MDC 4 Exam Questions and Answers
1. The nurse is aware that the treatment for frostbite includes the
following
(SATA)
A. Vigorously rubbing the hands in fingers to reestablish circulation
B. Immersion of hands and feet in warm water
C. Tightly wrapping hands in mitten-like dressings to retain warmth
D. Administering opioids to reduce pain
E. Elevating the affected limbs
Answer B. Immersion of hands and feet in warm water
D. Administering opioids to reduce pain
E. Elevating the affected limbs
2. Which of the following describes the process of initial surveillance of
victims injury severity when administering first aid in an
emergency situation?
The Good Samaritan
law an emergency
interview Triage
taking vital signs
Answer Triage
,3. The nurse reminds a group of certified nursing assistants (CNA)
that for a client with an elevated temperature, the quickest and
simplest technique to reduce a temperature is Which of the
following?
Apply cool wash cloth to
forehead bathe in tepid
water
C. remove clothing and bed linen
give chilled drinks- don't want to give them drinks cuz they could
aspirate
Answer C. remove clothing and bed linen
4. Which time of the day should the nurse encourage a client with
Parkinson's disease to schedule the most demanding physical
activities to minimize the effects of hypokinesia?
early in the morning when the clients energy level is high
to coincide with the peak action of drug therapy
Answer to coincide with the peak action of drug therapy
5. A client with multiple sclerosis(MS) is receiving baclofen. The
nurse deter-mines that the drug is effective with which of the
following outcomes
A. Induces sleep
B. stimulatestheclient'sappetite
,C. relieve muscular spasticity
D. reduces the urine bacterial count
Answer C. relieve muscular spasticity
6. The nurse is caring for several clients on the Burn Unit who have
sustained extensive tissue damage. The nurse should monitor for
which electrolyte im-balance that is typical associated with the
initial third spacing fluid shift?
A. Hypercalcemia
B. Hypernatremia
C. Hyperkalemia
D. Hypokalemia
Answer C. Hyperkalemia
7. The nurse is assessing a client with multiple traumas who is at
risk for developing acute respiratory distress syndrome(ARDS). the
nurse assesses for which earliest sign ofacute respiratory distress
syndrome?
A. Bilateral wheezing
B. inspiratory crackles
C. intercostalretractions
D. increased respiratory rate
Answer D. increased respiratory rate
, 8. An emergency department charge nurse notes an increase in
sick calls and bickering among the staff after a week with multiple
trauma incidents. What action would the nurse take?
Organize a pizza party for each shift
Remind the staff of the facilities sick leave
policy Arrange for critical incident stress
debriefing
Talk individually with staff members
Answer Arrange for critical incident stress debriefing
9. The nurse is assessing a client for decorticate posturing. What
should the nurse assess the client for?
A. Internal rotation and adduction of arms with flexion of elbows,
wrists, and fingers
B. Back hunched over and rigid flexion of all four extremities
with supination of arms and plantar flexion of feet
C. Supination of arms and dorsiflexion of the feet
D. Back arched and rigid extension of all four extremities
Answer A. Internal rotation and adduction of arms with flexion of elbows, wrists, and
fingers
10. A client with a serious head injury with increased intracranial
pressure is to be discharged to a rehabilitation facility. Which
outcome of rehab would be appropriate for the client? The client
will
1. The nurse is aware that the treatment for frostbite includes the
following
(SATA)
A. Vigorously rubbing the hands in fingers to reestablish circulation
B. Immersion of hands and feet in warm water
C. Tightly wrapping hands in mitten-like dressings to retain warmth
D. Administering opioids to reduce pain
E. Elevating the affected limbs
Answer B. Immersion of hands and feet in warm water
D. Administering opioids to reduce pain
E. Elevating the affected limbs
2. Which of the following describes the process of initial surveillance of
victims injury severity when administering first aid in an
emergency situation?
The Good Samaritan
law an emergency
interview Triage
taking vital signs
Answer Triage
,3. The nurse reminds a group of certified nursing assistants (CNA)
that for a client with an elevated temperature, the quickest and
simplest technique to reduce a temperature is Which of the
following?
Apply cool wash cloth to
forehead bathe in tepid
water
C. remove clothing and bed linen
give chilled drinks- don't want to give them drinks cuz they could
aspirate
Answer C. remove clothing and bed linen
4. Which time of the day should the nurse encourage a client with
Parkinson's disease to schedule the most demanding physical
activities to minimize the effects of hypokinesia?
early in the morning when the clients energy level is high
to coincide with the peak action of drug therapy
Answer to coincide with the peak action of drug therapy
5. A client with multiple sclerosis(MS) is receiving baclofen. The
nurse deter-mines that the drug is effective with which of the
following outcomes
A. Induces sleep
B. stimulatestheclient'sappetite
,C. relieve muscular spasticity
D. reduces the urine bacterial count
Answer C. relieve muscular spasticity
6. The nurse is caring for several clients on the Burn Unit who have
sustained extensive tissue damage. The nurse should monitor for
which electrolyte im-balance that is typical associated with the
initial third spacing fluid shift?
A. Hypercalcemia
B. Hypernatremia
C. Hyperkalemia
D. Hypokalemia
Answer C. Hyperkalemia
7. The nurse is assessing a client with multiple traumas who is at
risk for developing acute respiratory distress syndrome(ARDS). the
nurse assesses for which earliest sign ofacute respiratory distress
syndrome?
A. Bilateral wheezing
B. inspiratory crackles
C. intercostalretractions
D. increased respiratory rate
Answer D. increased respiratory rate
, 8. An emergency department charge nurse notes an increase in
sick calls and bickering among the staff after a week with multiple
trauma incidents. What action would the nurse take?
Organize a pizza party for each shift
Remind the staff of the facilities sick leave
policy Arrange for critical incident stress
debriefing
Talk individually with staff members
Answer Arrange for critical incident stress debriefing
9. The nurse is assessing a client for decorticate posturing. What
should the nurse assess the client for?
A. Internal rotation and adduction of arms with flexion of elbows,
wrists, and fingers
B. Back hunched over and rigid flexion of all four extremities
with supination of arms and plantar flexion of feet
C. Supination of arms and dorsiflexion of the feet
D. Back arched and rigid extension of all four extremities
Answer A. Internal rotation and adduction of arms with flexion of elbows, wrists, and
fingers
10. A client with a serious head injury with increased intracranial
pressure is to be discharged to a rehabilitation facility. Which
outcome of rehab would be appropriate for the client? The client
will
