MDC III EXAM 1 (RASMUSSEN) NEWEST 2026/ 2027
ACTUAL EXAM TEST BANK| MDC 3 EXAM 1 REVIEW
WITH COMPLETE 400 REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY GRADED
A+ (MOST RECENT!!)
A patient with end-stage kidney disease (ESKD) has this serum
laboratory analysis
K+ 5.9 mEq/L
Na+ 152 mEq/L
Creatinine 6.2 mg/dL
BUN 60 mg/dL
What is the priority nursing intervention?
A. Assess heart rate and rhythm.
B. Implement seizure precautions.
C. Assess the patient's respiratory status.
D. Evaluate the patient's acid-base balance. – Correct Answer - A.
Assess heart rate and rhythm.
Patients with ESKD experience significant fluid and electrolyte
imbalances that are managed with medications and dialysis.
Hyperkalemia can be a life-threatening event. In patients with kidney
disease, the myocardial response (heart rate and rhythm) to
hyperkalemia should be assessed to effectively determine appropriate
treatment. High sodium can increase the patient's risk for seizures,
excessive fluid balance will negatively effect breathing, and patients
with ESKD experience acid-base imbalances from an inability to
synthesize bicarbonate.
pg. 1
,A 20 year old sexually active male reports symptoms of a low grade
fever, headache, malaise, muscular aches, sore throat, and a rash on his
hands and feet. what condition does the nurse anticipate ?
A. HIV
B. HPV
C. Syphilis
D. Gonorrhea - Correct Answer – C. syphilis
A client returns from surgery after a laparoscopic total abdominal
hysterectomy. On initial assessment which finding by the nurse requires
immediate intervention ?
A. Decreased bowl sounds in all quadrants
B. Heavy vaginal bleeding with clots
C. Temperature of 99 F (37.2 C)
D. client statement that pain is a 4 on a scale of 0 to 10 - Correct Answer
- B Heavy vaginal bleeding with clots
A 70 year old woman with chronic kidney disease and a history of type 2
diabetes had a surgery two weeks ago to place a vascular graft access for
hemodialysis. Which precaution will the nurse follow to ensure the
function of the AV graft ?
A. insert the iv and run saline at 10 ML/HR
B. keep the patients arm Elevated in two pillows
C. Monitor blood pressure and radial pulses in both arms
D. check for a bruit and thrill by auscultation and palpation over the site
- Correct Answer - D check for a bruit and thrill by auscultation and
palpation over the site
pg. 2
,Which findings suggest renal hemorrhage following trauma? -
ANSWER - Flank pain, palpable mass, and ecchymosis
What is the priority assessment following a nephrectomy? - ANSWER -
Intake and output and blood pressure
Which diagnostic test confirms hydronephrosis? - ANSWER - Renal
ultrasound
Which lifestyle changes improve erectile dysfunction? - ANSWER -
Decreased alcohol intake, counseling, and medications such as sildenafil
A digital rectal exam and PSA screening assess for which condition? -
ANSWER - Prostate cancer
What is appropriate post-procedure care for a patient with varicocele
repair? - ANSWER - Apply ice packs to the scrotum
A client admitted to the unit with coffee-colored urine and edema states
he had a terrible sore throat last week. His blood work is elevated and
urinalysis reports blood and protein in the urine. What would the nurse
anticipate based on these findings? - ANSWER- Acute
glomerulonephritis
pg. 3
, A nurse is caring for a client recently diagnosed with acute kidney
injury. Which of the following are possible causes of acute kidney injury
due to perfusion issues? - ANSWER- Dehydration
A nurse is preparing to administer lisinopril 30 mg PO now. Available is
lisinopril 20mg/tablet. How many tablets should the nurse administer? -
ANSWER- 1.5
A medication order states, administer furosemide 40 mg IV stat.
Available is furosemide 100 mg/10 mL. How many mL should the nurse
administer? - ANSWER- 4
A 32-year-old female client presents to the healthcare provider's office
with complaints of heavy menstrual bleeding and prolonged periods.
Which of the following tests does the nurse anticipate being ordered? -
ANSWER- Hemoglobin & hematocrit (H&H)
Which intervention is appropriate for polycystic kidney disease (PKD)?
- ANSWER - Fluid restriction and monitoring for hematuria
Which finding differentiates pyelonephritis from a lower urinary tract
infection? - ANSWER - Flank pain
Which condition can cause neurogenic bladder? - ANSWER - Multiple
sclerosis or spinal cord injury
pg. 4
ACTUAL EXAM TEST BANK| MDC 3 EXAM 1 REVIEW
WITH COMPLETE 400 REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY GRADED
A+ (MOST RECENT!!)
