STUVIA 2024/2025
MDC4 Exam 1
D. Decrease in LOC - ✔✔A client has been in a MVC and presents with signs and symptoms of
increased ICP. What is the most significant sign or symptom of increased ICP?
A. Pupil changes
B. Ipsilateal paralysis
C. Vomiting
D. Decrease in LOC
B. Instructing to tuck the chin when swallowing - ✔✔A client has recently suffered a stroke with
left-sided weakness. A Nurse assesses for dysphagia, especially with thin liquids. Which nursing
intervention is most helpful in assessing this client to swallow safely?
A. The client should avoid all liquids
B. Instructing to tuck the chin when swallowing
C. Give sips of water with each bite
D. Turn head to the left
B. Multiple Sclerosis - ✔✔A nurse assesses a 27y.o female client who presents with muscle
weakness and decreased muscle coordination over the past few months. What nervous system
%
disease is she most likely suffering from?
A. Systemic Lupus Erythematous
B. Multiple Sclerosis
C. Guillain-Barre Syndrome
D. Myasthenia Gravis
A. Patients motor functions is returning to baseline - ✔✔During an assessment of a recent seizure
patient, the nurse interprets which finding is congruent with the postictal state?
A. Patients motor functions is returning to baseline
B. The patient states there is a visible aura
C. The patient has a brief jerking of the extremities
D. The patients O2 saturation is 80%
A. Place the neck in a neutral position to promote venous drainage - ✔✔The client has a head injury
and is presenting with signs and symptoms of increased ICP. Which nursing intervention would be
helpful in reducing this pressure?
A. Place the neck in a neutral position to promote venous drainage
B. Suction hourly to stimulate the couch reflex
C. Add extra blankets to keep the client warm
D. Turn the client frequently to prevent skin impairment
stuvia
, STUVIA 2024/2025
C. Lumbar Puncture - ✔✔A patient injured in an MVA is being evaluated at the emergency
department for a possible head injury. Which test should NOT be done if there is indication of
increased ICP?
A. CT Scan
B. MRI Scan
C. Lumbar Puncture
D. Electroencephalogram
B. I just got over the flu a couple of weeks ago and now this - ✔✔The nurse is obtaining a health
history for a 45yr old woman with Guillain-Barre Syndrome (GBS). Which statement by the client does
the nurse correlate with the clients diagnosis?
A. I have history of a cardiac dysrhythmia
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
C. Identify the time of onset of the stroke - ✔✔A client arrives in the emergency department with an
ischemic stroke. Because the healthcare team is considering administering tissue plasminogen
activator (t-PA), what should the nurse perform first?
%
A. Ask what medications the client is taking
B. Complete the history and health assessement
C. Identify the time of onset of the stroke
D. Determine if the client is scheduled for any surgical procedure
C. Blood Pressure - ✔✔During the first 24 hours after thrombolytic treatment for an ischemic stroke,
the nurse primary goal is to control which of the following vital signs?
A. Pulse
B. Respirations
C. Blood Pressure
D. Temperature
A. I am having general anesthesia, so i will be given a gas to breath and medication in my IV -
✔✔The nurse is educating a client on the types of anesthesia used in surgery. Which client
statement indicates a correct understanding?
A. I am having general anesthesia, so i will be given a gas to breath and medication in my IV
B. I may still be aware of whats happening with general anesthesia
C. An epidural is used for general anesthesia
D. When i had my skin cancer removed on my leg, the doctor used general anesthesia to numb the
area
stuvia
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller AnswersCOM. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
