MDC III Exam 3 Prep Document | 2026/2027 Edition | 150
Verified Questions - 140 Questions
MDC III Exam 3 (Rasmussen) 2026-140 QUESTIONS AND ANSWERS ALREADY GRADED A+. 100% Verified
Solutions | Updated Per Latest Guidelines | Graded A+
This comprehensive test bank for MDC III Exam 3 at Rasmussen University contains 150 actual exam
questions with verified answers, designed to help nursing students achieve a top score. The content is
meticulously organized to cover all major concepts in medical-surgical nursing, including
cardiovascular, respiratory, renal, and endocrine disorders. Each question is accompanied by a rational
explanation to reinforce learning and critical thinking. Updated for the 2026/2027 academic year, this
resource reflects the most current evidence-based practice and exam trends.
Key Features:
Cardiovascular Disorders: heart failure, myocardial infarction, arrhythmias, hypertension, and peripheral
vascular disease
Respiratory Disorders: COPD, asthma, pneumonia, pulmonary embolism, and respiratory failure
Renal and Urinary Disorders: acute kidney injury, chronic kidney disease, dialysis, and urinary tract infections
Endocrine Disorders: diabetes mellitus, thyroid disorders, adrenal insufficiency, and SIADH
Neurological Disorders: stroke, seizures, meningitis, and increased intracranial pressure
Gastrointestinal Disorders: GI bleeding, pancreatitis, liver cirrhosis, and bowel obstruction
Hematologic Disorders: anemia, coagulopathies, and blood transfusions
Fluid and Electrolyte Imbalances: sodium, potassium, calcium, and magnesium disturbances
Acid-Base Balance: respiratory and metabolic acidosis/alkalosis
Perioperative Nursing: preoperative, intraoperative, and postoperative care
Pain Management: acute and chronic pain, opioid and non-opioid analgesics
Sepsis and Shock: hypovolemic, cardiogenic, septic, and anaphylactic shock
Wound Care and Pressure Injuries: staging, prevention, and treatment
Medication Administration: high-alert medications, IV therapy, and dosage calculations
Patient Education and Discharge Planning: teaching for chronic conditions and self-care
Ethical and Legal Issues in Nursing: advance directives, informed consent, and patient rights
Quality Improvement and Evidence-Based Practice: nursing interventions and outcome evaluation
Updates for 2026:
- Revised to include the latest NCLEX-RN test plan and Rasmussen curriculum changes
- Incorporated updated clinical guidelines from the American Heart Association, American Diabetes Association, and other
leading bodies
- Added new questions on COVID-19 complications and post-acute sequelae
- Enhanced rationales with evidence-based citations and nursing implications
- Aligned with 2026/2027 academic year exam blueprints and grading standards Abstract:
This test bank is an essential study tool for nursing students preparing for MDC III Exam 3 at Rasmussen
University. It comprises 150 real exam questions that have been verified for accuracy and relevance, covering a
Page 1
,wide spectrum of medical-surgical nursing topics. The questions are designed to test not only recall but also
application, analysis, and synthesis of nursing knowledge. Each question includes a correct answer and a detailed
rationale explaining why the answer is correct and why the other options are incorrect, facilitating deeper
understanding. The content is organized by body systems and nursing domains, allowing for systematic review.
Page 2
,This resource is updated to reflect the latest evidence-based practice and exam trends for the 2026/2027 academic
year, ensuring students are well-prepared for the challenges of the exam. By engaging with this material, students
can identify their strengths and weaknesses, focus their study efforts, and build confidence for exam day.
Ultimately, this test bank aims to empower students to achieve a grade of A+ and excel in their nursing careers.
Keywords:
MDC III, Rasmussen, Exam 3, Test Bank, Nursing, Medical-Surgical, NCLEX, 2026/2027
Answer Format:
Each question is presented in multiple-choice format with four options. The correct answer is clearly indicated,
followed by a comprehensive rationale that explains the underlying pathophysiology, nursing intervention, or
priority consideration. Rationales also include distractors analysis to clarify common misconceptions.
Compliance Checklist:
Aligned with Rasmussen University MDC III course objectives
Reflects the latest NCLEX-RN test plan and nursing standards
All answers verified by subject matter experts
Includes rationales for both correct and incorrect answers
Updated for the 2026/2027 academic year
Suitable for self-assessment and exam preparation
Content Area Overview:
Content Area Questions Key Topics Weight
Cardiovascular 1-25 Heart failure, MI, arrhythmias, hypertension, 17%
peripheral vascular disease
Respiratory 26-45 COPD, asthma, pneumonia, PE, respiratory 13%
failure
Renal/Urinary 46-60 AKI, CKD, dialysis, UTI 10%
Endocrine 61-75 Diabetes, thyroid, adrenal, SIADH 10%
Neurological 76-90 Stroke, seizures, meningitis, ICP 10%
Gastrointestinal 91-105 GI bleed, pancreatitis, cirrhosis, bowel 10%
obstruction
Hematologic 106-115 Anemia, coagulopathies, transfusions 7%
Fluid/Electrolytes/Acid-Base 116-130 Sodium, potassium, calcium, magnesium, 10%
ABGs
Perioperative & Pain 131-140 Pre/intra/post-op care, pain management 7%
Sepsis/Shock & Other 141-150 Shock types, sepsis, wound care, ethics, QI 6%
Page 3
, Q1. A patient with septic shock has a serum lactate of 4.2 mmol/L and a mean arterial
pressure (MAP) of 55 mm Hg despite a 30 mL/kg crystalloid bolus. The provider
orders norepinephrine infusion titrated to MAP 65 mm Hg. Which intervention
requires immediate nursing action before initiating the infusion?
