MDC4 FINAL EXAM REVIEW WITH
ALL CORRECT RESPONSES
VERIFIED AND GRADED A+
A patient's vital signs are trending in a negative direction.
You should first:
Further assess them
You discover a medication error has occurred.
What is the first nursing intervention?
Assess the patient
While doing your nursing assessment, you discover one of the patient's vital
signs is in a critical range.
What do you do next?
Notify the provider
,A patient presents to the ER after being stuck out in the cold. They are
experiencing pain, numbness and pallor that is relieved by applying warmth.
What do you suspect?
Frost nip
A patient arrives to the ER with 1st degree Frostbite.
What assessment findings do you expect?
Hyperemia/edema
A patient arrives to the ER with 2nd degree Frostbite.
What assessment findings do you expect?
Clear/milky white blisters
Partial thickness necrosis
A patient arrives to the ER with 3rd degree Frostbite.
,What assessment findings do you expect?
Dark red/blue/bloody blisters
Does NOT blanch
Requires debridement
A patient arrives to the ER with 4th degree Frostbite.
What assessment findings do you expect?
NO blisters/edema
Numb, cold, bloodless
Full thickness necrosis to muscle/bone
Gangrene
Amputation possible
A patient arrives to the ER with frostbite and asks what degree it is.
What is your response?
The degree will become apparent after the area is thawed.
, You witness a patient with stiffening and/or rigidity of muscles, especially
arms and legs, with immediate loss of consciousness.
What type of seizure?
Tonic
You witness a patient with rhythmic jerking/relaxing of all extremities.
What type of seizure?
Clonic
You witness a patient with a sudden loss of muscle tone lasting a few
seconds, the patient dropped to the floor.
What type of seizure?
Atonic
A patient is in recovery after a seizure, they are a bit confused and their
brain is recovering. May last minutes to hours.
What phase of seizure?
ALL CORRECT RESPONSES
VERIFIED AND GRADED A+
A patient's vital signs are trending in a negative direction.
You should first:
Further assess them
You discover a medication error has occurred.
What is the first nursing intervention?
Assess the patient
While doing your nursing assessment, you discover one of the patient's vital
signs is in a critical range.
What do you do next?
Notify the provider
,A patient presents to the ER after being stuck out in the cold. They are
experiencing pain, numbness and pallor that is relieved by applying warmth.
What do you suspect?
Frost nip
A patient arrives to the ER with 1st degree Frostbite.
What assessment findings do you expect?
Hyperemia/edema
A patient arrives to the ER with 2nd degree Frostbite.
What assessment findings do you expect?
Clear/milky white blisters
Partial thickness necrosis
A patient arrives to the ER with 3rd degree Frostbite.
,What assessment findings do you expect?
Dark red/blue/bloody blisters
Does NOT blanch
Requires debridement
A patient arrives to the ER with 4th degree Frostbite.
What assessment findings do you expect?
NO blisters/edema
Numb, cold, bloodless
Full thickness necrosis to muscle/bone
Gangrene
Amputation possible
A patient arrives to the ER with frostbite and asks what degree it is.
What is your response?
The degree will become apparent after the area is thawed.
, You witness a patient with stiffening and/or rigidity of muscles, especially
arms and legs, with immediate loss of consciousness.
What type of seizure?
Tonic
You witness a patient with rhythmic jerking/relaxing of all extremities.
What type of seizure?
Clonic
You witness a patient with a sudden loss of muscle tone lasting a few
seconds, the patient dropped to the floor.
What type of seizure?
Atonic
A patient is in recovery after a seizure, they are a bit confused and their
brain is recovering. May last minutes to hours.
What phase of seizure?
