MDC III EXAM 1-3 (RASMUSSEN) NEWEST 2026/2027
ACTUAL EXAM TEST BANK| MDC 3 EXAM 1-3 REVIEW
WITH COMPLETE REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY GRADED A+
(MOST RECENT!!)
Question 1
A client with a urinary tract infection has just been diagnosed with acute kidney
injury. The provider ordered lab work to be done. The nurse expects which of the
following abnormal labs to be present in this client with acute kidney injury?
A. Creatinine = 1.6 mg/dL
B. BUN = 5 mg/dL
C. Calcium = 7.0 mg/dL
D. Potassium = 3.0 mEq/L
Correct Answer: A. Creatinine = 1.6 mg/dL
Rationale: In acute kidney injury, the kidneys cannot effectively filter waste products,
leading to increased serum creatinine and BUN levels. A creatinine of 1.6 mg/dL is
elevated (normal 0.6-1.2 mg/dL). BUN of 5 mg/dL is low/normal, and potassium of 3.0
mEq/L indicates hypokalemia, which is not expected in AKI (hyperkalemia is expected).
Question 2
The nurse includes which of the following in self-management teaching for a client
diagnosed with vulvovaginitis?
A. Cleanse the inner labial mucosa with water, not soap
B. Use feminine sprays
C. Wear tight-fitting clothing for support
D. Wipe from back to front
Correct Answer: A. Cleanse the inner labial mucosa with water, not soap
,Rationale: Soap can irritate the vaginal mucosa and disrupt the natural pH balance,
worsening vulvovaginitis. Patient education includes wearing cotton underwear, wiping
front to back, avoiding douching and feminine hygiene sprays, and using warm sitz
baths for comfort.
Question 3
The nurse educates a teenage client on the benefits of receiving the HPV vaccine
as protection against which type of cancer?
A. Endometrial cancer
B. Ovarian cancer
C. Uterine cancer
D. Cervical cancer
Correct Answer: D. Cervical cancer
Rationale: The HPV vaccine (Gardasil) protects against the strains of HPV most
commonly associated with cervical cancer. It is recommended for both boys and girls
ages 11-13, with 3 doses over 6 months. It also protects against genital warts and other
HPV-related cancers.
Question 4
A 40-year-old woman has heavy vaginal bleeding. Which of the following
questions is the PRIORITY when evaluating the client's chief complaint?
A. "Are you sexually active, and do you use oral contraceptives?"
B. "Are you feeling weak, dizzy, or lightheaded?"
C. "Have you been using any new feminine products?"
D. "Are you having any sensations of pain or cramping?"
Correct Answer: B. "Are you feeling weak, dizzy, or lightheaded?"
Rationale: This is a priority question to assess for signs of hypovolemia and anemia
from blood loss, which could be life-threatening. Assessing for hemodynamic instability
takes precedence over other history questions.
,Question 5
A nurse is providing education to a client diagnosed with urinary incontinence.
Which of the following should be included in the client's education?
A. Limit fluids to control the need to urinate
B. Drink caffeine daily
C. Avoid salt intake
D. Maintain an ideal body weight
Correct Answer: D. Maintain an ideal body weight
Rationale: Excess weight increases abdominal pressure on the bladder, exacerbating
incontinence. Education includes Kegel exercises, bladder training, avoiding fluids after
5-6 PM, avoiding caffeine, and maintaining an ideal body weight.
Question 6
A client experiencing secondary syphilis may experience which of the following
signs and symptoms? (Select All That Apply)
A. Diarrhea
B. Generalized rash
C. Headache
D. Low-grade fever
E. Malaise
Correct Answer: B, C, D, E. Generalized rash, Headache, Low-grade fever, Malaise
Rationale: Secondary syphilis occurs 6 weeks to 6 months after primary infection and
becomes systemic. Symptoms include generalized rash (often on palmar surfaces),
headache, low-grade fever, malaise, and patchy alopecia. Diarrhea is not a typical
symptom.
Question 7
, A nurse is teaching an older adult client who has diabetes about preventing the
long-term complications of nephropathy. Which of the following instructions
should the nurse include?
A. "Have an eye examination once per year."
B. "Examine your feet carefully every day."
C. "Maintain stable blood glucose levels."
D. "Wear compression stockings daily."
Correct Answer: C. "Maintain stable blood glucose levels."
Rationale: Maintaining stable blood glucose levels is crucial for preventing diabetic
nephropathy. Tight glycemic control reduces the risk of kidney damage. While eye
exams and foot exams are important for diabetes care, they are not specific to
preventing nephropathy.
Question 8
When educating a client, the nurse shares that which of the following is the most
common cause of chronic pyelonephritis?
A. Frequent bladder infections
B. Hematuria
C. Urinary retention
D. Difficulty starting urination
Correct Answer: A. Frequent bladder infections
Rationale: Chronic pyelonephritis most commonly results from repeated upper urinary
tract infections in patients with anatomical abnormalities of the urinary tract or recurrent
lower UTIs that ascend to the kidneys.
Question 9
A nurse is providing education about toxic shock syndrome (TSS). Which of the
following should the nurse include in the teaching?
