MDC III EXAM 3 (RASMUSSEN) NEWEST 2026/2027 ACTUAL
EXAM TEST BANK| MDC 3 EXAM 3 REVIEW WITH
COMPLETE REAL EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS/ ALREADY GRADED A+ (MOST
RECENT!!)
Core Domains
• Cardiovascular Disorders – Dysrhythmias, Heart Failure, Valvular
Disease, Acute Coronary Syndrome
• Respiratory Disorders – COPD, Pneumonia, Tuberculosis, Pulmonary
Fibrosis, Sleep Apnea
• Hematological Disorders – Anemias, Bleeding Disorders, Leukemias,
Transfusion Reactions
• Immunological Disorders – Autoimmune Diseases,
Immunodeficiency, Hypersensitivity Reactions
• Infectious Diseases – Tuberculosis, Influenza, Rhinosinusitis
• Medication Administration & Pharmacology – Antibiotics,
Anticoagulants, Respiratory Medications
• Post-Operative Care – Surgical Site Assessment, Complications,
Patient Education
• Clinical Judgment & Prioritization – NGN-Style Scenarios, Emergency
Response
• Fluid & Electrolyte Balance – Heart Failure Management,
Dehydration, Fluid Overload
• Patient Education & Discharge Planning – Self-Care, Symptom
Recognition, Medication Adherence
Introduction
,This comprehensive examination is designed to assess the nursing
student's mastery of advanced medical-surgical nursing concepts as
covered in Multidimensional Care III (MDC 3) at Rasmussen University. The
exam covers cardiovascular, respiratory, hematological, and
immunological disorders, with an emphasis on clinical judgment,
prioritization, and evidence-based interventions. Questions are structured
to reflect the Next-Generation NCLEX (NGN) format, including multiple-
choice, select-all-that-apply, and scenario-based questions. Each question
includes a detailed rationale to reinforce learning and ensure exam
readiness. This resource is ideal for students preparing for the MDC III
Exam 3, offering a comprehensive review of key concepts and clinical
scenarios.
Questions 1 – 200
1. The nurse is arriving for shift change and receives report on four
clients. Which client requires immediate assessment?
A. Client with hypertension, BP 168/94 mm Hg
B. Client post-prostatectomy day 2 reporting pain 4/10
C. Client ready for discharge teaching after acute kidney injury
treatment
D. Client with asthma history reporting increased dyspnea and
wheezing
D. Client with asthma history reporting increased dyspnea and
wheezing
RATIONALE: Increased dyspnea and wheezing in a client with
asthma indicates a potential exacerbation that requires immediate
assessment to prevent respiratory compromise. While the hypertensive
client requires intervention, it is not the immediate priority. Pain
management and discharge teaching can be addressed after the client
with acute respiratory symptoms is assessed.
,2. When educating a female client about myocardial infarction
symptoms, which statement is most accurate?
A. Women typically experience classic substernal crushing chest pain
B. Women often present with atypical symptoms like fatigue,
indigestion, or back pain
C. Chest pain in women always radiates to the left arm
D. Women under 65 rarely experience myocardial infarction
B. Women often present with atypical symptoms like fatigue,
indigestion, or back pain
RATIONALE: Women frequently present with atypical myocardial
infarction symptoms, including fatigue, indigestion, back pain, and
shortness of breath, rather than the classic crushing chest pain seen in
men. This is critical knowledge for early recognition and treatment.
3. A client in atrial fibrillation has a ventricular rate of 184 bpm.
What is the priority nursing intervention?
A. Administer anticoagulant therapy
B. Monitor hourly urine output
C. Administer prescribed rate-control medications
D. Apply sequential compression devices
C. Administer prescribed rate-control medications
RATIONALE: The priority intervention for a client in atrial fibrillation
with a rapid ventricular response is to administer rate-control
medications (such as beta-blockers or calcium channel blockers) to
reduce the heart rate and prevent hemodynamic compromise.
4. Besides echocardiography, which diagnostic test is most useful
for confirming heart failure?
A. Pulmonary artery catheterization
B. B-type natriuretic peptide (BNP)
, C. Cardiac catheterization
D. Exercise stress testing
B. B-type natriuretic peptide (BNP)
RATIONALE: BNP is a neurohormone released from the ventricles in
response to increased wall tension. Elevated BNP levels are highly
sensitive and specific for diagnosing heart failure and assessing its
severity.
5. A client with newly diagnosed heart failure requires discharge
teaching. Which topics are essential? (Select all that apply)
A. Daily weights at same time with same scale
B. 2-gram sodium diet restriction
C. Medication regimen including purpose and side effects
D. Fluid restriction of 2 liters per day
E. Symptoms requiring immediate provider notification
A, B, C, D, E
RATIONALE: All of these topics are essential for heart failure
discharge teaching. Daily weights help detect fluid retention early.
Sodium restriction (typically 2 grams) and fluid restriction (often 2 liters)
reduce fluid overload. Understanding medications improves adherence.
Recognizing symptoms like weight gain, dyspnea, and edema allows for
early intervention.
