Exam | 100% Correct Answers |
Latest 2025/2026 Version
Section 1: Introduction
This document contains a fully verified and up-to-date collection of questions and correct
answers for the Rasmussen College MDC 3 Final Exam, aligned with the 2025/2026
academic curriculum. It’s structured to help nursing students master medical-surgical
concepts by focusing on priority care, pathophysiology, patient safety, clinical judgment, and
pharmacological principles. Each item is crafted to reflect current NCLEX-style formatting
and nursing best practices, with brief explanations where applicable to support clinical
reasoning.
Section 2: Exam Content and Responses
1. What is the priority nursing intervention for a patient experiencing chest pain
suggestive of a myocardial infarction?
A) Administer oxygen
B) Obtain an electrocardiogram (ECG)
C) Provide a sedative
D) Encourage deep breathing
Answer: B) Obtain an electrocardiogram (ECG)
Explanation: An ECG is critical to confirm myocardial infarction and guide
treatment.
2. What is the most common cause of chronic obstructive pulmonary disease (COPD)?
A) Asthma
B) Smoking
C) Allergies
D) Obesity
Answer: B) Smoking
Explanation: Long-term smoking is the primary risk factor for COPD.
3. What is the initial action for a patient experiencing a seizure?
A) Restrain the patient
B) Insert an oral airway
C) Ensure safety and protect from injury
D) Administer anticonvulsants
Answer: C) Ensure safety and protect from injury
Explanation: Safety is the priority to prevent harm during a seizure.
4. What is the primary goal of treatment for acute kidney injury (AKI)?
A) Increase urine output
B) Prevent further kidney damage
C) Administer diuretics
D) Promote weight gain
, Answer: B) Prevent further kidney damage
Explanation: Protecting kidney function is the main focus in AKI.
5. Which medication is commonly used to manage hyperglycemia in diabetic
ketoacidosis (DKA)?
A) Metformin
B) Insulin
C) Glucagon
D) Acetaminophen
Answer: B) Insulin
Explanation: Insulin corrects hyperglycemia and stops ketone production in DKA.
6. What is the first step in managing a patient with anaphylactic shock?
A) Administer antihistamines
B) Establish airway and administer epinephrine
C) Start IV fluids
D) Monitor vital signs
Answer: B) Establish airway and administer epinephrine
Explanation: Epinephrine is the first-line treatment to reverse anaphylaxis.
7. What is the most appropriate position for a patient with left-sided heart failure?
A) Supine
B) Semi-Fowler’s
C) Prone
D) Trendelenburg
Answer: B) Semi-Fowler’s
Explanation: This position eases breathing by reducing pressure on the diaphragm.
8. What is a key assessment finding in a patient with pneumonia?
A) Bradycardia
B) Crackles on auscultation
C) Hypertension
D) Clear sputum
Answer: B) Crackles on auscultation
Explanation: Crackles indicate fluid in the alveoli, common in pneumonia.
9. What is the priority nursing action for a patient with a suspected stroke?
A) Administer aspirin
B) Activate the stroke team
C) Perform a neurological assessment
D) Start an IV line
Answer: B) Activate the stroke team
Explanation: Rapid activation ensures timely intervention within the treatment
window.
10. What electrolyte imbalance is most commonly associated with renal failure?
A) Hypernatremia
B) Hypokalemia
C) Hyperkalemia
D) Hypocalcemia
Answer: C) Hyperkalemia
Explanation: Impaired kidney function leads to potassium retention.
11. What is the primary action of beta-blockers in heart failure management?
A) Increase heart rate
B) Reduce cardiac workload
C) Dilate blood vessels