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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
- The nurse is teaching a client with debilitating rheumatoid arthritis about home safety. Which statement should the nurse include?
A. "My grandfather always had problems with his arthritis, and he would tell me that it is better to be more stoic and not let pain interrupt your life" B. "There are many adaptive devices such as grab bars, reacting tools, grasp- ing devices and adaptive silverware available that may help you." C. "Place throw rugs throughout your home.You will enjoy how pretty they are, and you can use them to cover up power cords, so you do not trip on them." D. "Lack of home safety may be an issue of compliance. Are you being compliant with your medication?" Answer B. "There are many adaptive devices such as grab bars, reacting tools, grasping devices and adaptive silverware available that may help you."
- A client is in the emergency room in critical condition and hypotensive. Her spouse is distraught. What is the priority nursing action?
A. Maintain the client's blood pressure B. Call a chaplain C. Provide the spouse a chair D. Ask the client's spouse to explain what happened Answer A. Maintain the client's blood pressure
- What level of Maslow's Hierarchy of needs does shelter belong to?
A. Love and belonging B. Physiological C. Safety and security D. Esteem Answer B. Physiological
- A nurse is teaching a client how to follow a low-purine diet as prescribed by the provider for the management of gout. What statement by the client indicates a correct understanding of the teaching?
A. "I should choose red meat instead of poultry." B. "I should avoid eating liver and other organ meats."
D. The client has paresthesia in her fingers and intense increasing pain in her shoulder Answer D. The client has paresthesia in her fingers and intense increasing pain in her shoulder
- A client with systemic lupus erythematous complains of flank pain. Which laboratory test does the nurse anticipate will be ordered?
A. Platelets B. Skin biopsy C. Creatinine D. Hemoglobin Answer C. Creatinine
- The nurse is performing a psychosocial assessment on a client with a severe rheumatoid arthritis. What would be the most appropriate statement by the nurse?
A. "Tell me about what medication you are taking" B. "What physical limitations are you experiencing?"
C. "How does this impact your role in your family?" D. "What therapies are you using to reduce swelling?" Answer C. "How does this impact your role in your family?"
- A post-operative client with a sutured abdominal incision felt a sharp abdominal pain after having a bowel movement. Upon inspection, the nurse notices bowel protruding from the incision site. What does the nurse tell the physician about the event?
A. The client's incision site has eviscerated B. The client's incision site has lacerated C. The client's incisional site is approximated D. The client's incisional site has dehisced after Answer A. The client's incision site has eviscerated
- The nurse is caring for a 65-year-old client and notes a temperature of 101Fæ. how does the nurse interpret this finding?
A. Hyperthermia B. A cold environment C. Normal D. Hypothermia Answer
B. Once the tissue has necrosed from high-pressure. It does not regenerate C. Glaucoma always leads to permanent blindness D. Once bacterial infection has caused damage, the tissue does not regener- ate Answer B. Once the tissue has necrosed from high-pressure. It does not regenerate
- Most adults with human immunodeficiency virus will exhibit which of the following laboratory values?
A. Higher than normal number of CD4+ T-cells and CD8+ T-cells are normal B. Lower than normal number of CD4+ T-cells and higher than normal CD8+ T-cells C. Higher than normal number of CD4+ T-cells and CD8+ T-cells are low D. Lower than normal number of CD4+ T-cells and CD8+ T-cells are normal Answer D. Lower than normal number of CD4+ T-cells and CD8+ T-cells are normal
- A nurse is teaching a client who has fibromyalgia about strategies that might help reduce her symptoms. What should the nurse include in the client education?
A. Avoid exercise during flare-ups B. Do high impact exercises like running
C. Establish a regular sleep pattern D. Increase calcium and caffeine intake Answer C. Establish a regular sleep pattern
- What is a sign of inadequate perfusion?
A. Intact sensation B. Pallor in toes C. Bounding pulses D. Pink fingers Answer B. Pallor in toes
- A nurse is caring for a client who has acute osteomyelitis. Which of the following interventions is the nurse's priority?
A. Administer antibiotics to the client B. Increase the client's protein intake C. Teach relaxation breathing to reduce the client's pain D. Provide the client with anti-pyretic therapy Answer A. Administer antibiotics to the client
18.. The client states, "Why am I getting protein supplements while I am healing from a bed sore?" What is the best response by the nurse?
B.The client sets the cap to the eye drop container down in a manner that does not contaminate it C. The client touches the administration dropper her to the eye D. The client washes her hands before instilling the eye drops Answer C. The client touches the administration dropper her to the eye
21.. A client is immobile and requires mechanical ventilation with a tra- cheostomy. She has a pressure injury on her coccyx measuring 5 cm by 3 cm. the nurse observes bone and tendon at the base of the wound. How would the nurse document this wound?
