MDC 4 exam 3
90%
1. The nurse is orienting a new nurse to the pediatric intensive care unit and discussing the care of a client recovering from drowning. which statement by t he new nurse accurately demonstrates an understanding of this condition? Drowning results in the collapse of alveoli and pulmonary edem a
2. The nurse assesses the frostbite on a client' s hand and fit to the third-degree prospect because the skin has which of the following assessment findings?
Waxy non-blanchable areas with blood filled blisters 3. The client is admitted today hospital with a diagnosis of Guillain Barre syndrome During the nursing admission the nurse inquires if the client h as a history of some of which of the following. Respiratory or gastrointestinal infection during the previous month.
4. The client is scheduled for surgery and show si gns of dementia. there is no advanced directive on file designating a power of attorney for healt h care. the nurse should ask which person to sign the consent for the client. Spouse 5. the nurse is concerned about developing post-trau matic stress disorder after working for several
years in emergency department which of the following should the nurse do to ensure this disorder does not manifest? eat well balanced meals drink water take breaks when needed do not work more than 12 hours per day 6. A 38-year-old female is admitted for an ele ctive surgical procedure. which information obtained by the nurse during the preoperative assessment is most important to report to the anaesthesiologist, before Surgery? That client’s statement that her last menstrual period was 8 weeks previously. 7. A medication order states, infuse 0.9% normal saline solution 5 00ml IV over 6 hours. The drop factor of the manual IV tubing Available is 15 gtt/ml. the nurse should set the floor rate to deliver how many gtt/min? 21
8. A client with hypotension in an elevated temper ature after walking outside on a hot day is treated with in the emergency department. The nurse determines That discharge teaching has been effective when the client makes which statement? I should drink electrolytes sports drinks when walking outside in hot weather. 9. A nurse on a medical surgical unit is carin g for a group of clients. The nurse should notify the rapid response team for which of the following cli ents? Client with a central line whose lactic acid level is 6mmol William/L after two liters of 0.9% NS given in
1 hour. 10. A client with a chest injury has suffer ed a flail chest. A nurse assesses the client for which most distinct distinctive sign of flail chest. Paradoxical chest movement
11. A nurse in the ED is caring for a clie nt who has a seizure and became unresponsive after setting she had a sudden severe headache and vomi ting. the client's vital signs are as follows. blood pressure197/111, P81, R 26. which of the following neurologic disorders should the nurse expect? Hemorrhagic stroke 12. After receiving report on 4 clients, the nurse determines t he order of care of the clients. based on report the nurse will priori tize the class to see which one first? a healthy 18-year-old with rapid shallow respirations. 13. The experienced nurse is teaching a new nurse a bout hospital emergency plans and personal emergency preparedness. which statement by the ne w nurse indicates a need for further teaching?
- I don’t know where to report where am expected to r eport
- I need to know where I am expected to report 14. A client who is unconscious after a fall from a ladder is transported to the emergency department by emergency medical personnel. which o f the following does the nurse include during the primary survey of the client?
90%
1. The nurse is orienting a new nurse to the pediatric intensive care unit and discussing the care of a client recovering from drowning. which statement by t he new nurse accurately demonstrates an understanding of this condition? Drowning results in the collapse of alveoli and pulmonary edem a
2. The nurse assesses the frostbite on a client' s hand and fit to the third-degree prospect because the skin has which of the following assessment findings?
Waxy non-blanchable areas with blood filled blisters 3. The client is admitted today hospital with a diagnosis of Guillain Barre syndrome During the nursing admission the nurse inquires if the client h as a history of some of which of the following. Respiratory or gastrointestinal infection during the previous month.
4. The client is scheduled for surgery and show si gns of dementia. there is no advanced directive on file designating a power of attorney for healt h care. the nurse should ask which person to sign the consent for the client. Spouse 5. the nurse is concerned about developing post-trau matic stress disorder after working for several
years in emergency department which of the following should the nurse do to ensure this disorder does not manifest? eat well balanced meals drink water take breaks when needed do not work more than 12 hours per day 6. A 38-year-old female is admitted for an ele ctive surgical procedure. which information obtained by the nurse during the preoperative assessment is most important to report to the anaesthesiologist, before Surgery? That client’s statement that her last menstrual period was 8 weeks previously. 7. A medication order states, infuse 0.9% normal saline solution 5 00ml IV over 6 hours. The drop factor of the manual IV tubing Available is 15 gtt/ml. the nurse should set the floor rate to deliver how many gtt/min? 21
8. A client with hypotension in an elevated temper ature after walking outside on a hot day is treated with in the emergency department. The nurse determines That discharge teaching has been effective when the client makes which statement? I should drink electrolytes sports drinks when walking outside in hot weather. 9. A nurse on a medical surgical unit is carin g for a group of clients. The nurse should notify the rapid response team for which of the following cli ents? Client with a central line whose lactic acid level is 6mmol William/L after two liters of 0.9% NS given in
1 hour. 10. A client with a chest injury has suffer ed a flail chest. A nurse assesses the client for which most distinct distinctive sign of flail chest. Paradoxical chest movement
11. A nurse in the ED is caring for a clie nt who has a seizure and became unresponsive after setting she had a sudden severe headache and vomi ting. the client's vital signs are as follows. blood pressure197/111, P81, R 26. which of the following neurologic disorders should the nurse expect? Hemorrhagic stroke 12. After receiving report on 4 clients, the nurse determines t he order of care of the clients. based on report the nurse will priori tize the class to see which one first? a healthy 18-year-old with rapid shallow respirations. 13. The experienced nurse is teaching a new nurse a bout hospital emergency plans and personal emergency preparedness. which statement by the ne w nurse indicates a need for further teaching?
- I don’t know where to report where am expected to r eport
- I need to know where I am expected to report 14. A client who is unconscious after a fall from a ladder is transported to the emergency department by emergency medical personnel. which o f the following does the nurse include during the primary survey of the client?
