NUR 2502 MDC3 EXAM 1 STUDY GUIDE 2025/2026 COMPLETE QUESTIONS WITH CORRECT DETAILED ANSWERS || 100% GUARANTEED PASS BRAND NEW VERSION

NUR 2502 MDC3 EXAM 1 STUDY GUIDE 2025/2026 COMPLETE QUESTIONS WITH CORRECT DETAILED ANSWERS || 100% GUARANTEED PASS BRAND NEW VERSION 1. Gate Control Theory of Pain - ANSWER Pain is modulated within the spinal cord. Stimulation of the A-beta cutaneous fibers is thought to close the gate on transmission of pain impulses. 2. WHO's 3-Step Approach to Pain - ANSWER Step 1: No opioids (1-3) Step 2: Weak opioids (4-6) Step 3: Strong opioids (7-10) 3. Adjuvant medications during opioid therapy - ANSWER Medications not originally for pain (anticonvulsants) 4. Pathophysiology of ARDS - ANSWER Results from insult to the alveolocapillary membrane. Subsequent fluid accumulation within the airspaces of the lungs. May lead to hypovolemia. 5. S/s of hypoxia - ANSWER RATBED R: restlessness A: anxiety T: tachycardia/tachypnea B: bradycardia E: extreme restlessness D: dyspnea 6. S/s of epiglottitis - ANSWER AIR RAID A: Airway inflammation (obstruction) I: Increased pulse R: Restlessness R: Retractions A: Anxiety increased I: Inspiratory Stridor D: Drooling 7. Oxygen-hemoglobin affinity - ANSWER Dissociation shift to the right 8. Clinical manifestations of flail chest - ANSWER Fractures in two or more adjacent ribs in two or more places, free-floating segment 9. Features of apoptosis - ANSWER "Programmed cell death" Scattered individual cells, may be physiologic or pathologic, no inflammation 10. Cellular injury that occurs when blood flow is diminished to tissues resulting in oxygen deprivation - ANSWER Ischemia 11. Type of necrosis that is found in the granulomas of pulmonary TB - ANSWER Caseous necrosis (cottage cheese) 12. Type of cell injury that is seen in myocardial infarction - ANSWER Coagulative necrosis 13. Which of the following should the nurse include in the discharge teaching for a client who recently underwent a cervical ablation for cevical cancer? A. Takes showers rather than tub baths B. Resume tampons in 24 hours C. Douche as needed D, There are no lifting restrictions - ANSWER A. Takes showers rather than tub baths 14. A client is recovering in the post-anesthesia care unit after vaginoplasty. What nursing intervention is the most appropriate for this client ? A. Keep the client NPO atleast 24 hours for comfort B. Have the client ambulate immediately C. Apply an ice pack to the perineal area D. Elevate the legs on at least two pillows. - ANSWER C. Apply an ice pack to the perineal rea 15. During the first 24 hours after TURP, what is the priority assessment concern in the nursing care plan? A. Urine output B. Infection C. Bleeding D. Dysuria - ANSWER C. Bleeding 16. Which of the following clients are at risk of developing genital warts? A. Those who have protected sex B. Males/Females in monogamous relationship C. Individuals with opioid addictions D. Recent diagnosis of HPV - ANSWER D. Recent diagnosis of HPV 17. A nurse is caring for a 30-year old male client recently diagnosed with testicular cancer. Which of the following nursing education topics should be included before surgery for this client ? A. Cosmetic procedures B. Options for sperm banking C. Avoiding condom use in the future D. Nutritional restrictions - ANSWER B. Options for sperm banking 18. A 48yr old client is asking about screening recommendations for breast cancer. Which of the following should be included in the nurse's response A. Herbal supplements B. MRI to begin C. Annual mammogram beginning at age 45 D. Clinical breast exam every 2 years - ANSWER C. Annual mammogram beginning at age 45 19. A nurse is caring for a 30 year old female client diagnosed with uterine leiomyoma. What does the nurse expect to see documented as the client presenting chief complaint. A. Feeling of vaginal pressure B. Heavy vaginal bleeding C. Urinary changes D. Intermitten pain - ANSWER B. Heavy vaginal