Exam#1 MDC4.
MDC IV
Exam #1
01 When planning care for a client with myasthenia gravis, the nurse understand that the
client is at highest risk for which of the following?
a) Aspiration
b) Bladder dysfunction
c) Hypertension
d) Sensory loss
02 Preparing the client for abdominal surgery, the nurse delegates which tasks to the
unlicensed assistive personnel (UAP)? SATA
a) Vital signs
b) Insertions of Nasogastric tube (NGT)
c) Heigh and weight
d) Obtain operative consent
e) Sterile gowning? (not in other set of answers- possible?????
03 The nurse. Explains which role is responsible for verifying that the consent form is
signed that the surgical site is marked
a) Scrub nurse
b) Surgeon
c) Anesthesiologist
d) Circulating nurse
04 A client with Parkinson’s disease is prescribed levodopa therapy. Improvement in which
area indicates the therapy is effective?
a) Mood
b) Muscle rigidity
c) Appetite
d) Alertness
05 A client arrives at the ed with new-onset slurred speech and weakness. The nurse inquires
when the client was last seen as normal. What priority assessment information does the health
care team need to know before stroke alert is initiated?
a) Clients’ weight
,Exam#1 MDC4.
b) Glasgow coma scale
c) Blood glucose scale
d) Temperature
08 During the first 24 hours after thrombolytic treatment for an ischemic stroke, the
nurse’s primary goal is to control which of the following vital signs?
a) Pulse
b) Respirations
c) BP
d) temperature
09 The nurse is educating a client on the types of anesthesia used in surgery. Which client
statements indicates a correct understanding to the topic?
a) I am having general anesthesia, so I will be given a gas breathe and medication in my IV
b) I may still be aware of what’s happening with general anesthesia.
c) An epidural is used for general anesthesia
d) When I had my skin cancer removed on my leg, the doctor used general anesthesia
to numb the area.”
10 missing
11 Myasthenia gravis is an autoimmune disease of the neuromuscular junction characterized
by the fluctuating weakness of certain skeletal muscle groups. The use of intravenous immune
globulin is for which response?
a) Increase anxiety and depression
b) Reduces the production of acetylcholine antibodies
c) Removes the antibodies produced by the autoimmune response
d) Increases the production of acetylcholine antibodies
13 A nurse is caring for a client who has a closed head injury with intracranial pressure (ICP)
readings between 16 and 22 mm Hg. Which of the following actions should the nurse take
to decrease the potential for raising the client’s ICP? SATA
a) Suction the endotracheal tube frequently
b) Decrease the noise in the client’s room
c) Elevate the client’s head in two pillow
d) Administer a stool softener
, Exam#1 MDC4.
e) Keep the client well hydrated
Answers can also be: decrease noise, administer stool softener
14 A nurse is preparing a teaching plan for a client with migraine headaches who has
been prescribed a beta blocker daily to help manage this disorder. Which instructions
would be appropriate to relay to this client?
a) Take this drug only when you have prodromal symptoms indicating the onset of
a migraine headache
b) Take this drug as ordered even when feelings well, to prevent vascular
changes associated with migraine headaches
c) This drug will relieve the pain during the aura phase soon after a headache has started
d) This medication is prescribed for migraines; you won’t experience any effect on
your heart rate or blood pressure.”
15 Ergotamine tartrate medications are beneficial in migraine headaches due to which action?
a) Dilate cerebral blood vessels
b) Constrict cerebral blood vessels
c) Reduce neurotransmission of pain impulses
d) Enhance endorphin secretion
16 which medications will the nurse administer to the client who is experiencing
status epilepticus?
a) Phenobarbital
b) Lorazepam
c) Chlordiazepoxide
d) phenytoin
17 A client has been admitted to the neurological department because of seizure of
unknown cause. Priority intervention is?
a) Placing the client in protective restraints
b) Being sure padded side rails are present
c) Suggesting that the family monitor the client
d) Placing the client with one-on-one nursing service
MDC IV
Exam #1
01 When planning care for a client with myasthenia gravis, the nurse understand that the
client is at highest risk for which of the following?
a) Aspiration
b) Bladder dysfunction
c) Hypertension
d) Sensory loss
02 Preparing the client for abdominal surgery, the nurse delegates which tasks to the
unlicensed assistive personnel (UAP)? SATA
a) Vital signs
b) Insertions of Nasogastric tube (NGT)
c) Heigh and weight
d) Obtain operative consent
e) Sterile gowning? (not in other set of answers- possible?????
