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Rasmussen College MDC 1 Final Exam
Questions with Verified Answers
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Consist of 100 multichoice Questions with Answers
- A client with acquired immune deficiency syndrome (AIDS) has Pneumo- cystis carinii (PCP). What is the nurse's priority assessment for this client? a. Lung sounds b. Skin Turgor c. Radial pulses d. Capillary refill Answer a. Lung sounds
- The client with rheumatoid arthritis is having her rheumatoid factor (RF) drawn while she is having a flare-up of the disease. Which result is seen in clients with rheumatoid arthritis? a. A positive rheumatoid factor b. Factor does not change
c. A negative rheumatoid factor d. decreased level of rheumatoid factor Answer a. A positive rheumatoid factor
- A nurse is providing education for a client who has glaucoma which of the following statements should the nurse include in the teaching? a. "Use of eye drops will improve vision overtime." b. "Without treatment, glaucoma can cause blindness." c. "Double vision is a common symptom of glaucoma." d. "Glaucoma is caused by inadequate production of fluid within the eye." Answer b. "Without treatment, glaucoma can cause blindness."
- A nurse is caring for an immobile client. What is the priority assessment in this client? a. Assessment of skin turgor b. Auscultation of bowel sounds c. Auscultation of lungs sounds d. Assessment for the presence of peripheral edema Answer a. Assessment of skin turgor
- A client with a diagnosis of human immunodeficiency virus (HIV) develops pneumonia. What type of infection is this?
a. Joint deformity b. fibromyalgia c. Paresthesia d. Dry eye Answer c. Paresthesia
- The nurse is planning care for a post-operative client after a total hip arthroplasty. What is the priority nursing intervention? a. Perform neurovascular assessment per protocol b. Use aseptic techniques for wound care and emptying of drains c. Observe client for changes in mental status d. keep the client's heels off the bed Answer a. Perform neurovascular assessment per protocol
- The nurse is providing medication education for a client with osteoarthritis. What teaching should the nurse include in the education? a. Nonsteroidal anti-inflammatory drug (NSAIDs) are very safe and are known to have no side effect b. The main side effect of acetaminophen is gastrointestinal (GI) bleeding c. You should not take more than 4000mg of acetaminophen a day d. The most common adverse effect of nonsteroidal anti-inflammatory drugs (NSAIDs)
Answer c. You should not take more than 4000mg of acetaminophen a day
- The mother of a new born baby is concerned that the baby will develop illnesses from being around people from outside of their family. What is the nurse's best response? a. "I did that, and my kids turned out just fine" b. "Why do you think that it is a bad idea?" c. "You should never go around people after you baby is born" d. "Tell me more about that" Answer d. "Tell me more about that"
- the nurse is preparing to administer medication to a client with osteoarthri- tis. what is the goal of medication therapy? a. Eradicate the disease b. Manage weight loss c. Reduce pain and inflammation d. Turn of the immune system Answer c. Reduce pain and inflammation
- The nurse has documented the following wound assessment "Shallow open, reddened ulcer with no slough on the anterior region of the right heel?" What stage is the wound? a. Stage 3
c. Use proper hand hygiene and strict infection control d. Administer pain medication Answer c. Use proper hand hygiene and strict infection control
- Where will the nurse collect the most reliable source of pain assessment? a. From a medical-surgical book b. From the client's chart c. From nurse-to-nurse bedside report d. From the client Answer d. From the client
- Which of the following would be the most appropriate goal for an elderly client with a nursing diagnosis of risk for injury after hip surgery? a. Client will increase mobility by the time of discharge from hospital b. Client will remain free from falls throughout their hospital stay c. Client will demonstrate effective breathing pattern when ambulating throughout hospital stay d. Client will increase activity tolerance by discharge from the hospital Answer b. Client will remain free from falls throughout their hospital stay
- Dry skin (xerosis) can lead to itching (pruritis). What statement by the client indicates a need for further teaching about preventing dry skin? a. "I will avoid tight belts" b. "I will shower every day in hot water c. "I will use a humidifier during the winter months/"
d. "I will drink at least 3000ml of water daily." Answer b. "I will shower every day in hot water
- What client is susceptible host most at risk for infection? a. A client with leukemia b. A hospitalized 35-year-old client c. A 60-year-old client d. A child who is immunized Answer a. A client with leukemia
- What nursing interventions decrease the risk of pressure injuries? (Select all that apply) a. Keep head of bed (HOB) at or less than 30 degrees b. Padding hard surfaces c. keep head of bed HOB) elevated to 75 degrees d. Place pillows between bony surfaces Answer a. Keep head of bed (HOB) at or less than 30 degrees
b. Padding hard surfaces
d. Place pillows between bony surfaces
- The nurse is most concerned about which of these findings in a client with systematic lupus erythematosus? a. The client has a butterfly rush b. Urine output of 20 mL/hour
healing and nutrition? a. The wound will not heal if the client has eaten protein b. Extra sugar is important in the diet of a client with a healing wound c. Wound healing is negatively impacted by poor nutrition. d. The client's food intake will likely be decreased because of the illness. Answer c. Wound healing is negatively impacted by poor nutrition.
- A client is in skeletal traction. With the nurse's assessment. It is noted that the pins appear red, swollen, and there is purulent drainage. What action does the nurse take first? a. Collect a culture of the purulent fluid. b. Administer an antibiotic c. Instruct the client to complete exercises of the affected extremity d. Cleanse the skin around the pins Answer a. Collect a culture of the purulent fluid.
