MDC IV EXAM 1 QUESTIONS AND CORRECT
ANSWERS
Question 1
The nurse is evaluating a client with a head injury and finds drainage from the client's
nose and ears. Which of the following is the priority teaching for this client?
a. Cleanse the ear and nose with a soft cotton tipped swab and hydrogen peroxide
b. Gently suction the nasal cavity to reduce the amount of secretions
c. Wipe the nose or ears, but do not blow the nose or place anything in the ear
d. Place a pressure dressing over the affected areas to reduce leakage.
Correct Answer
c. Wipe the nose or ears, but do not blow the nose or place anything in the ear
Question 2
A nurse is developing a care plan for a client with bacterial meningitis. Which of the
following interventions will reduce the risk of increased intracranial pressure?
a. Initiate seizure precautions per facility protocol
b. Assess glasgow Coma scale once per shift
c. Keep the head of the bed elevated as high as tolerated
d. Start 0.9% normal saline at 75 ml/hr via peripheral IV
Correct Answer
c. Keep the head of the bed elevated as high as tolerated
Question 3
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
b. Simple, partial seizure
c. Guillain-Barre Syndrome
d. Cerebrovascular accident
Correct Answer
c. Guillain-Barre Syndrome
Page 1 of 25
,Question 4
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
Correct Answer
a. Place the neck in a neutral position to promote venous drainage
Question 5
The nurse is discussing different types of anesthesia with a group of nursing students.
The student nurse correctly identifies which type of anesthesia requires both
inhalation and IV administration routes?
a. General
b. Regional
c. Specific
d. Preoperative
Correct Answer
a. General
Question 6
The nurse explains which role is responsible for verifying that the consent form is
signed and that the surgical site is marked?
a. scrub nurse
b. surgeon
c. anesthesiologist
d. circulating nurse
Correct Answer
d. circulating nurse
Page 2 of 25
, Question 7
Hey client is admitted to the neurological unit after having had three tonic-clonic
seizures in the past two days. Her husband reported that she had been sleeping for
long periods after each
seizure. The nurse explains to him that this rest period after a tonic-clonic seizure is
which of the following?
a. Convalescent. Convulsant.
b. Post status epilepticus period
c. Post tonic clonic period
d. postictal period
Correct Answer
d. postictal period
Question 8
A client arrives at the emergency department with new onset slurred speech and
weakness. The nurse inquires about when the client was last seen as normal. What
other assessment information is critical for the health care team to know before a
"stroke alert" can be initiated?
a. client's weight
b. National Institutes of Health (NIH) stroke scale score
c. Blood glucose level
d. Vital signs
Correct Answer
c. Blood glucose level
Question 9
C: Chart the clients level of consciousness as coma
Correct Answer
Glascow Score of of 7 generally indicates coma
Page 3 of 25
ANSWERS
Question 1
The nurse is evaluating a client with a head injury and finds drainage from the client's
nose and ears. Which of the following is the priority teaching for this client?
a. Cleanse the ear and nose with a soft cotton tipped swab and hydrogen peroxide
b. Gently suction the nasal cavity to reduce the amount of secretions
c. Wipe the nose or ears, but do not blow the nose or place anything in the ear
d. Place a pressure dressing over the affected areas to reduce leakage.
Correct Answer
c. Wipe the nose or ears, but do not blow the nose or place anything in the ear
Question 2
A nurse is developing a care plan for a client with bacterial meningitis. Which of the
following interventions will reduce the risk of increased intracranial pressure?
a. Initiate seizure precautions per facility protocol
b. Assess glasgow Coma scale once per shift
c. Keep the head of the bed elevated as high as tolerated
d. Start 0.9% normal saline at 75 ml/hr via peripheral IV
Correct Answer
c. Keep the head of the bed elevated as high as tolerated
Question 3
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
b. Simple, partial seizure
c. Guillain-Barre Syndrome
d. Cerebrovascular accident
Correct Answer
c. Guillain-Barre Syndrome
Page 1 of 25
,Question 4
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
Correct Answer
a. Place the neck in a neutral position to promote venous drainage
Question 5
The nurse is discussing different types of anesthesia with a group of nursing students.
The student nurse correctly identifies which type of anesthesia requires both
inhalation and IV administration routes?
a. General
b. Regional
c. Specific
d. Preoperative
Correct Answer
a. General
Question 6
The nurse explains which role is responsible for verifying that the consent form is
signed and that the surgical site is marked?
a. scrub nurse
b. surgeon
c. anesthesiologist
d. circulating nurse
Correct Answer
d. circulating nurse
Page 2 of 25
, Question 7
Hey client is admitted to the neurological unit after having had three tonic-clonic
seizures in the past two days. Her husband reported that she had been sleeping for
long periods after each
seizure. The nurse explains to him that this rest period after a tonic-clonic seizure is
which of the following?
a. Convalescent. Convulsant.
b. Post status epilepticus period
c. Post tonic clonic period
d. postictal period
Correct Answer
d. postictal period
Question 8
A client arrives at the emergency department with new onset slurred speech and
weakness. The nurse inquires about when the client was last seen as normal. What
other assessment information is critical for the health care team to know before a
"stroke alert" can be initiated?
a. client's weight
b. National Institutes of Health (NIH) stroke scale score
c. Blood glucose level
d. Vital signs
Correct Answer
c. Blood glucose level
Question 9
C: Chart the clients level of consciousness as coma
Correct Answer
Glascow Score of of 7 generally indicates coma
Page 3 of 25
