Rasmussen College MDC 4 Exam 2
Questions and Answers (Verified Answers)
50 Qs - 6 or 7 SATA; 3 or 4 Dose Calc;
1. A client with a pulmonary embolism may have which of the following inter- ventions?
a. IVC filter
b. Embolectomy
c. Chest tube placement
d. Heparin drug therapy
e. Thoracotomy
ANS a. IVC filter
b. Embolectomy
c. Heparin drug therapy
2. An older adult client arrives in the emergency department after falling off a roof. The
,nurse observes "sucking inward" of the loose chest area during inspiration and a
"puffing out" of the same area during expiration. Arterial blood gas results show severe
hypoxemia and hypercarbia. Which procedure does the nurse prepare for?
a. Chest tube insertion
b. Endotracheal intubation
c. Needle thoracotomy
d. Tracheostomy
ANS b. Endotracheal intubation
3. A nurse in a burn treatment center is caring for a client admitted with severe burns to
both lower extremities and is scheduled for an escharotomy. The client's spouse asks
the nurse what the procedure entails. Whish nursing statement is appropriate?
a. Large, surgical incision will be made in the hardened dermal layer to improve circulation
b. This procedure involves placing the client into a shower and removing the dead
tissue
c. A piece of healthy skin will be removed from an unburned area and grafter over the
burned area
d. Surgical incisions will be made into the deep tissue, possibly to the bone, to permit
better circulation
,ANS a. Large, surgical incision will be made in the hardened dermal layer to improve
circulation
4. A nurse is caring for a client who has burn injuries to his trunk. The nurse is
explaining what to expect from the prescribed hydrotherapy. Which of the following
statements by the client indicates an understanding of the teaching?
a. I will be on a special shower table to enhance wound inspection and
, debridement
b. The water temperature will be hot to improve blood flow and healing
c. The nurse will use a wire brush to remove loose skin
d. The nurse will use scissors to open small blisters
ANS a. I will be on a special shower table to enhance wound inspection and
debridement
5. Calculate the mean arterial pressure in mmHg for a client with a blood pressure
of 84/46 mmHg
.
ANS 84+ 2(46)/ 3= 59 mmHG
6. Which if the following interventions is not appropriate for a client diagnosed with a
pneumothorax?
a. Apply wet to dry dressing on wound
b. Monitor respiratory and circulatory function
c. Assess for tracheal deviation
d. Provide analgesics
Questions and Answers (Verified Answers)
50 Qs - 6 or 7 SATA; 3 or 4 Dose Calc;
1. A client with a pulmonary embolism may have which of the following inter- ventions?
a. IVC filter
b. Embolectomy
c. Chest tube placement
d. Heparin drug therapy
e. Thoracotomy
ANS a. IVC filter
b. Embolectomy
c. Heparin drug therapy
2. An older adult client arrives in the emergency department after falling off a roof. The
,nurse observes "sucking inward" of the loose chest area during inspiration and a
"puffing out" of the same area during expiration. Arterial blood gas results show severe
hypoxemia and hypercarbia. Which procedure does the nurse prepare for?
a. Chest tube insertion
b. Endotracheal intubation
c. Needle thoracotomy
d. Tracheostomy
ANS b. Endotracheal intubation
3. A nurse in a burn treatment center is caring for a client admitted with severe burns to
both lower extremities and is scheduled for an escharotomy. The client's spouse asks
the nurse what the procedure entails. Whish nursing statement is appropriate?
a. Large, surgical incision will be made in the hardened dermal layer to improve circulation
b. This procedure involves placing the client into a shower and removing the dead
tissue
c. A piece of healthy skin will be removed from an unburned area and grafter over the
burned area
d. Surgical incisions will be made into the deep tissue, possibly to the bone, to permit
better circulation
,ANS a. Large, surgical incision will be made in the hardened dermal layer to improve
circulation
4. A nurse is caring for a client who has burn injuries to his trunk. The nurse is
explaining what to expect from the prescribed hydrotherapy. Which of the following
statements by the client indicates an understanding of the teaching?
a. I will be on a special shower table to enhance wound inspection and
, debridement
b. The water temperature will be hot to improve blood flow and healing
c. The nurse will use a wire brush to remove loose skin
d. The nurse will use scissors to open small blisters
ANS a. I will be on a special shower table to enhance wound inspection and
debridement
5. Calculate the mean arterial pressure in mmHg for a client with a blood pressure
of 84/46 mmHg
.
ANS 84+ 2(46)/ 3= 59 mmHG
6. Which if the following interventions is not appropriate for a client diagnosed with a
pneumothorax?
a. Apply wet to dry dressing on wound
b. Monitor respiratory and circulatory function
c. Assess for tracheal deviation
d. Provide analgesics