A. Obtain a central venous catheter for central venous pressure monitoring.
B. Verify the patient has a second large-bore IV access.
C. Administer a second fluid bolus of 500 mL.
D. Check the patient's serum potassium level.
Correct Answer: B. Verify the patient has a second large-bore IV access.
Rationale: Norepinephrine is a high-alert vasopressor that can cause extravasation and
tissue necrosis. A second large-bore IV access ensures the ability to infuse the medication
safely while maintaining access for other treatments. Central venous access is not
mandatory for peripheral administration, a second fluid bolus may be given but is not the
priority, and potassium is not directly related to initiation.
Why Wrong:
A - Central venous access is not required for peripheral norepinephrine infusion if a large-
bore peripheral IV is available and the infusion is monitored.
C - While additional fluids may be needed, the immediate action before starting a
vasopressor is to ensure adequate IV access for both the drug and concurrent
therapies.
D - Serum potassium is not a prerequisite for norepinephrine initiation; this does not
address the immediate safety concern.
Reference: Surviving Sepsis Campaign (2021) Guidelines; AACN Core Curriculum.
Q2. Which pathophysiological mechanism most directly explains the development of
disseminated intravascular coagulation (DIC) in a patient with acute promyelocytic leukemia
(APL) undergoing induction chemotherapy?
A. Decreased synthesis of clotting factors due to hepatic infiltration by leukemic cells.
B. Release of procoagulant substances from leukemic promyelocytes triggering
systemic activation of coagulation.
C. Autoantibody-mediated destruction of platelets and consumption of coagulation
factors.
D. Overproduction of fibrinogen leading to hyperviscosity and microvascular
thrombosis.
Correct Answer: B. Release of procoagulant substances from leukemic promyelocytes
triggering systemic activation of coagulation.
Page 4
Verified Questions - 140 Questions
MDC III Exam 3 (Rasmussen) 2026-140 QUESTIONS AND ANSWERS ALREADY GRADED A+. 100% Verified
Solutions | Updated Per Latest Guidelines | Graded A+
This comprehensive test bank for MDC III Exam 3 at Rasmussen University contains 150 actual exam
questions with verified answers, designed to help nursing students achieve a top score. The content is
meticulously organized to cover all major concepts in medical-surgical nursing, including
cardiovascular, respiratory, renal, and endocrine disorders. Each question is accompanied by a rational
explanation to reinforce learning and critical thinking. Updated for the 2026/2027 academic year, this
resource reflects the most current evidence-based practice and exam trends.
Key Features:
Cardiovascular Disorders: heart failure, myocardial infarction, arrhythmias, hypertension, and peripheral
vascular disease
Respiratory Disorders: COPD, asthma, pneumonia, pulmonary embolism, and respiratory failure
Renal and Urinary Disorders: acute kidney injury, chronic kidney disease, dialysis, and urinary tract infections
Endocrine Disorders: diabetes mellitus, thyroid disorders, adrenal insufficiency, and SIADH
Neurological Disorders: stroke, seizures, meningitis, and increased intracranial pressure
Gastrointestinal Disorders: GI bleeding, pancreatitis, liver cirrhosis, and bowel obstruction
Hematologic Disorders: anemia, coagulopathies, and blood transfusions
Fluid and Electrolyte Imbalances: sodium, potassium, calcium, and magnesium disturbances
Acid-Base Balance: respiratory and metabolic acidosis/alkalosis
Perioperative Nursing: preoperative, intraoperative, and postoperative care
Pain Management: acute and chronic pain, opioid and non-opioid analgesics
Sepsis and Shock: hypovolemic, cardiogenic, septic, and anaphylactic shock
Wound Care and Pressure Injuries: staging, prevention, and treatment
Medication Administration: high-alert medications, IV therapy, and dosage calculations
Patient Education and Discharge Planning: teaching for chronic conditions and self-care
Ethical and Legal Issues in Nursing: advance directives, informed consent, and patient rights
Quality Improvement and Evidence-Based Practice: nursing interventions and outcome evaluation
Updates for 2026:
- Revised to include the latest NCLEX-RN test plan and Rasmussen curriculum changes
- Incorporated updated clinical guidelines from the American Heart Association, American Diabetes Association, and other
leading bodies
- Added new questions on COVID-19 complications and post-acute sequelae
- Enhanced rationales with evidence-based citations and nursing implications
- Aligned with 2026/2027 academic year exam blueprints and grading standards Abstract:
This test bank is an essential study tool for nursing students preparing for MDC III Exam 3 at Rasmussen
University. It comprises 150 real exam questions that have been verified for accuracy and relevance, covering a
Page 1
,wide spectrum of medical-surgical nursing topics. The questions are designed to test not only recall but also
application, analysis, and synthesis of nursing knowledge. Each question includes a correct answer and a detailed
rationale explaining why the answer is correct and why the other options are incorrect, facilitating deeper
understanding. The content is organized by body systems and nursing domains, allowing for systematic review.
