MCDC Exam 2 Practice Questions (Rasmussen University) PDF

lOMoARcPSD|43964769 MCDC exam 2 - Practice all the questions to be successfull MDC1 (Rasmussen University) Scan to open on Studocu Studocu is not sponsored or endorsed by any college or university Downloa...

lOMoARcPSD|43964769 MCDC exam 2 - Practice all the questions to be successfull MDC1 (Rasmussen University) Scan to open on Studocu Studocu is not sponsored or endorsed by any college or university Downloaded by Bruce Lee ([email protected])  lOMoARcPSD|43964769 MULTIDIMENSIONAL EXAM 2 REVISION TEST Downloaded by Bruce Lee ([email protected])  lOMoARcPSD|43964769 1. What is accurate health promotion teaching to prevent ear infection or trauma? (Select all that apply) A. Block one nostril when blowing your nose B. Wear sound protection when around loud noise C. Do not use cotton-tipped applicators to clean your external ear D. Sneeze with your mouth closed E. Blow your nose gently 2. What nonpharmacological intervention does not help reduce edema? A. Heat therapy B. Passive range of motion (PROM) C. Elevation of the extremity D. Cold therapy 3. The nurse has the client move both crutches forward, with weight on the unaffected leg, and move the unaffected leg forward, shifting weight onto the unaffected leg. The nurse knows that which of the following gaits is being utilized? A. Two-point gait B. Three-point gait C. Four-point gait D. Unaffected gait 4. What is the intended outcome for the treatment of glaucoma? A. Improve the vision of the eye B. Strengthen the muscles of the eye C. Lower the intraocular pressure D. Held dry up excess secretions 5. The provider orders the client to be placed in a high-fowler’s position. At what angle will the nurse position the client? A. 15 degrees B. 0 degrees C. 90 degrees D. 30 degrees 6. What is the priority nursing diagnosis after surgery to repair a fracture? A. Disturbed body image B. Risk for infection C. Risk for impaired skin integrity D. Acute pain 7. What are nonsurgical treatment options for carpal tunnel syndrome? (Select all that apply) A. Using a splint B. Ultrasound therapy C. Endoscopic carpal tunnel release D. Corticosteroid injections E. Nonsteroidal anti-inflammatory drugs (NSAIDS) 8. What finding is often present in a client with osteoporosis? Downloaded by Bruce Lee ([email protected])  lOMoARcPSD|43964769 A. Chronic pain B. Dupuy Ren’s contracture C. Inflammation D. Kyphosis 9. What is the priority nursing diagnosis for a client with metastatic bone disease? A. Chronic pain B. Impaired mobility C. Risk for falls D. Risk for infection 10. What should be done immediately after an ankle injury? A. Immobilize, heat, compress, and elevate the ankle B. Rest, ice, compress, and lower the ankle C. Rest, ice, compress and elevate the ankle D. Rest, incubate, confine and lower the ankle 11. What evaluation indicates successful progress on the client goal of ‘client will increase daily physical activity’? A. The client reports decreased social interaction B. The client reports more nonsteroidal anti-inflammatory drug (NSAID) use C. The client reports a fall D. The client reports less fatigue walking up stairs 12. A nurse is assessing a client with hallux valgus. What is another term for this assessment finding? A. Thoracic deformity B. A bunion C. A corn D. Metacarpal involvement 13. A client is diagnosed with glaucoma. The provider needs to determine if it is open- angle glaucoma or closed-angle glaucoma. What test does the nurse anticipate? A. Ultrasonic imaging B. Gonioscopy C. Corneal staining D. Electroretinography 14. A client does not understand why vision loss due to glaucoma is irreversible. What is the best explanation? A. Once bacterial infection has caused damage, the tissue does not regenerate B. Once retinal detachment occurs, it does not return to its normal state C. Too many nerve fibers have become ischemic and died so vision loss is permanent D. Glaucoma always leads to permanent blindness 15. A client with chronic osteomyelitis is being discharged from the hospital. What is the nurse’s priority discharge intervention? A. Teaching adherence to an exercise program B. Teaching about a healthy dietary intake C. Teaching adherence to the antibiotic regimen Downloaded by Bruce Lee ([email protected])  lOMoARcPSD|43964769 D. Scheduling daily dressing changes 16. What observations by the nurse indicates the need for further teaching to unlicensed assistive personnel (UAP) on assisting with ambulation? A. The UAP puts shoes on the client B. The UAP removes floor rugs and loose objects from the path C. The UAP walks to the side and slightly in front of the client D. The UAP uses a transfer (gait) belt 17. The client has been asked to perform weight-bearing exercises three times a week. The client admits to not doing the recommended exercises. What is the most appropriate response by the nurse? A. ‘I exercise by walking 3 miles every day. Would you like to join me?’ B. ‘Tell me more about your experience with these exercises.’ C. ‘My dad never exercised. He fell and broke his hip. Is that your goal?’ D. ‘You should be doing these exercises.’ 18. To promote independence. Which of these is the best nursing intervention to implement? A. Perform the client’s activities of daily living for them. B. Speak directly in front of the client so that they can read your lips well. C. Give the client their washcloth and toothbrush and leave the room. D. Allow the client to perform the activities of daily living they are able to do. 19. What is a priority intervention when caring for a client in Buck’s traction? A. Change the size of the traction weights PRN as needed B. Discontinue the traction as soon as the client has pain relief C. Allow the traction weights to rest on the floor D. Assess skin integrity 20. What is the priority nursing diagnosis for a client with immobility? A. Constipation related to immobility B. Ineffective breathing pattern related to inability to breathe deeply in a supine position C. Risk for impaired skin integrity as evidenced by pressure over bony prominences D. Risk for disuse syndrome as evidenced by immobility 21. How many ml is one tablespoon? (Type answer as numeric only.) 15 22. A client has a fractured right arm. Which of these should the nurse complete first? A. Apply ice to the fracture site B. Administer pain medications C. Remove the client’s bracelet and rings from the right arm D. Send the client to radiology for an x-ray 23. What is correct about a nursing diagnosis? A. It is a human response to disease, injury or other stressors. B. It stays the same for as long as the disease is present C. It is a way to identify pathology D. It is a disease, illness or injury Downloaded by Bruce Lee ([email protected])  lOMoARcPSD|43964769 24. What activities will the nurse tell the client to avoid after cataract surgery? (Select all that apply) A. Blowing one’s nose B. Bearing down when one defecates C. Lifting items greater than 10 pounds D. Sleeping for greater than 1 hour E. Urinating 25. What repetitive stress injury is a factory worker at risk? A. Plantar fasciitis B. Osteomalacia C. Carpal tunnel syndrome D. Osteoporosisred 26. What is not a nursing intervention for a client with osteoporosis? A. Nurse will encourage the intake of adequate amounts of calcium and vitamin D B. Nurse will encourage the client to complete weight-bearing exercises C. Nurse will encourage the client to avoid muscle strengthening exercises D. Nurse will encourage the client to avoid repetitive movements 27. What complication of fractures is caused by increased pressure which can result in decreased circulation to the area? A. Venous thromboembolism B. Acute compartment syndrome C. Fat embolism syndrome D. Hemorrhage 28. A client has sustained an open fracture. What nursing intervention will best prevent osteomyelitis in this client? A. Delegate all client personal care to specific unlicensed assistive personnel B. Place the client in contact precautions C. Proper hand hygiene D. Administer pain medication 29. Why is a client with osteoporosis prone to fractures? A. The client has bone spurs that lead to fracture B. The client has increased bone density C. The client has porous bones D. The client is not prone to fracture 30. The medical record for a client states that the client has hemiplegia. What does this mean? A. The client can use his right arm, left leg and left arm B. The client has paralysis of all four extremities C. The client has decreased vision in one eye D. The client has paralysis on one side of the body 31. Which of the following clients are at an increased risk for deep vein thrombosis following a reduction and internal fixation of the hip? (Select all that apply) A. A client on birth control pills Downloaded by Bruce Lee ([email protected])  lOMoARcPSD|43964769 B. A client who is immobile C. A client on an anticoagulant D. A client with dementia who has been wandering E. A 75-year-old who smokes three packs of cigarettes per day 32. Which of the following assessments is found in neurovascular compromise? A. Tingling B. Strong pulses C. Warm skin D. Full range motion 33. A well-rounded fitness program focuses on flexibility, resistance training and aerobic conditioning. What statements are true about a well-rounded fitness program? (Select all that apply) A. Movement against resistance increases muscular strength and endurance B. Intensity is the amount of time a person is exercising C. Stretching after exercise cools the muscles and limits post exercise stiffness D. Stretching before exercise helps warm up the muscles and prevent injury during exercise E. Movement with exercise increases muscular strength and endurance 34. What soft tissue musculoskeletal injury is excessive stretching of a ligament? A. Sprain B. Ligament tear C. Strain D. Tendon rupture 35. Convert 30 ml to ounces. (Type the answer as numeric only) 1 36. What nursing intervention is best to improve communication with a hearing- impaired client? A. Speak slowly and clearly while facing the client B. Write down the message C. Talk in a regular voice in the good ear D. Shout in the impaired 37. What is an example of proper body mechanics when lifting? A. Lifting