1|Page
MDC IV EXAM 2/RASMUSSEN MDC IV EXAM 2||
ACCURATE AND FREQUENTLY ASKED QUESTIONS
AND 100% CORRECT ANSWERS|| LATEST AND
COMPLETE UPDATE WITH VERIFIED SOLUTIONS
GRADED A+|| SURE PASS!!
The nurse is caring for a patient who is admitted to the ED with burns to the lower
legs and hands. During the initial management, what is the priority nursing care?
A. Assess and treat pain.
B. Evaluate airway and circulation.
C. Place two IV catheters and initiate fluid resuscitation.
D. Use the rule of nines to estimate percent of body surface area burned. -
ANSWER: B. Evaluate airway and circulation.
It has been 12 hours since a patient has been admitted for burns to the face and
neck with associated inhalation injuries. The patient had been wheezing audibly
and the wheezing has now stopped. What nursing action is appropriate?
A. Check the patient's Spo2 level.
B. Notify the physician immediately.
C. Re-assess breathing in 1 hour.
D. Document improvement in patient's condition. - ANSWER: B. Notify the
physician immediately.
A patient has been receiving dressing changes with silver sulfadiazine (Silvadene)
for burn injuries over both lower arms. The nurse notices that the patient's white
blood cell count has dropped significantly over the past 4 days. How does the nurse
interpret this finding?
,2|Page
A. Electrolyte imbalance
B. Infection is improving
C. Impending kidney disease
D. Possible allergic reaction to silver sulfadiazine (Silvadene) - ANSWER: D.
Possible allergic reaction to silver sulfadiazine (Silvadene)
Which patient is at greatest risk of developing acute respiratory distress syndrome
(ARDS)?
A. 24-year-old male admitted with blunt chest trauma and aspiration
B. 56-year-old male with a history of alcohol abuse and chronic pancreatitis
C. 72-year-old male post heart valve surgery receiving 1 unit of packed red blood
cells
D. 82-year-old female on antibiotics for pneumonia - ANSWER: A. 24-year-old
male admitted with blunt chest trauma and aspiration
A patient is being discharged to home on warfarin (Coumadin) therapy to manage
an acute pulmonary embolism. Which patient response indicates a need for further
teaching by the nurse?
A. "I should limit my alcohol consumption."
B. "I should eat more green leafy vegetables like spinach."
C. "I should take the medication at the same time every day."
D. "I should make a doctor's appointment for weekly blood draws." - ANSWER:
B. "I should eat more green leafy vegetables like spinach."
, 3|Page
A patient in acute respiratory failure is classified as having ventilatory failure. The
nurse understands that which finding is a potential cause of ventilatory failure?
A. Pulmonary edema
B. Hypovolemic shock
C. Pulmonary embolus
D. Opioid analgesic overdose - ANSWER: D. Opioid analgesic overdose
A 37-year-old male is admitted with a severely abscessed tooth, BP 90/42, HR
136, RR 28, Spo2 90% on room air, temperature 38.7º C. The nurse suspects that
the patient has developed sepsis. What is the priority nursing intervention?
A. Insert an indwelling urinary catheter.
B. Initiate intravenous fluid resuscitation.
C. Obtain a complete chemistry for laboratory analysis.
D. Administer prescribed antibiotics prior to blood cultures. - ANSWER: B.
Initiate intravenous fluid resuscitation.
When assessing a patient for shock, the nurse knows that which symptom is the
earliest manifestation of shock?
A. Anuria
B. Increased heart rate
C. A decrease in respiratory rate and depth
D. A change in both systolic and diastolic blood pressure - ANSWER: B.
Increased heart rate
MDC IV EXAM 2/RASMUSSEN MDC IV EXAM 2||
ACCURATE AND FREQUENTLY ASKED QUESTIONS
AND 100% CORRECT ANSWERS|| LATEST AND
COMPLETE UPDATE WITH VERIFIED SOLUTIONS
GRADED A+|| SURE PASS!!
The nurse is caring for a patient who is admitted to the ED with burns to the lower
legs and hands. During the initial management, what is the priority nursing care?
A. Assess and treat pain.
B. Evaluate airway and circulation.
C. Place two IV catheters and initiate fluid resuscitation.
D. Use the rule of nines to estimate percent of body surface area burned. -
ANSWER: B. Evaluate airway and circulation.
It has been 12 hours since a patient has been admitted for burns to the face and
neck with associated inhalation injuries. The patient had been wheezing audibly
and the wheezing has now stopped. What nursing action is appropriate?
A. Check the patient's Spo2 level.
B. Notify the physician immediately.
C. Re-assess breathing in 1 hour.
D. Document improvement in patient's condition. - ANSWER: B. Notify the
physician immediately.
A patient has been receiving dressing changes with silver sulfadiazine (Silvadene)
for burn injuries over both lower arms. The nurse notices that the patient's white
blood cell count has dropped significantly over the past 4 days. How does the nurse
interpret this finding?
,2|Page
A. Electrolyte imbalance
B. Infection is improving
C. Impending kidney disease
D. Possible allergic reaction to silver sulfadiazine (Silvadene) - ANSWER: D.
Possible allergic reaction to silver sulfadiazine (Silvadene)
Which patient is at greatest risk of developing acute respiratory distress syndrome
(ARDS)?
A. 24-year-old male admitted with blunt chest trauma and aspiration
B. 56-year-old male with a history of alcohol abuse and chronic pancreatitis
C. 72-year-old male post heart valve surgery receiving 1 unit of packed red blood
cells
D. 82-year-old female on antibiotics for pneumonia - ANSWER: A. 24-year-old
male admitted with blunt chest trauma and aspiration
A patient is being discharged to home on warfarin (Coumadin) therapy to manage
an acute pulmonary embolism. Which patient response indicates a need for further
teaching by the nurse?
A. "I should limit my alcohol consumption."
B. "I should eat more green leafy vegetables like spinach."
C. "I should take the medication at the same time every day."
D. "I should make a doctor's appointment for weekly blood draws." - ANSWER:
B. "I should eat more green leafy vegetables like spinach."
, 3|Page
A patient in acute respiratory failure is classified as having ventilatory failure. The
nurse understands that which finding is a potential cause of ventilatory failure?
A. Pulmonary edema
B. Hypovolemic shock
C. Pulmonary embolus
D. Opioid analgesic overdose - ANSWER: D. Opioid analgesic overdose
A 37-year-old male is admitted with a severely abscessed tooth, BP 90/42, HR
136, RR 28, Spo2 90% on room air, temperature 38.7º C. The nurse suspects that
the patient has developed sepsis. What is the priority nursing intervention?
A. Insert an indwelling urinary catheter.
B. Initiate intravenous fluid resuscitation.
C. Obtain a complete chemistry for laboratory analysis.
D. Administer prescribed antibiotics prior to blood cultures. - ANSWER: B.
Initiate intravenous fluid resuscitation.
When assessing a patient for shock, the nurse knows that which symptom is the
earliest manifestation of shock?
A. Anuria
B. Increased heart rate
C. A decrease in respiratory rate and depth
D. A change in both systolic and diastolic blood pressure - ANSWER: B.
Increased heart rate
