Rasmussen College MDC 4 Final Exam
Questions and Answers (Verified Answers)
1. 1. A client who experienced a near drowning accident in a local pool,
but now is awake and breathing spontaneously, is admitted for observation.Which
assessment will be most important for the nurse to take during the observation
period?
a) Auscultate heart sounds
b) palpate peripheral pulses
c) Auscultate breath sounds
d) check pupil reaction to light
ANS: c) Auscultate breath sounds
2. 2. A client who has undergone preadmission laboratory studies, includinga complete
blood count, coagulation studies, and electrolytes and creatininelevels. Which of the
following laboratory results should be reported to the surgeon's office by the nurse,
knowing that it could cause surgery to be postponed?
a) A. Sodium, 141 mEq/L
b) B. Hemoglobin, 8.0 g/Dl
,c) C. Platelets, 210,000/mm3 Platelets need >50,000
d) D. Serum creatinine, 0.8 mg/dl
ANS: b) B. Hemoglobin, 8.0 g/Dl
3. 3. The nurse is caring for a patient suspected of having heatstroke. Whichfindings
are consistent with this diagnosis? (Select all that apply.)
a) A. Bradycardia
b) B. Tachycardia (also Tachypnea)
c) C. Irregular pulse patterns (dysrhythmias)
d) D. Visual disturbances (hallucinations)
e) E. Decreased urinary output
.
ANS: b) B. Tachycardia (also Tachypnea)
c) C. Irregular pulse patterns (dysrhythmias)
d) D. Visual disturbances (hallucinations)
4. 4. At which time of the day should the nurse encourage the client with Parkinson's
disease to schedule the most demanding physical activities tominimize the effects of
hypokinesia?
a) A. Early in the morning when the client's energy level is high.
b) B. To coincide with the peak action of drug therapy.
,c) C. Immediately after a rest period
d) D. When family members will be available
.
ANS: b) B. To coincide with the peakaction of drug therapy.
5. 5. Which of the following would be classified as an external disaster?
a) A fire started in the emergency department
b) a citywide power outage
c) massive flooding
d) a bomb threat to administration
ANS: c) massive flooding
, 6. 6. On a hot, humid day, a client arrives in the emergency department pre-senting
with confusion, lethargy, and the following vital signs: temperature
104.1 degrees F, pulse 132 beats/min, respiration 26 breaths/min, and bloodpressure
106/66 mm Hg. What is the most appropriate intervention for this client? (Heat
Stroke)
a) Encourage the client to drink cool water or sports drinks
b) start an intravenous line and infuse 0.9% saline solution
c) administer acetaminophen 650 milligram orally
d) encourage rest and reassess in 15 minutes
ANS: b) start an intravenous line andinfuse 0.9% saline solution
7. 7. The nurse is orienting a new nurse to the pediatric intensive care unit anddiscussing
the care of a client recovering from drowning. Which statement by the new nurse
accurately demonstrates an understanding of this condition?
a) Drowning results in the collapse of alveoli and pulmonary edema.
b) Drowning causes an increased amount of surfactant in the lungs, whichdecreases
airway pressure
c) since the client has recovered, we should not need to monitor for any
complications
d) it is OK to leave children unattended in a bathtub as long as it's only for a minute or
two
Questions and Answers (Verified Answers)
1. 1. A client who experienced a near drowning accident in a local pool,
but now is awake and breathing spontaneously, is admitted for observation.Which
assessment will be most important for the nurse to take during the observation
period?
a) Auscultate heart sounds
b) palpate peripheral pulses
c) Auscultate breath sounds
d) check pupil reaction to light
ANS: c) Auscultate breath sounds
2. 2. A client who has undergone preadmission laboratory studies, includinga complete
blood count, coagulation studies, and electrolytes and creatininelevels. Which of the
following laboratory results should be reported to the surgeon's office by the nurse,
knowing that it could cause surgery to be postponed?
a) A. Sodium, 141 mEq/L
b) B. Hemoglobin, 8.0 g/Dl
,c) C. Platelets, 210,000/mm3 Platelets need >50,000
d) D. Serum creatinine, 0.8 mg/dl
ANS: b) B. Hemoglobin, 8.0 g/Dl
3. 3. The nurse is caring for a patient suspected of having heatstroke. Whichfindings
are consistent with this diagnosis? (Select all that apply.)
a) A. Bradycardia
b) B. Tachycardia (also Tachypnea)
c) C. Irregular pulse patterns (dysrhythmias)
d) D. Visual disturbances (hallucinations)
e) E. Decreased urinary output
.
ANS: b) B. Tachycardia (also Tachypnea)
c) C. Irregular pulse patterns (dysrhythmias)
d) D. Visual disturbances (hallucinations)
4. 4. At which time of the day should the nurse encourage the client with Parkinson's
disease to schedule the most demanding physical activities tominimize the effects of
hypokinesia?
a) A. Early in the morning when the client's energy level is high.
b) B. To coincide with the peak action of drug therapy.
,c) C. Immediately after a rest period
d) D. When family members will be available
.
ANS: b) B. To coincide with the peakaction of drug therapy.
5. 5. Which of the following would be classified as an external disaster?
a) A fire started in the emergency department
b) a citywide power outage
c) massive flooding
d) a bomb threat to administration
ANS: c) massive flooding
, 6. 6. On a hot, humid day, a client arrives in the emergency department pre-senting
with confusion, lethargy, and the following vital signs: temperature
104.1 degrees F, pulse 132 beats/min, respiration 26 breaths/min, and bloodpressure
106/66 mm Hg. What is the most appropriate intervention for this client? (Heat
Stroke)
a) Encourage the client to drink cool water or sports drinks
b) start an intravenous line and infuse 0.9% saline solution
c) administer acetaminophen 650 milligram orally
d) encourage rest and reassess in 15 minutes
ANS: b) start an intravenous line andinfuse 0.9% saline solution
7. 7. The nurse is orienting a new nurse to the pediatric intensive care unit anddiscussing
the care of a client recovering from drowning. Which statement by the new nurse
accurately demonstrates an understanding of this condition?
a) Drowning results in the collapse of alveoli and pulmonary edema.
b) Drowning causes an increased amount of surfactant in the lungs, whichdecreases
airway pressure
c) since the client has recovered, we should not need to monitor for any
complications
d) it is OK to leave children unattended in a bathtub as long as it's only for a minute or
two
