NUR 2755 Multidimensional Care IV
(MDC 4)
NUR 2755 Multidimensional Care IV (MDC
4) Exam 1- 85 Practice Questions And
Correct Answers Graded A+ Rasmussen/
MDC 4 Exam 1 Review Latest
A patient has recently suffered a stroke with left-sided weakness. She has problems with
choking, especially when she drinks thin liquids. What nursing interventions would be most
helpful in assisting this patient to swallow safely? a. Having her avoid all liquids
b. Instructing her to tuck her chin when swallowing
c. Giving her sips of water with each bite
d. Having her turn her head to the left
- Correct Answer :b. Instructing her to tuck her chin when swallowing
A patient, age 52, is brought to the emergency department by ambulance after she hit her
head on her bathroom sink and fell unconscious to the floor. Which assessment should the
nurse perform first?
a. History of health problems
b. Patency of airway
c. Neurological status
d. Status of bodily functions
- Correct Answer :b. Patency of airway
A+ TEST BANK 1
, NUR 2755 Multidimensional Care IV
(MDC 4)
The patient, injured in an automobile accident, is being evaluated in the emergency
department for 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
- Correct Answer :c. Lumbar puncture
A patient's neurological status deteriorates over hours, and a craniotomy is performed to
evacuate the 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 him to cough and deep breathe to prevent the necessity for suctioning
d. Teach him to hold his breath and bear down while repositioning in bed
- Correct Answer :a. Elevate the head of the bed 30 degrees
A patient has been injured in a motorcycle accident and is presenting with signs and
symptoms of increased intracranial pressure. What is the most significant sign or symptom of
increased intracranial pressure?
a. Pupil changes
b. Ipsilateral paralysis
c. Vomiting
d. Decrease in the level of consciousness
A+ TEST BANK 2
, NUR 2755 Multidimensional Care IV
(MDC 4)
- Correct Answer :d. Decrease in the level of consciousness
The three components of Cushing's response are: Select all that apply.
a. Increased pulse rate
b. Increased blood pressure
c. Widened pulse pressure
d. Bradycardia { }
e. Increased systolic blood pressure
f. Uncontrolled thermoregulation
- Correct Answer :C
D
E
A patient has a head injury and is presenting with signs and symptoms 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 patient warm
d. Turn the patient frequently to prevent skin impairment
- Correct Answer :a. Place the neck in a neutral position to promote venous drainage
A+ TEST BANK 3
, NUR 2755 Multidimensional Care IV
(MDC 4)
A patient has been diagnosed with organic brain pathology. He is presenting with signs and
symptoms of total or partial loss of the ability to recognize familiar objects or people through
sensory stimulation. This condition is called?
a. Apraxia
b. Agnosia
c. Aphasia
d. Dysphagia
- Correct Answer :b. Agnosia
Myasthenia gravis (MG) is an autoimmune disease of the neuromuscular junction
characterized by the fluctuating weakness of certain skeletal muscle groups. The use of
intravenous immune globulin
a. increases anxiety and depression
b. reduces the production of acetylcholine antibodies
c. removes the antibodies produced by the autoimmune response
d. increases the production of acetylcholine antibodies
- Correct Answer :b. reduces the production of acetylcholine antibodies
As the result of a stroke, a patient has difficulty discerning the position of his body without
looking at it. In the nurse's documentation, which would best describe the patient's inability
to assess spatial position of his body?
a. Agnosia
b. Proprioception
c. Apraxia
d. Sensation
A+ TEST BANK 4
(MDC 4)
NUR 2755 Multidimensional Care IV (MDC
4) Exam 1- 85 Practice Questions And
Correct Answers Graded A+ Rasmussen/
MDC 4 Exam 1 Review Latest
A patient has recently suffered a stroke with left-sided weakness. She has problems with
choking, especially when she drinks thin liquids. What nursing interventions would be most
helpful in assisting this patient to swallow safely? a. Having her avoid all liquids
b. Instructing her to tuck her chin when swallowing
c. Giving her sips of water with each bite
d. Having her turn her head to the left
- Correct Answer :b. Instructing her to tuck her chin when swallowing
A patient, age 52, is brought to the emergency department by ambulance after she hit her
head on her bathroom sink and fell unconscious to the floor. Which assessment should the
nurse perform first?
a. History of health problems
b. Patency of airway
c. Neurological status
d. Status of bodily functions
- Correct Answer :b. Patency of airway
A+ TEST BANK 1
, NUR 2755 Multidimensional Care IV
(MDC 4)
The patient, injured in an automobile accident, is being evaluated in the emergency
department for 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
- Correct Answer :c. Lumbar puncture
A patient's neurological status deteriorates over hours, and a craniotomy is performed to
evacuate the 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 him to cough and deep breathe to prevent the necessity for suctioning
d. Teach him to hold his breath and bear down while repositioning in bed
- Correct Answer :a. Elevate the head of the bed 30 degrees
A patient has been injured in a motorcycle accident and is presenting with signs and
symptoms of increased intracranial pressure. What is the most significant sign or symptom of
increased intracranial pressure?
a. Pupil changes
b. Ipsilateral paralysis
c. Vomiting
d. Decrease in the level of consciousness
A+ TEST BANK 2
, NUR 2755 Multidimensional Care IV
(MDC 4)
- Correct Answer :d. Decrease in the level of consciousness
The three components of Cushing's response are: Select all that apply.
a. Increased pulse rate
b. Increased blood pressure
c. Widened pulse pressure
d. Bradycardia { }
e. Increased systolic blood pressure
f. Uncontrolled thermoregulation
- Correct Answer :C
D
E
A patient has a head injury and is presenting with signs and symptoms 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 patient warm
d. Turn the patient frequently to prevent skin impairment
- Correct Answer :a. Place the neck in a neutral position to promote venous drainage
A+ TEST BANK 3
, NUR 2755 Multidimensional Care IV
(MDC 4)
A patient has been diagnosed with organic brain pathology. He is presenting with signs and
symptoms of total or partial loss of the ability to recognize familiar objects or people through
sensory stimulation. This condition is called?
a. Apraxia
b. Agnosia
c. Aphasia
d. Dysphagia
- Correct Answer :b. Agnosia
Myasthenia gravis (MG) is an autoimmune disease of the neuromuscular junction
characterized by the fluctuating weakness of certain skeletal muscle groups. The use of
intravenous immune globulin
a. increases anxiety and depression
b. reduces the production of acetylcholine antibodies
c. removes the antibodies produced by the autoimmune response
d. increases the production of acetylcholine antibodies
- Correct Answer :b. reduces the production of acetylcholine antibodies
As the result of a stroke, a patient has difficulty discerning the position of his body without
looking at it. In the nurse's documentation, which would best describe the patient's inability
to assess spatial position of his body?
a. Agnosia
b. Proprioception
c. Apraxia
d. Sensation
A+ TEST BANK 4