03 The nurse. Explains which role is responsible for verifying that the consent form is
signed that the surgical site is marked
a) Scrub nurse
b) Surgeon
c) Anesthesiologist
d) Circulating nurse
04 A client with Parkinson’s disease is prescribed levodopa therapy. Improvement in which
area indicates the therapy is effective?
a) Mood
b) Muscle rigidity
c) Appetite
d) Alertness
05 A client arrives at the ed with new-onset slurred speech and weakness. The nurse inquires
when the client was last seen as normal. What priority assessment information does the health
care team need to know before stroke alert is initiated?
a) Clients’ weight
,Exam#1 MDC4.
b) Glasgow coma scale
c) Blood glucose scale
d) Temperature
08 During the first 24 hours after thrombolytic treatment for an ischemic stroke, the
nurse’s primary goal is to control which of the following vital signs?
a) Pulse
b) Respirations
c) BP
d) temperature
09 The nurse is educating a client on the types of anesthesia used in surgery. Which client
statements indicates a correct understanding to the topic?
a) I am having general anesthesia, so I will be given a gas breathe and medication in my IV
b) I may still be aware of what’s happening with general anesthesia.
c) An epidural is used for general anesthesia
d) When I had my skin cancer removed on my leg, the doctor used general anesthesia
to numb the area.”
10 missing
11 Myasthenia gravis is an autoimmune disease of the neuromuscular junction characterized
by the fluctuating weakness of certain skeletal muscle groups. The use of intravenous immune
globulin is for which response?
a) Increase anxiety and depression
b) Reduces the production of acetylcholine antibodies
c) Removes the antibodies produced by the autoimmune response
d) Increases the production of acetylcholine antibodies
13 A nurse is caring for a client who has a closed head injury with intracranial pressure (ICP)
readings between 16 and 22 mm Hg. Which of the following actions should the nurse take
to decrease the potential for raising the client’s ICP? SATA
a) Suction the endotracheal tube frequently
b) Decrease the noise in the client’s room
c) Elevate the client’s head in two pillow
d) Administer a stool softener
, Exam#1 MDC4.
e) Keep the client well hydrated
Answers can also be: decrease noise, administer stool softener
14 A nurse is preparing a teaching plan for a client with migraine headaches who has
been prescribed a beta blocker daily to help manage this disorder. Which instructions
would be appropriate to relay to this client?
a) Take this drug only when you have prodromal symptoms indicating the onset of
a migraine headache
b) Take this drug as ordered even when feelings well, to prevent vascular
changes associated with migraine headaches
c) This drug will relieve the pain during the aura phase soon after a headache has started
d) This medication is prescribed for migraines; you won’t experience any effect on
your heart rate or blood pressure.”
15 Ergotamine tartrate medications are beneficial in migraine headaches due to which action?
a) Dilate cerebral blood vessels
b) Constrict cerebral blood vessels
c) Reduce neurotransmission of pain impulses
d) Enhance endorphin secretion
16 which medications will the nurse administer to the client who is experiencing
status epilepticus?
a) Phenobarbital
b) Lorazepam
c) Chlordiazepoxide
d) phenytoin
17 A client has been admitted to the neurological department because of seizure of
unknown cause. Priority intervention is?
a) Placing the client in protective restraints
b) Being sure padded side rails are present
c) Suggesting that the family monitor the client
d) Placing the client with one-on-one nursing service
