MDC4 Final Exam 2022 Questions And Answers

MDC4 Final Exam 2022 Questions And Answers A 55 y/o male came into the ED with a simple fracture of the right radius. He has a past history of pneumonia, diabetes type 2, MI, and PE. His chief complaint is pain which was rated at a 10 out of 10. He has a heart rate of 105, BP 130/90, Respirations 20, O2 98%, and temp is 98.6 F.What should this patient be categorized as in the three-tiered triage system?

• Emergent
• Urgent
• Green
• nonurgent Correct Ans - Nonurgent

Select all that apply What are the forensics nurse responsibilities?

• Obtain patient histories
• collect forensic evidence
• specializes in helping rape and sexual assualt victims
• Interacts with the patient and family after a sudden death
• Offers counceling and follow-up for rape and domestic violence victims Correct

Ans - A. Obtain patient histories (correct)

• Collect forensic evidence (correct)
• specializes in helping rape and sexual assualt victims (incorrect)--> this is a SANE

nurse

• Interacts with the patient and family after a sudden death (incorrect)-->

psychiatric crisis nurse

• Offers counceling and follow-up for rape and domestic violence victims (correct)

True or False

• Psychiatric nurses evaluate patients with emotional behaviors or mental illness

and facilitates the follow-up treatment plan, including possible admission to an appropriate facility. Correct Ans - True Examples of Emergent triage (select all that apply)

• Respiratory distress
• skin rashes
• severe abdominal pain
• pneumonia in older adults
• chest pain
• stroke
• Unstable vital signs Correct Ans - 1. Respiratory distress (correct)
• skin rashes (incorrect--> nonurgent)
• severe abdominal pain (incorrect--> urgent)
• Pneumonia in older adults (incorrect--> urgent)
• chest pain (correct)
• Stroke (correct)
• Unstable vital signs (correct)

(select all that apply) 1 / 3

What interventions can the EMT perform?

• administer epinephrine autoinjector
• Needle chest decompression
• cardiac monitoring
• Administer nitroglycerin
• Intubation
• Intransanal naloxone Correct Ans - 1. Administer epinephrine autoinjector

(correct)

• Needle chest decompression (incorrect--> paramedic)
• Cardiac monitoring (incorrect--> paramedic)
• administer nitro (correct)
• Intubation (incorrect--> paramedic)
• Intranasal naloxone (correct)

What support staff aids in locating community resources, such as alcohol counceling and prescription services?

• respiratory therapist
• ED nurse
• Charge nurse
• social worker Correct Ans - D. Social worker--> They advocate for the

patients by locating community resources, including temporary housing, durable medical equipment, drug and alcohol counceling, health insurance information, follow-up care, and prescription services A 75 y/o female was admitted to the hospital for SOB. The patients chief complain was SOB, dizziness and generalized pain rated at 6 out of 10. She was put on 4lpm O2 via NC, PIV placed in left forarm, labs drawn, and a chest x-ray was ordered. The patient received a foley catheter due to being incontinent. The patient was diangosed with pneumonia and placed on Azithromycin. The patient was then found to have an infection caused by the foley catheter and placed on ciproflaxcin.What is the infection from the foley catheter called?

• Common infection
• Hospital-acquired infection
• Complication infection
• Preventable infection Correct Ans - B. Hospital-aquired infection

What certifications are required of the ER nurse?(select all that apply)

• Certified Emergency nurse
• Trauma nurisng core course
• Basic life support
• Advaced cardiac life support
• Pediatric advanced life support Correct Ans - A. Certified emergency nurse

(incorrect--> Optional)

• Trauma nursing core nurse (incorrect--> may be required)
• Basic life support (correct)
• Advanced cardiac life support (incorrect--> usually required)
• Pediatric advanced life support (incorrect--> may be required) 2 / 3

A 50 y/o male was brought into the ER with the chief complaint being chest pain.The patients physical appearance is diaphretic and respiratory distress.As the triage nurse how would you triage this patient on a three-tiered triage system?

• Emergent
• Urgent
• Nonurgent
• Crisis Correct Ans - A. Emergent

A 45 y/o patient was admitted to the ED after a MVA. The patient suffered multiple bilateral lower extremity fractures. The patient is complaining of 10 out of 10 pain.As the triage nurse what category would you place this patient?

• Emergent
• Urgent
• Nonurgent
• Nonemergent Correct Ans - B. Urgent

A 13 y/o patient was brought into the ED was an injury to the lower left ankle. The patient rates the pain at a 9 out of 10. He is can bear some weight on the extremity and has limited mobility in the affected ankle.As the triage nurse how do you categorize this patient?

• Nonemergent
• Nonurgent
• Urgent
• Emergent Correct Ans - Nonurgent

What is the nurse's priority action for the unconscious patient who is breathing who has been brought to the ED?

• Assess breath sounds and respiratory efforts
• Establish vascular access with a large-bore catheter
• Remove clothing to perform a complete physical assessment
• Evaluate level of consciounsess using the GCS Correct Ans - A. Assess breath

sounds and respiratory efforts After assessing four clients, which will the triage nurse identify to be seen first in the ED?

• Client with fever of 101.2F
• Client who reports slurred speech
• client who reports bilateral ear pain
• Client with urinary burning and frequency Correct Ans - A. Client with fever of

101.2F

Which client does the oncoming ED nurse see first when assigned to care for four clients?

• 21 y/o with skin rash who has been waiting 2 hours to see a provider
• 30 y/o with influenza who has infusing IV fluids and is resting quietly
• 47 y/o who fell off of a curb, resulting in a sprained ankle
• 56 y/o reporting chest pain and diaphoresis that started 30 min prior Correct

Ans - D. 56 y/o reporting chest pain and diaphoresis that started 30 min prior

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