Rasmussen College MDC 4 Exam 2
Questions and Answers (Verified Answers)
50 Qs - 6 or 7 SATA; 3 or 4 Dose Calc;
1. The nurse is caring for a patient who is admitted to the ED with burns to the lower
legs and hands. During the initial management, what is the prioritynursing care?
A. Assess and treat pain.
B. Evaluate airway and circulation.
C. Place two IV catheters and initiate fluid resuscitation.
D. Use the rule of nines to estimate percent of body surface area burned
.
ANS B.Evaluate airway and circulation.
2. It has been 12 hours since a patient has been admitted for burns to the faceand neck
with associated inhalation injuries. The patient had been wheezingaudibly and the
wheezing has now stopped. What nursing action is appropri-ate?
,A. Check the patient's Spo2 level.
B. Notify the physician immediately.
C. Re-assess breathing in 1 hour.
D. Document improvement in patient's condition
.
ANS B. Notify the physician imme-diately.
3. A patient has been receiving dressing changes with silver sulfadiazine (Silvadene) for
burn injuries over both lower arms. The nurse notices that thepatient's white blood cell
count has dropped significantly over the past 4 days.How does the nurse interpret this
finding?
A. Electrolyte imbalance
B. Infection is improving
C. Impending kidney disease
D. Possible allergic reaction to silver sulfadiazine (Silvadene)
ANS D. Possible aller-gic reaction to silver sulfadiazine (Silvadene)
4. Which patient is at greatest risk of developing acute respiratory distresssyndrome
(ARDS)?
, A. 24-year-old male admitted with blunt chest trauma and aspiration
B. 56-year-old male with a history of alcohol abuse and chronic pancreatitis
C. 72-year-old male post heart valve surgery receiving 1 unit of packed redblood
cells
D. 82-year-old female on antibiotics for pneumonia
ANS A. 24-year-old male admittedwith blunt chest trauma and aspiration
Questions and Answers (Verified Answers)
50 Qs - 6 or 7 SATA; 3 or 4 Dose Calc;
1. The nurse is caring for a patient who is admitted to the ED with burns to the lower
legs and hands. During the initial management, what is the prioritynursing care?
A. Assess and treat pain.
B. Evaluate airway and circulation.
C. Place two IV catheters and initiate fluid resuscitation.
D. Use the rule of nines to estimate percent of body surface area burned
.
ANS B.Evaluate airway and circulation.
2. It has been 12 hours since a patient has been admitted for burns to the faceand neck
with associated inhalation injuries. The patient had been wheezingaudibly and the
wheezing has now stopped. What nursing action is appropri-ate?
,A. Check the patient's Spo2 level.
B. Notify the physician immediately.
C. Re-assess breathing in 1 hour.
D. Document improvement in patient's condition
.
ANS B. Notify the physician imme-diately.
3. A patient has been receiving dressing changes with silver sulfadiazine (Silvadene) for
burn injuries over both lower arms. The nurse notices that thepatient's white blood cell
count has dropped significantly over the past 4 days.How does the nurse interpret this
finding?
A. Electrolyte imbalance
B. Infection is improving
C. Impending kidney disease
D. Possible allergic reaction to silver sulfadiazine (Silvadene)
ANS D. Possible aller-gic reaction to silver sulfadiazine (Silvadene)
4. Which patient is at greatest risk of developing acute respiratory distresssyndrome
(ARDS)?
, A. 24-year-old male admitted with blunt chest trauma and aspiration
B. 56-year-old male with a history of alcohol abuse and chronic pancreatitis
C. 72-year-old male post heart valve surgery receiving 1 unit of packed redblood
cells
D. 82-year-old female on antibiotics for pneumonia
ANS A. 24-year-old male admittedwith blunt chest trauma and aspiration
