Rasmussen College MDC 1 Final Exam

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Rasmussen College MDC 1 Final Exam Questions with Verified Answers 100% Guarantee passing score of 90% or higher

Consist of 100 multichoice Questions with Answers

• A client with acquired immune deficiency syndrome (AIDS) has Pneumo-

cystis carinii (PCP). What is the nurse's priority assessment for this client?

• Lung sounds
• Skin Turgor
• Radial pulses
• Capillary refill

Answer

• Lung sounds

• The client with rheumatoid arthritis is having her rheumatoid factor (RF)

drawn while she is having a flare-up of the disease. Which result is seen in clients with rheumatoid arthritis?

• A positive rheumatoid factor
• Factor does not change Joshua 1 / 8

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• A negative rheumatoid factor
• decreased level of rheumatoid factor

Answer

• A positive rheumatoid factor

• A nurse is providing education for a client who has glaucoma which of the

following statements should the nurse include in the teaching?

• "Use of eye drops will improve vision overtime."
• "Without treatment, glaucoma can cause blindness."
• "Double vision is a common symptom of glaucoma."
• "Glaucoma is caused by inadequate production of fluid within the eye."

Answer

• "Without treatment, glaucoma can cause blindness."

• A nurse is caring for an immobile client. What is the priority assessment in

this client?

• Assessment of skin turgor
• Auscultation of bowel sounds
• Auscultation of lungs sounds
• Assessment for the presence of peripheral edema

Answer

• Assessment of skin turgor

• A client with a diagnosis of human immunodeficiency virus (HIV) develops

pneumonia. What type of infection is this? Joshua 2 / 8

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• A nosocomial infection
• A pathogenic infection
• An opportunistic infection
• A root cause infection

Answer

• An opportunistic infection

• What level of Maslow hierarchy does shelter belong to
• Esteem
• Love and belonging
• Safety and security
• physiological

Answer

• physiological

• A client states that he has been experiencing oozing from his wound. What

is the nurse priority?

• Inspect the wound and assess the drainage
• Call the provide to initiate antibiotics
• Appy topical ointment to the wound
• Culture the wound

Answer

• Inspect the wound and assess the drainage

• What is not a potential complication of rheumatoid arthritis? Joshua 3 / 8

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• Joint deformity
• fibromyalgia
• Paresthesia
• Dry eye

Answer

• Paresthesia

• The nurse is planning care for a post-operative client after a total hip

arthroplasty. What is the priority nursing intervention?

• Perform neurovascular assessment per protocol
• Use aseptic techniques for wound care and emptying of drains
• Observe client for changes in mental status
• keep the client's heels off the bed

Answer

• Perform neurovascular assessment per protocol

• The nurse is providing medication education for a client with osteoarthritis.

What teaching should the nurse include in the education?

• Nonsteroidal anti-inflammatory drug (NSAIDs) are very safe and are known

to have no side effect

• The main side effect of acetaminophen is gastrointestinal (GI) bleeding
• You should not take more than 4000mg of acetaminophen a day
• The most common adverse effect of nonsteroidal anti-inflammatory drugs

(NSAIDs) Joshua 4 / 8

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Answer

• You should not take more than 4000mg of acetaminophen a day

• The mother of a new born baby is concerned that the baby will develop

illnesses from being around people from outside of their family. What is the nurse's best response?

• "I did that, and my kids turned out just fine"
• "Why do you think that it is a bad idea?"
• "You should never go around people after you baby is born"
• "Tell me more about that"

Answer

• "Tell me more about that"

• the nurse is preparing to administer medication to a client with osteoarthri-

tis. what is the goal of medication therapy?

• Eradicate the disease
• Manage weight loss
• Reduce pain and inflammation
• Turn of the immune system

Answer

• Reduce pain and inflammation
• The nurse has documented the following wound assessment

"Shallow open, reddened ulcer with no slough on the anterior region of the right heel?" What stage is the wound?

• Stage 3 Joshua 5 / 8

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• Stage 2
• Stage 4
• Stage 1

Answer

• Stage 2
• By providing measures to prevent skin breakdown, how does the nurse

break the chain of infection

• Creating a reservoir to decrease the risk of infection
• Maintaining the integrity of a portal of entry
• Serializing the area to reduce the reservoir risk
• Creating a susceptible host

Answer

• Maintaining the integrity of a portal of entry
• What is not an appropriate nursing intervention for psoriasis?
• apply rubbing alcohol to plaques
• apply corticosteroids as ordered
• urge the client to consider in participating in support groups
• Teach client how to utilize UV radiation

Answer

• apply rubbing alcohol to plaques
• A client has sustained an open fracture. How can the nurse best prevent

osteomyelitis in this client?

• Delegate all client personal care to specific unlicensed assistive

personnel (UAP)

• Place the client in contact precautions Joshua 6 / 8

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• Use proper hand hygiene and strict infection control
• Administer pain medication

Answer

• Use proper hand hygiene and strict infection control
• Where will the nurse collect the most reliable source of pain assessment?
• From a medical-surgical book
• From the client's chart
• From nurse-to-nurse bedside report
• From the client

Answer

• From the client
• Which of the following would be the most appropriate goal for an elderly

client with a nursing diagnosis of risk for injury after hip surgery?

• Client will increase mobility by the time of discharge from hospital
• Client will remain free from falls throughout their hospital stay
• Client will demonstrate effective breathing pattern when ambulating

throughout hospital stay

• Client will increase activity tolerance by discharge from the hospital

Answer

• Client will remain free from falls throughout their hospital stay
• Dry skin (xerosis) can lead to itching (pruritis). What statement by the client

indicates a need for further teaching about preventing dry skin?

• "I will avoid tight belts"
• "I will shower every day in hot water
• "I will use a humidifier during the winter months/" Joshua 7 / 8

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• "I will drink at least 3000ml of water daily."

Answer

• "I will shower every day in hot water
• What client is susceptible host most at risk for infection?
• A client with leukemia
• A hospitalized 35-year-old client
• A 60-year-old client
• A child who is immunized

Answer

• A client with leukemia
• What nursing interventions decrease the risk of pressure injuries? (Select

all that apply)

• Keep head of bed (HOB) at or less than 30 degrees
• Padding hard surfaces
• keep head of bed HOB) elevated to 75 degrees
• Place pillows between bony surfaces

Answer

• Keep head of bed (HOB) at or less than 30 degrees

• Padding hard surfaces

• Place pillows between bony surfaces
• The nurse is most concerned about which of these findings in a client with

systematic lupus erythematosus?

• The client has a butterfly rush
• Urine output of 20 mL/hour Joshua
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