reduces the urine bacterial count - ANS C. relieve muscular spasticity
The nurse is caring for several clients on the Burn Unit who have sustained extensive tissue
damage. The nurse should monitor for which electrolyte imbalance that is typical associated
with the initial third spacing fluid shift?
A. Hypercalcemia
B. Hypernatremia
C. Hyperkalemia
D. Hypokalemia - ANS C. Hyperkalemia
The nurse is assessing a client with multiple traumas who is at risk for developing acute
respiratory distress syndrome(ARDS). the nurse assesses for which earliest sign ofacute
respiratory distress syndrome?
A. Bilateral wheezing
B. inspiratory crackles
C. intercostalretractions
D. increased respiratory rate - ANS D. increased respiratory rate
An emergency department charge nurse notes an increase in sick calls and bickering among the
staff after a week with multiple trauma incidents. What action would the nurse take?
Organize a pizza party for each shift
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
, Remind the staff of the facilities sick leave policy
Arrange for critical incident stress debriefing
Talk individually with staff members - ANS Arrange for critical incident stress debriefing
The nurse is assessing a client for decorticate posturing. What should the nurse assess the client
for?
A. Internal rotation and adduction of arms with flexion of elbows, wrists, and fingers
B. Back hunched over and rigid flexion of all four extremities with supination of arms and
plantar flexion of feet
C. Supination of arms and dorsiflexion of the feet
D. Back arched and rigid extension of all four extremities - ANS A. Internal rotation and
adduction of arms with flexion of elbows, wrists, and fingers
A client with a serious head injury with increased intracranial pressure is to be discharged to a
rehabilitation facility. Which outcome of rehab would be appropriate for the client? The client
will:
A. Exhibit no further episodes of short-term memory loss
B. Be able to return to his construction job in 3 weeks
C. Actively participate in the rehabilitation process as appropriate
D. Be emotionally stable and display preinjury personality traits - ANS C. Actively participate
in the rehabilitation process as appropriate
Which findings will the nurse observe in the client in the ictal phase of generalized tonic-clonic
seizure?
Jerking in one extremity that spreads gradually to adjacent areas
Vacant staring and abruptly ceasing all activity
Facial grimaces, patting motions, and lip-smacking
Loss of consciousness, body stiffening, and violent muscle contractions - ANS Loss of
consciousness, body stiffening, and violent muscle contractions
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
