MDC IV EXAM 2 QUESTIONS WITH
CORRECT ANSWERS
B. cEvaluate cairway cand ccirculation. c- ccorrect canswers✔✔The cnurse cis ccaring cfor ca
cpatient cwho cis cadmitted cto cthe cED cwith cburns cto cthe clower clegs cand chands. cDuring cthe
cinitial cmanagement, cwhat cis cthe cpriority cnursing ccare?
A. cAssess cand ctreat cpain.
B. cEvaluate cairway cand ccirculation.
C. cPlace ctwo cIV ccatheters cand cinitiate cfluid cresuscitation.
D. cUse cthe crule cof cnines cto cestimate cpercent cof cbody csurface carea cburned.
B. cNotify cthe cphysician cimmediately. c- ccorrect canswers✔✔It chas cbeen c12 chours csince ca
cpatient chas cbeen cadmitted cfor cburns cto cthe cface cand cneck cwith cassociated cinhalation
cinjuries. cThe cpatient chad cbeen cwheezing caudibly cand cthe cwheezing chas cnow cstopped.
cWhat cnursing caction cis cappropriate?
A. cCheck cthe cpatient's cSpo2 clevel.
B. cNotify cthe cphysician cimmediately.
C. cRe-assess cbreathing cin c1 chour.
D. cDocument cimprovement cin cpatient's ccondition.
D. cPossible callergic creaction cto csilver csulfadiazine c(Silvadene) c- ccorrect canswers✔✔A
cpatient chas cbeen creceiving cdressing cchanges cwith csilver csulfadiazine c(Silvadene) cfor
cburn cinjuries cover cboth clower carms. cThe cnurse cnotices cthat cthe cpatient's cwhite cblood
ccell ccount chas cdropped csignificantly cover cthe cpast c4 cdays. cHow cdoes cthe cnurse
cinterpret cthis cfinding?
A. cElectrolyte cimbalance
B. cInfection cis cimproving
C. cImpending ckidney cdisease
D. cPossible callergic creaction cto csilver csulfadiazine c(Silvadene)
A. c24-year-old cmale cadmitted cwith cblunt cchest ctrauma cand caspiration c- ccorrect
canswers✔✔Which cpatient cis cat cgreatest crisk cof cdeveloping cacute crespiratory cdistress
csyndrome c(ARDS)?
A. c24-year-old cmale cadmitted cwith cblunt cchest ctrauma cand caspiration
B. c56-year-old cmale cwith ca chistory cof calcohol cabuse cand cchronic cpancreatitis
C. c72-year-old cmale cpost cheart cvalve csurgery creceiving c1 cunit cof cpacked cred cblood ccells
D. c82-year-old cfemale con cantibiotics cfor cpneumonia
B. c"I cshould ceat cmore cgreen cleafy cvegetables clike cspinach." c- ccorrect canswers✔✔A
cpatient cis cbeing cdischarged cto chome con cwarfarin c(Coumadin) ctherapy cto cmanage can
, cacute cpulmonary cembolism. cWhich cpatient cresponse cindicates ca cneed cfor cfurther
cteaching cby cthe cnurse?
A. c"I cshould climit cmy calcohol cconsumption."
B. c"I cshould ceat cmore cgreen cleafy cvegetables clike cspinach."
C. c"I cshould ctake cthe cmedication cat cthe csame ctime cevery cday."
D. c"I cshould cmake ca cdoctor's cappointment cfor cweekly cblood cdraws."
D. cOpioid canalgesic coverdose c- ccorrect canswers✔✔A cpatient cin cacute crespiratory cfailure
cis cclassified cas chaving cventilatory cfailure. cThe cnurse cunderstands cthat cwhich cfinding cis
ca cpotential ccause cof cventilatory cfailure?
A. cPulmonary cedema
B. cHypovolemic cshock
C. cPulmonary cembolus
D. cOpioid canalgesic coverdose
B. cInitiate cintravenous cfluid cresuscitation. c- ccorrect canswers✔✔A c37-year-old cmale cis
cadmitted cwith ca cseverely cabscessed ctooth, cBP c90/42, cHR c136, cRR c28, cSpo2 c90% con
croom cair, ctemperature c38.7º cC. cThe cnurse csuspects cthat cthe cpatient chas cdeveloped
csepsis. cWhat cis cthe cpriority cnursing cintervention?
A. cInsert can cindwelling curinary ccatheter.
B. cInitiate cintravenous cfluid cresuscitation.
C. cObtain ca ccomplete cchemistry cfor claboratory canalysis.
D. cAdminister cprescribed cantibiotics cprior cto cblood ccultures.
B. cIncreased cheart crate c- ccorrect canswers✔✔When cassessing ca cpatient cfor cshock, cthe
cnurse cknows cthat cwhich csymptom cis cthe cearliest cmanifestation cof cshock?
A. cAnuria
B. cIncreased cheart crate
C. cA cdecrease cin crespiratory crate cand cdepth
D. cA cchange cin cboth csystolic cand cdiastolic cblood cpressure
D. cBleeding, coozing cfrom cIV csites c- ccorrect canswers✔✔Which cclinical cmanifestations
cdoes cthe cnurse crecognize cthat cindicates cworsening cin cthe ccondition cof ca cpatient cin cthe
crefractory cphase cof cshock?
