Page 1 of 20
MDC IV EXAM 1 NURSING COMPREHENSIVE 2026
QUESTIONS EXAM LATEST VERSION SOLVED QUESTIONS
& ANSWERS VERIFIED 100 %
5. 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. Emesis that is red
6. 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 the necessity for
suctioning
d. Teach the client to hold his breath and bear down while repositioning in
bed.
a. Elevate the head of the bed 30 degrees
7. A client presents to the emergency room with complaints of bilateral lower
extremity loss of sensation that started in the feet but has now progressed to
the knees and hips. The nurse interprets these symptoms to indicate an
immediate workup for which of the following diseases?
a. Myasthenia gravis
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b. Simple, partial seizure
c. Guillain-Barre Syndrome
d. Cerebrovascular accident
c. Guillain-Barre Syndrome
8. The charge nurse is obtaining the client's signature on a surgical consent
form. The client
states, I didn't really understand what my surgeon explained, but I trust him
completely, which response by the charge nurse is correct?
a. I need to contact your surgeon so your questions can be answered
b. I can answer any questions that you might have regarding your surgery.
c. As long as you are comfortable, then you may sign the consent form.
d. Maybe you should call your surgeon to be sure it is okay to sign the
consent.
a. I need to contact your surgeon so your questions can be answered
9. 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. Place the neck in a neutral position to promote venous drainage
10. 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.
b. Instructing to tuck the chin when swallowing
11. 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?
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a. Scheduled bladder and bowel training
b. Choosing foods to prevent nausea
c. Avoiding food allergies
d. Preventing electrolyte imbalances
a. Scheduled bladder and bowel training
12. The nurse develops a care plan for a client recovering from surgery. What
nursing interventions will the nurse include to minimize the effects of venous
stasis?
a. Pillows under the knee in a position of comfort
b. Sitting with feet flat on the floor
c. Early ambulation
d. Gentle leg massage
c. Early ambulation
13. The client has an order for 0.45% sodium chloride 1 liter to infuse over 15
hours. At what rate in mL/hr would the nurse set the infusion pump? Round to
the nearest whole number, do not use a trailing zero.
67 ml/hr
14. A client with multiple sclerosis (MS) is receiving baclofen. The nurse
determines that the drug is effective when it causes which action?
a. Induces sleep
b. Stimulates the client's appetite
c. Relieves muscular spasticity
d. Reduces the urine bacterial count
c. Relieves muscular spasticity
15. Sudden chest pain combined with dyspnea, cyanosis, and tachycardia are
symptoms associated with which of the following complications of surgery?
a. Hypovolemic shock
b. Dehiscence
c. Atelectasis
d. Pulmonary embolus
d. Pulmonary embolus
16. 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
MDC IV EXAM 1 NURSING COMPREHENSIVE 2026
QUESTIONS EXAM LATEST VERSION SOLVED QUESTIONS
& ANSWERS VERIFIED 100 %
5. 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. Emesis that is red
6. 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 the necessity for
suctioning
d. Teach the client to hold his breath and bear down while repositioning in
bed.
a. Elevate the head of the bed 30 degrees
7. A client presents to the emergency room with complaints of bilateral lower
extremity loss of sensation that started in the feet but has now progressed to
the knees and hips. The nurse interprets these symptoms to indicate an
immediate workup for which of the following diseases?
a. Myasthenia gravis
, Page 2 of 20
b. Simple, partial seizure
c. Guillain-Barre Syndrome
d. Cerebrovascular accident
c. Guillain-Barre Syndrome
8. The charge nurse is obtaining the client's signature on a surgical consent
form. The client
states, I didn't really understand what my surgeon explained, but I trust him
completely, which response by the charge nurse is correct?
a. I need to contact your surgeon so your questions can be answered
b. I can answer any questions that you might have regarding your surgery.
c. As long as you are comfortable, then you may sign the consent form.
d. Maybe you should call your surgeon to be sure it is okay to sign the
consent.
a. I need to contact your surgeon so your questions can be answered
9. 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. Place the neck in a neutral position to promote venous drainage
10. 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.
b. Instructing to tuck the chin when swallowing
11. 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?
, Page 3 of 20
a. Scheduled bladder and bowel training
b. Choosing foods to prevent nausea
c. Avoiding food allergies
d. Preventing electrolyte imbalances
a. Scheduled bladder and bowel training
12. The nurse develops a care plan for a client recovering from surgery. What
nursing interventions will the nurse include to minimize the effects of venous
stasis?
a. Pillows under the knee in a position of comfort
b. Sitting with feet flat on the floor
c. Early ambulation
d. Gentle leg massage
c. Early ambulation
13. The client has an order for 0.45% sodium chloride 1 liter to infuse over 15
hours. At what rate in mL/hr would the nurse set the infusion pump? Round to
the nearest whole number, do not use a trailing zero.
67 ml/hr
14. A client with multiple sclerosis (MS) is receiving baclofen. The nurse
determines that the drug is effective when it causes which action?
a. Induces sleep
b. Stimulates the client's appetite
c. Relieves muscular spasticity
d. Reduces the urine bacterial count
c. Relieves muscular spasticity
15. Sudden chest pain combined with dyspnea, cyanosis, and tachycardia are
symptoms associated with which of the following complications of surgery?
a. Hypovolemic shock
b. Dehiscence
c. Atelectasis
d. Pulmonary embolus
d. Pulmonary embolus
16. 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