A. Stage III pressure injury B. A stage II pressure injury C. A non-staging pressure injury D. Stage IV pressure injury Answer D. Stage IV pressure injury
22.. Which of the following lab tests should be used for diagnosing connective tissue diseases? (Select all that apply)
A. Rheumatoid factor (RF) B. Erythrocyte sedimentation rate ((ESR) C. Anti-nuclear antibody (ANA) D. Thyroid stimulating hormone (TSH)
E. C-reactive protein (CRP) Answer A. Rheumatoid factor (RF) B. Erythrocyte sedimentation rate ((ESR) C. Anti-nuclear antibody (ANA) D. C-reactive protein (CRP)
- A client has an open wound with creamy thick yellow drainage. How would the nurse document this finding?
A. Purulent B. Serosanguinous C. Sanguineous D. Serous Answer A. Purulent
- A client with lupus experience Raynaud's phenomenon. What should the nurse include when providing client education about this?
A. 'In order to avoid flare-ups of Raynaud's, ensure you wear gloves in winter.' B. 'In order to avoid flare-ups of Raynaud's, ensure you brush your teeth for 2 minutes.' C. 'In order to avoid flare-ups of Raynaud's, ensure to keep cool.' D. 'In order to avoid flare-ups of Raynaud's, ensure you wear sunscreen.' Answer
in a hospital Answer C. An unexpected event involving death or serious physical or psy- chological injury
- A nurse is providing teaching to an older client who has osteoarthritis that is affecting the knees. What statement by the client indicates a correct understanding of the teaching?
A. I can use either heat or ice to help relieve the discomfort B. 'The purpose of drug therapy is to stop the disease progression.' C. 'I will start a daily running program to get more exercise.' D. 'I should avoid physical activity to prevent further injury.' Answer A. I can use either heat or ice to help relieve the discomfort
- The nurse is most concerned about which of these findings in a client with systemic lupus erythematous?
A. The client reports chronic fatigue B. The client has a butterfly rash C. Blood pressure of 126/85 mm Hg D. Urine output of 20 mL/hour Answer D. Urine output of 20 mL/hour
- Which of the following statements by a client with human immunodeficien- cy virus (HIV) requires further teaching? (Select all that apply)
A. 'I can spread this through contact with surfaces, so I need to wear gloves in public.' B. 'Because I have HIV, that means I'm an AIDS patient' C. 'I need to ensure that I place my needles in a proper needle disposal container.' D. 'I will monitor my nutrition and fluid status.' E. 'I can still have unprotected intercourse with my partner since he does not
A. Eradicate the disease B. Reduce pain and inflammation C. Turn on the immune system D. Manage weight loss Answer B. Reduce pain and inflammation
- A nurse working in an orthopedic unit is caring for 4 clients. Which of the following clients should the nurse identify as being at highest risk for skin breakdown?
A. An adolescent who has a patella fracture and is in an immobilizer B. A young adult who has a femur fracture and is going to surgery in two hours C. A middle-aged adult who has fractured his radius and has a cast D. An older adult who has a hip fracture and is immobile Answer D. An older adult who has a hip fracture and is immobile
34.. What is the nurse's priority action for a client with compromised immuni- ty?
A. Wash hands before entering the client's room B. Take the client's vital signs every 4 hours C. Determine whether it is temporary or permanent D. Teach the family members to receive the flu shot annually Answer A. Wash hands before entering the client's room
- A client is diagnosed with systemic sclerosis (scleroderma). What symp-
toms is the first to occur?
A. Tachycardia B. Raynaud's phenomenon C. Intense wrinkle D. Joint pain Answer B. Raynaud's phenomenon
- A nurse is caring for a client who is post-operative following an open reduction internal fixation (ORIF) of a femur fracture. What is included in the evaluation of the neurovascular status of the client's affected extremity? (Select all that apply)
A. Color B. Temperature C. Sensation D. Skin integrity E. Ecchymosis Answer A. Color
D. Client will remain free from falls throughout their hospital stay Answer D. Client will remain free from falls throughout their hospital stay
- A provider has ordered a wound culture for a client with a non-healing wound. What is the nurse's first action?
A. Label the specimen tube B. Put on non-sterile gloves C. Gently remove the soiled dressings D. Irrigate the wound Answer B. Put on non-sterile gloves
- 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. Factor does not change B. Decreased level of rheumatoid arthritis
C. A positive rheumatoid factor D. A negative rheumatoid factor Answer C. A positive rheumatoid factor
- The nurse suspects a 3-year-old who is coughing vigorously has aspirated a small object. Which action should the nurse take?
A. Deliver upward abdominal thrusts with a fisted hand B. Perform a blind finger sweep of the child's mouth C. Complete five rapid back blows between the shoulder blades D. Encourage the child to continue coughing Answer D. Encourage the child to continue coughing
- Dry skin (Xerosis) can lead to itching (Pruritis). What statement by the client indicates need for further teaching about preventing dry skin?
A. 'I will drink at least 3000 mL of water daily." B. 'I will shower every day in hot water." C. 'I will avoid tights belts." D. 'I will use a humidifier during the winter months." Answer B. 'I will shower every day in hot water."
- What is not appropriate client education on the preventing the spread of methicillinresistance Staphylococcus aureus (MRSA)?
A. Avoid contact sports until the infection has cleared
