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MDC3 Exam 1 Lecture Notes: Questions & Answers (Lectures 1-4)

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Comprehensive set of multiple-choice questions and answers for the MDC3 exam (Lecture notes 1–4). Topics include prevention of vulvovaginitis, toxic shock syndrome, pelvic organ prolapse (cystocele and rectocele), postoperative care after hysterectomy and colporrhaphy, staging of endometrial cancer, HPV vaccination, postoperative nursing care, and more. Each question includes the correct answer and rationale, making this document ideal for nursing students preparing for the MDC3 exam.

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1. Which action would the nurse teach to help the patient prevent
vulvovaginitis?
a Wear loose cotton underwear.
.
b Use feminine hygiene sprays to avoid odor.
.
c Cleanse the inner labial mucosa with soap
.
and water.
d Wipe back to front after urination.
.

1 points
QUESTION 2
1. The nurse is educating a patient on the prevention of toxic shock
syndrome (TSS). Which statement by the patient indicates a lack of
understanding?
a “It is best if I wash my hands before inserting the
.
tampon.”
b “At night, I should use a feminine pad rather than a
.
tampon.”
c “I need to change my tampon every 8 hours
.
during the day.”
d “If I don’t use tampons, I should not get TSS.”
.

1 points
QUESTION 3
1. A patient is admitted to the emergency department with toxic shock
syndrome. Which action by the nurse is the most important?
a Remove the tampon as the source of
.
infection.
b Transfuse the patient to manage low blood count.
.
c Collect a blood specimen for culture and sensitivity.
.
d Administer IV fluids to maintain fluid and electrolyte
.
balance.
1 points
QUESTION 4
1. A 55-year-old postmenopausal woman reports a history of
dyspareunia, backache, pelvis pressure, urinary tract infections, and a
frequent urinary urgency. Which condition does the nurse suspect?
a Cystocel
.
e
b Fibroid
.
c Rectocele
.

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d Ovarian
.
cyst
1 points
QUESTION 5
1. The nurse is caring for a postoperative patient following an anterior
colporrhaphy. What action can be delegated to the unlicensed assistive
personnel (UAP)?
a Teaching the patient to avoid lifting her 4-year-old
.
grandson
b Reviewing the hematocrit and hemoglobin results
.
c Drawing a shallow hot bath for comfort
.
measures
d Assessing the level of pain and any drainage
.

1 points
QUESTION 6
1. A nurse is caring for four postoperative patients who each had a total
abdominal hysterectomy. Which patient would the nurse assess first
upon initial rounding?
a Patient who has pain of “4” on a scale of 0 to 10
.
b Patient with a temperature of 99° F (37.2° C) and blood pressure of
.
115/73 mm Hg
c Patient who has had two saturated perineal pads in the
.
last 2 hours
d Patient with a urinary catheter output of 150 mL in the last 3
.
hours
1 points
QUESTION 7
1. A patient has undergone a vaginal hysterectomy with a bilateral
salpingo-oophorectomy. She is concerned about a loss of libido. What
intervention by the nurse would be best?
a Teach that estrogen cream inserted
.
vaginally may help.
b Suggest increasing vitamins and supplements
.
daily.
c Discuss the value of a balanced diet and exercise.
.
d Reinforce that weight gain may be inevitable.
.

1 points
QUESTION 8

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1. A patient has recently been diagnosed with stage III endometrial
cancer and asks the nurse for an explanation. What response by the
nurse is correct about the staging of the cancer?
a “It is contained in the endometrium of the cervix.”
.
b “The cancer now involves the cervix.”
.
c “It has reached the vagina or lymph nodes.”
.
d “The cancer has spread to the mucosa of the bowel
.
and bladder.”
1 points
QUESTION 9
1. The patient is emotionally upset about the recent diagnosis of stage IV
endometrial cancer. Which action by the nurse is best?
a Let the patient alone for a long period of
.
reflection time.
b Ask friends and relatives to limit their visits.
.
c Create an atmosphere of acceptance and
.
discussion.
d Tell the patient that an emotional response is
.
unacceptable.
1 points
QUESTION 10
1. A patient has scheduled brachytherapy sessions and states that she
feels as though she is not safe around her family. What is the best
response by the nurse?
a “You should use a separate bathroom from the rest of the
.
family.”
b “To be totally safe, it is a good idea to sleep in a separate
.
room.”
c “It is best to stay a safe distance from friends or family between
.
treatments.”
d “You are only radioactive when the radioactive implant
.
is in place.”
1 points
QUESTION 11
1. A patient has just returned from a total abdominal hysterectomy and
needs postoperative nursing care. What action can the nurse delegate
to the unlicensed assistive personnel (UAP)?
a Check the hemoglobin and hematocrit
.
levels.
b Evaluate the dressing for drainage.

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.
c Empty the urine from the urinary
.
catheter bag.
d Assess heart, lung, and bowel sounds.
.

1 points
QUESTION 12
1. A 20-year-old patient is interested in protection from the human
papilloma virus (HPV) since she may become sexually active. Which
response from the nurse is the most accurate?
a “You will need to have three injections over a span of 1 year.”
.
b “Either Gardasil or Cervarix can provide protection.”
.
c “The most common side effect of the vaccine is itching at the
.
injection site.”
d “You are too old to receive an HPV vaccine.”
.

1 points
QUESTION 13
1. A 28-year-old patient is diagnosed with uterine leiomyoma and is
experiencing severe symptoms. Which actions by the nurse are the
most appropriate at this time? (Select all that apply.)
a Review complete blood count for possible iron-
.
deficiency anemia
b Relieve anxiety by relaxation techniques and
.
education.
c Discuss in detail the side effects of laparoscopic surgery.
.
d Reduce the pain by low-level heat.
.
e Discuss the high risk of infertility with this diagnosis.
.

1 points
QUESTION 14
1. The nurse is giving discharge instructions to a patient who had a total
abdominal hysterectomy. Which statements by the patient indicate a
need for further teaching? (Select all that apply.)
a “My granddaughter weighs 23 lbs (10.5 kg) so I need to refrain
.
from picking her up.”
b “I will have to limit the times that I climb our stairs at home to
.
morning and night.”
c “I should not have any problems driving to see my mother,
.
who lives 3 hours away.”
d “For 1 month, I will need to refrain from sexual intercourse.”
.

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