MDC III Final Exam Study Guide – Rasmussen College
| Latest Update 2024
1. Which of the following assessment findings are consistent with aortic regurgitation
a. Atrial fibrillation
b. Systolic click
c. Pitting edema
d. Blowing,decrescendo diastolic murmur
2. The nurse knows which of the following is the most common problem for a client with valvular
heart disease
a. Decreased cardiac output
b. Difficulty coping
c. Bradycardia
d. Altered body image.
3. The nurse is assessing a client with severe anemia.which clinical manifestation does the
nurse expect to see in this client
a. Dyspnea with activity
b. Hypertension
c. Bradycardia
d. Warm,flushed skin
4. A client diagnosed with stable angina is complaining of substernal chest pain, rating the pain
5 out of 10. What would be the priority action by the nurse?
a. Administer nitroglycerin,1 tablet sublingual immediately
b. Administer 81 mg of aspirin immediately
c. Administer the client’s prescribed beta blocker.
d. Administer morphine
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. Decreased fluid intake to no more than 1 little per day
b. Wear support hose while awake
c. Diet high in vitamin k
d. Resume normal activity
6. A nurse is performing discharge teaching for a client who was recently diagnosed with heart
failure.which of the following should be included in the client and family teaching ( select all that
apply)
a. Medication teaching
b. Low sodium diet
c. Fluid restriction
d. Weekly weights
, e. Symptoms to report to the provider
7. The family of a neutropenic client reports that the client confused and is not acting right what
action by the nurse is the priority
a. Ask the client about pain
b. Assess the client for infection
c. Delegate taking a set of vital signs
d. Look at today’s laboratory results.
8. A nurse is caring for a client with a history of an abdominal aortic aneurysm. Which of the
following assessment requires immediate intervention
a. Decreased urine output
b. Back pain
c. Nausea and vomiting
d. Absent peripheral pulses.
9. Which of the following assessment is a priority findings during a blood transfusion
a. Chest pain
b. Headache
c. Joint pain
d. Fatigue
10. The nurse questions which order for a client with thrombocytopenia
a. Avoid IM injection
b. Administer enemas
c. Apply ice to areas of trauma
d. Test all urine and stool for the presence of occult blood.
11. Which of the following clients would not be a candidate for thrombolytic therapy
a. Client with a blood pressure of 100/60 mm HG
b. Client with a pulse of 102 beats/minute
c. Client with a history of hemorrhage stroke one month ago
d. Client age 65
12. Which of the following procedures are performed for a client with a pericardial effusion
a. Coronary artery bypass graft
b. Thoracotomy
c. Pericardiocentesis
d. Thoracentesis
13. Which of the following is the treatment of choice for end stage heart failure
a. Heart transplant
b. Coronary artery bypass
c. Percutaneous angiogram
| Latest Update 2024
1. Which of the following assessment findings are consistent with aortic regurgitation
a. Atrial fibrillation
b. Systolic click
c. Pitting edema
d. Blowing,decrescendo diastolic murmur
2. The nurse knows which of the following is the most common problem for a client with valvular
heart disease
a. Decreased cardiac output
b. Difficulty coping
c. Bradycardia
d. Altered body image.
3. The nurse is assessing a client with severe anemia.which clinical manifestation does the
nurse expect to see in this client
a. Dyspnea with activity
b. Hypertension
c. Bradycardia
d. Warm,flushed skin
4. A client diagnosed with stable angina is complaining of substernal chest pain, rating the pain
5 out of 10. What would be the priority action by the nurse?
a. Administer nitroglycerin,1 tablet sublingual immediately
b. Administer 81 mg of aspirin immediately
c. Administer the client’s prescribed beta blocker.
d. Administer morphine
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. Decreased fluid intake to no more than 1 little per day
b. Wear support hose while awake
c. Diet high in vitamin k
d. Resume normal activity
6. A nurse is performing discharge teaching for a client who was recently diagnosed with heart
failure.which of the following should be included in the client and family teaching ( select all that
apply)
a. Medication teaching
b. Low sodium diet
c. Fluid restriction
d. Weekly weights
, e. Symptoms to report to the provider
7. The family of a neutropenic client reports that the client confused and is not acting right what
action by the nurse is the priority
a. Ask the client about pain
b. Assess the client for infection
c. Delegate taking a set of vital signs
d. Look at today’s laboratory results.
8. A nurse is caring for a client with a history of an abdominal aortic aneurysm. Which of the
following assessment requires immediate intervention
a. Decreased urine output
b. Back pain
c. Nausea and vomiting
d. Absent peripheral pulses.
9. Which of the following assessment is a priority findings during a blood transfusion
a. Chest pain
b. Headache
c. Joint pain
d. Fatigue
10. The nurse questions which order for a client with thrombocytopenia
a. Avoid IM injection
b. Administer enemas
c. Apply ice to areas of trauma
d. Test all urine and stool for the presence of occult blood.
11. Which of the following clients would not be a candidate for thrombolytic therapy
a. Client with a blood pressure of 100/60 mm HG
b. Client with a pulse of 102 beats/minute
c. Client with a history of hemorrhage stroke one month ago
d. Client age 65
12. Which of the following procedures are performed for a client with a pericardial effusion
a. Coronary artery bypass graft
b. Thoracotomy
c. Pericardiocentesis
d. Thoracentesis
13. Which of the following is the treatment of choice for end stage heart failure
a. Heart transplant
b. Coronary artery bypass
c. Percutaneous angiogram
