Rasmussen College MDC 3 FINAL Exam | 100% Correct Answers | Latest 2024 Version
1. The nurse is arriving at the beginning of her shift and has taken report on four clients on a
medical-surgical unit. Which client should the nurse see first?
A. A client with hypertension with a blood pressure of 172/92 mm Hg.
B. A client with pain that is two days postoperative from a prostatectomy.
C. A client ready for discharge education after treatment of an acute kidney injury.
D. A client with a history of asthma complaining of increased dyspnea.
2. When educating a female client on the signs and symptoms of myocardial infarction, the
nurse recognizes which of the following should be included in the teaching?
A. Women experience intermittent claudication
B. Substernal chest pain is the most common symptom in women
C. Pain usually resolves with rest and relaxation
D. Older adults and women often present with atypical signs and symptoms.
3. Which of the following is a priority nursing intervention for a client in atrial fibrillation with a
rate of 180 beats per minute?
A. Administer medications to slow the rate
B. Monitor urine output
C. Administer anticoagulants
D. Apply compression stockings
4. The nurse educates the client that besides an echocardiogram, which of the following tests is
the best tool for diagnosing heart failure?
A. Pulmonary artery catheter
B. B-type natriuretic peptide (BNP)
C. Radionuclide studies
D. Multigated angiophaphic scan (MUGA)
5. A nurse is caring for a client diagnosed with polycythemia vera. Which of the following should
the nurse include in the client and family education?
A. Resume normal activity
B. Diet high in vitamin K intake
C. Decrease fluid intake to no more than 1 liter per day
D. Wear support hose while awake
6. The nurse is caring for a client who presented to the emergency department with pulmonary
edema. The client is hypotensive with a pulse oximeter reading of 85% on room air. Which of
the following is a nursing priority?
A. Administer IV fluids
B. Obtain a chest x-ray
C. Administer diuretics
D. Administer oxygen
, 7. The nurse is caring for four clients on a post-surgical unit. The nurse understands that
monitoring the client for which post-operative compilation takes priority?
A. Nausea
B. Pneumonia
C. Constipation
D. Urinary retention
8. A nurse is performing discharge teaching for a client who has recently diagnosed with heart
failure. Which of the following should be included in the client teaching? (SATA)
A. Medication teaching
B. Low sodium diet
C. Weekly weights
D. Symptoms to report to the provider
E. Fluid restriction
9. The nurse is caring for a client with mitral regurgitation. Which of the following would the
nurse anticipate the client to develop if left untreated?
A. Left-sided heart failure
B. Renal failure
C. Right-sided heart failure
D. Myocardial Ischemia
10. A nurse is caring for a 65-year old male who recently underwent an aortic valve
replacement. Which of the following is a postoperative nursing care priority?
A. Dressing change
B. Assess for bleeding
C. Advance diet as tolerated
D. Temperature monitoring
11. A nurse is caring for a client recently diagnosed with hypertension. Which of the following
should be included in the discharge teaching?
A. Adherence to sodium restrictions
B. Decrease physical activity to avoid spikes in blood pressure
C. Only check blood pressure at a clinic or pharmacy
D. Diet changes are not recommended
12. A nurse is caring for a client with a history of an abdominal aortic aneurism. Which of the
following assessment findings requires immediate intervention?
A. Nausea and vomiting
B. Back pain
C. Decreased urine output
D. Absent peripheral pulses
1. The nurse is arriving at the beginning of her shift and has taken report on four clients on a
medical-surgical unit. Which client should the nurse see first?
A. A client with hypertension with a blood pressure of 172/92 mm Hg.
B. A client with pain that is two days postoperative from a prostatectomy.
C. A client ready for discharge education after treatment of an acute kidney injury.
D. A client with a history of asthma complaining of increased dyspnea.
2. When educating a female client on the signs and symptoms of myocardial infarction, the
nurse recognizes which of the following should be included in the teaching?
A. Women experience intermittent claudication
B. Substernal chest pain is the most common symptom in women
C. Pain usually resolves with rest and relaxation
D. Older adults and women often present with atypical signs and symptoms.
3. Which of the following is a priority nursing intervention for a client in atrial fibrillation with a
rate of 180 beats per minute?
A. Administer medications to slow the rate
B. Monitor urine output
C. Administer anticoagulants
D. Apply compression stockings
4. The nurse educates the client that besides an echocardiogram, which of the following tests is
the best tool for diagnosing heart failure?
A. Pulmonary artery catheter
B. B-type natriuretic peptide (BNP)
C. Radionuclide studies
D. Multigated angiophaphic scan (MUGA)
5. A nurse is caring for a client diagnosed with polycythemia vera. Which of the following should
the nurse include in the client and family education?
A. Resume normal activity
B. Diet high in vitamin K intake
C. Decrease fluid intake to no more than 1 liter per day
D. Wear support hose while awake
6. The nurse is caring for a client who presented to the emergency department with pulmonary
edema. The client is hypotensive with a pulse oximeter reading of 85% on room air. Which of
the following is a nursing priority?
A. Administer IV fluids
B. Obtain a chest x-ray
C. Administer diuretics
D. Administer oxygen
, 7. The nurse is caring for four clients on a post-surgical unit. The nurse understands that
monitoring the client for which post-operative compilation takes priority?
A. Nausea
B. Pneumonia
C. Constipation
D. Urinary retention
8. A nurse is performing discharge teaching for a client who has recently diagnosed with heart
failure. Which of the following should be included in the client teaching? (SATA)
A. Medication teaching
B. Low sodium diet
C. Weekly weights
D. Symptoms to report to the provider
E. Fluid restriction
9. The nurse is caring for a client with mitral regurgitation. Which of the following would the
nurse anticipate the client to develop if left untreated?
A. Left-sided heart failure
B. Renal failure
C. Right-sided heart failure
D. Myocardial Ischemia
10. A nurse is caring for a 65-year old male who recently underwent an aortic valve
replacement. Which of the following is a postoperative nursing care priority?
A. Dressing change
B. Assess for bleeding
C. Advance diet as tolerated
D. Temperature monitoring
11. A nurse is caring for a client recently diagnosed with hypertension. Which of the following
should be included in the discharge teaching?
A. Adherence to sodium restrictions
B. Decrease physical activity to avoid spikes in blood pressure
C. Only check blood pressure at a clinic or pharmacy
D. Diet changes are not recommended
12. A nurse is caring for a client with a history of an abdominal aortic aneurism. Which of the
following assessment findings requires immediate intervention?
A. Nausea and vomiting
B. Back pain
C. Decreased urine output
D. Absent peripheral pulses
