MDC III EXAM 2 (RASMUSSEN) NEWEST
2026/2027 ACTUAL EXAM TEST BANK|
MDC 3 EXAM 2 REVIEW WITH
COMPLETE REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY
GRADED A+ (MOST RECENT!!)
Question 1
A nurse is assessing a client with upper airway obstruction. Which of the following
assessment findings requires immediate intervention?
A. Restlessness and anxiety
B. Stridor and cyanosis
C. Tachycardia and diaphoresis
D. Elevated blood pressure
Correct Answer: B. Stridor and cyanosis
Rationale: Stridor (a high-pitched inspiratory sound) and cyanosis indicate severe
airway obstruction and impending respiratory failure. These findings require immediate
intervention to maintain a patent airway. Restlessness, tachycardia, and elevated blood
pressure are earlier signs of hypoxia, but stridor with cyanosis indicates a critical, life-
threatening emergency .
Question 2
A nurse is caring for a client who experienced facial trauma. Which of the
following findings indicates a cerebrospinal fluid (CSF) leak?
A. Blood-tinged drainage from the nose
B. Clear drainage from the nose that tests positive for glucose
,C. Purulent drainage from the nose
D. Copious bright red bleeding from the nose
Correct Answer: B. Clear drainage from the nose that tests positive for glucose
Rationale: CSF leakage is suspected when clear drainage from the nose or ears tests
positive for glucose. A "halo" or "ring" sign may be seen when drainage is placed on
gauze. Blood-tinged drainage is common with nasal fractures, purulent drainage
indicates infection, and bright red bleeding indicates active hemorrhage .
Question 3
A client is diagnosed with a nasal fracture. Which of the following nursing
interventions is the priority?
A. Apply ice to the nose
B. Assess the airway for patency
C. Administer pain medication
D. Apply nasal packing
Correct Answer: B. Assess the airway for patency
Rationale: Airway assessment is always the priority in any trauma situation. A nasal
fracture can cause swelling, bleeding, or displacement that obstructs the airway. After
ensuring a patent airway, the nurse can address bleeding, pain, and other interventions .
Question 4
A client with a nasal fracture is experiencing epistaxis. Which of the following is
the correct initial nursing intervention?
A. Apply direct lateral pressure to the nose for 10 minutes
B. Insert nasal packing
C. Apply ice to the back of the neck
D. Have the client tilt their head back
Correct Answer: A. Apply direct lateral pressure to the nose for 10 minutes
,Rationale: Applying direct lateral pressure to the nose for 10 minutes is the first-line
intervention for epistaxis. The client should lean forward (not backward) to prevent
aspiration of blood. Ice may be applied to the nose, and nasal packing may be used if
bleeding persists .
Question 5
A nurse is providing teaching to a client with a nasal fracture. Which of the
following instructions should the nurse include?
A. Blow the nose vigorously to clear clots
B. Avoid blowing the nose for 24 hours
C. Apply heat to the nose to reduce swelling
D. Sleep flat on the back
Correct Answer: B. Avoid blowing the nose for 24 hours
Rationale: Clients should avoid blowing their nose for at least 24 hours after a nasal
fracture to prevent clot disruption and further bleeding. Ice (not heat) should be applied
to reduce swelling, and the head should be elevated to minimize edema .
Question 6
Which of the following are risk factors for head and neck cancers? (Select All That
Apply)
A. Tobacco use
B. Alcohol use
C. Voice abuse
D. Chronic laryngitis
E. Long-term gastroesophageal reflux disease (GERD)
F. Oral human papillomavirus (HPV) infection
Correct Answer: A, B, C, D, E, F. All of the above
Rationale: Risk factors for head and neck cancers include tobacco use, alcohol use,
voice abuse, chronic laryngitis, exposure to chemicals, poor hygiene, long-term GERD,
, and oral HPV infections. These cancers are typically squamous cell carcinomas that are
slow-growing and generally curable when diagnosed early .
Question 7
A client is diagnosed with head and neck cancer. Which of the following
assessment findings should the nurse expect?
A. Painless lump in the neck
B. Weight gain
C. Increased appetite
D. Clear nasal drainage
Correct Answer: A. Painless lump in the neck
Rationale: A painless lump in the neck is a common finding in head and neck cancer
due to lymph node metastasis. Other symptoms include weight loss, difficulty
swallowing, oral lesions that do not heal in 2 weeks, unexplained oral bleeding,
hoarseness, and persistent sore throat .
Question 8
A nurse is caring for a client with laryngeal cancer who is scheduled for a
laryngectomy. Which of the following is the priority pre-operative nursing
intervention?
A. Explain the procedure to the family
B. Assess the client's understanding of post-operative communication changes
C. Administer prescribed medications
D. Obtain informed consent
Correct Answer: B. Assess the client's understanding of post-operative communication
changes
Rationale: A laryngectomy results in the loss of the voice box, and the client will need
alternative communication methods. Assessing the client's understanding and coping
2026/2027 ACTUAL EXAM TEST BANK|
MDC 3 EXAM 2 REVIEW WITH
COMPLETE REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY
GRADED A+ (MOST RECENT!!)
