MDC III Final Exam Review – Rasmussen College |
Latest Update 2024
1. Which of the following is the surgical treatment of choice for end-stage heart failure?
a. Ventricular assist devices (VADs)
b. Cardiac resynchronization therapy (CRT)
c. Percutaneous angiogram
d. Genetic counseling
2. A client with an abdominal aortic aneurysm arrives at the emergency department.
Which finding is consistent with rupture into the abdominal cavity?
a. Hypertension
b. Abdominal distension
c. Difficulty swallowing
d. Bounding pulses
3. A nurse is caring for four clients with leukemia. After handing off the report. Which
client should the nurse see first?
a. Client who had two bloody diarrhea stools this morning
b. Client who has been premedicated for nausea prior to chemotherapy
c. Client who is crying and feeling lonely
d. Client with an unchanged lesion to the lower right lateral malleolus
4. A nurse is caring for a client recently diagnosed with hypertension. Which statement by
the client indicates the need for further teaching?
a. I will reduce my sodium intake to less than 1500 mg daily.
b. I will use relaxation techniques to reduce my stress.
c. I will reduce my smoking to half a pack a day.
d. I will implement a heart-healthy diet and reduce my weight
5. The nurse assesses a client and documents the following findings: edema 2+ bilateral
ankles, brown pigmentation of lower extremity skin. When standing, the pain of lower
extremities resolves with elevation, and 2+ pedal pulses. What condition is the client
likely to have?
a. Deep vein thrombosis
b. Venous insufficiency
c. Peripheral arterial disease
d. Raynaud’s disease
6. The nurse is caring for four clients in a post-surgical unit. Which client should the nurse
assess first?
a. A client who needs a beta blocker and has a blood pressure of 100/60mmHg.
b. A client who needs to use the bathroom 1 hour after receiving their first dose of
captopril.
c. A hypertensive client with a bold pressure of 145/80mmHg
d. A client who needs pain medication before a dressing change for a surgical wound
7. 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?
, a. Bradycardia
b. Hypertension
c. Muffled heart sounds
d. Flattened jugular vein
8. Which client would not be a candidate for thrombolytic therapy?
a. Client with a blood pressure of 100/60mmHg
b. Client with a pulse of 102 beats/minute
c. Client with a history of hemorrhagic stroke one month ago
d. Client age 65 years
9. A nurse reviews the arterial blood gas (ABG) values of a client admitted with end-stage
kidney disease: PH 7.26; Paco2 37mmHg Pa02 94mm Hg, and HC03 15 mEq/L. What do
these values indicate?
a. Metabolic acidosis
b. Respiratory alkalosis
c. Respiratory acidosis
d. Metabolic alkalosis
10. The nurse is working in the emergency department and has four clients at the same
time. Which client should the nurse see first?
a. A client who states she has not urinated in 8 hours
b. A client with a history of chronic obstructive pulmonary disease reporting increased
dyspnea
c. A client requesting antibiotics for a cough
d. A client who has a facial fracture with severe facial and oral swelling
11. Which of the following is the most common assessment finding related to autoimmune
thrombocytopenic purpura?
a. A reddish-purple fine petechial rash
b. Extreme fatigue
c. Confusion in the elderly
d. Fever greater than 102.0 degrees F
12. A female client is being treated for a deep-vein thrombus she developed post-
operatively about one week ago and was treated with unfractionated heparin. Today
she presents to the clinic with petechiae on bilateral hands and feet. Laboratory results
show a platelet count of 42.000/mm3 (42*10/L). The nurse is concerned about a drug
reaction and anticipates the client has which of the following?