- What is a symptom of the expected disease pattern of rheumatoid arthri- tis? a. Bilateral joint pain b. Contralateral joint pain c. Unilateral joint pain d. Obtuse variety joint pain Answer a. Bilateral joint pain
- What can the nurse teach a client with acquired immunodeficiency syn-
drome (AIDS) to reduce the risk of infection (Select all that apply) a. Avoid crowds b. Avoid raw fruits and vegetables c. Avoid cleaning your toothbrush with bleach d. Wash your hands thoroughly Answer b. Avoid raw fruits and vegetables c. Avoid cleaning your toothbrush with bleach d. Wash your hands thoroughly
- Adalimumab Answer rheumatoid arthritis drug, used to reduce swelling (inflammation) by acting on your immune system.
- Integrase inhibitor Answer Stops HIV replication and is used in combination w/ other antiretroviral meds.
- Gabapentin Answer neuropathic pain
- Arthrocentesis Answer
a. Friction and shear b. Nutrition c. Mental state d. Age e. Sensory perception Answer a. Friction and shear b. Nutrition e. Sensory perception
- What are some of the expected outcomes when medications are given for rheumatoid arthritis? (Select all that apply) a. Increased quality of life b. Decreased pain c. Cure the disease d. Increased range of motion e. Reduced inflammation Answer a. Increased quality of life b. Decreased pain d. Increased range of motion e. Reduced inflammation
- An area of erythema on the child's skin is being assessed by the nurse.The nurse presses down on the area and the area becomes white. What term does the nurse document for finding? a. Redness b. Warmth c. Blanching d. Non-blanching Answer c. Blanching
- A nurse is caring for 25 - year old male quadriplegic client. Which of the following treatments would the nurse perform to decrease the risk of joint contracture and promote joint mobility? a. Provide active range of motion (ROM) b. Turn the client every 2 hours c. Provide passive range of motion (ROM) d. Administer glucosamine supplements Answer c. Provide passive range of motion (ROM)
- What are the risk factors for osteoarthritis? (Select all that apply) a. Older age b. Sports injuries c. Obesity d. Female gender e. vegan diet Answer
a. "If you don't like, you don't have to take it." b. "These supplements have nothing to do with your wound ." c. "Because it is easy to digest." d. "Protein has amino acids that promote wound healing." Answer d. "Protein has amino acids that promote wound healing."
- Which of the following clients should be placed in isolation for airborne precautions? a. A client with heart palpitations b. A client that recently traveled and developed a fever with cough c. A high school wrestling champion with a rash. d. A client with an unknown skin infection Answer b. A client that recently traveled and developed a fever with cough
- A homeless client arrives in the emergency room. The client verbalizes an inability to bathe for at least one month. What is the nurse's priority? a. inspect the client's skin b. call a social worker c. provide a towel and a show the client to the shower d. Ask if the client has been to a homeless shelter recently Answer a. inspect the client's skin
- A client is diagnosed with narcolepsy. What is the nurse's priority interven- tion? a. Encourage the client to stop drinking caffeine after 6 pm
b. Inform the client to drink two cups of regular coffee c. Inform the client that driving would be dangerous d. Encourage the client to participate in normal activities Answer c. Inform the client that driving would be dangerous
- A nurse providing teaching to an older adult client who has osteoarthritis that is affecting the knees. What statement by the client indicates a correct understanding of the teaching? a. "I will start a daily running program to get more exercise." b. "The purpose of drug therapy is to stop the disease progression." c. "I can use either heat or ice to help relieve the discomfort." d. "I should avoid physical activity to prevent further injury." Answer c. "I can use either heat or ice to help relieve the discomfort."
- The nurse is caring for a client who develops compartment syndrome from a severely fractured arm. The client asks the nurse how this can happen. What is the best response by the nurse? a. "A bone fragment has injured the nerve supply in the area." b. "The fascia expands with injury-causing pressure on underlying nerves and
a. Shearing injury
- A nurse caring for a client who is post-operative following an open reduc- tion internal fixation (ORIF) of a femur fracture. What is included in the evalu- ation of the neurovascular status of the clients affected extremity? (Select all that apply) a. skin integrity b. sensation c. temperature d. ecchymosis e. color Answer b. sensation c. temperature e. color
- A client is experiencing numbness and tingling distal to a new arm cast with no increase in pain. The nurse assesses that the client's fingers are pale and cool What action does the nurse take next? a. Encourage range of motion b. Apply heat to the affected hand c. Raise the arm above the level of the heart Answer c. Raise the arm above the level of the heart
- A client has an abdominal incision. The surgical wound was closed with 10 sutures. This surgical wound is healing by what process? a. Secondary intention b. Binary intention c. Primary intention d. Tertiary intention Answer c. Primary intention
- A client has a new diagnosis of human immunodeficiency virus HIV. The client is distraught and does not know what to do. What intervention by the nurse is best? a. Explain the legal requirements b. Offer to tell the family for the client c. Assess the client's support system d. Call the hospital clergy to speak with client Answer c. Assess the client's support system
- A nurse is assessing a client's vital signs. The oxygen is 85%. What inter- vention should the nurse perform first? a. Obtain pain medication b. Call the provider c. Raise the head of the bed d. Place the clients in the lithotomy position Answer c. Raise the head of the bed
