ACTUAL EXAM TEST BANK| MDC 3 FINAL EXAM
REVIEW WITH 400 REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY GRADED
A+ (MOST RECENT!!)
What are expected assessment findings in CKD? - ANSWER - Fatigue;
Edema; Hyperkalemia; Hypertension.
What is the first nursing action for a hemodialysis patient returning
dizzy with BP 86/54? - ANSWER - Place supine and assess for
hypovolemia.
Which urine finding supports UTI rather than glomerulonephritis? -
ANSWER - WBCs and positive leukocyte esterase.
What is the most urgent assessment in urinary retention from BPH? -
ANSWER - Bladder distention and discomfort.
What is the infusion rate for 500 mL NS over 4 hours? - ANSWER - 125
mL/hr.
Why is erythropoietin given in CKD? - ANSWER - Treat anemia from
reduced erythropoietin production.
pg. 1
,What does AKI due to obstruction most likely cause? - ANSWER -
Flank pain and bladder distention.
What is the priority action for a client with acute asthma exacerbation
and SpO2 86%? - ANSWER - Administer short acting bronchodilator
and oxygen.
Which finding suggests worsening status asthmaticus? - ANSWER -
Wheezing disappears with increasing fatigue.
What is suspected if a COPD patient becomes somnolent after oxygen? -
ANSWER - CO2 retention.
What is the best position to improve ventilation in COPD? - ANSWER -
High Fowler or tripod.
What does occupational lung disease prevention include? - ANSWER -
Respiratory protection; Smoking cessation; Workplace exposure control;
Monitoring.
What is the best nonpharmacologic strategy for rhinitis? - ANSWER -
Avoid triggers and use saline irrigation.
What causes barrel chest in COPD? - ANSWER - Air trapping and
hyperinflation.
pg. 2
,What signs of respiratory distress require rapid escalation? - ANSWER -
SpO2 80%; One word speech; Accessory muscle use.
Which finding suggests bacterial pneumonia? - ANSWER - Fever and
crackles.
What is the priority nursing goal in COPD exacerbation? - ANSWER -
Maintain airway and adequate oxygenation.
What is the order of care in an asthma exacerbation? - ANSWER -
Assess airway → Oxygen → Bronchodilator → Reassess.
What is primary prevention of DVT in hospitalized patients? -
ANSWER - Early ambulation and SCDs.
Which finding indicates venous disease? - ANSWER - Brown
discoloration around ankles.
What lifestyle changes are recommended for hypertension? - ANSWER
- Limit sodium; Exercise; Weight management; Stop smoking.
Which sign suggests aneurysm rupture? - ANSWER - Sudden severe
pain with hypotension.
pg. 3
, What is the priority assessment after aneurysm repair? - ANSWER -
Pedal pulses and limb perfusion.
What is the first line HTN medication class that protects kidneys in
diabetes? - ANSWER - ACE inhibitors.
What is the heparin infusion rate for 70 kg at 18 units/kg/hr? - ANSWER
- 1260 units/hr.
What is the treatment for a venous ulcer near the medial malleolus? -
ANSWER - Compression therapy.
Which finding suggests arterial insufficiency? - ANSWER - Intermittent
claudication.
What symptoms require urgent evaluation in an aneurysm patient? -
ANSWER - Severe abdominal/back pain; Syncope; Hypotension; Cool
clammy skin.
What are classic symptoms of aortic stenosis? - ANSWER - Angina,
syncope, dyspnea.
What does a systolic crescendo-decrescendo murmur indicate? -
ANSWER - Aortic stenosis.
pg. 4