MDC 1 Actual Exam Study
Questions with Detailed Answers
1. The nurse is caring for a client immediately after a bunionectomy. What is
the nurse's priority action?
A. Relieve or reduce the patient's pain.
B. Assess neurovascular status in the affected foot.
C. Apply a hot compress to the surgical area.
D. Check the surgical dressing for intactness. - ANSWER B. Assess
neurovascular status in the affected foot.
2. A client who has a plaster leg splint reports a painful pressure sensation
under the elastic wrap that is holding the splint in place. What is the nurse's
best initial action?
A. Remove the splint to reduce skin pressure.
B. Perform a neurovascular assessment.
C. Report the client's concern to the primary health care provider.
D. Inspect the skin under the elastic bandage. - ANSWER B. Perform a
neurovascular assessment.
3. What are some findings for osteoporosis? Select All that apply
A. T score at or lower than -2.5
B. Caused from lack of calcium, estrogen, or testosterone
C. Bone softening caused by lack of calcification
D. High parathyroid hormone - ANSWER A, B
4. What is the normal Intra ocular pressure measurement?
A. 40mmHg
B. 20mmHg
C. 100mmHg
, D. 10mmHg - ANSWER B. 20mmHg
5. What is the most common type of Glaucoma?
A. Cataract
B. Primary open angle
C. Associated
D. Myopia
E. Secondary - ANSWER B. Primary open angle
6. How would you explain myopia to a patient? - ANSWER Myopia is
nearsightedness vision.
7. After cataract surgery what medications should the patient get? Select all.
A. Steroids
B. Warfarin
C. Heparin
D. Antibiotics - ANSWER A and D
8. What group is mostly affected by primary angle closure glaucoma?
A. African American male
B. Eastern Europeans
C. Hispanic females
D. Asian women - ANSWER D. Asian women
9. What group is most commonly affected by primary angle open glaucoma?
Select all that apply
A. African American
B. Eastern Europeans
C. Hispanic
D. Asian - ANSWER A. C.
,10.A client has a synthetic cast placed for a right wrist fracture in the
emergency department. Which priority health teaching is important for the
nurse to provide for this client before returning home? Select all that apply.
A. "Keep your right arm below the level of your heart as often as
possible."
B. "Use an ice pack for the first 24 hours to decrease tissue swelling."
C. "Move the fingers of the right hand frequently to promote blood
flow."
D. "Report coolness or discoloration of your right hand to your doctor."
E. "Don't place any device under the cast to scratch the skin if it itches."
- ANSWER B, C, D, E
11.A client who had an elective below-the-knee amputation (BKA) reports pain
in the foot that was amputated last week. What is the nurse's most
appropriate response to the client's pain?
A. "The pain will go away after the swelling decreases."
B. "That's phantom limb pain, and every amputee has that."
C. "Your foot has been amputated, so it's in your head."
D. "On a scale of 0 to 10, how would you rate your pain?" - ANSWER
D. "On a scale of 0 to 10, how would you rate your pain?"
12.What is the nurse's priority when doing an admission for a client who
returned directly from the operating suite after a carpal tunnel repair?
A. Monitor vital signs, including pulse oximetry.
B. Check the surgical dressing to ensure that it is intact.
C. Assess neurovascular assessment in the affected arm.
D. Monitor intake and output. - ANSWER A. Monitor vital signs,
including pulse oximetry.
13.This test is used when elevation intraocular pressure is diagnosed to
determine if the glaucoma is open angle or closed angle. Allows
visualization of angle where the Otis meets the cornea.
A. Ultrasonic imaging
, B. Gonioscopy
C. Electroretinography
D. Flourorescein angiography - ANSWER B. Gonioscopy
14.Desire to understand and be sensitive to feelings, beliefs and situation. -
ANSWER Empathy
15.This is the expression of value and flexibility to meet the patients' needs
based on their unique situation. - ANSWER Respect
16.Ability to respond truthfully. - ANSWER Genuineness
17.Ability to respond using specific terms - ANSWER Concreteness
18.This is used to clarify the message received or decoding the actual meaning.
- ANSWER Confrontation
19.Originates from the ligaments, tendons, nerves, blood vessels, and bones.
Examples would be fractures or sprains - ANSWER Deep somatic pain
Starts at an origin but extends to other locations. Example: pain from a sore throat
might extend to ears and head. - ANSWER Radiating pain
Occurs in an area distant from the site of origin. Example: pain from a heart attack
might be felt in the left arm or jaw - ANSWER Referred pain
Pain that is perceived from an area that has been surgically or traumatically
removed.
