RASMUSSEN MEDICAL-SURGICAL NURSING III
MDC III EXAM 2
A+
AND STUDY GUIDE
2026/2027
Rasmussen University — Multidimensional Care III (NUR 2502)
A+ QUESTIONS 5 SECTIONS 100%
VERIFIED COVERED RATIONALES
CATEGORIES
■ 1. Upper Respiratory Disorders (Head & Neck, Trauma, Epistaxis, Laryngectomy)
■ 2. Obstructive Sleep Apnea & Airway Management
■ 3. Asthma & Chronic Obstructive Pulmonary Disease
■ 4. Pneumonia, Tuberculosis & Infectious Respiratory Disorders
■ 5. Cystic Fibrosis, Lung Cancer & Complex Respiratory Care
STUVIAACTUALEXAM
Original practice content aligned to public course blueprint. Not an official exam.
, SECTION 1: Upper Respiratory Disorders
Q1. A 58-year-old client with a 30-pack-year smoking history and daily alcohol use reports progressive
hoarseness lasting 5 weeks and a persistent sensation of a lump in the throat. The nurse prioritizes which
diagnostic evaluation?
A. Referral for laryngoscopy and biopsy evaluation
B. Throat culture for bacterial pharyngitis
C. Empiric trial of proton-pump inhibitor therapy
D. Allergy testing for seasonal triggers
Correct Answer: A
Rationale: Persistent hoarseness beyond two weeks in a client with significant tobacco and alcohol exposure is a classic
warning sign for laryngeal malignancy. Prompt visualization and tissue sampling are required to avoid delayed diagnosis.
Empiric treatments for reflux or infection delay definitive evaluation.
Q2. Following total laryngectomy, a client develops sudden restlessness, tachycardia, and audible gurgling at
the stoma site. Which immediate nursing action takes priority?
A. Administer prescribed anxiolytic medication
B. Increase the oxygen flow rate via face mask
C. Suction the tracheostomy tube and assess airway patency
D. Encourage the client to cough forcefully
Correct Answer: C
Rationale: Post-laryngectomy clients have a permanent stoma and are at high risk for mucus plugging. Restlessness and
gurgling signal impending airway obstruction. Immediate suctioning restores patency and is the priority over other
interventions.
Q3. A client presents to the emergency department after facial trauma from a motor vehicle collision.
Assessment reveals periorbital ecchymosis, clear fluid draining from the nose, and mild stridor. What is the
nurse’s first priority?
A. Obtain a detailed history of the collision
B. Ensure airway patency and prepare for possible intubation
C. Prepare for immediate computed tomography of the head
D. Apply ice packs to reduce facial swelling
Correct Answer: B
Rationale: Clear nasal drainage may indicate cerebrospinal fluid leak, and stridor signals upper-airway compromise. Airway
management always precedes diagnostic imaging or comfort measures in trauma with potential facial fractures.
MDC III EXAM 2 AND STUDY GUIDE 2026/2027 | Page 2
MDC III EXAM 2
A+
AND STUDY GUIDE
2026/2027
Rasmussen University — Multidimensional Care III (NUR 2502)
A+ QUESTIONS 5 SECTIONS 100%
VERIFIED COVERED RATIONALES
CATEGORIES
■ 1. Upper Respiratory Disorders (Head & Neck, Trauma, Epistaxis, Laryngectomy)
■ 2. Obstructive Sleep Apnea & Airway Management
■ 3. Asthma & Chronic Obstructive Pulmonary Disease
■ 4. Pneumonia, Tuberculosis & Infectious Respiratory Disorders
■ 5. Cystic Fibrosis, Lung Cancer & Complex Respiratory Care
STUVIAACTUALEXAM
Original practice content aligned to public course blueprint. Not an official exam.
, SECTION 1: Upper Respiratory Disorders
Q1. A 58-year-old client with a 30-pack-year smoking history and daily alcohol use reports progressive
hoarseness lasting 5 weeks and a persistent sensation of a lump in the throat. The nurse prioritizes which
diagnostic evaluation?
A. Referral for laryngoscopy and biopsy evaluation
B. Throat culture for bacterial pharyngitis
C. Empiric trial of proton-pump inhibitor therapy
D. Allergy testing for seasonal triggers
Correct Answer: A
Rationale: Persistent hoarseness beyond two weeks in a client with significant tobacco and alcohol exposure is a classic
warning sign for laryngeal malignancy. Prompt visualization and tissue sampling are required to avoid delayed diagnosis.
Empiric treatments for reflux or infection delay definitive evaluation.
Q2. Following total laryngectomy, a client develops sudden restlessness, tachycardia, and audible gurgling at
the stoma site. Which immediate nursing action takes priority?
A. Administer prescribed anxiolytic medication
B. Increase the oxygen flow rate via face mask
C. Suction the tracheostomy tube and assess airway patency
D. Encourage the client to cough forcefully
Correct Answer: C
Rationale: Post-laryngectomy clients have a permanent stoma and are at high risk for mucus plugging. Restlessness and
gurgling signal impending airway obstruction. Immediate suctioning restores patency and is the priority over other
interventions.
Q3. A client presents to the emergency department after facial trauma from a motor vehicle collision.
Assessment reveals periorbital ecchymosis, clear fluid draining from the nose, and mild stridor. What is the
nurse’s first priority?
A. Obtain a detailed history of the collision
B. Ensure airway patency and prepare for possible intubation
C. Prepare for immediate computed tomography of the head
D. Apply ice packs to reduce facial swelling
Correct Answer: B
Rationale: Clear nasal drainage may indicate cerebrospinal fluid leak, and stridor signals upper-airway compromise. Airway
management always precedes diagnostic imaging or comfort measures in trauma with potential facial fractures.
MDC III EXAM 2 AND STUDY GUIDE 2026/2027 | Page 2
