MDC3 Final Exam Review 2025 – Complete
Study Guide & Practice Questions real exam!!!
The nurse is arriving at the beginning of her shift and taken report on 4 clients on a med-surg unit.
Which client should the nurse see first?
A. A client with HTN with a BP of 172/92
B. a client with pain that is 2 days post op from a prostastectomy
C. A client ready for discharge education after treatment of an acute kidney injury
D. A client with history of asthma complaining of increased dyspnea - ANSWER ✔---D. A client with
history of asthma complaining of increased dyspnea
When educating a female client on signs and symptoms of a MI, the nurse recognizes which of the
following should be included in the teaching?
A. Women experience intermittent claudication
B. Substernal chest pain is the most common symptom in women
C. Pain usually resolves with rest and relaxation
D. Older adults and women often present with atypical signs and symptoms - ANSWER ✔---D. Older
adults and women often present with atypical signs and symptoms
Which of the following is a priority nursing intervention for a client in atrial fibrillation with a rate of 180
bpm.
A. Administer medications to slow the rate
B. Monitor urine output
,C. Administer anticoagulants
D. Apply compression socks - ANSWER ✔---A. Administer medications to slow the rate
The nurse educates the client that besides an echocardiogram, which of the following tests is the best
tool for diagnosing heart failure?
A. Pulmonary artery catheter
B. BNP
C. Radionuclide studies
D. Multigated angiographic scan (MUGA) - ANSWER ✔---B. BNP
A nurse is caring for a client diagnosed with polythemia vera. Which of the following should the nurse
include in the client and family education?
A. Resume normal activity
B. Diet high in vitamin K intake
C. Decrease fluid intake to no more than 1 liter per day
D. Wear support hose while awake - ANSWER ✔---D. Wear support hose while awake
The nurse is caring for a client who presented to the E.D with pulmonary edema, The client is
hypotensive with a spO2 of 85% on room air. Which of the following is a nursing priority?
A. Administer IV fluids
B. Obtain chest x-ray
C. Administer diuretics
D. Administer O2 - ANSWER ✔---D. Administer O2
The nurse is caring for 4 clients on a post surgical unit. The nurse understand that monitory the client for
which post-op complication takes priority?
A. Nausea
B. Pneumonia
C. Constipation
D. Urinary retention - ANSWER ✔---B. Pneumonia
,A nurse is performing discharge teaching for a client who has recently diagnosed with heart failure.
Which of the following should be included in the client teaching? SATA
A. Medication
B. Low Sodium Diet
C. Weekly Weights
D. symptoms to report to the provider
E. Fluid Restriction - ANSWER ✔---A. Medication
B. Low Sodium Diet
D. symptoms to report to the provider
E. Fluid Restriction
The nurse is caring for a client with mitral regurgitation. Which of the following would the nurse
anticipate the client to develop if left untreated?
A. Left-sided heart failure
B. Renal Failure
C. Right-sided heart failure
D. Myocardial ischemia - ANSWER ✔---A. Left-sided heart failure
A nurse is caring for a 65 year old male who recently underwent an aortic valve replacement. which of
the following is a postoperative nursing care priority?
A. Dress change
B. Assess for bleeding
C. Advance diet as tolerated
D. Temperature Monitoring - ANSWER ✔---B. Assess for bleeding
A nurse is caring for a client recently diagnosed with HTN. Which of the following should be included in
the discharge teaching?
A. Adherence to sodium restrictions
B. Decrease physical activity to avoid spiked in the BP
, C. Only check blood pressure at clinic or pharmacy
D. Diet changes are not recommended - ANSWER ✔---A. Adherence to sodium restrictions
A nurse is caring for a client with a history of an abdominal aortic aneurism. Which of the following
assessment findings requires immediate intervention?
A. Nausea and vomiting
B. Back pain
C. Decreased urine output
D. Absent peripheral pulses - ANSWER ✔---D. Absent peripheral pulses
A nurse is caring for a 19yr old male recently diagnosed with leukemia. Which of the following nursing
interventions is appropriate for the care of this client?
A. Strict hand hygiene to prevent infection
B. Therapeutic phlebotomy
C. Low residual diet
D. Fluid Restriction - ANSWER ✔---A. Strict hand hygiene to prevent infection
The nurse is discharging home a client at risk for venous thromboembolism on enoxaparin sodium. What
instruction is a priority for the nurse to provide to this client
A. You must have your PT/INR checked every 2 weeks
B. Notify your health care provider if your stools appear dark or tarry
C. Massage the injection site after the heparin is injected
D. You must have your aPTT checked every 72 hours - ANSWER ✔---B. Notify your health care
provider if your stools appear dark or tarry
Which of the following assessment findings are consistent with aortic stenosis?
A. Systolic click
B. Harsh systolic crescendo decrescendo murmur
C. Pitting edema
D. Atrial Fibrillation - ANSWER ✔---B. Harsh systolic crescendo decrescendo murmur
Study Guide & Practice Questions real exam!!!