Page 2
,This resource is updated to reflect the latest evidence-based practice and exam trends for the 2026/2027 academic
year, ensuring students are well-prepared for the challenges of the exam. By engaging with this material, students
can identify their strengths and weaknesses, focus their study efforts, and build confidence for exam day.
Ultimately, this test bank aims to empower students to achieve a grade of A+ and excel in their nursing careers.
Keywords:
MDC III, Rasmussen, Exam 3, Test Bank, Nursing, Medical-Surgical, NCLEX, 2026/2027
Answer Format:
Each question is presented in multiple-choice format with four options. The correct answer is clearly indicated,
followed by a comprehensive rationale that explains the underlying pathophysiology, nursing intervention, or
priority consideration. Rationales also include distractors analysis to clarify common misconceptions.
Compliance Checklist:
Aligned with Rasmussen University MDC III course objectives
Reflects the latest NCLEX-RN test plan and nursing standards
All answers verified by subject matter experts
Includes rationales for both correct and incorrect answers
Updated for the 2026/2027 academic year
Suitable for self-assessment and exam preparation
Content Area Overview:
Content Area Questions Key Topics Weight
Cardiovascular 1-25 Heart failure, MI, arrhythmias, hypertension, 17%
peripheral vascular disease
Respiratory 26-45 COPD, asthma, pneumonia, PE, respiratory 13%
failure
Renal/Urinary 46-60 AKI, CKD, dialysis, UTI 10%
Endocrine 61-75 Diabetes, thyroid, adrenal, SIADH 10%
Neurological 76-90 Stroke, seizures, meningitis, ICP 10%
Gastrointestinal 91-105 GI bleed, pancreatitis, cirrhosis, bowel 10%
obstruction
Hematologic 106-115 Anemia, coagulopathies, transfusions 7%
Fluid/Electrolytes/Acid-Base 116-130 Sodium, potassium, calcium, magnesium, 10%
ABGs
Perioperative & Pain 131-140 Pre/intra/post-op care, pain management 7%
Sepsis/Shock & Other 141-150 Shock types, sepsis, wound care, ethics, QI 6%
Page 3
, Q1. A patient with septic shock has a serum lactate of 4.2 mmol/L and a mean arterial
pressure (MAP) of 55 mm Hg despite a 30 mL/kg crystalloid bolus. The provider
orders norepinephrine infusion titrated to MAP 65 mm Hg. Which intervention
requires immediate nursing action before initiating the infusion?
A. Obtain a central venous catheter for central venous pressure monitoring.
B. Verify the patient has a second large-bore IV access.
C. Administer a second fluid bolus of 500 mL.
D. Check the patient's serum potassium level.
Correct Answer: B. Verify the patient has a second large-bore IV access.
Rationale: Norepinephrine is a high-alert vasopressor that can cause extravasation and
tissue necrosis. A second large-bore IV access ensures the ability to infuse the medication
safely while maintaining access for other treatments. Central venous access is not
mandatory for peripheral administration, a second fluid bolus may be given but is not the
priority, and potassium is not directly related to initiation.
Why Wrong:
A - Central venous access is not required for peripheral norepinephrine infusion if a large-
bore peripheral IV is available and the infusion is monitored.
C - While additional fluids may be needed, the immediate action before starting a
vasopressor is to ensure adequate IV access for both the drug and concurrent
therapies.
D - Serum potassium is not a prerequisite for norepinephrine initiation; this does not
address the immediate safety concern.
Reference: Surviving Sepsis Campaign (2021) Guidelines; AACN Core Curriculum.
Q2. Which pathophysiological mechanism most directly explains the development of
disseminated intravascular coagulation (DIC) in a patient with acute promyelocytic leukemia
(APL) undergoing induction chemotherapy?
A. Decreased synthesis of clotting factors due to hepatic infiltration by leukemic cells.
B. Release of procoagulant substances from leukemic promyelocytes triggering
systemic activation of coagulation.
C. Autoantibody-mediated destruction of platelets and consumption of coagulation
factors.
D. Overproduction of fibrinogen leading to hyperviscosity and microvascular
thrombosis.
Correct Answer: B. Release of procoagulant substances from leukemic promyelocytes
triggering systemic activation of coagulation.
Page 4