bleeding 20. An older adult client is being treated for endometrial cancer. Which common symptom does the nurse expect to find in the clients record that was reported before the client was diagnosed. A. Postmenopausal uterine bleeding B. Vaginal discharge C. Pelvic pain D. Nausea and anorexia - ANSWER A. Postmenopausal uterine bleeding 21. A nurse is caring for a client recently diagnosed with erectile dysfunction. Which of the following is a treatment option for this disorder. A. PD5 inhibitor B. Exercise C. Penile transplant D. Blood pressure control - ANSWER A. PD5 inhibitor 22. What does the nurse include in the discharge teaching for a woman who had a total abdominal hysterectomy for endometrial cancer. A. Sexual activity may be resumed in 2-3 weeks B. Wait for 48 hours after discharge to begind driving c. Avoid strenuous exercise and activities for 2-6 weeks D. Do not lit anything heavier than 20lb - ANSWER c. Avoid strenuous exercise and activities for 2-6 weeks 23. A nurse is caring for a male client who was recently diagnosed with BPH. which of the following medications should the nurse instruct the client to avoid? A. Nsaids B. Calcium channel blockers C. Beta-blockers D. Anticholinergic - ANSWER D. Anticholinergic 24. Form of cellular adaptation in which cell size decreases d/t a decrease in workload - ANSWER Atrophy 25. Primary prevention - ANSWER Immunization 26. Secondary prevention - ANSWER Pap smears 27. Tertiary prevention - ANSWER Abx use 28. Mechanism of hypertension is an example of? - ANSWER Pathophysiology 29. Mortality - ANSWER Causes of death in a certain population 30. Morbidity - ANSWER Describes the effect an illness has on a person 31. Clinical manifestations of acute hyponatremia - ANSWER Headache, nausea, severe confusion, seizures 32. reason that elderly are especially prone to dehydration - ANSWER intrinsic defect in thirst mechanism so they don't drink as much water 33. Effect of the tonicity of solutions on the cell: - ANSWER Hypotonic: swell Hypertonic: shrink 34. Grading of pitting edema - ANSWER 0-4, increases in 2 mm increments every stage. 35. Examples of electrolytes - ANSWER Sodium Chlorine Magnesium Calcium Potassium 36. Incidence of positive rheumatoid factor in patients with RA. - ANSWER Positive in 80% of patients. 37. Most common first clinical sign of psoriatic arthritis. - ANSWER Dactylics "Sausage digits" 38. Earliest clinical manifestation of ARDS - ANSWER Dyspnea (SOB) 39. Initial management of ARDS - ANSWER Treat underlying cause (sepsis, aspiration, shock) 40. Joint deformities in RA. - ANSWER Appears in stage 3. 41. Patient with a urinary tract infection has just been diagnosed with acute kidney injury. The provider ordered lab work to be done. The nurse expects which of the following abnormal labs to be present in this client with acute kidney injury? A. Creatinine 1.6mg/dL B. BUN 5mg/dL c. Calcium 7.0 mg/dL D. Potassium 3.0 mEq/L - ANSWER D. Potassium 3.0 mEq/L 42. The nurse includes which of the following in self-management teaching for a client diagnosed with vulvovaginitis? A. Cleanse the inner labial mucosa with water not soap B. Use feminine spray C. Wear tight-fitting clothing for suppoer D. Wipe from back to front - ANSWER A. Cleanse the inner labial mucosa with water not soap 43. The nurse educated a teenage patient on the benefits of receiving the HPV vaccine as a protection against which type of cancer? A. Endometrial cancer B. Ovarian Cancer C. Uterine cancer D. Cervical cancer - ANSWER D. Cervical cancer 44. A 40 year old woman has heavy vaginal bleeding. Which of the following questions is the priority when evaluating the clients chief complaint. A. "Are you sexually active, and do you use oral contraceptive" B. "Are you feeling weak, dizzy or lightheaded?" C. Have you been using any new feminine products D. Are you having any sensations of pain or cramping? - ANSWER B. "Are you feeling weak, dizzy or lightheaded?"