MDC 1 Final Exam Questions With 100% Correct
Answers.
The nurse is caring for a 65-year-old client and notes a temperature of 101 F◦. how
does the nurse interpret this finding?
Hyperthermia
What is true about antiretroviral drugs used to treat human immunodeficiency
virus (HIV)?
These drugs inhibit viral replication
What is not an expected assessment finding in a client with inflammation?
Polyuria
A client does not understand why vision loss due to glaucoma is irreversible.
What is the nurse's best explanation?
Once the tissue has necrosed from high-pressure. It does not regenerate.
The nurse is teaching a client with debilitating rheumatoid arthritis about home
safety. Which statement should the nurse include?
"There are many adaptive devices such as grab bars, reacting tools, grasping devices
and adaptive silverware available that may help you."
A client is in the emergency room in critical condition and hypotensive. Her
spouse is distraught. What is the priority nursing action?
Maintain the client's blood pressure
A nurse is teaching a client how to follow a low-purine diet as prescribed by the
provider for the management of gout. What statement by the client indicates a
correct understanding of the teaching?
"I should avoid eating liver and other organ meats."
What level of Maslow's Hierarchy of needs does shelter belong to?
Physiological
The nurse is providing medication for a client with osteomyelitis. What teaching
should the nurse indicate in the education?
You should not take more than 4000mg acetaminophen a day.
The nurse is caring for a client with rheumatoid arthritis one day after the
shoulder surgery. What would prompt the nurse to call the provider immediately?
The client had paresthesia in her fingers and intense increasing pain in her shoulder.
A client with systemic lupus erythematous complains of flank pain. Which
laboratory test does the nurse anticipate will be ordered?
Creatinine
The nurse is performing a psychosocial assessment on a client with a severe
rheumatoid arthritis. What would be the most appropriate statement by the
nurse?
"How does this impact your role in your family?"
A post-operative client with a sutured abdominal incision felt a sharp abdominal
pain after having a bowel movement. Upon inspection, the nurse notices bowel
protruding from the incision site. What does the nurse tell the physician about the
event?
The client's incision site has eviserated.
, Most adults with human immunodeficiency virus will exhibit which of the
following laboratory values?
Lower than normal number of CD4+ T-cells are normal
A nurse is teaching a client who has fibromyalgia about strategies that might help
reduce her symptoms. What should the nurse include in the client education?
Establish a regular sleep pattern.
What is a sign of inadequate perfusion?
Pallor in toes
A nurse is caring for a client who has acute osteomyelitis. Which of the following
interventions is the nurse's priority?
Administer antibiotics to the client.
The client states, "Why am I getting protein supplements while I am healing from
a bed sore?" What is the best response by the nurse?
"Protein has amino acids that promotes wound healing."
A client has a new diagnosis of human immunodeficiency virus HIV. The client is
distraught and does not know what to do. What intervention by the nurse is the
best?
Assess the client's support system.
The nurse is providing education to a client regarding the administration of eye
drops. Which of the following actions indicates the need for further client
education?
The client touches the administration dropper to her eye.
A client is immobile and requires mechanical ventilation with a tracheostomy.
She has a pressure injury on her coccyx measuring 5cm by 3cm. The nurse
observes bone and tendon at the base of the wound. How would the nurse
document this wound?
Stage IV pressure injury
Which of the following lab tests should be used for diagnosing connective tissue
diseases? (Select all that apply)
-Rheumatoid factor (RF)
-Erythrocyte sedimentation rate (ESR)
-Anti-nuclear antibody (ANA)
-C-reactive protein (CRP)
A client has an open wound with creamy thick yellow drainage. How would the
nurse document this finding?
Purulent
A client with lupus experiences Raynaud's phenomenon. What should the nurse
include when providing client education about this?
"In order to avoid flare-ups of Raynaud's, ensure you are wearing gloves in winter"
Which client is at high risk of compromised immunity?
A client who just had surgery.
Which organization publishes the National Patient Safety Goals?
The Joint Commission
The quality and risk nurse in the local hospital is performing a hospital survey on
sentinel events. Which statements would the nurse use to best describe a
sentinel event?
