NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 202, Exams of Nursing

Download NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 202 and more Exams Nursing in PDF only on Docsity! NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ 3.With what we have… the test taker got 84 No picture : D • No picture: B • No picture: B - constrict • No picture: D or C • A nurse is assessing a client in postoperative recovery. The client complains of the following symptoms. Which of the following is abnormal and should be reported immediately? a. Emesis that is red b. Complaint of feeling cold c. Nausea d. Complaint of pain • A client's neurological status deteriorates over hours, and a craniotomy is performed to evacuate a 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 the client to cough and deep breathe to prevent NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ • A client 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 client warm. d. Turn the client frequently to prevent skin impairment • A client has recently suffered a stroke with left-sided weakness. The nurse assesses for dysphagia, especially with thin liquids. Which nursing intervention is most helpful in assisting this patient to swallow safely? a. The client should avoid all liquids. b. Instructing to tuck the chin when swallowing c. Give sips of water with each bite d. Turn head to the left. • A client has a comminuted fracture of T6-T7, resulting in paraplegia. The nurse educates the client on preventing autonomic dysreflexia. Which of the following is the priority intervention in this medical emergency? NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ with which of the following complications of surgery? a. Hypovolemic shock b. Dehiscence c. Atelectasis d. Pulmonary embolus • A client presents to the emergency department with signs of a stroke. After a computed tomography (CT) scan, which revealed a hemorrhage, the nurse anticipates directives for which one of the following plans? a. TPA administration a. Call a code blue b. Prep for a client surgery c. Place the client in Trendelenburg • A client arrives in the emergency department with an ischemic stroke. Because the healthcare team is considering tissue plasminogen activator (tPA), what should the nurse perform FIRST? a. Ask what medications the client is taking b. Complete the history and health assessment c. Identify the time of onset of the stroke d. Determine if the client is scheduled for any surgical procedures • The client has presented with a basilar skull fracture. NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ While assessing the client, the nurse notes clear drainage from the nose with a “halo sign” and is concerned about a potential cerebrospinal fluid (CSF) leakage. What should the nurse do next? a. Document this as serous drainage and continue to monitor the client b. Check for the presence of glucose in the drainage and report to the provider c. Apply an ice pack to the nasal bridge and a large, fluffy dressing. d. Assist the client in blowing his nose to clear secretions and re-evaluate. • The nurse is discussing different types of anesthesia with a group of nursing students. The student nurse correctly identifies which type of anesthesia requires both inhalation and IV administration routes? NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ a. Blood pressure of 220/120 mm HG b. Oxygen saturation of 92% c. A heart rate of 86 bpm d. RR of 24 bpm • During a nutritional therapy class, the nurse educates a group of migraine sufferers on foods that may worsen headaches. The clients are advised to avoid which of the following food choices? (SATA) a. Yogurt b. Caffeine c. Beef d. Pears e. Marinated food f. milk • The nurse is caring for a client with Parkinson's disease. Which intervention does the nurse implement to prevent respiratory complications in the client? a. Keep an oral airway at the bedside b. Ensure fluid intake of at least 3L/day c. Teach the client pursed lip breathing techniques d. Maintain the head of bed at 30 degrees or greater • A client 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? NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ a. Pupil changes b. Ipsilateral paralysis c. Vomiting d. Decrease in the level of consciousness • The nurse is caring for a client diagnosed with Alzheimer’s disease. Which nursing tasks should not be delegated to the unlicensed assistive personnel (UAP)? (SATA) a. Check the client’s skin under the restraints b. Administer the clients antipsychotic medication c. Perform the client’s morning hygiene care d. Ambulate the client to the bathroom e. Obtain the clients routine vital signs NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ further direction the nurse understands which of the following interventions needs to be done immediately question marks a. place the client in how high fowler's position b. give the client fluids to prevent shock c. replacing the dressing with sterile fluffy pads d. apply a warm, moist normal Saline sterile dressing NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ • During the course of surgery, a client exhibits tachycardia, diaphoresis, and rising body temperature. Which of the following is the priority intervention of the circulating nurse? a. Continue to monitor the client for any further changes in