EXAM 2025/2026 MULTIDIMENSIONAL CARE IV (MDC 4)
|RASMUSSEN COMPLETE ACCURATE EXAM WITH REAL
QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) A NEW UPDATED VERSION
|GUARANTEED PASS A+
A nurse caring for a client notes the following assessments: white blood
cell count 3800/mm3, blood glucose level 198 mg/ld., and temperature
96.2f. What action by the nurse takes priority?
Answer -notify the health care provider immediately
During the first 24 hours after thrombolytic treatment for an ischemic
stroke, the primary goal is to control which of the following in the
client?
Answer- BP
A medication order for a client that weights 80 kg states, infuses
dobutamine 250 mg mL D5W at 4 mcg/kg/min. The infusion pump must
be set to _____ mL/hr.?
Answer- 19
A client has undergone preadmission laboratory studies, including a
CBC, coagulation studies, and electrolytes and creatinine levels. Which
,of the following laboratory results should be reported to the surgeon's
office by the nurse knowing that it could cause the surgery to be
postponed?
Answer- hemoglobin 8
When preparing to teach a client about phenytoin sodium therapy, the
nurse should urge the client not to stop the drug suddenly due to which
of the following concerns?
Answer- status epilepticus may develop
A nurse wants to become part of a disaster medical assistance team
(DMAT) but is concerned about maintaining licensure in several states.
Which statement best addresses these concerns?
Answer- Deployed DMAT providers are federal employees, so their
licenses are good in all 50 states.
The client has returned to the surgery unit from the post anesthesia unit
(PACU). The client's respirations are rapid and shallow, the pulse is 120
bpm, and the BP is 88/52. The client's level of consciousness is
declining. What should the nurse do first?
Answer- Call the rapid response team (RRT)/medical emergency team
,A client is to be discharged from same-day surgery 7 hours after his
inguinal hernia repair. Which nursing observation indicates this client is
ready to be discharged? (SATA)
Answer- - The client voids 500 mL of urine
- The client has active bowel sounds
- The client walks in the hallway unassisted
The nurse is assessing a client in the postictal phase of generalized tonic
clinic seizure. The nurse should determine if the client has which of the
following assessment findings?
Answer- drowsiness
A nurse is field-triaging clients after an industrial accident. Which client
condition would the nurse triage with a red tag?
Answer- Multiple fractured ribs and shortness of breath
The client has clear fluid leaking from the nose following a basilar skull
fracture. The nurse assesses that this is cerebrospinal fluid if the fluid
has which of the following characteristics?
Answer- Separates into concentric rings and tests positive for glucose
, The nurse develops a care plan for a client in the acute phase of a burn
injury. Which of the following would be the priority nursing diagnosis
for the client?
Answer- Risk for infection r.t slow healing graft donor site
What is the priority nursing intervention in the postictal phase of a
seizure?
Answer- assess client's breathing pattern
The nurse is helping to prepare a client for non-emergency surgery. The
nurse should perform which of the following?
Answer- Obtain informed consent from the client
A client has been positioned in the lithotomy position under general
anesthesia for a pelvic procedure. In which anatomic area may the client
expect to experience postoperative discomfort?
Answer- Legs
A 30-year-old female client sustained deep partial thickness burns on the
front and back of the right and left leg, front of right arm, and anterior
trunk at 2000 while starting a bonfire. The client weighs 63kg. Use the