a. Heparin-induced thrombocytopenia (HIT)
b. Hemophilia A (classic hemophilia)
c. Thrombotic thrombocytopenic purpura (TTP)
d. Sickle cell crisis
13. Which of the following assessment findings is a priority during a blood transfusion?
a. Chest pain
b. Headache
c. Joint pain
d. Fatigue
Latest Update 2024
1. Which of the following is the surgical treatment of choice for end-stage heart failure?
a. Ventricular assist devices (VADs)
b. Cardiac resynchronization therapy (CRT)
c. Percutaneous angiogram
d. Genetic counseling
2. A client with an abdominal aortic aneurysm arrives at the emergency department.
Which finding is consistent with rupture into the abdominal cavity?
a. Hypertension
b. Abdominal distension
c. Difficulty swallowing
d. Bounding pulses
3. A nurse is caring for four clients with leukemia. After handing off the report. Which
client should the nurse see first?
a. Client who had two bloody diarrhea stools this morning
b. Client who has been premedicated for nausea prior to chemotherapy
c. Client who is crying and feeling lonely
d. Client with an unchanged lesion to the lower right lateral malleolus
4. A nurse is caring for a client recently diagnosed with hypertension. Which statement by
the client indicates the need for further teaching?
a. I will reduce my sodium intake to less than 1500 mg daily.
b. I will use relaxation techniques to reduce my stress.
c. I will reduce my smoking to half a pack a day.
d. I will implement a heart-healthy diet and reduce my weight
5. The nurse assesses a client and documents the following findings: edema 2+ bilateral
ankles, brown pigmentation of lower extremity skin. When standing, the pain of lower
extremities resolves with elevation, and 2+ pedal pulses. What condition is the client
likely to have?
a. Deep vein thrombosis
b. Venous insufficiency
c. Peripheral arterial disease
d. Raynaud’s disease
6. The nurse is caring for four clients in a post-surgical unit. Which client should the nurse
assess first?
a. A client who needs a beta blocker and has a blood pressure of 100/60mmHg.
b. A client who needs to use the bathroom 1 hour after receiving their first dose of
captopril.
c. A hypertensive client with a bold pressure of 145/80mmHg
d. A client who needs pain medication before a dressing change for a surgical wound
7. 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?
, a. Bradycardia
b. Hypertension
c. Muffled heart sounds
d. Flattened jugular vein
8. Which client would not be a candidate for thrombolytic therapy?
a. Client with a blood pressure of 100/60mmHg
b. Client with a pulse of 102 beats/minute
c. Client with a history of hemorrhagic stroke one month ago
d. Client age 65 years
9. A nurse reviews the arterial blood gas (ABG) values of a client admitted with end-stage
kidney disease: PH 7.26; Paco2 37mmHg Pa02 94mm Hg, and HC03 15 mEq/L. What do
these values indicate?
a. Metabolic acidosis
b. Respiratory alkalosis
c. Respiratory acidosis
d. Metabolic alkalosis
10. The nurse is working in the emergency department and has four clients at the same
time. Which client should the nurse see first?
a. A client who states she has not urinated in 8 hours
b. A client with a history of chronic obstructive pulmonary disease reporting increased
dyspnea
c. A client requesting antibiotics for a cough
d. A client who has a facial fracture with severe facial and oral swelling
11. Which of the following is the most common assessment finding related to autoimmune
thrombocytopenic purpura?
a. A reddish-purple fine petechial rash
b. Extreme fatigue
c. Confusion in the elderly
d. Fever greater than 102.0 degrees F
12. A female client is being treated for a deep-vein thrombus she developed post-
operatively about one week ago and was treated with unfractionated heparin. Today
she presents to the clinic with petechiae on bilateral hands and feet. Laboratory results
show a platelet count of 42.000/mm3 (42*10/L). The nurse is concerned about a drug
reaction and anticipates the client has which of the following?
a. Heparin-induced thrombocytopenia (HIT)
b. Hemophilia A (classic hemophilia)
c. Thrombotic thrombocytopenic purpura (TTP)
d. Sickle cell crisis
13. Which of the following assessment findings is a priority during a blood transfusion?
a. Chest pain
b. Headache
c. Joint pain
d. Fatigue
