NUR 2989mdc4-exam-2-
questions (4) Exam (Latest
):
Multidimensional Care IV /
MDC 4 - Rasmussen
MDC4 Exam 2 Questions
mdc IV (Rasmussen University)
MDC4 Exam 2
Questions
Nurse is caring for a client who is receiving mechanical ventilation via an
endotracheal tube. Which of the following actions should the nurse
take?
a. Apply a vest restraint if self extubating is attempted
b. Monitor daily ventilator settings
c. Document tube placement in inches at the angle of the jaw
NUR 2989mdc4-exam-2-
questions (4) Exam (Latest
):
Multidimensional Care IV /
MDC 4 - Rasmussen
, NUR 2989mdc4-exam-2-
questions (4) Exam (Latest
):
Multidimensional Care IV /
MDC 4 - Rasmussen
d. Assess breath sounds every 4 hours
Client who is one day post-op following chest surgery, is having
difficulty breathing, has bilateral rales, and is confused and restless.
Which intervention should the nurse implement first?
a. Give inhaled nebulizer treatment as ordered
b. Notify the rapid response team
c. Place the client in Trendelenburg position X
NUR 2989mdc4-exam-2-
questions (4) Exam (Latest
):
Multidimensional Care IV /
MDC 4 - Rasmussen
, NUR 2989mdc4-exam-2-
questions (4) Exam (Latest
):
Multidimensional Care IV /
MDC 4 - Rasmussen
d. Check the clients surgical dressing
Postop client reports a sudden onset of shortness of breath and pleuritic
chest pain. Assessment findings include diaphoresis, hypotension, crackles
in the left lower lobe and pulse oximetry of 85% on room air. What does
the nurse suspect has occurred with this client?
a. Atelectasis
b. Pneumothorax
c. Pulmonary embolism
d. Flail chest
Client presented to the ED after receiving second and third degree burns
from a kitchen grease spill. The tops of both thighs, the groin area, and
lower abdomen were the areas of injury. About 3 hours after the injury,
the client begins to decompensate and is being prepped for intubation.
Regarding the change in client status, which explanation by the nurse is
correct when educating the clients family?
a. Client is complaining of severe pain and will be intubated to
safely give pain medications and sedatives
NUR 2989mdc4-exam-2-
questions (4) Exam (Latest
):
Multidimensional Care IV /
MDC 4 - Rasmussen
, NUR 2989mdc4-exam-2-
questions (4) Exam (Latest
):
Multidimensional Care IV /
MDC 4 - Rasmussen
b. Client is experiencing a paralytic ileus and requires intubation
to prevent further damage
c. Even a burn as little as 25% of the body can cause a
systemic response, requiring emergency management
d. Fluid shifts in the body immediately cause an increase cardiac
output and increase tissue perfusion, which can negatively
affect the healing process X
Client with a possible spinal cord injury is admitted to the
emergency department. Which finding by the nurse will help
confirm a diagnosis of neurogenic shock?
a. Skin is warm and dry
b. Inspiratory crackles
c. Apical heart rate 48 beat/min- low and slow
d. Stabbing pain in the extremities
Client arrived at the burn unit more than 2 weeks ago. The care plan for
this client requires assistance by the nurse to perform daily range of
motion exercises and help with mobility. The client tells the nurse he
NUR 2989mdc4-exam-2-
questions (4) Exam (Latest
):
Multidimensional Care IV /
MDC 4 - Rasmussen
questions (4) Exam (Latest
):
Multidimensional Care IV /
MDC 4 - Rasmussen
MDC4 Exam 2 Questions
mdc IV (Rasmussen University)
MDC4 Exam 2
Questions
Nurse is caring for a client who is receiving mechanical ventilation via an
endotracheal tube. Which of the following actions should the nurse
take?
a. Apply a vest restraint if self extubating is attempted
b. Monitor daily ventilator settings
c. Document tube placement in inches at the angle of the jaw
NUR 2989mdc4-exam-2-
questions (4) Exam (Latest
):
Multidimensional Care IV /
MDC 4 - Rasmussen
, NUR 2989mdc4-exam-2-
questions (4) Exam (Latest
):
Multidimensional Care IV /
MDC 4 - Rasmussen
d. Assess breath sounds every 4 hours
Client who is one day post-op following chest surgery, is having
difficulty breathing, has bilateral rales, and is confused and restless.
Which intervention should the nurse implement first?
a. Give inhaled nebulizer treatment as ordered
b. Notify the rapid response team
c. Place the client in Trendelenburg position X
NUR 2989mdc4-exam-2-
questions (4) Exam (Latest
):
Multidimensional Care IV /
MDC 4 - Rasmussen
, NUR 2989mdc4-exam-2-
questions (4) Exam (Latest
):
Multidimensional Care IV /
MDC 4 - Rasmussen
d. Check the clients surgical dressing
Postop client reports a sudden onset of shortness of breath and pleuritic
chest pain. Assessment findings include diaphoresis, hypotension, crackles
in the left lower lobe and pulse oximetry of 85% on room air. What does
the nurse suspect has occurred with this client?
a. Atelectasis
b. Pneumothorax
c. Pulmonary embolism
d. Flail chest
Client presented to the ED after receiving second and third degree burns
from a kitchen grease spill. The tops of both thighs, the groin area, and
lower abdomen were the areas of injury. About 3 hours after the injury,
the client begins to decompensate and is being prepped for intubation.
Regarding the change in client status, which explanation by the nurse is
correct when educating the clients family?
a. Client is complaining of severe pain and will be intubated to
safely give pain medications and sedatives
NUR 2989mdc4-exam-2-
questions (4) Exam (Latest
):
Multidimensional Care IV /
MDC 4 - Rasmussen
, NUR 2989mdc4-exam-2-
questions (4) Exam (Latest
):
Multidimensional Care IV /
MDC 4 - Rasmussen
b. Client is experiencing a paralytic ileus and requires intubation
to prevent further damage
c. Even a burn as little as 25% of the body can cause a
systemic response, requiring emergency management
d. Fluid shifts in the body immediately cause an increase cardiac
output and increase tissue perfusion, which can negatively
affect the healing process X
Client with a possible spinal cord injury is admitted to the
emergency department. Which finding by the nurse will help
confirm a diagnosis of neurogenic shock?
a. Skin is warm and dry
b. Inspiratory crackles
c. Apical heart rate 48 beat/min- low and slow
d. Stabbing pain in the extremities
Client arrived at the burn unit more than 2 weeks ago. The care plan for
this client requires assistance by the nurse to perform daily range of
motion exercises and help with mobility. The client tells the nurse he
NUR 2989mdc4-exam-2-
questions (4) Exam (Latest
):
Multidimensional Care IV /
MDC 4 - Rasmussen