Question 1
A nurse is assessing a client with upper airway obstruction. Which of the following
assessment findings requires immediate intervention?
A. Restlessness and anxiety
B. Stridor and cyanosis
C. Tachycardia and diaphoresis
D. Elevated blood pressure
Correct Answer: B. Stridor and cyanosis
Rationale: Stridor (a high-pitched inspiratory sound) and cyanosis indicate severe
airway obstruction and impending respiratory failure. These findings require immediate
intervention to maintain a patent airway. Restlessness, tachycardia, and elevated blood
pressure are earlier signs of hypoxia, but stridor with cyanosis indicates a critical, life-
threatening emergency .
Question 2
A nurse is caring for a client who experienced facial trauma. Which of the
following findings indicates a cerebrospinal fluid (CSF) leak?
A. Blood-tinged drainage from the nose
B. Clear drainage from the nose that tests positive for glucose
,C. Purulent drainage from the nose
D. Copious bright red bleeding from the nose
Correct Answer: B. Clear drainage from the nose that tests positive for glucose
Rationale: CSF leakage is suspected when clear drainage from the nose or ears tests
positive for glucose. A "halo" or "ring" sign may be seen when drainage is placed on
gauze. Blood-tinged drainage is common with nasal fractures, purulent drainage
indicates infection, and bright red bleeding indicates active hemorrhage .
Question 3
A client is diagnosed with a nasal fracture. Which of the following nursing
interventions is the priority?
A. Apply ice to the nose
B. Assess the airway for patency
C. Administer pain medication
D. Apply nasal packing
Correct Answer: B. Assess the airway for patency
Rationale: Airway assessment is always the priority in any trauma situation. A nasal
fracture can cause swelling, bleeding, or displacement that obstructs the airway. After
ensuring a patent airway, the nurse can address bleeding, pain, and other interventions .
Question 4
A client with a nasal fracture is experiencing epistaxis. Which of the following is
the correct initial nursing intervention?
A. Apply direct lateral pressure to the nose for 10 minutes
B. Insert nasal packing
C. Apply ice to the back of the neck
D. Have the client tilt their head back
Correct Answer: A. Apply direct lateral pressure to the nose for 10 minutes
,Rationale: Applying direct lateral pressure to the nose for 10 minutes is the first-line
intervention for epistaxis. The client should lean forward (not backward) to prevent
aspiration of blood. Ice may be applied to the nose, and nasal packing may be used if
bleeding persists .
Question 5
A nurse is providing teaching to a client with a nasal fracture. Which of the
following instructions should the nurse include?
A. Blow the nose vigorously to clear clots
B. Avoid blowing the nose for 24 hours
C. Apply heat to the nose to reduce swelling
D. Sleep flat on the back
Correct Answer: B. Avoid blowing the nose for 24 hours
Rationale: Clients should avoid blowing their nose for at least 24 hours after a nasal
fracture to prevent clot disruption and further bleeding. Ice (not heat) should be applied
to reduce swelling, and the head should be elevated to minimize edema .
Question 6
Which of the following are risk factors for head and neck cancers? (Select All That
Apply)
A. Tobacco use
B. Alcohol use
C. Voice abuse
D. Chronic laryngitis
E. Long-term gastroesophageal reflux disease (GERD)
F. Oral human papillomavirus (HPV) infection
Correct Answer: A, B, C, D, E, F. All of the above
Rationale: Risk factors for head and neck cancers include tobacco use, alcohol use,
voice abuse, chronic laryngitis, exposure to chemicals, poor hygiene, long-term GERD,
, and oral HPV infections. These cancers are typically squamous cell carcinomas that are
slow-growing and generally curable when diagnosed early .
Question 7
A client is diagnosed with head and neck cancer. Which of the following
assessment findings should the nurse expect?
A. Painless lump in the neck
B. Weight gain
C. Increased appetite
D. Clear nasal drainage
Correct Answer: A. Painless lump in the neck
Rationale: A painless lump in the neck is a common finding in head and neck cancer
due to lymph node metastasis. Other symptoms include weight loss, difficulty
swallowing, oral lesions that do not heal in 2 weeks, unexplained oral bleeding,
hoarseness, and persistent sore throat .
Question 8
A nurse is caring for a client with laryngeal cancer who is scheduled for a
laryngectomy. Which of the following is the priority pre-operative nursing
intervention?
A. Explain the procedure to the family
B. Assess the client's understanding of post-operative communication changes
C. Administer prescribed medications
D. Obtain informed consent
Correct Answer: B. Assess the client's understanding of post-operative communication
changes
Rationale: A laryngectomy results in the loss of the voice box, and the client will need
alternative communication methods. Assessing the client's understanding and coping
