MDC4 Final Review Exam Questions and
Correct Answers
Question 1
A client is brought to the emergency department by their partner, who reports
working on a faulty hot water heater in the basement most of the day. The client
reports confusion and a headache that began about 2 hours ago. What action should
the nurse take first?
Correct Answer
Provide oxygen and prepare for hyperbaric oxygen therapy
Question 2
An industrial site has experienced a radiation leak and workers who have been
potentially affected areen route to the hospital. To minimize the risks of
contaminating the hospital, managers should perform
Correct Answer
establish a triage outside the hospital
Question 3
Severe burn injury care plan (Select all that apply):
Correct Answer
-Limit visitors in the client's room when immunosuppressed
-Offer high-calorie, high-protein foods or supplemental feeding
-Ambulate two or three times a day and progress
-Apply compression dressing before the graft heals to prevent scar formation
Question 4
A nurse is caring for a patient receiving a norepinephrine infusion. Which adverse
effects should the nurse closely monitor for?
Correct Answer
Bradycardia, hypertension, and peripheral ischemia
Page 1 of 30
,Question 5
A client with suspected septic shock has a respiratory rate of 28 breaths per minute,
altered mentation, and blood pressure of 78/43 mmHg (MAP 55). Which action
should the nurse take first?
Correct Answer
Begin rapid administration of 30 mL/kg crystalloid for hypotension
Question 6
Patient in compensatory stage of shock has narrowing pulse pressure, cool/pale skin,
and ↓ urine output. What physiological response is occurring?
Correct Answer
Activation of the Sympathetic Nervous System (SNS)
Question 7
A nurse triages several clients in a disaster. In which order should the nurse and
health care team provide care to these clients? Using the mass casualty triage
protocol, place the appropriate color (Black, Green, Yellow, Red) next to each client to
signify the level of priority.
Client B: A 51-year-old client with an upper extremity fracture in a sling presenting
with mild discomfort.
Correct Answer
green
Question 8
The nurse is caring for a client in intensive care unit whose condition is deteriorating.
The nurse receives orders to initiate an infusion of dopamine. Which assessments and
interventions should the nurse prioritize?
Correct Answer
Frequent monitoring of vital signs, monitoring the central line site, and providing
accurate drug titration
Page 2 of 30
, Question 9
A client in the compensatory stage of shock presents with cool, pale skin, decreased
urine output, and a respiratory rate of 28 breaths per minute. Which of the following
interventions should the nurse prioritize to improve the client's prognosis?
Correct Answer
Initiating intravenous fluid therapy and supplemental oxygen
Question 10
A health care provider has prescribed a standard electroencephalogram (EEG) test for
the client. What general instructions should the nurse provide to the client?
Correct Answer
Please refrain from drinking coffee and any caffeinated beverages the morning prior
to the procedure
Question 11
The high-pressure alarm sounds on the ventilator. After assessing the client and the
ventilator, the nurse takes what action next?
Correct Answer
Suction the client to remove excess secretions
Question 12
A client with distributive shock is receiving norepinephrine to maintain blood
pressure. What complication of this drug could require physician notification?
Correct Answer
Peripheral ischemia
Question 13
In an acute care setting, the nurse is assessing an unstable client. When prioritizing
the client's care, the nurse should recognize that the client is at risk for hypovolemic
shock in which of the following circumstances?
Correct Answer
Fluid volume circulating in the blood vessels decreases
Page 3 of 30
Correct Answers
Question 1
A client is brought to the emergency department by their partner, who reports
working on a faulty hot water heater in the basement most of the day. The client
reports confusion and a headache that began about 2 hours ago. What action should
the nurse take first?
Correct Answer
Provide oxygen and prepare for hyperbaric oxygen therapy
Question 2
An industrial site has experienced a radiation leak and workers who have been
potentially affected areen route to the hospital. To minimize the risks of
contaminating the hospital, managers should perform
Correct Answer
establish a triage outside the hospital
Question 3
Severe burn injury care plan (Select all that apply):
Correct Answer
-Limit visitors in the client's room when immunosuppressed
-Offer high-calorie, high-protein foods or supplemental feeding
-Ambulate two or three times a day and progress
-Apply compression dressing before the graft heals to prevent scar formation
Question 4
A nurse is caring for a patient receiving a norepinephrine infusion. Which adverse
effects should the nurse closely monitor for?
Correct Answer
Bradycardia, hypertension, and peripheral ischemia
Page 1 of 30
,Question 5
A client with suspected septic shock has a respiratory rate of 28 breaths per minute,
altered mentation, and blood pressure of 78/43 mmHg (MAP 55). Which action
should the nurse take first?
Correct Answer
Begin rapid administration of 30 mL/kg crystalloid for hypotension
Question 6
Patient in compensatory stage of shock has narrowing pulse pressure, cool/pale skin,
and ↓ urine output. What physiological response is occurring?
Correct Answer
Activation of the Sympathetic Nervous System (SNS)
Question 7
A nurse triages several clients in a disaster. In which order should the nurse and
health care team provide care to these clients? Using the mass casualty triage
protocol, place the appropriate color (Black, Green, Yellow, Red) next to each client to
signify the level of priority.
Client B: A 51-year-old client with an upper extremity fracture in a sling presenting
with mild discomfort.
Correct Answer
green
Question 8
The nurse is caring for a client in intensive care unit whose condition is deteriorating.
The nurse receives orders to initiate an infusion of dopamine. Which assessments and
interventions should the nurse prioritize?
Correct Answer
Frequent monitoring of vital signs, monitoring the central line site, and providing
accurate drug titration
Page 2 of 30
, Question 9
A client in the compensatory stage of shock presents with cool, pale skin, decreased
urine output, and a respiratory rate of 28 breaths per minute. Which of the following
interventions should the nurse prioritize to improve the client's prognosis?
Correct Answer
Initiating intravenous fluid therapy and supplemental oxygen
Question 10
A health care provider has prescribed a standard electroencephalogram (EEG) test for
the client. What general instructions should the nurse provide to the client?
Correct Answer
Please refrain from drinking coffee and any caffeinated beverages the morning prior
to the procedure
Question 11
The high-pressure alarm sounds on the ventilator. After assessing the client and the
ventilator, the nurse takes what action next?
Correct Answer
Suction the client to remove excess secretions
Question 12
A client with distributive shock is receiving norepinephrine to maintain blood
pressure. What complication of this drug could require physician notification?
Correct Answer
Peripheral ischemia
Question 13
In an acute care setting, the nurse is assessing an unstable client. When prioritizing
the client's care, the nurse should recognize that the client is at risk for hypovolemic
shock in which of the following circumstances?
Correct Answer
Fluid volume circulating in the blood vessels decreases
Page 3 of 30