A. cWarm, cflushed cskin
B. cUrine coutput cof c20 cmL/hr
C. cIncreasing crespiratory crate
D. cBleeding, coozing cfrom cIV csites
*Diminished cbreath csounds*
▪ calso casymmetry
CORRECT ANSWERS
B. cEvaluate cairway cand ccirculation. c- ccorrect canswers✔✔The cnurse cis ccaring cfor ca
cpatient cwho cis cadmitted cto cthe cED cwith cburns cto cthe clower clegs cand chands. cDuring cthe
cinitial cmanagement, cwhat cis cthe cpriority cnursing ccare?
A. cAssess cand ctreat cpain.
B. cEvaluate cairway cand ccirculation.
C. cPlace ctwo cIV ccatheters cand cinitiate cfluid cresuscitation.
D. cUse cthe crule cof cnines cto cestimate cpercent cof cbody csurface carea cburned.
B. cNotify cthe cphysician cimmediately. c- ccorrect canswers✔✔It chas cbeen c12 chours csince ca
cpatient chas cbeen cadmitted cfor cburns cto cthe cface cand cneck cwith cassociated cinhalation
cinjuries. cThe cpatient chad cbeen cwheezing caudibly cand cthe cwheezing chas cnow cstopped.
cWhat cnursing caction cis cappropriate?
A. cCheck cthe cpatient's cSpo2 clevel.
B. cNotify cthe cphysician cimmediately.
C. cRe-assess cbreathing cin c1 chour.
D. cDocument cimprovement cin cpatient's ccondition.
D. cPossible callergic creaction cto csilver csulfadiazine c(Silvadene) c- ccorrect canswers✔✔A
cpatient chas cbeen creceiving cdressing cchanges cwith csilver csulfadiazine c(Silvadene) cfor
cburn cinjuries cover cboth clower carms. cThe cnurse cnotices cthat cthe cpatient's cwhite cblood
ccell ccount chas cdropped csignificantly cover cthe cpast c4 cdays. cHow cdoes cthe cnurse
cinterpret cthis cfinding?
A. cElectrolyte cimbalance
B. cInfection cis cimproving
C. cImpending ckidney cdisease
D. cPossible callergic creaction cto csilver csulfadiazine c(Silvadene)
A. c24-year-old cmale cadmitted cwith cblunt cchest ctrauma cand caspiration c- ccorrect
canswers✔✔Which cpatient cis cat cgreatest crisk cof cdeveloping cacute crespiratory cdistress
csyndrome c(ARDS)?
A. c24-year-old cmale cadmitted cwith cblunt cchest ctrauma cand caspiration
B. c56-year-old cmale cwith ca chistory cof calcohol cabuse cand cchronic cpancreatitis
C. c72-year-old cmale cpost cheart cvalve csurgery creceiving c1 cunit cof cpacked cred cblood ccells
D. c82-year-old cfemale con cantibiotics cfor cpneumonia
B. c"I cshould ceat cmore cgreen cleafy cvegetables clike cspinach." c- ccorrect canswers✔✔A
cpatient cis cbeing cdischarged cto chome con cwarfarin c(Coumadin) ctherapy cto cmanage can
, cacute cpulmonary cembolism. cWhich cpatient cresponse cindicates ca cneed cfor cfurther
cteaching cby cthe cnurse?
A. c"I cshould climit cmy calcohol cconsumption."
B. c"I cshould ceat cmore cgreen cleafy cvegetables clike cspinach."
C. c"I cshould ctake cthe cmedication cat cthe csame ctime cevery cday."
D. c"I cshould cmake ca cdoctor's cappointment cfor cweekly cblood cdraws."
D. cOpioid canalgesic coverdose c- ccorrect canswers✔✔A cpatient cin cacute crespiratory cfailure
cis cclassified cas chaving cventilatory cfailure. cThe cnurse cunderstands cthat cwhich cfinding cis
ca cpotential ccause cof cventilatory cfailure?
A. cPulmonary cedema
B. cHypovolemic cshock
C. cPulmonary cembolus
D. cOpioid canalgesic coverdose
B. cInitiate cintravenous cfluid cresuscitation. c- ccorrect canswers✔✔A c37-year-old cmale cis
cadmitted cwith ca cseverely cabscessed ctooth, cBP c90/42, cHR c136, cRR c28, cSpo2 c90% con
croom cair, ctemperature c38.7º cC. cThe cnurse csuspects cthat cthe cpatient chas cdeveloped
csepsis. cWhat cis cthe cpriority cnursing cintervention?
A. cInsert can cindwelling curinary ccatheter.
B. cInitiate cintravenous cfluid cresuscitation.
C. cObtain ca ccomplete cchemistry cfor claboratory canalysis.
D. cAdminister cprescribed cantibiotics cprior cto cblood ccultures.
B. cIncreased cheart crate c- ccorrect canswers✔✔When cassessing ca cpatient cfor cshock, cthe
cnurse cknows cthat cwhich csymptom cis cthe cearliest cmanifestation cof cshock?
A. cAnuria
B. cIncreased cheart crate
C. cA cdecrease cin crespiratory crate cand cdepth
D. cA cchange cin cboth csystolic cand cdiastolic cblood cpressure
D. cBleeding, coozing cfrom cIV csites c- ccorrect canswers✔✔Which cclinical cmanifestations
cdoes cthe cnurse crecognize cthat cindicates cworsening cin cthe ccondition cof ca cpatient cin cthe
crefractory cphase cof cshock?
A. cWarm, cflushed cskin
B. cUrine coutput cof c20 cmL/hr
C. cIncreasing crespiratory crate
D. cBleeding, coozing cfrom cIV csites
*Diminished cbreath csounds*
▪ calso casymmetry