The nurse is arriving at the beginning of her shift and taken report on 4 clients on a med-surg unit.
Which client should the nurse see first?
A. A client with HTN with a BP of 172/92
B. a client with pain that is 2 days post op from a prostastectomy
C. A client ready for discharge education after treatment of an acute kidney injury
D. A client with history of asthma complaining of increased dyspnea - ANSWER ✔---D. A client with
history of asthma complaining of increased dyspnea
When educating a female client on signs and symptoms of a MI, the nurse recognizes which of the
following should be included in the teaching?
A. Women experience intermittent claudication
B. Substernal chest pain is the most common symptom in women
C. Pain usually resolves with rest and relaxation
D. Older adults and women often present with atypical signs and symptoms - ANSWER ✔---D. Older
adults and women often present with atypical signs and symptoms
Which of the following is a priority nursing intervention for a client in atrial fibrillation with a rate of 180
bpm.
A. Administer medications to slow the rate
B. Monitor urine output
,C. Administer anticoagulants
D. Apply compression socks - ANSWER ✔---A. Administer medications to slow the rate
The nurse educates the client that besides an echocardiogram, which of the following tests is the best
tool for diagnosing heart failure?
A. Pulmonary artery catheter
B. BNP
C. Radionuclide studies
D. Multigated angiographic scan (MUGA) - ANSWER ✔---B. BNP
A nurse is caring for a client diagnosed with polythemia vera. Which of the following should the nurse
include in the client and family education?
A. Resume normal activity
B. Diet high in vitamin K intake
C. Decrease fluid intake to no more than 1 liter per day
D. Wear support hose while awake - ANSWER ✔---D. Wear support hose while awake
The nurse is caring for a client who presented to the E.D with pulmonary edema, The client is
hypotensive with a spO2 of 85% on room air. Which of the following is a nursing priority?
A. Administer IV fluids
B. Obtain chest x-ray
C. Administer diuretics
D. Administer O2 - ANSWER ✔---D. Administer O2
The nurse is caring for 4 clients on a post surgical unit. The nurse understand that monitory the client for
which post-op complication takes priority?
A. Nausea
B. Pneumonia
C. Constipation
D. Urinary retention - ANSWER ✔---B. Pneumonia
,A nurse is performing discharge teaching for a client who has recently diagnosed with heart failure.
Which of the following should be included in the client teaching? SATA
A. Medication
B. Low Sodium Diet
C. Weekly Weights
D. symptoms to report to the provider
E. Fluid Restriction - ANSWER ✔---A. Medication
B. Low Sodium Diet
D. symptoms to report to the provider
E. Fluid Restriction
The nurse is caring for a client with mitral regurgitation. Which of the following would the nurse
anticipate the client to develop if left untreated?
A. Left-sided heart failure
B. Renal Failure
C. Right-sided heart failure
D. Myocardial ischemia - ANSWER ✔---A. Left-sided heart failure
A nurse is caring for a 65 year old male who recently underwent an aortic valve replacement. which of
the following is a postoperative nursing care priority?
A. Dress change
B. Assess for bleeding
C. Advance diet as tolerated
D. Temperature Monitoring - ANSWER ✔---B. Assess for bleeding
A nurse is caring for a client recently diagnosed with HTN. Which of the following should be included in
the discharge teaching?
A. Adherence to sodium restrictions
B. Decrease physical activity to avoid spiked in the BP
, C. Only check blood pressure at clinic or pharmacy
D. Diet changes are not recommended - ANSWER ✔---A. Adherence to sodium restrictions
A nurse is caring for a client with a history of an abdominal aortic aneurism. Which of the following
assessment findings requires immediate intervention?
A. Nausea and vomiting
B. Back pain
C. Decreased urine output
D. Absent peripheral pulses - ANSWER ✔---D. Absent peripheral pulses
A nurse is caring for a 19yr old male recently diagnosed with leukemia. Which of the following nursing
interventions is appropriate for the care of this client?
A. Strict hand hygiene to prevent infection
B. Therapeutic phlebotomy
C. Low residual diet
D. Fluid Restriction - ANSWER ✔---A. Strict hand hygiene to prevent infection
The nurse is discharging home a client at risk for venous thromboembolism on enoxaparin sodium. What
instruction is a priority for the nurse to provide to this client
A. You must have your PT/INR checked every 2 weeks
B. Notify your health care provider if your stools appear dark or tarry
C. Massage the injection site after the heparin is injected
D. You must have your aPTT checked every 72 hours - ANSWER ✔---B. Notify your health care
provider if your stools appear dark or tarry
Which of the following assessment findings are consistent with aortic stenosis?
A. Systolic click
B. Harsh systolic crescendo decrescendo murmur
C. Pitting edema
D. Atrial Fibrillation - ANSWER ✔---B. Harsh systolic crescendo decrescendo murmur
