MDC 4 Exam 2
MDC 4 EXAM 2 NEWEST 2025/2026 COMPLETE 150 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW VERSION!!
Client presents with the following vital signs: blood pressure 90/60 mm hg,
temperature (101F), heart rate 116 beats/min, respiratory 24 breaths/min. the
client has a post-op abdominal incision that is warm and red. Which type of shock
is this client in?
- Hypovolemic shock
- Septic shock
- Anaphylactic shock
- Neurogenic shock
- Septic shock
A client with septic shock has a urine output of 20ml/hr for the past 3 hours. The
pulse rate is 120 beats/min, and the venous pressure and pulmonary artery
wedge pressure are low. Which of these orders by the health care provider will
the nurse question?
- Give furosemide
- Increase normal saline infusion
- Administer hydrocortisone
- Prepare to give broad spectrum antibiotic
- Give furosemide
A nurse is assessing a client who has fluid volume overload from cardiogenic
shock. Which manifestation of cardiogenic shock should the nurse expect?
- Heart rate 121 beats/min
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, MDC 4 Exam 2
- Blood pressure 165/91 mmhg
- Respiratory rate 12 beats/minute
- Temperature 103.1
- Heart rate 121 beats/min
A client is being treated for hypovolemic shock. As the nurse reassesses the client,
which finding indicates the interventions are effective?
- Oxygen saturations remain unchanged
- Core body temperature has increased to 99F
- Client incorrectly states the month and year
- Serum lactate and serum potassium level are declining
- Serum lactate and serum potassium level are declining
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?
- Chest tube insertion
- Endotracheal intubation
- Needle thoracotomy
- Tracheostomy
- Endotracheal intubation
The nurse is developing a care plan for a client in the acute phase of a burn injury.
Which of the following would be the priority nursing diagnosis for this client?
- Risk for falls related to contracture of burned extremities
- Risk for infection related to slow healing graft donor site
2|Page
, MDC 4 Exam 2
- Risk for denial related to inability to participate in dressing change
- Risk for ineffective coping related to look at burn wounds
- Risk for infection related to slow healing graft donor site
A client with shock of unknown etiology whose hemodynamic monitoring
indicates a blood pressure 92/54 mm Hg, pulse 64 beats/minute, and an elevated
pulmonary artery wedge pressure has the following collaborative interventions
prescribed? Which intervention will the nurse question?
a. Infuse normal saline at 250ML an hour
b. keep head of bed elevated to 30 degrees
c. give nitroprusside unless systolic BP is < 90 mm Hg
d. administer dopamine to keep BP > 90 mm Hg
a. Infuse normal saline at 250ML an hour
A nurse is assessing a client who sustained superficial partial-thickness and deep
partialthickness burns 38 hours ago. Which findings should the nurse report to the
provider?
- ABG pH 7.31, PaCO2 37 mm Hg, HCO3 31 mEq/L
- Severe pain at the burn sites
- Edema in the burned extremities
- Urine output of 65mL/hr over 2 hours
- ABG pH 7.31, PaCO2 37 mm Hg, HCO3 31 mEq/L
A nurse is caring for a client with an electrical burn. The client has entrance
wounds on the hands and exit wounds on the feet. What information is the most
important to include when planning care?
- Everything between the entry and exit wound can be damaged
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, MDC 4 Exam 2
- Electrical burns increase the risk of developing future cancers
- The client may have memory and cognitive issue postburn
- The respiratory system requires close monitoring for signs of swelling
- everything between the entry and exit wound can be damaged
A postoperative client reports a sudden onset of shortness of breath and pleuritic
chest pain. Assessment findings include diaphoresis, hypotension, crackles in the
left lower lobes, and pulse oximetry of 85% on room air. What does the nurse
suspect has occurred with this client?
- Pneumothorax
- Atelectasis
- Flail chest
- Pulmonary embolism
- Pulmonary embolism
The intensive care unit (ICU) nurse is caring for a client. The ventilator alarms are
sounding. Which intervention should the nurse implement first?
- Ventilate with a manual resuscitation bag
- Notify the respiratory therapist immediately
- Silence the violator alarm
- Auscultate the breath sounds
- Auscultate the breath sounds
The client who is one day postoperative following chest surgery, is having difficulty
breathing, has bilateral rails, and is confused and restless. Which intervention
should the nurse implement first?
