Multidimensional Care IV
MDC IV Exam 2
Rasmussen College
passing score of 90% or higher
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,1. During an assessment of a recent seizure client, the nurse interprets which
finding is congruent with the postictal state
a. The client's motor function is returning to baseline.
b. The client state there is a visible aura.
c. The client has brief jerking of the extremities.
d. The client's O2 saturation is 80%.
a. The client's motor function is returning to baseline.
2. The client injured in an automobile accident, is being evaluated in the
emergency department for a possible head injury. Which test should not be
done if there is an indication of increased intracranial pressure
a. CT scan
b. MRI scan
c. Lumbar puncture
d. Electroencephalogram
c. Lumbar puncture
3. When managing the treatment plan for a client with Guillian-Barre syndrome,
the nurse identifies the client is at most risk for which body system failure
a. central nervous system
b. gastrointestinal
c. respiratory
d. Cardiovascular
c. respiratory
4. The nurse is caring for a client who is immobile from recent surgery. Which
interventions does the nurse implement to prevent complications in this client
, a. Position the client with the unaffected side down.
b. Instruct the client to tur the head from side to side.
c. Apply sequential compression stockings.
d. Teach the client to touch and use both sides of the body.
c. Apply sequential compression stockings.
5. A nurse is assessing a client in 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
a. Emesis that is red
6. A client's neurological status 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.
a. Elevate the head of the bed 30 degrees
7. A client presents to the emergency room with complaints of bilateral lower
extremity loss of sensation that started in the feet but has now progressed to