ACTUAL EXAM TEST BANK| MDC 3 EXAM 1-3 REVIEW
WITH COMPLETE REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY GRADED A+
(MOST RECENT!!)
Question 1
A client with a urinary tract infection has just been diagnosed with acute kidney
injury. The provider ordered lab work to be done. The nurse expects which of the
following abnormal labs to be present in this client with acute kidney injury?
A. Creatinine = 1.6 mg/dL
B. BUN = 5 mg/dL
C. Calcium = 7.0 mg/dL
D. Potassium = 3.0 mEq/L
Correct Answer: A. Creatinine = 1.6 mg/dL
Rationale: In acute kidney injury, the kidneys cannot effectively filter waste products,
leading to increased serum creatinine and BUN levels. A creatinine of 1.6 mg/dL is
elevated (normal 0.6-1.2 mg/dL). BUN of 5 mg/dL is low/normal, and potassium of 3.0
mEq/L indicates hypokalemia, which is not expected in AKI (hyperkalemia is expected).
Question 2
The nurse includes which of the following in self-management teaching for a client
diagnosed with vulvovaginitis?
A. Cleanse the inner labial mucosa with water, not soap
B. Use feminine sprays
C. Wear tight-fitting clothing for support
D. Wipe from back to front
Correct Answer: A. Cleanse the inner labial mucosa with water, not soap
,Rationale: Soap can irritate the vaginal mucosa and disrupt the natural pH balance,
worsening vulvovaginitis. Patient education includes wearing cotton underwear, wiping
front to back, avoiding douching and feminine hygiene sprays, and using warm sitz
baths for comfort.
Question 3
The nurse educates a teenage client on the benefits of receiving the HPV vaccine
as protection against which type of cancer?
A. Endometrial cancer
B. Ovarian cancer
C. Uterine cancer
D. Cervical cancer
Correct Answer: D. Cervical cancer
Rationale: The HPV vaccine (Gardasil) protects against the strains of HPV most
commonly associated with cervical cancer. It is recommended for both boys and girls
ages 11-13, with 3 doses over 6 months. It also protects against genital warts and other
HPV-related cancers.
Question 4
A 40-year-old woman has heavy vaginal bleeding. Which of the following
questions is the PRIORITY when evaluating the client's chief complaint?
A. "Are you sexually active, and do you use oral contraceptives?"
B. "Are you feeling weak, dizzy, or lightheaded?"
C. "Have you been using any new feminine products?"
D. "Are you having any sensations of pain or cramping?"
Correct Answer: B. "Are you feeling weak, dizzy, or lightheaded?"
Rationale: This is a priority question to assess for signs of hypovolemia and anemia
from blood loss, which could be life-threatening. Assessing for hemodynamic instability
takes precedence over other history questions.
,Question 5
A nurse is providing education to a client diagnosed with urinary incontinence.
Which of the following should be included in the client's education?
A. Limit fluids to control the need to urinate
B. Drink caffeine daily
C. Avoid salt intake
D. Maintain an ideal body weight
Correct Answer: D. Maintain an ideal body weight
Rationale: Excess weight increases abdominal pressure on the bladder, exacerbating
incontinence. Education includes Kegel exercises, bladder training, avoiding fluids after
5-6 PM, avoiding caffeine, and maintaining an ideal body weight.
Question 6
A client experiencing secondary syphilis may experience which of the following
signs and symptoms? (Select All That Apply)
A. Diarrhea
B. Generalized rash
C. Headache
D. Low-grade fever
E. Malaise
Correct Answer: B, C, D, E. Generalized rash, Headache, Low-grade fever, Malaise
Rationale: Secondary syphilis occurs 6 weeks to 6 months after primary infection and
becomes systemic. Symptoms include generalized rash (often on palmar surfaces),
headache, low-grade fever, malaise, and patchy alopecia. Diarrhea is not a typical
symptom.
Question 7
, A nurse is teaching an older adult client who has diabetes about preventing the
long-term complications of nephropathy. Which of the following instructions
should the nurse include?
A. "Have an eye examination once per year."
B. "Examine your feet carefully every day."
C. "Maintain stable blood glucose levels."
D. "Wear compression stockings daily."
Correct Answer: C. "Maintain stable blood glucose levels."
Rationale: Maintaining stable blood glucose levels is crucial for preventing diabetic
nephropathy. Tight glycemic control reduces the risk of kidney damage. While eye
exams and foot exams are important for diabetes care, they are not specific to
preventing nephropathy.
Question 8
When educating a client, the nurse shares that which of the following is the most
common cause of chronic pyelonephritis?
A. Frequent bladder infections
B. Hematuria
C. Urinary retention
D. Difficulty starting urination
Correct Answer: A. Frequent bladder infections
Rationale: Chronic pyelonephritis most commonly results from repeated upper urinary
tract infections in patients with anatomical abnormalities of the urinary tract or recurrent
lower UTIs that ascend to the kidneys.
Question 9
A nurse is providing education about toxic shock syndrome (TSS). Which of the
following should the nurse include in the teaching?