condition b. note the client's oxygen saturation in blood pressure c. ask the scrub nurse to verify the assessment findings d. alert the anesthesiologist and surgeon immediately • During the first 24 hours after thrombolytic treatment for an ischemic stroke, the nurse’s primary goal is to control which of the following vital signs? a. pulse b. respirations c. blood pressure NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ d. It involves vigorous hand and lower arm scrubbing for 3-5 minutes. NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ • A client with Alzheimer’s disease is admitted to the hospital. Which psychosocial assessment is most important for the nurse to complete? a. Ability to recall past events b. Ability to perform self-care c. Reaction to a change of environment d. Relationship with close family members • A graduate nurse is performing discharge teaching for a client newly diagnosed with migraine headaches. Which statement made by the graduate nurse indicates a correct understanding of this disorder? a. Auras are not a symptom present with migraines. b. Beta blockers are contraindicated in clients with migraines c. Increasing stimulating activities during an NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ episode will help resolve the migraines. d. Verapamil is not an abortive migraine medication but used to manage and prevent migraines. • A client with Parkinson’s disease is prescribed levodopa (l-dopa) therapy. Improvement in which area indicates the therapy is effective? a. Mood b. Muscle rigidity c. Appetite d. Alertness • The nurse is caring for a post-stroke client with expressive (Broca’s) aphasia. Which nursing intervention is appropriate for the nurse to communicate with the client? a.Refer the client to the speech language pathologist NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ UPDATE 2022/2023 RATED A+ NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ b. gastrointestinal c. respiratory d. Cardiovascular • The nurse is caring for a client who is immobile from recent surgery. Which interventions does the nurse implement to prevent complications in this client? a. Position the client with the unaffected side down. b. Instruct the client to tur the head from side to side. c. Apply sequential compression stockings. d. Teach the client to touch and use both sides of the body. • The client received a preoperative dose of lorazepam 20 minutes ago. Which of the following is the priority intervention the nurse should take to promote safety for this client? NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ a. monitor respiratory status b.raise bed rails c. elevates the head of the bed 30 degrees. d.Take seizure precautions • when planning care for a client with myasthenia gravis , the nurse understands that the client is at highest risk for which of the following? a. Aspiration b.bladder dysfunction c. hypertensio n d.sensory loss • a client has been diagnosed with organic brain pathology. He is presenting with signs and symptoms of total or partial loss of the NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ d. Bradykinesia will only affect my extremities as my disease progresses • A nurse is caring for a client who has a closed head injury with intracranial pressure (ICP) readings between 16 and 22MM HG. Which of the following actions should the nurse take to decrease the potential for raising the client's AICP? Select all that apply a. suction the endotracheal tube frequently NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ b. decrease the noise in the client's room c.elevate the clients head on two pillows d.administer a stool softener e.keep the client well hydrated • the nurse determines that the client demonstrates an understanding of preoperative teaching with which response? Select all that apply a. I will need to sign a consent form before I am given my medications prior to my surgery b. the surgeon will want me to ambulate as soon as possible after my surgery c. the nurse will want me to take the deepest breaths I can tolerate following my surgery d. I may experience some Constipation if I am NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ • the nurse is obtaining a health history for a 45 year old woman with Guillain-Barre syndrome (BGS). Which statement by the client does the nurse correlate with the clients diagnosis? a. I have a history of a cardiac dysrhythmias b. I just got over the flu a couple of weeks ago and now this c. my neighbor also has Guillain-Barre syndrome d. I am an artist and work with oil paints • Hey client is admitted to the neurological unit after having had three tonic clonic seizures in the past two days. Her husband reported that she had been sleeping for long periods after each seizure. The nurse explains to him that this rest period after a tonic clonic seizure is which of the following? a. Convalescent. Convulsant. b. Post status epilepticus period NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ c. Post tonic clonic period d. postictal period • The three components of cushing's response (triad) are which of the following? Select all that apply a. decreased blood pressure b. widened pulse pressure c. Bradycardia d. increased systolic blood pressure e. uncontrolled thermal regulation • A client with new onset status epilepticus is prescribed phenytoin. Ever teaching the client about this treatment regimen , the nurse assesses the client's understanding. Which statement indicates that the client understands the teaching? a. I must drink at least 2 liters of water daily NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST A nurse is providing teaching to a class about transient ischemic attacks (TIAs). Which information should the nurse include in the teaching? a. b. c. d. A TIA can cause irreversible hemiparesis A TIA can be the result of cerebral bleeding A TIA can cause cerebral edema A TIA can precede an ischemic stroke The nurse enters a room and witnesses a client NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ . 