MDC IV EXAM 1 | Questions with 100% Correct
Answers | Verified | Latest Update 2026/2027
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Terms in this set (71)
5. A nurse is assessing a client in a. Emesis that is red
postoperative recovery. The client
complains of the following
symptoms. Which of the following is
abnormal and should be reported
immediately?
a. Emesis that is red
b. Complaint of feeling cold
c. Nausea
d. Complaint of pain
,6. A client's neurological status a. Elevate the head of the bed 30 degrees
deteriorates over hours, and a
craniotomy is performed to
evacuate a hematoma. Which nursing
intervention is indicated to help
decrease the threat of increased
intracranial pressure?
a. Elevate the head of the bed 30
degrees
b. Cluster nursing interventions to
provide uninterrupted periods of
rest
c. Teach the client to cough and
deep breathe to prevent the
necessity for suctioning
d. Teach the client to hold his breath
and bear down while repositioning in
bed.
7. A client presents to the emergency c. Guillain-Barre Syndrome
room with complaints of bilateral
lower extremity loss of sensation that
started in the feet but has now
progressed to the knees and hips.
The nurse interprets these symptoms
to indicate an immediate workup for
which of the following diseases?
a. Myasthenia gravis
b. Simple, partial seizure
c. Guillain-Barre Syndrome
d. Cerebrovascular accident
,8. The charge nurse is obtaining the a. I need to contact your surgeon so your
client's signature on a surgical questions can be answered
consent form. The client
states, I didn't really understand what
my surgeon explained, but I trust him
completely, which response by the
charge nurse is correct?
a. I need to contact your surgeon so
your questions can be answered
b. I can answer any questions that
you might have regarding your
surgery.
c. As long as you are comfortable,
then you may sign the consent form.
d. Maybe you should call your
surgeon to be sure it is okay to sign
the consent.
9. A client has a head injury and is a. Place the neck in a neutral position to promote
presenting with signs and symptoms venous drainage
of increased intracranial pressure.
Which nursing intervention would be
helpful in reducing this pressure?
a. Place the neck in a neutral position
to promote venous drainage
b. Suction hourly to stimulate the
cough reflex
c. Add extra blankets to keep the
client warm.
d. Turn the client frequently to
prevent skin impairment
, 10. A client has recently suffered a b. Instructing to tuck the chin when swallowing
stroke with left-sided weakness. The
nurse assesses for
dysphagia, especially with thin
liquids. Which nursing intervention is
most helpful in assisting this patient
to swallow safely?
a. The client should avoid all liquids.
b. Instructing to tuck the chin when
swallowing
c. Give sips of water with each bite
d. Turn head to the left.
11. A client has a comminuted fracture a. Scheduled bladder and bowel training
of T6-T7, resulting in paraplegia. The
nurse educates the client on
preventing autonomic dysreflexia.
Which of the following is the priority
intervention in this medical
emergency?
a. Scheduled bladder and bowel
training
b. Choosing foods to prevent nausea
c. Avoiding food allergies
d. Preventing electrolyte imbalances
Answers | Verified | Latest Update 2026/2027
Save
Terms in this set (71)
5. A nurse is assessing a client in a. Emesis that is red
postoperative recovery. The client
complains of the following
symptoms. Which of the following is
abnormal and should be reported
immediately?
a. Emesis that is red
b. Complaint of feeling cold
c. Nausea
d. Complaint of pain
,6. A client's neurological status a. Elevate the head of the bed 30 degrees
deteriorates over hours, and a
craniotomy is performed to
evacuate a hematoma. Which nursing
intervention is indicated to help
decrease the threat of increased
intracranial pressure?
a. Elevate the head of the bed 30
degrees
b. Cluster nursing interventions to
provide uninterrupted periods of
rest
c. Teach the client to cough and
deep breathe to prevent the
necessity for suctioning
d. Teach the client to hold his breath
and bear down while repositioning in
bed.
7. A client presents to the emergency c. Guillain-Barre Syndrome
room with complaints of bilateral
lower extremity loss of sensation that
started in the feet but has now
progressed to the knees and hips.
The nurse interprets these symptoms
to indicate an immediate workup for
which of the following diseases?
a. Myasthenia gravis
b. Simple, partial seizure
c. Guillain-Barre Syndrome
d. Cerebrovascular accident
,8. The charge nurse is obtaining the a. I need to contact your surgeon so your
client's signature on a surgical questions can be answered
consent form. The client
states, I didn't really understand what
my surgeon explained, but I trust him
completely, which response by the
charge nurse is correct?
a. I need to contact your surgeon so
your questions can be answered
b. I can answer any questions that
you might have regarding your
surgery.
c. As long as you are comfortable,
then you may sign the consent form.
d. Maybe you should call your
surgeon to be sure it is okay to sign
the consent.
9. A client has a head injury and is a. Place the neck in a neutral position to promote
presenting with signs and symptoms venous drainage
of increased intracranial pressure.
Which nursing intervention would be
helpful in reducing this pressure?
a. Place the neck in a neutral position
to promote venous drainage
b. Suction hourly to stimulate the
cough reflex
c. Add extra blankets to keep the
client warm.
d. Turn the client frequently to
prevent skin impairment
, 10. A client has recently suffered a b. Instructing to tuck the chin when swallowing
stroke with left-sided weakness. The
nurse assesses for
dysphagia, especially with thin
liquids. Which nursing intervention is
most helpful in assisting this patient
to swallow safely?
a. The client should avoid all liquids.
b. Instructing to tuck the chin when
swallowing
c. Give sips of water with each bite
d. Turn head to the left.
11. A client has a comminuted fracture a. Scheduled bladder and bowel training
of T6-T7, resulting in paraplegia. The
nurse educates the client on
preventing autonomic dysreflexia.
Which of the following is the priority
intervention in this medical
emergency?
a. Scheduled bladder and bowel
training
b. Choosing foods to prevent nausea
c. Avoiding food allergies
d. Preventing electrolyte imbalances
