MDC III EXAM 2 (RASMUSSEN) NEWEST 2026 ACTUAL
EXAM TEST BANK| MDC 3 EXAM 2 REVIEW WITH 300
REAL EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+ (MOST RECENT!!)
1. A nurse is caring for a patient with anemia. Which lab
value indicates the condition is worsening?
A. RBC 4.5 million/mcL
B. Hgb 8.2 g/dL
C. Hct 38%
D. MCV 90 fL
Correct Answer: B
Rationale: Hemoglobin (Hgb) <12 g/dL (female) or <13.5 g/dL
(male) indicates anemia; 8.2 g/dL is severe. Options A, C, and D
are within or near normal ranges.
2. A patient with iron deficiency anemia reports craving ice.
The nurse documents this as:
A. Pica
B. Anemia of chronic disease
C. Hemolysis
D. Pernicious anemia
1
,Correct Answer: A
Rationale: Pica is the craving for non-nutritive substances like ice
(pagophagia), common in iron deficiency anemia.
3. A patient with pernicious anemia will likely require
lifelong:
A. Oral ferrous sulfate
B. Vitamin B12 injections
C. Folic acid supplements
D. Blood transfusions
Correct Answer: B
Rationale: Pernicious anemia results from lack of intrinsic factor,
preventing B12 absorption. Parenteral B12 is required lifelong.
4. Sickle cell crisis is triggered by all EXCEPT:
A. Dehydration
B. Infection
C. High altitude
D. Increased oxygen saturation
Correct Answer: D
Rationale: Increased oxygen saturation helps prevent sickling.
Hypoxia, acidosis, dehydration, and infection trigger sickling.
2
,5. A patient with sickle cell disease reports severe pain.
Priority nursing action?
A. Administer morphine as prescribed
B. Apply cold compresses to joints
C. Restrict fluids to prevent edema
D. Place patient in Trendelenburg position
Correct Answer: A
Rationale: Pain in vaso-occlusive crisis requires prompt opioid
analgesia. Hydration (not restriction) and warmth (not cold) are
indicated.
6. Patient with hemophilia A has hemarthrosis of the knee.
Best intervention?
A. Heat packs to reduce stiffness
B. Immobilize and apply ice
C. Aspirate the joint immediately
D. Administer oral warfarin
Correct Answer: B
Rationale: Hemarthrosis requires RICE (Rest, Ice, Compression,
Elevation) and factor replacement. Heat increases bleeding;
warfarin worsens it.
3
, 7. A patient with immune thrombocytopenic purpura (ITP) has
a platelet count of 12,000/mcL. Priority nursing intervention?
A. Administer IV immune globulin (IVIG)
B. Apply soft wrist restraints if confused
C. Encourage flossing teeth twice daily
D. Prepare for splenectomy
Correct Answer: A
Rationale: Severe thrombocytopenia with bleeding risk requires
IVIG or corticosteroids to rapidly raise platelets. Restraints and
flossing increase bleeding risk.
8. Which finding in a patient with thrombotic
thrombocytopenic purpura (TTP) requires immediate
notification of the provider?
A. Platelets 50,000/mcL
B. Confusion and slurred speech
C. Petechiae on lower extremities
D. Mild fatigue
Correct Answer: B
Rationale: Neurologic changes in TTP indicate microthrombi in
cerebral circulation and require urgent plasma exchange.
4
EXAM TEST BANK| MDC 3 EXAM 2 REVIEW WITH 300
REAL EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+ (MOST RECENT!!)
1. A nurse is caring for a patient with anemia. Which lab
value indicates the condition is worsening?
A. RBC 4.5 million/mcL
B. Hgb 8.2 g/dL
C. Hct 38%
D. MCV 90 fL
Correct Answer: B
Rationale: Hemoglobin (Hgb) <12 g/dL (female) or <13.5 g/dL
(male) indicates anemia; 8.2 g/dL is severe. Options A, C, and D
are within or near normal ranges.
2. A patient with iron deficiency anemia reports craving ice.
The nurse documents this as:
A. Pica
B. Anemia of chronic disease
C. Hemolysis
D. Pernicious anemia
1
,Correct Answer: A
Rationale: Pica is the craving for non-nutritive substances like ice
(pagophagia), common in iron deficiency anemia.
3. A patient with pernicious anemia will likely require
lifelong:
A. Oral ferrous sulfate
B. Vitamin B12 injections
C. Folic acid supplements
D. Blood transfusions
Correct Answer: B
Rationale: Pernicious anemia results from lack of intrinsic factor,
preventing B12 absorption. Parenteral B12 is required lifelong.
4. Sickle cell crisis is triggered by all EXCEPT:
A. Dehydration
B. Infection
C. High altitude
D. Increased oxygen saturation
Correct Answer: D
Rationale: Increased oxygen saturation helps prevent sickling.
Hypoxia, acidosis, dehydration, and infection trigger sickling.
2
,5. A patient with sickle cell disease reports severe pain.
Priority nursing action?
A. Administer morphine as prescribed
B. Apply cold compresses to joints
C. Restrict fluids to prevent edema
D. Place patient in Trendelenburg position
Correct Answer: A
Rationale: Pain in vaso-occlusive crisis requires prompt opioid
analgesia. Hydration (not restriction) and warmth (not cold) are
indicated.
6. Patient with hemophilia A has hemarthrosis of the knee.
Best intervention?
A. Heat packs to reduce stiffness
B. Immobilize and apply ice
C. Aspirate the joint immediately
D. Administer oral warfarin
Correct Answer: B
Rationale: Hemarthrosis requires RICE (Rest, Ice, Compression,
Elevation) and factor replacement. Heat increases bleeding;
warfarin worsens it.
3
, 7. A patient with immune thrombocytopenic purpura (ITP) has
a platelet count of 12,000/mcL. Priority nursing intervention?
A. Administer IV immune globulin (IVIG)
B. Apply soft wrist restraints if confused
C. Encourage flossing teeth twice daily
D. Prepare for splenectomy
Correct Answer: A
Rationale: Severe thrombocytopenia with bleeding risk requires
IVIG or corticosteroids to rapidly raise platelets. Restraints and
flossing increase bleeding risk.
8. Which finding in a patient with thrombotic
thrombocytopenic purpura (TTP) requires immediate
notification of the provider?
A. Platelets 50,000/mcL
B. Confusion and slurred speech
C. Petechiae on lower extremities
D. Mild fatigue
Correct Answer: B
Rationale: Neurologic changes in TTP indicate microthrombi in
cerebral circulation and require urgent plasma exchange.
4
