MDC3 FINAL EXAM
2026/ 2027
Rasmussen University Medical-
Surgical Nursing III
Time allowed: 3 hours
Total questions: 75
SECTION 1: Multiple Choice Questions (Questions 1-65)
Select the best answer for each question.
Q1. 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
Q2. 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
,Q3. 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
Q4. 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
Q5. 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
Q6. 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
Q7. Post-operative priority for a client status post aortic valve replacement:
, A. Advance diet as tolerated
B. Monitor surgical site and assess for bleeding
C. Perform range-of-motion exercises
D. Administer routine immunizations
Q8. A client with known abdominal aortic aneurysm reports sudden severe back pain.
What is the nurse's priority action?
A. Administer prescribed analgesic
B. Notify provider immediately and prepare for surgery
C. Obtain orthostatic vital signs
D. Encourage deep breathing exercises
Q9. Appropriate nursing intervention for a client with newly diagnosed leukemia
includes:
A. Implementing protective isolation with strict hand hygiene
B. Administering therapeutic phlebotomy
C. Restricting fluid intake to 1 liter daily
D. Providing high-residue diet to prevent constipation
Q10. Priority discharge instruction for a client prescribed enoxaparin for VTE prevention:
A. "Have your INR checked weekly"
B. "Report dark, tarry stools immediately"
C. "Massage the injection site after administration"
D. "Take this medication with food"
Q11. Which procedure is indicated for a symptomatic pericardial effusion?
A. Thoracentesis
B. Pericardiocentesis
C. Cardiac catheterization
D. Thoracotomy with lobectomy
2026/ 2027
Rasmussen University Medical-
Surgical Nursing III
Time allowed: 3 hours
Total questions: 75
SECTION 1: Multiple Choice Questions (Questions 1-65)
Select the best answer for each question.
Q1. 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
Q2. 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
,Q3. 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
Q4. 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
Q5. 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
Q6. 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
Q7. Post-operative priority for a client status post aortic valve replacement:
, A. Advance diet as tolerated
B. Monitor surgical site and assess for bleeding
C. Perform range-of-motion exercises
D. Administer routine immunizations
Q8. A client with known abdominal aortic aneurysm reports sudden severe back pain.
What is the nurse's priority action?
A. Administer prescribed analgesic
B. Notify provider immediately and prepare for surgery
C. Obtain orthostatic vital signs
D. Encourage deep breathing exercises
Q9. Appropriate nursing intervention for a client with newly diagnosed leukemia
includes:
A. Implementing protective isolation with strict hand hygiene
B. Administering therapeutic phlebotomy
C. Restricting fluid intake to 1 liter daily
D. Providing high-residue diet to prevent constipation
Q10. Priority discharge instruction for a client prescribed enoxaparin for VTE prevention:
A. "Have your INR checked weekly"
B. "Report dark, tarry stools immediately"
C. "Massage the injection site after administration"
D. "Take this medication with food"
Q11. Which procedure is indicated for a symptomatic pericardial effusion?
A. Thoracentesis
B. Pericardiocentesis
C. Cardiac catheterization
D. Thoracotomy with lobectomy