- Check the client's surgical dressing
- Notify the rapid response team
4|Page
MDC 4 EXAM 2 NEWEST 2025/2026 COMPLETE 150 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW VERSION!!
Client presents with the following vital signs: blood pressure 90/60 mm hg,
temperature (101F), heart rate 116 beats/min, respiratory 24 breaths/min. the
client has a post-op abdominal incision that is warm and red. Which type of shock
is this client in?
- Hypovolemic shock
- Septic shock
- Anaphylactic shock
- Neurogenic shock
- Septic shock
A client with septic shock has a urine output of 20ml/hr for the past 3 hours. The
pulse rate is 120 beats/min, and the venous pressure and pulmonary artery
wedge pressure are low. Which of these orders by the health care provider will
the nurse question?
- Give furosemide
- Increase normal saline infusion
- Administer hydrocortisone
- Prepare to give broad spectrum antibiotic
- Give furosemide
A nurse is assessing a client who has fluid volume overload from cardiogenic
shock. Which manifestation of cardiogenic shock should the nurse expect?
- Heart rate 121 beats/min
1|Page
, MDC 4 Exam 2
- Blood pressure 165/91 mmhg
- Respiratory rate 12 beats/minute
- Temperature 103.1
- Heart rate 121 beats/min
A client is being treated for hypovolemic shock. As the nurse reassesses the client,
which finding indicates the interventions are effective?
- Oxygen saturations remain unchanged
- Core body temperature has increased to 99F
- Client incorrectly states the month and year
- Serum lactate and serum potassium level are declining
- Serum lactate and serum potassium level are declining
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?
- Chest tube insertion
- Endotracheal intubation
- Needle thoracotomy
- Tracheostomy
- Endotracheal intubation
The nurse is developing a care plan for a client in the acute phase of a burn injury.
Which of the following would be the priority nursing diagnosis for this client?
- Risk for falls related to contracture of burned extremities
- Risk for infection related to slow healing graft donor site
2|Page
, MDC 4 Exam 2
- Risk for denial related to inability to participate in dressing change
- Risk for ineffective coping related to look at burn wounds
- Risk for infection related to slow healing graft donor site
A client with shock of unknown etiology whose hemodynamic monitoring
indicates a blood pressure 92/54 mm Hg, pulse 64 beats/minute, and an elevated
pulmonary artery wedge pressure has the following collaborative interventions
prescribed? Which intervention will the nurse question?
a. Infuse normal saline at 250ML an hour
b. keep head of bed elevated to 30 degrees
c. give nitroprusside unless systolic BP is < 90 mm Hg
d. administer dopamine to keep BP > 90 mm Hg
a. Infuse normal saline at 250ML an hour
A nurse is assessing a client who sustained superficial partial-thickness and deep
partialthickness burns 38 hours ago. Which findings should the nurse report to the
provider?
- ABG pH 7.31, PaCO2 37 mm Hg, HCO3 31 mEq/L
- Severe pain at the burn sites
- Edema in the burned extremities
- Urine output of 65mL/hr over 2 hours
- ABG pH 7.31, PaCO2 37 mm Hg, HCO3 31 mEq/L
A nurse is caring for a client with an electrical burn. The client has entrance
wounds on the hands and exit wounds on the feet. What information is the most
important to include when planning care?
- Everything between the entry and exit wound can be damaged
3|Page
, MDC 4 Exam 2
- Electrical burns increase the risk of developing future cancers
- The client may have memory and cognitive issue postburn
- The respiratory system requires close monitoring for signs of swelling
- everything between the entry and exit wound can be damaged
A postoperative client reports a sudden onset of shortness of breath and pleuritic
chest pain. Assessment findings include diaphoresis, hypotension, crackles in the
left lower lobes, and pulse oximetry of 85% on room air. What does the nurse
suspect has occurred with this client?
- Pneumothorax
- Atelectasis
- Flail chest
- Pulmonary embolism
- Pulmonary embolism
The intensive care unit (ICU) nurse is caring for a client. The ventilator alarms are
sounding. Which intervention should the nurse implement first?
- Ventilate with a manual resuscitation bag
- Notify the respiratory therapist immediately
- Silence the violator alarm
- Auscultate the breath sounds
- Auscultate the breath sounds
The client who is one day postoperative following chest surgery, is having difficulty
breathing, has bilateral rails, and is confused and restless. Which intervention
should the nurse implement first?
- Check the client's surgical dressing
- Notify the rapid response team
4|Page
