MDC 3 CERTIFICATION EVALUATION
QUESTIONS AND CORRECT ANSWERS
PRACTICE PACK
●● Postmenopausal bleeding after 5 years — expected test
Answer: Endometrial biopsy
●● Stage III ovarian cancer — likely nursing diagnosis
Answer: Anxiety related to cancer diagnosis and need for treatment
decisions
●● Endometrial biopsy teaching — who needs it
Answer: 35-year-old patient with long-term oral contraceptive use
●● HPV infection + smoking + repeated candidiasis — teaching
Answer: Risk factors for cervical cancer
●● Uterine leiomyoma with bleeding — teaching
Answer: Symptoms may decrease after menopause
●● Radical vulvectomy — greatest postop risk
Answer: Wound infection
, ●● Pap test result normal, HPV vaccinated — teaching
Answer: Pap testing every 3 years for women her age
●● Preventing vulvovaginitis education
Answer: Wear loose cotton underwear
●● Toxic shock syndrome (TSS) — incorrect prevention teaching
Answer: "I need to change my tampon every 8 hours during the day."
(Too long — change every 4-6 hrs)
●● Most important action for TSS in ER
Answer: Administer IV fluids to maintain fluid and electrolyte balance
●● Postmenopausal woman with pelvic pressure, UTIs, urgency
Answer: Cystocele
●● Delegation after anterior colporrhaphy
Answer: UAP may draw a shallow hot bath for comfort
●● Post-op total abdominal hysterectomy — priority assessment
Answer: Two saturated perineal pads in last 2 hours (possible
hemorrhage)
QUESTIONS AND CORRECT ANSWERS
PRACTICE PACK
●● Postmenopausal bleeding after 5 years — expected test
Answer: Endometrial biopsy
●● Stage III ovarian cancer — likely nursing diagnosis
Answer: Anxiety related to cancer diagnosis and need for treatment
decisions
●● Endometrial biopsy teaching — who needs it
Answer: 35-year-old patient with long-term oral contraceptive use
●● HPV infection + smoking + repeated candidiasis — teaching
Answer: Risk factors for cervical cancer
●● Uterine leiomyoma with bleeding — teaching
Answer: Symptoms may decrease after menopause
●● Radical vulvectomy — greatest postop risk
Answer: Wound infection
, ●● Pap test result normal, HPV vaccinated — teaching
Answer: Pap testing every 3 years for women her age
●● Preventing vulvovaginitis education
Answer: Wear loose cotton underwear
●● Toxic shock syndrome (TSS) — incorrect prevention teaching
Answer: "I need to change my tampon every 8 hours during the day."
(Too long — change every 4-6 hrs)
●● Most important action for TSS in ER
Answer: Administer IV fluids to maintain fluid and electrolyte balance
●● Postmenopausal woman with pelvic pressure, UTIs, urgency
Answer: Cystocele
●● Delegation after anterior colporrhaphy
Answer: UAP may draw a shallow hot bath for comfort
●● Post-op total abdominal hysterectomy — priority assessment
Answer: Two saturated perineal pads in last 2 hours (possible
hemorrhage)
