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MDC 4 FINAL EXAM LATEST 2026-2027 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
A client who experienced a near-drowning accident in a local pool,
but now is awake and breathing spontaneously. Is admitted for
observation. Which assessment will be most important for the
nurse to take during the observation period? - ANSWER-
Auscultate breath sounds
Which of the following describes the process of initial surveillance
of victims injury severity when administering first aid in an
emergency situation? - ANSWER-triage
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? - ANSWER-remove bed linen and clothing
Which time of the day should the nurse encourage a client with
Parkinson's disease to schedule the most demanding physical
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activities to minimize the effects of hypokinesia? - ANSWER-to
coincide with the peak action of drug therapy
A client with multiple sclerosis(MS) is receiving baclofen. The
nurse determines that the drug is effective with which of the
following outcomes - ANSWER-relieve muscular spasticity
the nurse is caring for several clients on the Burn Unit who have
sustained extensive tissue damage. The nurse should monitor for
which electrolyte imbalance that is typically associated with initial
third spacing fluid shift? - ANSWER-hyperkalemia
When taking a client's vital signs on the first postoperative day,
the unlicensed assistive Personnel reports to the nurse that the
oral temperature is 100 degrees. After encouraging the clients use
the incentive spirometer, the nurse should delegate which activity
to the UAP? - ANSWER-continue to monitor the client's temp.
the nurse is assessing a client with multiple traumas who is at risk
for developing acute respiratory distress syndrome(ARDS). the
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nurse assesses for which earliest sign of acute respiratory
distress syndrome? - ANSWER-increased resp. rate
A client has a jackson-pratt drainage tube in place the first day
after surgical repair of a ruptured diverticula. The client asks the
nurse the purpose of the drains. What is the nurses best
response? The drainage tube is used to prevent" - ANSWER-
bleeding into the peritoneal cavity
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? - ANSWER-
arrange for critical incident stress debriefing
The nurse is assessing a client for decorticate posturing. What
should the nurse assess the client for? - ANSWER-Internal
rotation and adduction of arms with flexion of elbows, wrists, and
fingers
A client with a serious head injury with increased intracranial
pressure is to be discharged to a rehabilitation facility. Which
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outcome of rehab would be appropriate for the client? The client
will: - ANSWER-actively participate in the rehab process as
appropriate
Which findings will the nurse observe in the client in the ictal
phase of generalized tonic-clonic seizure? - ANSWER-Loss of
consciousness, body stiffening, and violent muscle contractions
The nurse is aware that the treatment for frostbite includes the
following: (SATA) - ANSWER-- Immersion of hands and feet in
warm water
- Administering opioids to reduce pain
- Elevating the affected limbs
A nurse is caring for several clients at risk for shock. Which
laboratory values requires the nurse to communicate with the
healthcare provider? - ANSWER-lactate 54
A nurse caring for a client notes the following assessments: white
blood cell count 3800/mm3, blood glucose level 198 mg/dL, and
MDC 4 FINAL EXAM LATEST 2026-2027 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
A client who experienced a near-drowning accident in a local pool,
but now is awake and breathing spontaneously. Is admitted for
observation. Which assessment will be most important for the
nurse to take during the observation period? - ANSWER-
Auscultate breath sounds
Which of the following describes the process of initial surveillance
of victims injury severity when administering first aid in an
emergency situation? - ANSWER-triage
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? - ANSWER-remove bed linen and clothing
Which time of the day should the nurse encourage a client with
Parkinson's disease to schedule the most demanding physical
,2|Page
activities to minimize the effects of hypokinesia? - ANSWER-to
coincide with the peak action of drug therapy
A client with multiple sclerosis(MS) is receiving baclofen. The
nurse determines that the drug is effective with which of the
following outcomes - ANSWER-relieve muscular spasticity
the nurse is caring for several clients on the Burn Unit who have
sustained extensive tissue damage. The nurse should monitor for
which electrolyte imbalance that is typically associated with initial
third spacing fluid shift? - ANSWER-hyperkalemia
When taking a client's vital signs on the first postoperative day,
the unlicensed assistive Personnel reports to the nurse that the
oral temperature is 100 degrees. After encouraging the clients use
the incentive spirometer, the nurse should delegate which activity
to the UAP? - ANSWER-continue to monitor the client's temp.
the nurse is assessing a client with multiple traumas who is at risk
for developing acute respiratory distress syndrome(ARDS). the
,3|Page
nurse assesses for which earliest sign of acute respiratory
distress syndrome? - ANSWER-increased resp. rate
A client has a jackson-pratt drainage tube in place the first day
after surgical repair of a ruptured diverticula. The client asks the
nurse the purpose of the drains. What is the nurses best
response? The drainage tube is used to prevent" - ANSWER-
bleeding into the peritoneal cavity
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? - ANSWER-
arrange for critical incident stress debriefing
The nurse is assessing a client for decorticate posturing. What
should the nurse assess the client for? - ANSWER-Internal
rotation and adduction of arms with flexion of elbows, wrists, and
fingers
A client with a serious head injury with increased intracranial
pressure is to be discharged to a rehabilitation facility. Which
, 4|Page
outcome of rehab would be appropriate for the client? The client
will: - ANSWER-actively participate in the rehab process as
appropriate
Which findings will the nurse observe in the client in the ictal
phase of generalized tonic-clonic seizure? - ANSWER-Loss of
consciousness, body stiffening, and violent muscle contractions
The nurse is aware that the treatment for frostbite includes the
following: (SATA) - ANSWER-- Immersion of hands and feet in
warm water
- Administering opioids to reduce pain
- Elevating the affected limbs
A nurse is caring for several clients at risk for shock. Which
laboratory values requires the nurse to communicate with the
healthcare provider? - ANSWER-lactate 54
A nurse caring for a client notes the following assessments: white
blood cell count 3800/mm3, blood glucose level 198 mg/dL, and