the object with your back B. Standing with a narrow stance C. Lifting excessive weight to strengthen the muscles D. Holding the object close to the body 38. How many mg is 5000 mcg? (Type answer as numeric only) 5 39. A client with a bone cancer states that he is in too much pain to walk today. What should the nurse do first? A. Inquire about the frequency, quality and location of the pain B. Get the client pain medication C. Ensure the client knows he will have negative effects from immobility Downloaded by Bruce Lee ([email protected])  lOMoARcPSD|43964769 D. Review the client’s medication administration record 40. On inspection, which client does the nurse suspect of having a visual impairment? A. The client whose sclera is white B. The client who has an intact blink reflexes C. The client who is tilting their head D. The client with equal pupils 41. Why is traction used? A. It allows the bones to realign B. It decreases the risk of realignment C. It promotes wound healing D. It allows the client to rest longer 42. What medication class can decrease tissue inflammation but delays bone healing? A. Anticoagulants B. Nonsteroidal anti-inflammatory drugs (NSAIDS) C. Opioids D. Narcotics 43. A client who had an elective below-the knee amputation reports pain in the foot that was amputated. What is the best response by the nurse? A. ‘The pain will go away after the swelling decreases.’ B. ‘That is phantom limb pain.’ C. ‘Your foot has been amputated, so you are not having pain in that foot.’ D. ‘On a scale of 0-10, how would you rate your pain.’ 44. What statement by the client with plantar fasciitis indicates a need for further teaching? A. ‘I will use warm packs on my feet.’ B. ‘I will use nonsteroidal anti-inflammatory drugs (NSAIDS) for comfort C. ‘I will rest and stretch my feet.’ D. ‘I will wear supportive shoes.’ 45. the nurse is caring for 4 clients. Which of these clients will the nurse see first? A. A client with rheumatoid arthritis and a scheduled pain medication B. A client being discharged in 2 hours and needs to be taught how to use his crutches C. A client with sudden and increasing pain in his fractured arm D. A client with a fractured ankle who would like a glass of water 46. What device would be best to use for a client who is immobile? A. Standing assist device B. A mechanical lift C. Transfer board D. Gait belt 47. Unlicensed assistive personnel (UAP) is assisting a client in traction. Which of these actions requires immediate intervention? A. The unlicensed assistive personnel carefully lower the traction weights to rest on the ground Downloaded by Bruce Lee ([email protected])  lOMoARcPSD|43964769 B. The unlicensed assistive personnel provides small pillows to cushion the unaffected extremities C. The UAP carefully empties the indwelling catheter bag D. The UAP shows the client how to use the call light 48. The client’s pupils are different sizes and have been this way since childhood. What is this condition called? A. Exophthalmos B. Anisocoria C. Strabismus D. Scleral edema 49. The client states, “the doctor says I am nearsighted. I do not get it.” What would be the best response by the nurse? A. ‘I am sorry you did not understand. Would you like a different doctor?’ B. ‘Nearsighted, or myopia means that you have difficulty seeing things at a distance.’ C. ‘You will need to have glasses.’ D. ‘This means you won’t ever need glasses.’ 50. What is the best nursing intervention for a client with limited mobility who cannot move independently? A. Passive range of motion B. Pillows for positioning C. Active range of motion D. Continuous passive motion 51. The goal for a client with impaired mobility is to prevent atelectasis. What nursing intervention would best help the client meet this goal? A. Assist the client to orthopneic position B. Offer a protein rich diet C. Offer the client a bedpan for toileting D. Turn the client every 4 hours 52. the following client come to the ophthalmology clinic. Which client needs to be seen first? A. Client who had recent cataract surgery and has worsening vision B. Client with an absent red reflex on ophthalmic examination C. Client with an intraocular pressure of 24 mm Hg D. Client with a tearing, reddened eye with exudate 53. A client sustained a crushing injury to his right arm during a car accident. He arrives to the emergency room complaining of numbness in his right hand. He has no other injuries. What should the nurse do first? A. Assess the right radial pulse B. Call the provider C. Administer pain medication D. Assess the right pedal pulse 54. What may be a cause of conductive hearing loss? A. Prolonged exposure to loud noises Downloaded by Bruce Lee ([email protected])  lOMoARcPSD|43964769 B. Medications C. Presbycusis D. Otitis media 55. What are signs of earing loss? (Select all that apply) A. Answering questions correctly B. Presence of cerumen C. Tinnitus D. Frequent asking of others to repeat statements E. Shouting in conversations 56. A nurse is caring for an immobile client. What is the priority assessment of this client? A. Palpate for edema B. Auscultate for