2027): Multidimensional Care III / MDC 3 -
Rasmussen | Graded
A client with an abdominal aortic aneurysm arrives at the emergency department. Which
finding is consistent with rupture into the abdominal cavity? -✓✓Abdominal distension
A nurse is caring for four clients with leukemia. After receiving report, which client
should the nurse see first? -✓✓Client who had two bloody diarrhea stools this morning
A nurse is caring for a client recently diagnosed with hypertension. Which statement by
the client indicates the need for further teaching? -✓✓I will reduce my smoking to half a
pack a day.
The nurse assesses a client with edema 2+ of the bilateral ankles, brown pigmentation
of the lower extremity skin, aching pain of the lower extremities when standing that
resolves with elevation, and 2+ pedal pulses. What condition does the client likely have?
-✓✓Venous insufficiency.
The nurse is caring for four clients in a post-surgical unit. Which client should the nurse
assess first? -✓✓A client who needs to use the bathroom 1 hour after receiving their
first dose of captopril
The nurse is caring for a client with pericarditis. If left untreated, the client is at risk for
cardiac tamponade. Which clinical manifestation is associated with cardiac tamponade?
-✓✓Muffled heart sounds
The nurse is working in the emergency department and has four clients at the same
time. Which client should the nurse see first? -✓✓A client with a history of chronic
obstructive pulmonary disease reporting increased dyspnea.
A female client is being treated for a deep-vein thrombus postoperatively and was
treated with unfractionated heparin. One week later she presents with petechiae on the
hands and feet and a platelet count of 42,000/mm³. The nurse suspects which
condition? -✓✓Heparin-induced thrombocytopenia (HIT)
The American Association recommends which lifestyle changes to manage modifiable
risk factors associated with atherosclerosis? (SATA) -✓✓Limit red meat; exercise 3-4
times per week for at least 40 minutes each session; adhere to prescribed medication
therapy; consume 5 or more servings per day of fresh fruits and vegetables
Which assessment finding is associated with acute pericarditis? -✓✓New ST-segment
elevation on the electrocardiogram (ECG)
, The nurse knows which of the following is the most common problem for a client with
valvular heart disease? -✓✓Decreased cardiac output
A client is receiving treatment for the diagnosis of hemophilia A. Which assessment
finding is most appropriate for the nurse to include? -✓✓Joint pain and bruising
Which laboratory test is consistent with a diagnosis of hemophilia? -✓✓Prolonged
activated partial thromboplastin time (aPTT)
Which of the following is considered a risk factor for the development of
atherosclerosis? -✓✓Low HDL-C and high LDL-C
Which client should the nurse see first? -✓✓A client post vaginoplasty with red blood
and clots in her catheter
Which of the following abnormalities is a result of normal aging in cardiovascular
changes? -✓✓Calcification of the aortic valve
Which finding in the client's past history should the nurse report to the provider for a
client with angina pectoris on propranolol hydrochloride? -✓✓The client has a history of
bronchial asthma.
What is the responsibility of the nurse when transfusing blood to a client? -✓✓Assess
the laboratory values before the transfusion
What action by the nurse is the priority when a neutropenic client is confused? -
✓✓Assess the client for a urinary tract infection
What is the priority nursing intervention for a client experiencing a transfusion reaction?
-✓✓Stop the transfusion immediately
What statement by the client indicates understanding of safe nitroglycerin topical
administration? -✓✓I will apply the patch to a clean, dry, and hairless area on the skin.
What signs and symptoms are consistent with a diagnosis of leukemia? -✓✓Bleeding
gums; bone pain; bruising
What is the priority nursing intervention for a post-operative heart transplant client? -
✓✓Monitor for cardiac dysrhythmias
What is the nurse's next priority action when finding a client unresponsive with no pulse
and ventricular fibrillation? -✓✓Defibrillation as soon as the equipment arrives