A patient with end-stage kidney disease (ESKD) has this serum
laboratory analysis
K+ 5.9 mEq/L
Na+ 152 mEq/L
Creatinine 6.2 mg/dL
BUN 60 mg/dL
What is the priority nursing intervention?
A. Assess heart rate and rhythm.
B. Implement seizure precautions.
C. Assess the patient's respiratory status.
D. Evaluate the patient's acid-base balance. – Correct Answer - A.
Assess heart rate and rhythm.
Patients with ESKD experience significant fluid and electrolyte
imbalances that are managed with medications and dialysis.
Hyperkalemia can be a life-threatening event. In patients with kidney
disease, the myocardial response (heart rate and rhythm) to
hyperkalemia should be assessed to effectively determine appropriate
treatment. High sodium can increase the patient's risk for seizures,
excessive fluid balance will negatively effect breathing, and patients
with ESKD experience acid-base imbalances from an inability to
synthesize bicarbonate.
pg. 1
,A 20 year old sexually active male reports symptoms of a low grade
fever, headache, malaise, muscular aches, sore throat, and a rash on his
hands and feet. what condition does the nurse anticipate ?
A. HIV
B. HPV
C. Syphilis
D. Gonorrhea - Correct Answer – C. syphilis
A client returns from surgery after a laparoscopic total abdominal
hysterectomy. On initial assessment which finding by the nurse requires
immediate intervention ?
A. Decreased bowl sounds in all quadrants
B. Heavy vaginal bleeding with clots
C. Temperature of 99 F (37.2 C)
D. client statement that pain is a 4 on a scale of 0 to 10 - Correct Answer
- B Heavy vaginal bleeding with clots
A 70 year old woman with chronic kidney disease and a history of type 2
diabetes had a surgery two weeks ago to place a vascular graft access for
hemodialysis. Which precaution will the nurse follow to ensure the
function of the AV graft ?
A. insert the iv and run saline at 10 ML/HR
B. keep the patients arm Elevated in two pillows
C. Monitor blood pressure and radial pulses in both arms
D. check for a bruit and thrill by auscultation and palpation over the site
- Correct Answer - D check for a bruit and thrill by auscultation and
palpation over the site
pg. 2
,Which findings suggest renal hemorrhage following trauma? -
ANSWER - Flank pain, palpable mass, and ecchymosis
What is the priority assessment following a nephrectomy? - ANSWER -
Intake and output and blood pressure
Which diagnostic test confirms hydronephrosis? - ANSWER - Renal
ultrasound
Which lifestyle changes improve erectile dysfunction? - ANSWER -
Decreased alcohol intake, counseling, and medications such as sildenafil
A digital rectal exam and PSA screening assess for which condition? -
ANSWER - Prostate cancer
What is appropriate post-procedure care for a patient with varicocele
repair? - ANSWER - Apply ice packs to the scrotum
A client admitted to the unit with coffee-colored urine and edema states
he had a terrible sore throat last week. His blood work is elevated and
urinalysis reports blood and protein in the urine. What would the nurse
anticipate based on these findings? - ANSWER- Acute
glomerulonephritis
pg. 3
, A nurse is caring for a client recently diagnosed with acute kidney
injury. Which of the following are possible causes of acute kidney injury
due to perfusion issues? - ANSWER- Dehydration
A nurse is preparing to administer lisinopril 30 mg PO now. Available is
lisinopril 20mg/tablet. How many tablets should the nurse administer? -
ANSWER- 1.5
A medication order states, administer furosemide 40 mg IV stat.
Available is furosemide 100 mg/10 mL. How many mL should the nurse
administer? - ANSWER- 4
A 32-year-old female client presents to the healthcare provider's office
with complaints of heavy menstrual bleeding and prolonged periods.
Which of the following tests does the nurse anticipate being ordered? -
ANSWER- Hemoglobin & hematocrit (H&H)
Which intervention is appropriate for polycystic kidney disease (PKD)?
- ANSWER - Fluid restriction and monitoring for hematuria
Which finding differentiates pyelonephritis from a lower urinary tract
infection? - ANSWER - Flank pain
Which condition can cause neurogenic bladder? - ANSWER - Multiple
sclerosis or spinal cord injury
pg. 4
