MDC IV Final Exam 2026 | 100%
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B. Evaluate airway and circulation. - correct answer-The nurse is caring for a
patient who is admitted to the ED with burns to the lower legs and hands. During
the initial management, what is the priority nursing care?
A. Assess and treat pain.
B. Evaluate airway and circulation.
C. Place two IV catheters and initiate fluid resuscitation.
D. Use the rule of nines to estimate percent of body surface area burned.
B. Notify the physician immediately. - correct answer-It has been 12 hours since a
patient has been admitted for burns to the face and neck with associated
inhalation injuries. The patient had been wheezing audibly and the wheezing has
now stopped. What nursing action is appropriate?
A. Check the patient's Spo2 level.
B. Notify the physician immediately.
,C. Re-assess breathing in 1 hour.
D. Document improvement in patient's condition.
D. Possible allergic reaction to silver sulfadiazine (Silvadene) - correct answer-A
patient has been receiving dressing changes with silver sulfadiazine (Silvadene)
for burn injuries over both lower arms. The nurse notices that the patient's white
blood cell count has dropped significantly over the past 4 days. How does the
nurse interpret this finding?
A. Electrolyte imbalance
B. Infection is improving
C. Impending kidney disease
D. Possible allergic reaction to silver sulfadiazine (Silvadene)
A. 24-year-old male admitted with blunt chest trauma and aspiration - correct
answer-Which patient is at greatest risk of developing acute respiratory distress
syndrome (ARDS)?
A. 24-year-old male admitted with blunt chest trauma and aspiration
B. 56-year-old male with a history of alcohol abuse and chronic pancreatitis
C. 72-year-old male post heart valve surgery receiving 1 unit of packed red blood
cells
D. 82-year-old female on antibiotics for pneumonia
B. "I should eat more green leafy vegetables like spinach." - correct answer-A
patient is being discharged to home on warfarin (Coumadin) therapy to manage
, an acute pulmonary embolism. Which patient response indicates a need for
further teaching by the nurse?
A. "I should limit my alcohol consumption."
B. "I should eat more green leafy vegetables like spinach."
C. "I should take the medication at the same time every day."
D. "I should make a doctor's appointment for weekly blood draws."
D. Opioid analgesic overdose - correct answer-A patient in acute respiratory
failure is classified as having ventilatory failure. The nurse understands that which
finding is a potential cause of ventilatory failure?
A. Pulmonary edema
B. Hypovolemic shock
C. Pulmonary embolus
D. Opioid analgesic overdose
B. Initiate intravenous fluid resuscitation. - correct answer-A 37-year-old male is
admitted with a severely abscessed tooth, BP 90/42, HR 136, RR 28, Spo2 90% on
room air, temperature 38.7º C. The nurse suspects that the patient has developed
sepsis. What is the priority nursing intervention?
A. Insert an indwelling urinary catheter.
B. Initiate intravenous fluid resuscitation.
C. Obtain a complete chemistry for laboratory analysis.
D. Administer prescribed antibiotics prior to blood cultures.
Verified Questions & Answers |
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B. Evaluate airway and circulation. - correct answer-The nurse is caring for a
patient who is admitted to the ED with burns to the lower legs and hands. During
the initial management, what is the priority nursing care?
A. Assess and treat pain.
B. Evaluate airway and circulation.
C. Place two IV catheters and initiate fluid resuscitation.
D. Use the rule of nines to estimate percent of body surface area burned.
B. Notify the physician immediately. - correct answer-It has been 12 hours since a
patient has been admitted for burns to the face and neck with associated
inhalation injuries. The patient had been wheezing audibly and the wheezing has
now stopped. What nursing action is appropriate?
A. Check the patient's Spo2 level.
B. Notify the physician immediately.
,C. Re-assess breathing in 1 hour.
D. Document improvement in patient's condition.
D. Possible allergic reaction to silver sulfadiazine (Silvadene) - correct answer-A
patient has been receiving dressing changes with silver sulfadiazine (Silvadene)
for burn injuries over both lower arms. The nurse notices that the patient's white
blood cell count has dropped significantly over the past 4 days. How does the
nurse interpret this finding?
A. Electrolyte imbalance
B. Infection is improving
C. Impending kidney disease
D. Possible allergic reaction to silver sulfadiazine (Silvadene)
A. 24-year-old male admitted with blunt chest trauma and aspiration - correct
answer-Which patient is at greatest risk of developing acute respiratory distress
syndrome (ARDS)?
A. 24-year-old male admitted with blunt chest trauma and aspiration
B. 56-year-old male with a history of alcohol abuse and chronic pancreatitis
C. 72-year-old male post heart valve surgery receiving 1 unit of packed red blood
cells
D. 82-year-old female on antibiotics for pneumonia
B. "I should eat more green leafy vegetables like spinach." - correct answer-A
patient is being discharged to home on warfarin (Coumadin) therapy to manage
, an acute pulmonary embolism. Which patient response indicates a need for
further teaching by the nurse?
A. "I should limit my alcohol consumption."
B. "I should eat more green leafy vegetables like spinach."
C. "I should take the medication at the same time every day."
D. "I should make a doctor's appointment for weekly blood draws."
D. Opioid analgesic overdose - correct answer-A patient in acute respiratory
failure is classified as having ventilatory failure. The nurse understands that which
finding is a potential cause of ventilatory failure?
A. Pulmonary edema
B. Hypovolemic shock
C. Pulmonary embolus
D. Opioid analgesic overdose
B. Initiate intravenous fluid resuscitation. - correct answer-A 37-year-old male is
admitted with a severely abscessed tooth, BP 90/42, HR 136, RR 28, Spo2 90% on
room air, temperature 38.7º C. The nurse suspects that the patient has developed
sepsis. What is the priority nursing intervention?
A. Insert an indwelling urinary catheter.
B. Initiate intravenous fluid resuscitation.
C. Obtain a complete chemistry for laboratory analysis.
D. Administer prescribed antibiotics prior to blood cultures.
