RASMUSSEN MDC IV EXAM 1 NEWEST
EXAM QUESTIONS AND DETAILED
CORRECT ANSWERS | VERIFIED A+
GRADE
The nurse is assisting with the sponge and instrument
count in the operating room. Which operative phase does
this occur in?
a. Perioperative phase
b. Preoperative phase
c. Intraoperative phase
d. Postoperative phase Correct Answer c. Intraoperative
phase
A client has been diagnosed with an ischemic stroke. The
nurse realizes this client cannot have fibrinolytic therapy
until which vital sign is addressed and treated?
a. Blood pressure of 220/120 mm HG
b. Oxygen saturation of 92%
c. A heart rate of 86 bpm
d. RR of 24 bpm Correct Answer a. Blood pressure of
220/120 mm HG
During a nutritional therapy class, the nurse educates a
group of migraine sufferers on foods that may worsen
headaches. The clients are advised to avoid which of the
following food
choices? (SATA)
a. Yogurt
,b. Caffeine
c. Beef
d. Pears
e. Marinated food
f. milk Correct Answer a. Yogurt
b. Caffeine
e. Marinated food
The nurse is caring for a client with Parkinson's disease.
Which intervention does the nurse implement to prevent
respiratory complications in the client?
a. Keep an oral airway at the bedside
b. Ensure fluid intake of at least 3L/day
c. Teach the client pursed lip breathing techniques
d. Maintain the head of bed at 30 degrees or greater
Correct Answer d. Maintain the head of bed at 30 degrees
or greater
A client has been injured in a motorcycle accident and is
presenting with signs and symptoms of increased
intracranial pressure. What is the most significant sign or
symptom of increased intracranial pressure?
a. Pupil changes
b. Ipsilateral paralysis
c. Vomiting
d. Decrease in the level of consciousness Correct Answer
d. Decrease in the level of consciousness
The nurse is caring for a client diagnosed with Alzheimer's
disease. Which nursing tasks should not be delegated to
the unlicensed assistive personnel (UAP)? (SATA)
, a. Check the client's skin under the restraints
b. Administer the clients antipsychotic medication
c. Perform the client's morning hygiene care
d. Ambulate the client to the bathroom
e. Obtain the clients routine vital signs Correct Answer a.
Check the client's skin under the restraints
b. Administer the clients antipsychotic medication
The nurse is assessing a client with Alzheimer's disease.
Which finding places the client in the moderate stage of
the disease process? Select all that apply
a. Wandering
b. Anger
c. incontinence of bowel and bladder
d. Visuospatial deficit
e. violent episodes Correct Answer a. Wandering
b. Anger
c. incontinence of bowel and bladder
d. Visuospatial deficit
e. violent episodes
Which medication will the nurse prepare to administer to
the client who is experiencing status epilepticus?
a. phenobarbital
b. lorazepam
c. Chlordiazepoxide
d. Phenytoin Correct Answer b. lorazepam
A nurse is explaining safe eating practices to a wife who
will be caring for her husband, who has been diagnosed
with hemiplegia following his stroke. The nurse develops
EXAM QUESTIONS AND DETAILED
CORRECT ANSWERS | VERIFIED A+
GRADE
The nurse is assisting with the sponge and instrument
count in the operating room. Which operative phase does
this occur in?
a. Perioperative phase
b. Preoperative phase
c. Intraoperative phase
d. Postoperative phase Correct Answer c. Intraoperative
phase
A client has been diagnosed with an ischemic stroke. The
nurse realizes this client cannot have fibrinolytic therapy
until which vital sign is addressed and treated?
a. Blood pressure of 220/120 mm HG
b. Oxygen saturation of 92%
c. A heart rate of 86 bpm
d. RR of 24 bpm Correct Answer a. Blood pressure of
220/120 mm HG
During a nutritional therapy class, the nurse educates a
group of migraine sufferers on foods that may worsen
headaches. The clients are advised to avoid which of the
following food
choices? (SATA)
a. Yogurt
,b. Caffeine
c. Beef
d. Pears
e. Marinated food
f. milk Correct Answer a. Yogurt
b. Caffeine
e. Marinated food
The nurse is caring for a client with Parkinson's disease.
Which intervention does the nurse implement to prevent
respiratory complications in the client?
a. Keep an oral airway at the bedside
b. Ensure fluid intake of at least 3L/day
c. Teach the client pursed lip breathing techniques
d. Maintain the head of bed at 30 degrees or greater
Correct Answer d. Maintain the head of bed at 30 degrees
or greater
A client has been injured in a motorcycle accident and is
presenting with signs and symptoms of increased
intracranial pressure. What is the most significant sign or
symptom of increased intracranial pressure?
a. Pupil changes
b. Ipsilateral paralysis
c. Vomiting
d. Decrease in the level of consciousness Correct Answer
d. Decrease in the level of consciousness
The nurse is caring for a client diagnosed with Alzheimer's
disease. Which nursing tasks should not be delegated to
the unlicensed assistive personnel (UAP)? (SATA)
, a. Check the client's skin under the restraints
b. Administer the clients antipsychotic medication
c. Perform the client's morning hygiene care
d. Ambulate the client to the bathroom
e. Obtain the clients routine vital signs Correct Answer a.
Check the client's skin under the restraints
b. Administer the clients antipsychotic medication
The nurse is assessing a client with Alzheimer's disease.
Which finding places the client in the moderate stage of
the disease process? Select all that apply
a. Wandering
b. Anger
c. incontinence of bowel and bladder
d. Visuospatial deficit
e. violent episodes Correct Answer a. Wandering
b. Anger
c. incontinence of bowel and bladder
d. Visuospatial deficit
e. violent episodes
Which medication will the nurse prepare to administer to
the client who is experiencing status epilepticus?
a. phenobarbital
b. lorazepam
c. Chlordiazepoxide
d. Phenytoin Correct Answer b. lorazepam
A nurse is explaining safe eating practices to a wife who
will be caring for her husband, who has been diagnosed
with hemiplegia following his stroke. The nurse develops
