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MDC 4 EXAM 2 LATEST 2026-2027 ACTUAL EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+| ||PROFESSOR VERIFIED||
||BRANDNEW!!!||
A client in the intensive care unit (ICU) was recovering
from moderate burns and smoke inhalation. His condition
was improving, and plans were made to transfer him to a
step-down unit. On the morning of the transfer, the client
began to experience elevated temperatures and shortness
of breath. Urine output decreased to 10ml/hr. Labs were
drawn and indicated elevated WBC, GFR, creatinine, and
liver enzymes. This client is experiencing which medical
complication?
a. Disseminated Intravascular coagulation (DIC)
b. Acute respiratory failure (ARF)
c. Multiple organ dysfunction syndrome (MODS)
d. Acute kidney injury (AKI) - ANSWER-c. Multiple organ
dysfunction syndrome (MODS)
____________________________
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MODS -
Cause:
Inflammation (sepsis, burns, trauma)
Key Findings:
↑ Temp: Inflammation
SOB: Resp failure
↓ UO (<10 mL/hr): Renal fail
↑ WBC: Infection
↑ GFR/Creat/LFTs: Multi-organ fail
A nurse is educating a new nurse on the different types of
shock. The new nurse asks which client is NOT
experiencing distributive shock?
a. A client with tension pneumothorax and cardiovascular
compression
b. A client with septic-induced hypotension refractory to
adequate fluid resuscitation
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c. A client with a spinal cord injury at T4 and a heart rate of
40 beats per minute
d. A client with an extreme allergic reaction to penicillin
and stridor - ANSWER-a. A client with tension
pneumothorax and cardiovascular compression
A nurse is managing several IV medications to maintain
the blood pressure of a client in hypovolemic shock. Which
medication places the client at risk for a hypertensive
reaction requiring the nurse to assess the blood pressure
at least every 15 minutes?
a. Norepinephrine
b. Adenosine
c. Sodium nitroprusside
d. Amiodarone - ANSWER-a. Norepinephrine
____________________________
Norepi
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Use: Hypotension, shock
Action: Vasoconstrict, ↑ BP/CO
Risk: HTN crisis, organ damage
Monitor: BP q15min+
A nurse is caring for a client who is in hypovolemic shock
related to hemorrhage. The nurse prepares intravenous
(IV) tubing to infuse with which IV solution in preparation
for a blood transfusion?
a. 3% Sodium chloride solution
b. Total parenteral nutrition
c. Normal Saline solution
d. Lactated Ringer's solution - ANSWER-c. Normal Saline
solution
A nurse is caring for a client who suffered a third-degree
burn to his hands after a house fire. He presented with an
airway injury secondary to smoke inhalation and has been
MDC 4 EXAM 2 LATEST 2026-2027 ACTUAL EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+| ||PROFESSOR VERIFIED||
||BRANDNEW!!!||
A client in the intensive care unit (ICU) was recovering
from moderate burns and smoke inhalation. His condition
was improving, and plans were made to transfer him to a
step-down unit. On the morning of the transfer, the client
began to experience elevated temperatures and shortness
of breath. Urine output decreased to 10ml/hr. Labs were
drawn and indicated elevated WBC, GFR, creatinine, and
liver enzymes. This client is experiencing which medical
complication?
a. Disseminated Intravascular coagulation (DIC)
b. Acute respiratory failure (ARF)
c. Multiple organ dysfunction syndrome (MODS)
d. Acute kidney injury (AKI) - ANSWER-c. Multiple organ
dysfunction syndrome (MODS)
____________________________
,2|Page
MODS -
Cause:
Inflammation (sepsis, burns, trauma)
Key Findings:
↑ Temp: Inflammation
SOB: Resp failure
↓ UO (<10 mL/hr): Renal fail
↑ WBC: Infection
↑ GFR/Creat/LFTs: Multi-organ fail
A nurse is educating a new nurse on the different types of
shock. The new nurse asks which client is NOT
experiencing distributive shock?
a. A client with tension pneumothorax and cardiovascular
compression
b. A client with septic-induced hypotension refractory to
adequate fluid resuscitation
,3|Page
c. A client with a spinal cord injury at T4 and a heart rate of
40 beats per minute
d. A client with an extreme allergic reaction to penicillin
and stridor - ANSWER-a. A client with tension
pneumothorax and cardiovascular compression
A nurse is managing several IV medications to maintain
the blood pressure of a client in hypovolemic shock. Which
medication places the client at risk for a hypertensive
reaction requiring the nurse to assess the blood pressure
at least every 15 minutes?
a. Norepinephrine
b. Adenosine
c. Sodium nitroprusside
d. Amiodarone - ANSWER-a. Norepinephrine
____________________________
Norepi
, 4|Page
Use: Hypotension, shock
Action: Vasoconstrict, ↑ BP/CO
Risk: HTN crisis, organ damage
Monitor: BP q15min+
A nurse is caring for a client who is in hypovolemic shock
related to hemorrhage. The nurse prepares intravenous
(IV) tubing to infuse with which IV solution in preparation
for a blood transfusion?
a. 3% Sodium chloride solution
b. Total parenteral nutrition
c. Normal Saline solution
d. Lactated Ringer's solution - ANSWER-c. Normal Saline
solution
A nurse is caring for a client who suffered a third-degree
burn to his hands after a house fire. He presented with an
airway injury secondary to smoke inhalation and has been
