MDC 4 Exam 2 Rasmussen
University(2022 Exam graded A)
A patient comes to the ED having diminished breath sounds on his left lung and
asymmetrical chest expansion when asked to breathe. The nurse feels the patient's
trachea has deviated to the right side of the throat. What is the patient suffering from?
Correct answer- Pneumothorax
A provider tells the nurse that a patient is having a simple pneumothorax. What
treatment might be prescribed for the patient? Correct answer- Chest Tube
A provider tells the nurse that a patient is having a tension pneumothorax. What could
the nurse anticipate about how this will be treated? Correct answer- With a needle
decompression thoracotomy
A nurse sees a patient coming into the trauma bay with paradoxical chest movement.
What might the patient be having? Correct answer- Flail Chest
A provider tells the ED nurse that the patient has a flail chest. What does the nurse
anticipate will happen next for the patient? Correct answer- Intubation and mechanical
ventilation
What is an early manifestation of hypovolemic shock? Correct answer- Decreased urine
output
A nurse is caring for a patient who is critically ill and has a fever, low BP and yellowish
mucus coming from the nose. What type of shock is occurring with this patient? Correct
answer- Septic Shock
What is the main nursing issues revolving around rib fractures? Correct answer- Pain!
Puncturing vasculature or organs.
What can the nurse teach the patient who has had a rib fracture to decrease pain?
Correct answer- Splint when coughing
A nurse is caring for a patient with ARDS in the ICU. What manifestations might she
see? Correct answer- Low oxygen levels that do not get better with 100% oxygen
applied, bilateral pulmonary edema that is not cardiac related, broken glass lung
appearance on the X-ray.
, A client ate peanuts and has an allergy to peanuts and tree nuts. What manifestations
might the nurse see upon client arrival related to anaphylactic shock? Correct answer-
Stridor and angioedema
A client is having anaphylactic shock due to a bee sting. What medication should be
given to treat this? Correct answer- Epinephrine
A nurse is caring for a patient with ARDS. What treatment orders might the nurse see
from the provider for the patient? Correct answer- Place them prone and on PEEP
What are complications of PEEP? Correct answer- Pneumothorax
Low BP
What is ventilator associated pneumonia? Correct answer- Infection from being on the
ventilator for a long time
A nurse is learning about ARDS. What are the causes of ARDS? Correct answer-
Sepsis, Infection, burns, near drowning, trauma, shock.
A client with a bone infection is getting information on ensuring his infection does not
progress into sepsis or septic shock. What might be some risk factors of the conditions?
Correct answer- Infection risks, chancer, chemo, immunocompromised states,
immunosuppressants, HIV
A nurse will be preparing to care for a newly intubated patient. What are some things
she must prepare and remember while caring for the patient? Correct answer- Place
ambu bag at bedside, suction PRN, switch tube once a shift, assess respiratory status
every 2 hrs, oral and mouth care every 2 hrs, wash hands, expect orders for PPI or
H2RB,
A patient is suspected to have a PE while in the ED. What might be some
manifestations of this occurring? Correct answer- Low o2 saturation, low BP, sudden
severe SOB, chest pain, LOC changes, petechiae, lung edema , ascites.
A client was recently just extubated and now is showing signs of stridor and low oxygen
levels. What might of occurred and who should be called? Correct answer- Irritation fo
the throat form the tube. Call RRT
What are clinical manifestations of hypovolemic shock? Correct answer- weak and
thready pulse, decreased BP, increased HR, altered LOC, shallow and fast respiration,
long capillary refill, decreased H/H, low urine output.
A client has fluid volume excess due to heart failure. What are some of the important
cardiac findings for this condition? Correct answer- Bounding pulse, JVD, central
venous pressure is high, wedge pressure is high
University(2022 Exam graded A)
A patient comes to the ED having diminished breath sounds on his left lung and
asymmetrical chest expansion when asked to breathe. The nurse feels the patient's
trachea has deviated to the right side of the throat. What is the patient suffering from?
Correct answer- Pneumothorax
A provider tells the nurse that a patient is having a simple pneumothorax. What
treatment might be prescribed for the patient? Correct answer- Chest Tube
A provider tells the nurse that a patient is having a tension pneumothorax. What could
the nurse anticipate about how this will be treated? Correct answer- With a needle
decompression thoracotomy
A nurse sees a patient coming into the trauma bay with paradoxical chest movement.
What might the patient be having? Correct answer- Flail Chest
A provider tells the ED nurse that the patient has a flail chest. What does the nurse
anticipate will happen next for the patient? Correct answer- Intubation and mechanical
ventilation
What is an early manifestation of hypovolemic shock? Correct answer- Decreased urine
output
A nurse is caring for a patient who is critically ill and has a fever, low BP and yellowish
mucus coming from the nose. What type of shock is occurring with this patient? Correct
answer- Septic Shock
What is the main nursing issues revolving around rib fractures? Correct answer- Pain!
Puncturing vasculature or organs.
What can the nurse teach the patient who has had a rib fracture to decrease pain?
Correct answer- Splint when coughing
A nurse is caring for a patient with ARDS in the ICU. What manifestations might she
see? Correct answer- Low oxygen levels that do not get better with 100% oxygen
applied, bilateral pulmonary edema that is not cardiac related, broken glass lung
appearance on the X-ray.
, A client ate peanuts and has an allergy to peanuts and tree nuts. What manifestations
might the nurse see upon client arrival related to anaphylactic shock? Correct answer-
Stridor and angioedema
A client is having anaphylactic shock due to a bee sting. What medication should be
given to treat this? Correct answer- Epinephrine
A nurse is caring for a patient with ARDS. What treatment orders might the nurse see
from the provider for the patient? Correct answer- Place them prone and on PEEP
What are complications of PEEP? Correct answer- Pneumothorax
Low BP
What is ventilator associated pneumonia? Correct answer- Infection from being on the
ventilator for a long time
A nurse is learning about ARDS. What are the causes of ARDS? Correct answer-
Sepsis, Infection, burns, near drowning, trauma, shock.
A client with a bone infection is getting information on ensuring his infection does not
progress into sepsis or septic shock. What might be some risk factors of the conditions?
Correct answer- Infection risks, chancer, chemo, immunocompromised states,
immunosuppressants, HIV
A nurse will be preparing to care for a newly intubated patient. What are some things
she must prepare and remember while caring for the patient? Correct answer- Place
ambu bag at bedside, suction PRN, switch tube once a shift, assess respiratory status
every 2 hrs, oral and mouth care every 2 hrs, wash hands, expect orders for PPI or
H2RB,
A patient is suspected to have a PE while in the ED. What might be some
manifestations of this occurring? Correct answer- Low o2 saturation, low BP, sudden
severe SOB, chest pain, LOC changes, petechiae, lung edema , ascites.
A client was recently just extubated and now is showing signs of stridor and low oxygen
levels. What might of occurred and who should be called? Correct answer- Irritation fo
the throat form the tube. Call RRT
What are clinical manifestations of hypovolemic shock? Correct answer- weak and
thready pulse, decreased BP, increased HR, altered LOC, shallow and fast respiration,
long capillary refill, decreased H/H, low urine output.
A client has fluid volume excess due to heart failure. What are some of the important
cardiac findings for this condition? Correct answer- Bounding pulse, JVD, central
venous pressure is high, wedge pressure is high