Answers.
The nurse is caring for a 65-year-old client and notes a temperature of 101 F◦. how
does the nurse interpret this finding?
Hyperthermia
What is true about antiretroviral drugs used to treat human immunodeficiency
virus (HIV)?
These drugs inhibit viral replication
What is not an expected assessment finding in a client with inflammation?
Polyuria
A client does not understand why vision loss due to glaucoma is irreversible.
What is the nurse's best explanation?
Once the tissue has necrosed from high-pressure. It does not regenerate.
The nurse is teaching a client with debilitating rheumatoid arthritis about home
safety. Which statement should the nurse include?
"There are many adaptive devices such as grab bars, reacting tools, grasping devices
and adaptive silverware available that may help you."
A client is in the emergency room in critical condition and hypotensive. Her
spouse is distraught. What is the priority nursing action?
Maintain the client's blood pressure
A nurse is teaching a client how to follow a low-purine diet as prescribed by the
provider for the management of gout. What statement by the client indicates a
correct understanding of the teaching?
"I should avoid eating liver and other organ meats."
What level of Maslow's Hierarchy of needs does shelter belong to?
Physiological
The nurse is providing medication for a client with osteomyelitis. What teaching
should the nurse indicate in the education?
You should not take more than 4000mg acetaminophen a day.
The nurse is caring for a client with rheumatoid arthritis one day after the
shoulder surgery. What would prompt the nurse to call the provider immediately?
The client had paresthesia in her fingers and intense increasing pain in her shoulder.
A client with systemic lupus erythematous complains of flank pain. Which
laboratory test does the nurse anticipate will be ordered?
Creatinine
The nurse is performing a psychosocial assessment on a client with a severe
rheumatoid arthritis. What would be the most appropriate statement by the
nurse?
"How does this impact your role in your family?"
A post-operative client with a sutured abdominal incision felt a sharp abdominal
pain after having a bowel movement. Upon inspection, the nurse notices bowel
protruding from the incision site. What does the nurse tell the physician about the
event?
The client's incision site has eviserated.
, Most adults with human immunodeficiency virus will exhibit which of the
following laboratory values?
Lower than normal number of CD4+ T-cells are normal
A nurse is teaching a client who has fibromyalgia about strategies that might help
reduce her symptoms. What should the nurse include in the client education?
Establish a regular sleep pattern.
What is a sign of inadequate perfusion?
Pallor in toes
A nurse is caring for a client who has acute osteomyelitis. Which of the following
interventions is the nurse's priority?
Administer antibiotics to the client.
The client states, "Why am I getting protein supplements while I am healing from
a bed sore?" What is the best response by the nurse?
"Protein has amino acids that promotes wound healing."
A client has a new diagnosis of human immunodeficiency virus HIV. The client is
distraught and does not know what to do. What intervention by the nurse is the
best?
Assess the client's support system.
The nurse is providing education to a client regarding the administration of eye
drops. Which of the following actions indicates the need for further client
education?
The client touches the administration dropper to her eye.
A client is immobile and requires mechanical ventilation with a tracheostomy.
She has a pressure injury on her coccyx measuring 5cm by 3cm. The nurse
observes bone and tendon at the base of the wound. How would the nurse
document this wound?
Stage IV pressure injury
Which of the following lab tests should be used for diagnosing connective tissue
diseases? (Select all that apply)
-Rheumatoid factor (RF)
-Erythrocyte sedimentation rate (ESR)
-Anti-nuclear antibody (ANA)
-C-reactive protein (CRP)
A client has an open wound with creamy thick yellow drainage. How would the
nurse document this finding?
Purulent
A client with lupus experiences Raynaud's phenomenon. What should the nurse
include when providing client education about this?
"In order to avoid flare-ups of Raynaud's, ensure you are wearing gloves in winter"
Which client is at high risk of compromised immunity?
A client who just had surgery.
Which organization publishes the National Patient Safety Goals?
The Joint Commission
The quality and risk nurse in the local hospital is performing a hospital survey on
sentinel events. Which statements would the nurse use to best describe a
sentinel event?
