MDC4 EXAM QUESTIONS & ANSWERS
WITH COMPLETE SOLUTIONS GRADED
A+
QUESTIONS AND ANSWERS
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. ANSWER -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. ANSWER
-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
,to coincide with the peak action of drug therapy. ANSWER -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. ANSWER -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. ANSWER -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. ANSWER -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
Remind the staff of the facilities sick leave policy
Arrange for critical incident stress debriefing
Talk individually with staff members. ANSWER -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. ANSWER -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. ANSWER -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. ANSWER -
Loss of consciousness, body stiffening, and violent muscle contractions
The nurse is aware that the treatment for frostbite includes the following: (SATA)
A.Vigorously rubbing the hands in fingers to reestablish circulation
B. Immersion of hands and feet in warm water
C. Tightly wrapping hands in mitten-like dressings to retain warmth
D. Administering opioids to reduce pain
E. Elevating the affected limbs. ANSWER -B. Immersion of hands and feet in warm
water
D. Administering opioids to reduce pain
E. Elevating the affected limbs
nurse is caring for several clients at risk for shock. Which laboratory values requires
the nurse to communicate with the healthcare provider?
Creatinine: 0.9 mg/dL
WITH COMPLETE SOLUTIONS GRADED
A+
QUESTIONS AND ANSWERS
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. ANSWER -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. ANSWER
-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
,to coincide with the peak action of drug therapy. ANSWER -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. ANSWER -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. ANSWER -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. ANSWER -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
Remind the staff of the facilities sick leave policy
Arrange for critical incident stress debriefing
Talk individually with staff members. ANSWER -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. ANSWER -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. ANSWER -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. ANSWER -
Loss of consciousness, body stiffening, and violent muscle contractions
The nurse is aware that the treatment for frostbite includes the following: (SATA)
A.Vigorously rubbing the hands in fingers to reestablish circulation
B. Immersion of hands and feet in warm water
C. Tightly wrapping hands in mitten-like dressings to retain warmth
D. Administering opioids to reduce pain
E. Elevating the affected limbs. ANSWER -B. Immersion of hands and feet in warm
water
D. Administering opioids to reduce pain
E. Elevating the affected limbs
nurse is caring for several clients at risk for shock. Which laboratory values requires
the nurse to communicate with the healthcare provider?
Creatinine: 0.9 mg/dL