43. C: Chart the clients level of consciousness as coma experiencing a seizure. What is the nurse's priority actions? a. Establish a large-bore catheter and start 0.9% sodium NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ chloride b. Start the client on 8L of oxygen via non- rebreather mask c. Place the client in the supine, left- lateral position d. Remove items that may cause client injury • A nurse is developing a care plan for a client with bacterial meningitis. Which of the following interventions will reduce the risk of increased intracranial pressure? a. Initiate seizure precautions per facility protocol b. Assess glasgow Coma scale once per shift c. Keep the head of the bed elevated as high as tolerated d. Start 0.9% normal saline at 75 ml/hr via peripheral IV • Which of the following statements by your client’s son indicate the need for further teaching when using patient controlled analgesia (PCA)? a. The medication is flowing through my mothers intravenous line b. I can push the button for my mother if she is too drowsy NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ • A client has been admitted to the neurological department because of seizures of unknown cause. Which of the following is the priority intervention? a. Placing the client in protective restaurants b. Being sure padded side rails are present c. Suggesting that the family monitor the client d. Placing the client with one on one nursing service • A client had an embolic stroke and is having an echocardiogram. When the client asks why the provider ordered “a test on my heart,” how will the nurse respond? a. Most of these types of blood clots come from the heart b. Some of the blood clots may have gone to your heart too c. We need to see if your heart is strong enough for therapy d. Your heart may have been damaged in the stroke too • As the result of a stroke, a client has difficulty discerning the position of his body without looking at it. In the nurses documentation, which would best describe the clients liability to assess the spatial NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ UPDATE 2022/2023 RATED A+ NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ • A male client, age 69, is being evaluated by a neurologist for signs of muscle rigidity, masklike face (the area from the forehead to chin), and propulsive gait. The nurse interprets these findings as potential indicators of which neurological disorder? a. Multiple sclerosis b. Parkinson’s disease c. Alzheimer’s disease d. Epilepsy • Before undergoing a computed tomography (CT) scan with a contrast medium, the nurse assesses the client for which of the following potential complications? a. Assess that the client is not allergic to seafood or iodine. b.Determine the client’s ability to change position frequently during the procedure. NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ c. Evaluate the ability to maintain a safe distance from the client to reduce the exposure to radiation. d.Confirm that the client has no metal objects such as an implant or a pacemaker. • The nurse is planning care for a client with epilepsy. Which precautions does the nurse implement to ensure the safety of the client while in the hospital. (select all that apply) a. Have suction equipment at the bedside b. place a padded tongue blade at the bedside NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ Coma Score is 3. The organ procurement team has been notified of a potential donor. Following protocols, the nurse performs, which of the following actions? a. maintain perfusion and care of the client to allow the possibility of a healthy organ harvest. b.Discuss the surgical harvesting and donation process with the family. c. Prepare to remove all lines and tubes to ensure a rapid transition to the OR after expiration. d.Remove any potentially nephrotoxic medications to preserve organ function for possible transplant. • A client presents to the emergency department (ED) with the inability to wrinkle her forehead or pucker her lips. She is afraid she may be having a stroke. After a complete clinical workup is negative for a cerebral vascular accident (CVA), the nurse provides discharge information on which of the following disorders? a. Trigeminal neuralgia NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ b. Bell’s Palsy c. cerebral aneurysm d. Epilepsy • The nurse assesses a client who presents with progressive proximal to distal muscle weakness and mild diplopia. The nurse realizes these manifestations indicate the client most likely suffers from which peripheral nervous system disease? NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+