Questions with Detailed Answers
1. The nurse is caring for a client immediately after a bunionectomy. What is
the nurse's priority action?
A. Relieve or reduce the patient's pain.
B. Assess neurovascular status in the affected foot.
C. Apply a hot compress to the surgical area.
D. Check the surgical dressing for intactness. - ANSWER B. Assess
neurovascular status in the affected foot.
2. A client who has a plaster leg splint reports a painful pressure sensation
under the elastic wrap that is holding the splint in place. What is the nurse's
best initial action?
A. Remove the splint to reduce skin pressure.
B. Perform a neurovascular assessment.
C. Report the client's concern to the primary health care provider.
D. Inspect the skin under the elastic bandage. - ANSWER B. Perform a
neurovascular assessment.
3. What are some findings for osteoporosis? Select All that apply
A. T score at or lower than -2.5
B. Caused from lack of calcium, estrogen, or testosterone
C. Bone softening caused by lack of calcification
D. High parathyroid hormone - ANSWER A, B
4. What is the normal Intra ocular pressure measurement?
A. 40mmHg
B. 20mmHg
C. 100mmHg
, D. 10mmHg - ANSWER B. 20mmHg
5. What is the most common type of Glaucoma?
A. Cataract
B. Primary open angle
C. Associated
D. Myopia
E. Secondary - ANSWER B. Primary open angle
6. How would you explain myopia to a patient? - ANSWER Myopia is
nearsightedness vision.
7. After cataract surgery what medications should the patient get? Select all.
A. Steroids
B. Warfarin
C. Heparin
D. Antibiotics - ANSWER A and D
8. What group is mostly affected by primary angle closure glaucoma?
A. African American male
B. Eastern Europeans
C. Hispanic females
D. Asian women - ANSWER D. Asian women
9. What group is most commonly affected by primary angle open glaucoma?
Select all that apply
A. African American
B. Eastern Europeans
C. Hispanic
D. Asian - ANSWER A. C.
,10.A client has a synthetic cast placed for a right wrist fracture in the
emergency department. Which priority health teaching is important for the
nurse to provide for this client before returning home? Select all that apply.
A. "Keep your right arm below the level of your heart as often as
possible."
B. "Use an ice pack for the first 24 hours to decrease tissue swelling."
C. "Move the fingers of the right hand frequently to promote blood
flow."
D. "Report coolness or discoloration of your right hand to your doctor."
E. "Don't place any device under the cast to scratch the skin if it itches."
- ANSWER B, C, D, E
11.A client who had an elective below-the-knee amputation (BKA) reports pain
in the foot that was amputated last week. What is the nurse's most
appropriate response to the client's pain?
A. "The pain will go away after the swelling decreases."
B. "That's phantom limb pain, and every amputee has that."
C. "Your foot has been amputated, so it's in your head."
D. "On a scale of 0 to 10, how would you rate your pain?" - ANSWER
D. "On a scale of 0 to 10, how would you rate your pain?"
12.What is the nurse's priority when doing an admission for a client who
returned directly from the operating suite after a carpal tunnel repair?
A. Monitor vital signs, including pulse oximetry.
B. Check the surgical dressing to ensure that it is intact.
C. Assess neurovascular assessment in the affected arm.
D. Monitor intake and output. - ANSWER A. Monitor vital signs,
including pulse oximetry.
13.This test is used when elevation intraocular pressure is diagnosed to
determine if the glaucoma is open angle or closed angle. Allows
visualization of angle where the Otis meets the cornea.
A. Ultrasonic imaging
, B. Gonioscopy
C. Electroretinography
D. Flourorescein angiography - ANSWER B. Gonioscopy
14.Desire to understand and be sensitive to feelings, beliefs and situation. -
ANSWER Empathy
15.This is the expression of value and flexibility to meet the patients' needs
based on their unique situation. - ANSWER Respect
16.Ability to respond truthfully. - ANSWER Genuineness
17.Ability to respond using specific terms - ANSWER Concreteness
18.This is used to clarify the message received or decoding the actual meaning.
- ANSWER Confrontation
19.Originates from the ligaments, tendons, nerves, blood vessels, and bones.
Examples would be fractures or sprains - ANSWER Deep somatic pain
Starts at an origin but extends to other locations. Example: pain from a sore throat
might extend to ears and head. - ANSWER Radiating pain
Occurs in an area distant from the site of origin. Example: pain from a heart attack
might be felt in the left arm or jaw - ANSWER Referred pain
Pain that is perceived from an area that has been surgically or traumatically
removed.