bowel sounds C. Inspect the skin for injury D. Auscultation of lung sounds 57. The nurse Is teaching the client how to administer eye drops. Which of these actions indicates the need for further client education? A. The client sets the cap down in a manner that does not contaminate it. B. The client drops the prescribed number of drops into the conjunctival sac C. The client washes their hands before instilling the drops D. The client ensures that they touch the administration dropper to the eye 58. A client has a new arm cast. What is incorrect teaching by the nurse? A. Use a sling to alleviate fatigue B. Elevate the arm above the heart to reduce swelling C. Report ‘hot spots’ felt under the cast D. Sudden increase in drainage is expected 59. What health teaching would not help an older adult avoid a musculoskeletal injury? A. Avoid home modification B. Wear a helmet when riding a bicycle C. Osteoporosis screening D. Fall prevention 60. The nurse is assessing a client who had a cast placed 4 hours ago. What assessment finding is cause for concern? A. The nurse assesses capillary refill of 2 seconds B. The nurse cannot insert one finger between the cast and the skin C. The nurse finds 2+ pulses distal from the cast D. The nurse does not observe any drainage 61. What should the client immediately report to the healthcare provider after being sent home with a cast for a fractured arm? A. 3/10 pain the day after the injury B. Purulent and foul-smelling drainage that just started C. Slight itching sensation under the cast Downloaded by Bruce Lee ([email protected])  lOMoARcPSD|43964769 D. Ability to wiggle fingers distal to the injury 62. Death of bone tissue can occur when the blood supply to the bone is disrupted. What is this complication called? A. Reflex sympathetic dystrophy B. Avascular necrosis C. Delayed union D. Complex regional pain syndrome 63. What test is used in the diagnosis of osteoporosis? A. Phalen’s maneuver B. Dual-energy X-ray absorptiometry (DXA)scan C. Proprioception D. Blood culture 64. What is one of the earliest signs of fat embolism syndrome? A. Paresthesia B. Severe pain in the affected limb unrelieved by medication C. Edema D. Hypoxemia 65. The nurse uses proper body mechanics to move a client up in bed. What action by the nurse will increase their risk of a workplace injury? A. Place the bed in the lowest possible position B. Use the legs when lifting C. Keep feet apart to provide a wide base of support D. Face the direction of the movement 66. What intervention by the nurse would be the best to prevent deep vein thrombosis after a fracture of the hip? A. Encouraging bedrest B. Applying antiembolism stockings C. Tell the client to take anticoagulants D. Teaching about smoking cessation 67. What is a negative effect of immobility on the musculoskeletal system? A. Pressure injury B. Contractures C. Glucose intolerance D. Incontinence 68. The client reports a ringing in the ears. What is this called? A. Weber B. Rinne C. Pinna D. Tinnitus 69. A client being cared for is blind. What is the best intervention to reduce the risk of falling in the hospital room? A. Tell the client’s family that they will be expected to stay overnight B. Apply restraints to the client Downloaded by Bruce Lee ([email protected])  lOMoARcPSD|43964769 C. Shout to the client D. Orient the client to the location of objects in the room 70. What happens during stage three of bone healing? A. Consolidation B. Callus formation C. Granulation formation D. Hematoma formation 71. What is a negative effect of immobility on the cardiovascular system? A. Increased high density lipoprotein B. Increased circulation C. Increased pumping action of the heart D. Venous stasis 72. The nurse educates a client about how to reduce their risk for osteoporosis. Which of these statements by the nurse is correct? (Select all that apply) A. ‘You can decrease your risk of osteoporosis by avoiding vitamin D.’ B. ‘You can decrease your risk of osteoporosis by reducing caffeine intake.’ C. ‘You can decrease the risk of osteoporosis by decreasing alcohol intake.” D. “You can decrease your risk of osteoporosis by reducing protein intake.” E. “You can decrease your risk of osteoporosis through smoking cessation.” 73. While completing a health history the client reports experiencing blurring of vision in both eyes without associated pain. What condition does the nurse suspect? A. Macular degeneration B. Cataracts C. Retinal detachment D. Glaucoma 74. What si the most common method of reducing and immobilizing a fracture? A. Open reduction with external fixation B. External reduction and internal fixation C. External fixation with closed reduction D. Open reduction with internal fixation 75. What is correct health promotion education for vision? (Select all that apply) A. Wear sunglasses to filter ultraviolet (UV) light B. Avoid nonsteroidal anti-inflammatory drug (NSAID) use C. Wash your hands before touching your eyelids D. Wear eye protection when working with fluids E. Older adults should have an eye exam every 3-5 years Downloaded by Bruce Lee ([email protected])