MDC 4 Exam 2 Newest 2025/2026 Complete 100
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A client with a pulmonary embolism may have which of the
following interventions?
a. IVC filter
b. Embolectomy
c. Chest tube placement
d. Heparin drug therapy
e. Thoracotomy - Answer-a. IVC filter
b. Embolectomy
d. Heparin drug therapy
An older adult client arrives in the emergency department
after falling off a roof. The nurse observes "sucking
inward" of the loose chest area during inspiration and a
"puffing out" of the same area during expiration. Arterial
blood gas results show severe hypoxemia and
hypercarbia. Which procedure does the nurse prepare for?
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a. Chest tube insertion
b. Endotracheal intubation
c. Needle thoracotomy
d. Tracheostomy - Answer-b. Endotracheal intubation
A nurse in a burn treatment center is caring for a client
admitted with severe burns to both lower extremities and
is scheduled for an escharotomy. The client's spouse asks
the nurse what the procedure entails. Whish nursing
statement is appropriate?
a. Large, surgical incision will be made in the hardened
dermal layer to improve circulation
b. This procedure involves placing the client into a shower
and removing the dead tissue
c. A piece of healthy skin will be removed from an
unburned area and grafter over the burned area
d. Surgical incisions will be made into the deep tissue,
possibly to the bone, to permit better circulation - Answer-
a. Large, surgical incision will be made in the hardened
dermal layer to improve circulation
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A nurse is caring for a client who has burn injuries to his
trunk. The nurse is explaining what to expect from the
prescribed hydrotherapy. Which of the following
statements by the client indicates an understanding of the
teaching?
a. I will be on a special shower table to enhance wound
inspection and debridement
b. The water temperature will be hot to improve blood flow
and healing
c. The nurse will use a wire brush to remove loose skin
d. The nurse will use scissors to open small blisters -
Answer-a. I will be on a special shower table to enhance
wound inspection and debridement
Calculate the mean arterial pressure in mmHg for a client
with a blood pressure of 84/46 mmHg. - Answer-84+ 2(46)/
3= 59 mmHG
Which if the following interventions is not appropriate for a
client diagnosed with a pneumothorax?
a. Apply wet to dry dressing on wound
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b. Monitor respiratory and circulatory function
c. Assess for tracheal deviation
d. Provide analgesics - Answer-a. Apply wet to dry
dressing on wound
A client in the intensive care unit was recovering from
moderate burns and smoke inhalation. His condition was
improving, and plans were made to transfer him to a step-
down unit. On the morning of the transfer, the client began
to experience elevated temperatures and shortness of
breath. Urine output decreased to 10ml/hr. labs were
drawn and indicated elevated WBC, GFR, creatinine, and
liver enzymes. The client is experiencing which medical
complication?
a. Acute respiratory failure
b. Acute kidney injury
c. Disseminated intravascular coagulation
d. Multiple organ dysfunction syndrome - Answer-d.
Multiple organ dysfunction syndrome
A nurse is assessing a client who sustained superficial
partial thickness and deep partial thickness burns 38