6. A client with untreated mitral regurgitation is at highest risk for
developing:
A. Right-sided heart failure
B. Left-sided heart failure
C. Chronic kidney disease
D. Pulmonary hypertension only
B. Left-sided heart failure
EXAM TEST BANK| MDC 3 EXAM 3 REVIEW WITH
COMPLETE REAL EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS/ ALREADY GRADED A+ (MOST
RECENT!!)
Core Domains
• Cardiovascular Disorders – Dysrhythmias, Heart Failure, Valvular
Disease, Acute Coronary Syndrome
• Respiratory Disorders – COPD, Pneumonia, Tuberculosis, Pulmonary
Fibrosis, Sleep Apnea
• Hematological Disorders – Anemias, Bleeding Disorders, Leukemias,
Transfusion Reactions
• Immunological Disorders – Autoimmune Diseases,
Immunodeficiency, Hypersensitivity Reactions
• Infectious Diseases – Tuberculosis, Influenza, Rhinosinusitis
• Medication Administration & Pharmacology – Antibiotics,
Anticoagulants, Respiratory Medications
• Post-Operative Care – Surgical Site Assessment, Complications,
Patient Education
• Clinical Judgment & Prioritization – NGN-Style Scenarios, Emergency
Response
• Fluid & Electrolyte Balance – Heart Failure Management,
Dehydration, Fluid Overload
• Patient Education & Discharge Planning – Self-Care, Symptom
Recognition, Medication Adherence
Introduction
,This comprehensive examination is designed to assess the nursing
student's mastery of advanced medical-surgical nursing concepts as
covered in Multidimensional Care III (MDC 3) at Rasmussen University. The
exam covers cardiovascular, respiratory, hematological, and
immunological disorders, with an emphasis on clinical judgment,
prioritization, and evidence-based interventions. Questions are structured
to reflect the Next-Generation NCLEX (NGN) format, including multiple-
choice, select-all-that-apply, and scenario-based questions. Each question
includes a detailed rationale to reinforce learning and ensure exam
readiness. This resource is ideal for students preparing for the MDC III
Exam 3, offering a comprehensive review of key concepts and clinical
scenarios.
Questions 1 – 200
1. The nurse is arriving for shift change and receives report on four
clients. Which client requires immediate assessment?
A. Client with hypertension, BP 168/94 mm Hg
B. Client post-prostatectomy day 2 reporting pain 4/10
C. Client ready for discharge teaching after acute kidney injury
treatment
D. Client with asthma history reporting increased dyspnea and
wheezing
D. Client with asthma history reporting increased dyspnea and
wheezing
RATIONALE: Increased dyspnea and wheezing in a client with
asthma indicates a potential exacerbation that requires immediate
assessment to prevent respiratory compromise. While the hypertensive
client requires intervention, it is not the immediate priority. Pain
management and discharge teaching can be addressed after the client
with acute respiratory symptoms is assessed.
,2. When educating a female client about myocardial infarction
symptoms, which statement is most accurate?
A. Women typically experience classic substernal crushing chest pain
B. Women often present with atypical symptoms like fatigue,
indigestion, or back pain
C. Chest pain in women always radiates to the left arm
D. Women under 65 rarely experience myocardial infarction
B. Women often present with atypical symptoms like fatigue,
indigestion, or back pain
RATIONALE: Women frequently present with atypical myocardial
infarction symptoms, including fatigue, indigestion, back pain, and
shortness of breath, rather than the classic crushing chest pain seen in
men. This is critical knowledge for early recognition and treatment.
3. A client in atrial fibrillation has a ventricular rate of 184 bpm.
What is the priority nursing intervention?
A. Administer anticoagulant therapy
B. Monitor hourly urine output
C. Administer prescribed rate-control medications
D. Apply sequential compression devices
C. Administer prescribed rate-control medications
RATIONALE: The priority intervention for a client in atrial fibrillation
with a rapid ventricular response is to administer rate-control
medications (such as beta-blockers or calcium channel blockers) to
reduce the heart rate and prevent hemodynamic compromise.
4. Besides echocardiography, which diagnostic test is most useful
for confirming heart failure?
A. Pulmonary artery catheterization
B. B-type natriuretic peptide (BNP)
, C. Cardiac catheterization
D. Exercise stress testing
B. B-type natriuretic peptide (BNP)
RATIONALE: BNP is a neurohormone released from the ventricles in
response to increased wall tension. Elevated BNP levels are highly
sensitive and specific for diagnosing heart failure and assessing its
severity.
5. A client with newly diagnosed heart failure requires discharge
teaching. Which topics are essential? (Select all that apply)
A. Daily weights at same time with same scale
B. 2-gram sodium diet restriction
C. Medication regimen including purpose and side effects
D. Fluid restriction of 2 liters per day
E. Symptoms requiring immediate provider notification
A, B, C, D, E
RATIONALE: All of these topics are essential for heart failure
discharge teaching. Daily weights help detect fluid retention early.
Sodium restriction (typically 2 grams) and fluid restriction (often 2 liters)
reduce fluid overload. Understanding medications improves adherence.
Recognizing symptoms like weight gain, dyspnea, and edema allows for
early intervention.
6. A client with untreated mitral regurgitation is at highest risk for
developing:
A. Right-sided heart failure
B. Left-sided heart failure
C. Chronic kidney disease
D. Pulmonary hypertension only
B. Left-sided heart failure
