MDC 4 FINAL EXAM NEWEST 2025/2026 COMPLETE 100 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
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The nurse has given instructions to the client with Parkinson's disease about
maintaining mobility. The nurse determines that the client understands the
directions if the clients states that he or she will: - ANSWER-Rock back and forth to
start movement with bradykinesia
An elderly man was found unresponsive in his home and unable to give a history
of any contributing events. The nurse recognizes the man's skin color of "cherry
red" as a sign that he has suffered from? - ANSWER-carbon monoxide poisoning
A nurse is assessing a client's surgical incision for signs of infection. Which finding
by the nurse is interpreted as a normal finding at the surgical site? - ANSWER-
serious drainage
The client recovering from a head injury is arousable and participating in care. The
nurse determines that the client understands measures to prevent elevations in
intracranial pressure if the nurse observes the client doing which of the following
activities? - ANSWER-Exhaling during repositioning
A client has experienced a pulmonary embolism. A nurse assesses for which most
commonly reported symptoms? - ANSWER-Chest pain that occurs suddenly
A 56-year-old client comes to the triage area with left-sided chest pain,
diaphoresis, and dizziness, with an oxygen saturation of 88% on room air. What is
the priority action? - ANSWER-administer O2 via nasal cannula
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A client is on intravenous heparin to treat a pulmonary embolism. The client's
most recent partial thromboplastin time (PTT) was 25 seconds. What order should
the nurse anticipate? - ANSWER-increase heparin rate
The nurse is assessing a client for the adequacy of ventilation. What assessment
findings would indicate the client has good ventilation? (SATA) - ANSWER--The
oxygen saturation level is 98%
-Nail bed are pink with good capillary refill
- There is a presence of quiet, effortless breath sounds at lung bases bilaterally
A client with a head injury regains consciousness after several days. When the
client first awakes, What should the nurse say to the client? - ANSWER-You are in
the hospital. You were in an accident and unconscious
The nurse cautions that when cooling down a victim of heatstroke, one must be
careful to prevent shivering because shivering can cause which of the following? -
ANSWER-increase in temperature
For which event would the hospital's disaster plan typically be activated? -
ANSWER-explosion at a chemical factory
The nurse comes upon a car accident while driving home from work. Which of the
following may be included in the nurse's primary survey of injury? (SATA) -
ANSWER-- assess LOC
- remove clothing soaked with gasoline
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- apply tourniquet proximal to an actively bleeding open tibia fracture
The nurse is caring for an elderly client who has suffered from a myocardial
infarction. The nurse identifies the need for vigilant monitoring against which form
of shock in this client? - ANSWER-cardiogenic shock
The nurse in the emergency department is using a triage system because this
system ranks clients by what? - ANSWER-severity of illness or injury
The experienced nurse is teaching a new nurse about hospital emergency plans
and personal emergency preparedness. Which statement by the new nurse
indicates a need for further teaching? - ANSWER-I need to know exactly how long
this is expected to last or I should have enough to supp lies to last me 1-2 days
A nurse wants to become involved in community disaster preparedness, and is
interested in helping set up and staff first aid stations or community acute care
centers in the event of a disaster. Which organization is the best fit for this nurse's
interests? - ANSWER-the medical reserve corps
The nurse is caring for the client who begins to experience seizure activity while in
bed. Which of the following actions by the nurse would be contraindicated? -
ANSWER-restraining the client's limbs
What is the priority assessment in the first 24 hours after admission of the client
with a thrombotic stroke? - ANSWER-pupil size and pupillary response
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