MDC4||Complete Qns&Answrs Final
Exam||Rated A++||latest!!23/24
• Which of the following describes the process of initial surveillance of victims
injuryseverity when administering first aid in an emergency situation?
• The Good Samaritan law
• an emergency
interview
• C. Triage
D. taking vital signs
• The nurse reminds a group of certified nursing assistants (CNA) that for a client with an
elevated temperature, the quickest and simplest technique to reduce a temperature is Which
ofthe following?
• Apply cool wash cloth to forehead
• bathe in tepid water
• remove clothing and bed linen
• give chilled drinks- don't want to give them drinks cuz they could aspirate
• Which time of the day should the nurse encourage a client with Parkinson's disease
to schedule the most demanding physical activities to minimize the effects of
hypokinesia?
• early in the morning when the clients energy level is
high
• B. to coincide with the peak action of drug therapy
C. immediately after a rest period
, D. When family members will be available
• A client with multiple sclerosis(MS) is receiving baclofen. The nurse determines that
thedrug is effective with which of the following outcomes
• Induces sleep
• stimulates the client's
appetite
• C. relieve muscular
spasticity
D. reduces the urine bacterial count
• The nurse is caring for several clients on the Burn Unit who have sustained
extensive tissue damage. The nurse should monitor for which electrolyte imbalance
that is typicalassociated with the initial third spacing fluid shift?
• Hypercalcemia
• Hypernatremia
• C. Hyperkalemia
D. Hypokalemia
• The nurse is assessing a client with multiple traumas who is at risk for developing
acuterespiratory distress syndrome(ARDS). the nurse assesses for which earliest sign of
acute respiratory distress syndrome?
• Bilateral wheezing
• inspiratory crackles
• intercostal retractions
, • increased respiratory rate
• What drain is removed through gravity?
wound vac, jp drain, penrose Penrose- I put penrose.
• An emergency department charge nurse notes an increase in sick calls and bickering
among the staff after a week with multiple trauma incidents. What action would the
nursetake?
• Organize a pizza party for each shift
• Remind the staff of the facilities sick leave
policy
• C. Arrange for critical incident stress debriefing
D. Talk individually with staff members
• The nurse is assessing a client for decorticate posturing. What should the nurse
assessthe client for?
• Internal rotation and adduction of arms with flexion of elbows, wrists, and fingers
• Back hunched over and rigid flexion of all four extremities with supination of
armsand plantar flexion of feet
• Supination of arms and dorsiflexion of the feet
• Back arched and rigid extension of all four extremities
• A client with a serious head injury with increased intracranial pressure is to be
discharged to a rehabilitation facility. Which outcome of rehab would be appropriate
forthe client? The client will:
• Exhibit no further episodes of short-term memory loss
• Be able to return to his construction job in 3 weeks
, • Actively participate in the rehabilitation process as appropriate
• Be emotionally stable and display preinjury personality traits
• Which findings will the nurse observe in the client in the ictal phase of
generalizedtonic-clonic seizure?
• Jerking in one extremity that spreads gradually to adjacent areas
• Vacant staring and abruptly ceasing all activity
• Facial grimaces, patting motions, and lip-smacking
• Loss of consciousness, body stiffening, and violent muscle contractions
• The nurse is aware that the treatment for frostbite includes the following:
(SATA) A.Vigorously rubbing the hands in fingers to reestablish circulation
B. Immersion of hands and feet in warm water
C. Tightly wrapping hands in mitten-like dressings to retain
warmth
D. Administering opioids to reduce pain
E. Elevating the affected limbs
• A nurse is caring for several clients at risk for shock. Which laboratory values
requiresthe nurse to communicate with the healthcare provider?
• Creatinine: 0.9
mg/dL
• B. Lactate: 54
mg/dL
C. Sodium: 145 mEq/L
D. White Blood cell count: 11,000/mm3
Exam||Rated A++||latest!!23/24
• Which of the following describes the process of initial surveillance of victims
injuryseverity when administering first aid in an emergency situation?
• The Good Samaritan law
• an emergency
interview
• C. Triage
D. taking vital signs
• The nurse reminds a group of certified nursing assistants (CNA) that for a client with an
elevated temperature, the quickest and simplest technique to reduce a temperature is Which
ofthe following?
• Apply cool wash cloth to forehead
• bathe in tepid water
• remove clothing and bed linen
• give chilled drinks- don't want to give them drinks cuz they could aspirate
• Which time of the day should the nurse encourage a client with Parkinson's disease
to schedule the most demanding physical activities to minimize the effects of
hypokinesia?
• early in the morning when the clients energy level is
high
• B. to coincide with the peak action of drug therapy
C. immediately after a rest period
, D. When family members will be available
• A client with multiple sclerosis(MS) is receiving baclofen. The nurse determines that
thedrug is effective with which of the following outcomes
• Induces sleep
• stimulates the client's
appetite
• C. relieve muscular
spasticity
D. reduces the urine bacterial count
• The nurse is caring for several clients on the Burn Unit who have sustained
extensive tissue damage. The nurse should monitor for which electrolyte imbalance
that is typicalassociated with the initial third spacing fluid shift?
• Hypercalcemia
• Hypernatremia
• C. Hyperkalemia
D. Hypokalemia
• The nurse is assessing a client with multiple traumas who is at risk for developing
acuterespiratory distress syndrome(ARDS). the nurse assesses for which earliest sign of
acute respiratory distress syndrome?
• Bilateral wheezing
• inspiratory crackles
• intercostal retractions
, • increased respiratory rate
• What drain is removed through gravity?
wound vac, jp drain, penrose Penrose- I put penrose.
• An emergency department charge nurse notes an increase in sick calls and bickering
among the staff after a week with multiple trauma incidents. What action would the
nursetake?
• Organize a pizza party for each shift
• Remind the staff of the facilities sick leave
policy
• C. Arrange for critical incident stress debriefing
D. Talk individually with staff members
• The nurse is assessing a client for decorticate posturing. What should the nurse
assessthe client for?
• Internal rotation and adduction of arms with flexion of elbows, wrists, and fingers
• Back hunched over and rigid flexion of all four extremities with supination of
armsand plantar flexion of feet
• Supination of arms and dorsiflexion of the feet
• Back arched and rigid extension of all four extremities
• A client with a serious head injury with increased intracranial pressure is to be
discharged to a rehabilitation facility. Which outcome of rehab would be appropriate
forthe client? The client will:
• Exhibit no further episodes of short-term memory loss
• Be able to return to his construction job in 3 weeks
, • Actively participate in the rehabilitation process as appropriate
• Be emotionally stable and display preinjury personality traits
• Which findings will the nurse observe in the client in the ictal phase of
generalizedtonic-clonic seizure?
• Jerking in one extremity that spreads gradually to adjacent areas
• Vacant staring and abruptly ceasing all activity
• Facial grimaces, patting motions, and lip-smacking
• Loss of consciousness, body stiffening, and violent muscle contractions
• The nurse is aware that the treatment for frostbite includes the following:
(SATA) A.Vigorously rubbing the hands in fingers to reestablish circulation
B. Immersion of hands and feet in warm water
C. Tightly wrapping hands in mitten-like dressings to retain
warmth
D. Administering opioids to reduce pain
E. Elevating the affected limbs
• A nurse is caring for several clients at risk for shock. Which laboratory values
requiresthe nurse to communicate with the healthcare provider?
• Creatinine: 0.9
mg/dL
• B. Lactate: 54
mg/dL
C. Sodium: 145 mEq/L
D. White Blood cell count: 11,000/mm3
