NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 202, Exams of Nursing

Download NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 202 and more Exams Nursing in PDF only on Docsity! NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ 3.With what we have… the test taker got 84 No picture : D  No picture: B  No picture: B - constrict  No picture: D or C  A nurse is assessing a client in postoperative recovery. The client complains of the following symptoms. Which of the following is abnormal and should be reported immediately? a. Emesis that is red b. Complaint of feeling cold c. Nausea d. Complaint of pain  A client's neurological status deteriorates over hours, and a craniotomy is performed to evacuate a hematoma. Which nursing intervention is indicated to help decrease the threat of increased intracranial pressure? a. Elevate the head of the bed 30 degrees b. Cluster nursing interventions to provide uninterrupted periods of rest c. Teach the client to cough and deep breathe to prevent NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ the necessity for suctioning d. Teach the client to hold his breath and bear down while repositioning in bed.  A client presents to the emergency room with complaints of bilateral lower extremity loss of sensation that started in the feet but has now progressed to the knees and hips. The nurse interprets these symptoms to indicate an immediate workup for which of the following diseases? a. Myasthenia gravis b. Simple, partial seizure c. guillain- barre syndrome d. Cerebrovascular accident  The charge nurse is obtaining the client’s signature on a surgical consent form. The client states, I didn’t really understand what my surgeon explained, but I trust him completely, “which response by the charge nurse is correct? a. I need to contact your surgeon so your questions can be answered b. I can answer any questions that you might have regarding your surgery. c. As long as you are comfortable, then you may sign the consent form. d. Maybe you should call your surgeon to be sure it is okay to sign the consent. NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ with which of the following complications of surgery? a. Hypovolemic shock b. Dehiscence c. Atelectasis d. Pulmonary embolus  A client presents to the emergency department with signs of a stroke. After a computed tomography (CT) scan, which revealed a hemorrhage, the nurse anticipates directives for which one of the following plans? a. TPA administration a. Call a code blue b. Prep for a client surgery c. Place the client in Trendelenburg  A client arrives in the emergency department with an ischemic stroke. Because the healthcare team is considering tissue plasminogen activator (tPA), what should the nurse perform FIRST? a. Ask what medications the client is taking b. Complete the history and health assessment c. Identify the time of onset of the stroke d. Determine if the client is scheduled for any surgical procedures  The client has presented with a basilar skull fracture. NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ While assessing the client, the nurse notes clear drainage from the nose with a “halo sign” and is concerned about a potential cerebrospinal fluid (CSF) leakage. What should the nurse do next? a. Document this as serous drainage and continue to monitor the client b. Check for the presence of glucose in the drainage and report to the provider c. Apply an ice pack to the nasal bridge and a large, fluffy dressing. d. Assist the client in blowing his nose to clear secretions and re-evaluate.  The nurse is discussing different types of anesthesia with a group of nursing students. The student nurse correctly identifies which type of anesthesia requires both inhalation and IV administration routes? NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ a. General b. Regional c. Specific d. Preoperative  The nurse is evaluating a client with a head injury and finds drainage from the client’s nose and ears. Which of the following is the priority teaching for this client? a. Cleanse the ear and nose with a soft cotton tipped swab and hydrogen peroxide b. Gently suction the nasal cavity to reduce the amount of secretions c. Wipe the nose or ears, but do not blow the nose or place anything in the ear d. Place a pressure dressing over the affected areas to reduce leakage.  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  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? NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+  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  Which medication will the nurse prepare to administer to the client who is experiencing status epilepticus? a. phenobarbital b. lorazepam c. Chlordiazepoxide NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ d. Phenytoin  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 the discharge teaching and identifies which of the following actions to promote safe feeding practices for the client? Select all that apply a. mixing liquid and solid foods together b. taking the client's dentures out to prevent choking c. offering small bites of food d. checking the affected side of the mouth for food accumulation e. elevating the client to no more than 30 degrees f. adding a thickening agent to liquid's  while assessing a post-op client, the nurse alerts the physician for a wound evisceration. While waiting for NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ further direction the nurse understands which of the following interventions needs to be done immediately question marks a. place the client in how high fowler's position b. give the client fluids to prevent shock c. replacing the dressing with sterile fluffy pads d. apply a warm, moist normal Saline sterile dressing NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ d. It involves vigorous hand and lower arm scrubbing for 3-5 minutes. NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+  A client with Alzheimer’s disease is admitted to the hospital. Which psychosocial assessment is most important for the nurse to complete? a. Ability to recall past events b. Ability to perform self-care c. Reaction to a change of environment d. Relationship with close family members  A graduate nurse is performing discharge teaching for a client newly diagnosed with migraine headaches. Which statement made by the graduate nurse indicates a correct understanding of this disorder? a. Auras are not a symptom present with migraines. b. Beta blockers are contraindicated in clients with migraines c. Increasing stimulating activities during an NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ episode will help resolve the migraines. d. Verapamil is not an abortive migraine medication but used to manage and prevent migraines.  A client with Parkinson’s disease is prescribed levodopa (l-dopa) therapy. Improvement in which area indicates the therapy is effective? a. Mood b. Muscle rigidity c. Appetite d. Alertness  The nurse is caring for a post-stroke client with expressive (Broca’s) aphasia. Which nursing intervention is appropriate for the nurse to communicate with the client? a.Refer the client to the speech language pathologist NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ b. gastrointestinal c. respiratory d. Cardiovascular  The nurse is caring for a client who is immobile from recent surgery. Which interventions does the nurse implement to prevent complications in this client? a. Position the client with the unaffected side down. b. Instruct the client to tur the head from side to side. c. Apply sequential compression stockings. d. Teach the client to touch and use both sides of the body.  The client received a preoperative dose of lorazepam 20 minutes ago. Which of the following is the priority intervention the nurse should take to promote safety for this client? NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ a. monitor respiratory status b.raise bed rails c.elevates the head of the bed 30 degrees. d.Take seizure precautions  when planning care for a client with myasthenia gravis , the nurse understands that the client is at highest risk for which of the following? a. Aspiration b.bladder dysfunction c.hypertension d.sensory loss  a client has been diagnosed with organic brain pathology. He is presenting with signs and symptoms of total or partial loss of the ability to recognize familiar objects or people through sensory stimulation. The NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ nurse correctly identifies the signs and symptoms as which of the following? a. Apraxia b. Agnosia c. aphasia d. dysphagia  The nurse is assessing a client with Parkinson's disease who is beginning to display Bradykinesia. Which of the following statements from the client indicates an understanding of the disease? a. I need to take larger, faster steps when I ambulate b. I should stop my routine exercises to avoid the potential for injury c. I need to allow extra time to complete activities ‘ NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ taking much pain medication after my surgery e. the general anesthesia will prevent me from having pain for the first 24 hours after surgery  Myasthenia gravis (MG) is an autoimmune disease of the neuromuscular junction characterized by the fluctuating weakness of certain skeletal muscle groups. The use of intravenous immune globulin is for which response? a. Increases anxiety and depression b. reduces the production of acetylcholine antibodies c. Removes the antibodies produced by the autoimmune response. d. increases the production of acetylcholine antibodies.  A nurse is preparing a teaching plan for a client with NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ migraine headaches who has been prescribed a beta blocker daily to help manage this disorder. Which instructions would be appropriate to relay to this client? a.Take this drug only when you have prodromal symptoms indicating the unsent of a migraine headache b. take this drug as ordered, even when filling well, to prevent vascular changes associated with migraine headaches. c. This drug will relieve the pain during the Aurora phase soon after a headache has started d. this medication is prescribed for migraines, you won't experience any effect on your heart rate or blood pressure NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+  the nurse is obtaining a health history for a 45 year old woman with Guillain-Barre syndrome (BGS). Which statement by the client does the nurse correlate with the clients diagnosis? a. I have a history of a cardiac dysrhythmias b. I just got over the flu a couple of weeks ago and now this c. my neighbor also has Guillain-Barre syndrome d. I am an artist and work with oil paints  Hey client is admitted to the neurological unit after having had three tonic clonic seizures in the past two days. Her husband reported that she had been sleeping for long periods after each seizure. The nurse explains to him that this rest period after a tonic clonic seizure is which of the following? a. Convalescent. Convulsant. b. Post status epilepticus period NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ . 43. C: Chart the clients level of consciousness as coma  A nurse is providing teaching to a class about transient ischemic attacks (TIAs). Which information should the nurse include in the teaching? a. A TIA can cause irreversible hemiparesis b. A TIA can be the result of cerebral bleeding c. A TIA can cause cerebral edema d. A TIA can precede an ischemic stroke  The nurse enters a room and witnesses a client experiencing a seizure. What is the nurse's priority actions? a. Establish a large-bore catheter and start 0.9% sodium NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ chloride b. Start the client on 8L of oxygen via non-rebreather mask c. Place the client in the supine, left- lateral position d. Remove items that may cause client injury  A nurse is developing a care plan for a client with bacterial meningitis. Which of the following interventions will reduce the risk of increased intracranial pressure? a. Initiate seizure precautions per facility protocol b. Assess glasgow Coma scale once per shift c. Keep the head of the bed elevated as high as tolerated d. Start 0.9% normal saline at 75 ml/hr via peripheral IV  Which of the following statements by your client’s son indicate the need for further teaching when using patient controlled analgesia (PCA)? a. The medication is flowing through my mothers intravenous line b. I can push the button for my mother if she is too drowsy NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ c. My mother or I should notify the nurse if her pain is uncontrolled while using the PCA NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ position of the body? a. Agnosia b. Proprioception c. Apraxia d. Sensation  A client is having an epileptic episode and develops loss of consciousness, incontinence, and breathing cessation for 25 seconds, followed by a postictal state lasting 15 minutes. The nurse understands this client is suffering from which type of seizure activity? a. Atonic seizure NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ a. Simple partial seizure b. Pseudoseizure c. Tonic clonic seizure  A client arrives at the emergency department with new onset slurred speech and weakness. The nurse inquires about when the client was last seen as normal. What other assessment information is critical for the health care team to know before a “stroke alert” can be initiated? a. client’s weight b. National Institutes of Health (NIH) stroke scale score c. Blood glucose level d. Vital signs  A nurse is preparing to administer heparin 3,500 units subcutaneously every 12 hours. The amount available is heparin injection 5,000 units/mL. How many mL should the nurse administer per dose? (record answer to the tenth (one decimal place). 0.7 NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+  A male client, age 69, is being evaluated by a neurologist for signs of muscle rigidity, masklike face (the area from the forehead to chin), and propulsive gait. The nurse interprets these findings as potential indicators of which neurological disorder? a. Multiple sclerosis b. Parkinson’s disease c. Alzheimer’s disease d. Epilepsy  Before undergoing a computed tomography (CT) scan with a contrast medium, the nurse assesses the client for which of the following potential complications? a. Assess that the client is not allergic to seafood or iodine. b.Determine the client’s ability to change position frequently during the procedure. NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ Coma Score is 3. The organ procurement team has been notified of a potential donor. Following protocols, the nurse performs, which of the following actions? a. maintain perfusion and care of the client to allow the possibility of a healthy organ harvest. b.Discuss the surgical harvesting and donation process with the family. c.Prepare to remove all lines and tubes to ensure a rapid transition to the OR after expiration. d.Remove any potentially nephrotoxic medications to preserve organ function for possible transplant.  A client presents to the emergency department (ED) with the inability to wrinkle her forehead or pucker her lips. She is afraid she may be having a stroke. After a complete clinical workup is negative for a cerebral vascular accident (CVA), the nurse provides discharge information on which of the following disorders? a. Trigeminal neuralgia NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ b. Bell’s Palsy c. cerebral aneurysm d. Epilepsy  The nurse assesses a client who presents with progressive proximal to distal muscle weakness and mild diplopia. The nurse realizes these manifestations indicate the client most likely suffers from which peripheral nervous system disease? NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+ a. Systemic lupus erythematosus b. multiple sclerosis c.Guillan- barre syndrome d. Myasthenia gravis  The nurse explains which role is responsible for verifying that the consent form is signed and that the surgical site is marked? a. scrub nurse b. surgeon c. anesthesiologist d. circulating nurse NURSE MDC4 EXAM QUESTIONS & ANSWERS WITH 100% CORRECTLY VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+