NUR 2755 / NUR2755 Exam 1: Multidimensional Care IV /
MDC Exam Review (Latest 2021/2022) Rasmussen
1.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
2.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 the necessity for
suctioning
d. Teach the client to hold his breath and bear down while repositioning in bed.
3.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
4. 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.
5.A client has a head injury and is presenting with signs and symptoms of increased
intracranial pressure. 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 cough reflex
c. Add extra blankets to keep the client warm.
d. Turn the client frequently to prevent skin impairment
6. A client has recently suffered a stroke with left-sided weakness. The nurse
assesses for dysphagia, especially with thin liquids. Which nursing intervention
is most helpful in assisting this patient 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.
7. A client has a comminuted fracture of T6-T7, resulting in paraplegia. The nurse
educates the client on preventing autonomic dysreflexia. Which of the following is
the priority intervention in this medical emergency?
