MDC 4 EXAM 2 NEWEST 2025/2026 ACTUAL EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+| ||PROFESSOR VERIFIED||
When assessing a client who has suffered a burn injury, the nurse
classifies the burn as a superficial partial-thickness burn based on
observing which characteristics?
a. Painful, reddened skin
b. Charred skin with milky-white areas
c. Erythema and blisters
d. Erythema, pain, and swelling - ANSWER-c. Erythema and
blisters
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Superficial Partial Burn
Layers: Epidermis + partial dermis
S/S: Redness, blisters, moist, pain
Heal: 1-2 wks, minimal scar
A client is receiving warfarin after a pulmonary embolism (PE).
The nurse evaluates the lab results and notifies the physician that
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the client's warfarin level is therapeutic when which of the
following numbers is reported?
a. International normalized ratio (INR) 1:1
b. Partial thromboplastin time (PTT) 24 seconds
c. International normalized ratio (INR) 2.8
d. Prothrombin time (PT) 14 seconds - ANSWER-c. International
normalized ratio (INR) 2.8
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INR: 0.8-1.2 (on warfarin: 2.0-3.0; high-risk: 2.5-3.5)
A nurse is reviewing the health records of clients. Which client is
at least at risk for developing acute respiratory distress syndrome
(ARDS)?
a. A client following coronary artery bypass graft surgery
b. A client who experienced a near-drowning incident in
freshwater
c. A client who is experiencing acute pancreatitis and vomiting
d. A client who has hemoglobin of 10.1mg/dL post 1 unit PRBC -
ANSWER-d. A client who has hemoglobin of 10.1mg/dL post 1
unit PRBC
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ARDS Risks:
Direct: Aspiration, drowning, pneumonia
Indirect: Sepsis, trauma, pancreatitis, major surg
Hgb 10.1= ↑ O₂ capacity, no ARDS risk
After receiving reports of four clients, the nurse determines the
order of care of the clients. Based on the report, the nurse will
prioritize the clients to see which one first?
a. A newborn with mottling of extremities
b. A 72-year-old with dry skin and tenting
c. A 35-year-old athlete with bradycardia
d. A healthy 18-year-old with rapid shallow respirations -
ANSWER-d. A healthy 18-year-old with rapid shallow respirations
A nurse is teaching a client who has septic shock about the
development of disseminated intravascular coagulation (DIC).
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Which statement indicates the nurse's correct understanding of
DIC?
a. "DIC is controllable with lifelong heparin usage."
b. "DIC is a genetic disorder characterized by an elevated factor
VIII count."
c. "DIC is caused by abnormal coagulation involving fibrinogen
and presents with simultaneous abnormal clotting and bleeding."
d. "DIC is a genetic disorder involving a vitamin K deficiency." -
ANSWER-c. "DIC is caused by abnormal coagulation involving
fibrinogen and presents with simultaneous abnormal clotting and
bleeding."
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DIC-
Cause: Secondary (e.g., sepsis)
Patho:
-↑ Coag cascade → microclots → ischemia/organ dmg
-↓ Clot factors/plt → bleeding
-↑ Fibrinogen use, ↑ D-dimer