MDC III EXAM 2 (RASMUSSEN) NEWEST 2026 TEST BANK - 200
PRACTICE QUESTIONS WITH CORRECT ANSWERS &
EXPLANATIONS
SECTION 1: RESPIRATORY DISORDERS (Questions 1-50)
1. A client with chronic bronchitis often shows signs of hypoxia. Which assessment is the
priority to monitor for in this client?
• A) Barrel chest development
• B) Nutritional status
• C) Oxygen saturation levels
• D) Clubbing of fingers
Correct Answer: C) Oxygen saturation levels
Explanation: In chronic bronchitis, hypoxia is a primary concern due to chronic inflammation and
mucus production obstructing airways. Monitoring oxygen saturation is the priority to detect
early signs of respiratory compromise and prevent complications like respiratory failure. Barrel
chest and clubbing are chronic changes that develop over time, while nutritional status is
important but not the priority when hypoxia is a concern .
2. Which position offers NO benefit to relieve dyspnea in a client with chronic airflow
limitation?
• A) Sitting at the edge of a chair, leaning forward with arms folded and resting on a table
• B) Low semi-reclining position with shoulders back and knees apart
• C) Leaning forward in a chair with feet spread apart and elbows placed on knees
• D) Upright position with head slightly flexed, feet spread apart, and shoulders relaxed
Correct Answer: B) Low semi-reclining position with shoulders back and knees apart
Explanation: The tripod position (leaning forward with arms supported) and upright positioning
help relieve dyspnea by allowing maximal chest expansion and permitting accessory muscles to
,assist with breathing. A low semi-reclining position does not provide the same mechanical
advantage and may actually impede diaphragmatic movement .
3. Which assessment finding does the nurse interpret as being associated most closely with
lung disease?
• A) Cough
• B) Dyspnea
• C) Chest pain
• D) Sputum production
Correct Answer: A) Cough
Explanation: Cough is a main sign of lung disease and is often the earliest indicator. Dyspnea is a
subjective perception that varies among patients and may not be consistent with the severity of
the presenting problem. Sputum production may be associated with coughing but can indicate
other conditions. Chest pain can occur with other health problems as well as lung problems .
4. A nurse is teaching a client about their new diagnosis of pulmonary fibrosis. Which
statement would the nurse include in the teaching?
• A) "A sputum culture may show the presence of mycobacterium."
• B) "This is an incurable, autosomal recessive genetic disease that affects many organs."
• C) "Inflammation of the mucous membranes in the airways can trigger an attack."
• D) "Most clients have progressive disease with a life expectancy of less than 5 years."
Correct Answer: C) "Inflammation of the mucous membranes in the airways can trigger an
attack."
Explanation: Pulmonary fibrosis involves inflammation and scarring of lung tissue. The
inflammatory process in the airways can trigger exacerbations. This condition is not typically
autosomal recessive, and while progressive, life expectancy varies significantly among patients .
5. A nurse is providing discharge instructions to a client recently diagnosed with TB. Which
statements by the client indicate correct understanding of the teaching? (Select all that apply)
, • A) "I will follow up with my healthcare provider regularly."
• B) "My family does not require testing."
• C) "I need to strictly adhere to my medication schedule."
• D) "I will avoid alcoholic beverages while on this treatment plan."
• E) "I will visit the clinic every week for injections of medication."
Correct Answers: A, C, D
Explanation: TB treatment requires regular follow-up, strict medication adherence to prevent
drug resistance, and avoidance of alcohol due to potential hepatotoxicity from TB medications.
Family members and close contacts should be tested for TB exposure. Weekly injections are not
typically required; TB is primarily treated with oral medications .
6. The nurse is teaching a client about post-rhinoplasty care. Which statement by the client
indicates an understanding of the instructions?
• A) "I should remain supine if possible."
• B) "I should take over-the-counter NSAIDs."
• C) "I will have nasal packing and a mustache dressing."
• D) "I will be able to breathe only from my nose."
Correct Answer: C) "I will have nasal packing and a mustache dressing."
Explanation: Post-rhinoplasty care includes nasal packing and a small drip pad (mustache
dressing) to absorb drainage. Patients should keep their head elevated, not supine. NSAIDs
should be avoided due to bleeding risk. Mouth breathing is expected due to nasal packing .
7. Which statement from a client with seasonal influenza requires additional teaching?
• A) "I'm contagious only when symptoms are present."
• B) "I can reduce my risk by implementing good hand hygiene."
• C) "I should receive a new influenza vaccine every year."
• D) "I can be diagnosed on presentation of symptoms."
Correct Answer: A) "I'm contagious only when symptoms are present."
, Explanation: Clients with influenza can be contagious 1 day before symptoms develop and up to
5-7 days after becoming sick. The statement that one is contagious only when symptoms are
present is incorrect and requires additional teaching .
8. A nurse is providing teaching to a client recently diagnosed with sleep apnea. Which
statement by the client indicates an understanding of the teaching?
• A) "Sleep apnea only has an impact on my mental concentration."
• B) "I should contact the provider if my oxygen level is below 90%."
• C) "I should begin treatment only if my snoring impacts my partner."
• D) "I should contact the provider for a prescription for sleep medication."
Correct Answer: B) "I should contact the provider if my oxygen level is below 90%."
Explanation: Sleep apnea causes intermittent hypoxia that can lead to serious cardiovascular
complications. Oxygen saturation below 90% indicates significant desaturation requiring
medical attention. Sleep apnea affects more than mental concentration and treatment should
not be delayed based solely on impact on others .
9. A nurse is caring for a client who has emphysema. Which findings should the nurse expect
to assess? (Select all that apply)
• A) Weight gain
• B) Wheezing
• C) Tachypnea
• D) Barrel chest
• E) Distended jugular vein
Correct Answers: B, C, D
Explanation: Emphysema is characterized by destruction of alveolar walls, leading to air
trapping, hyperinflation, and a barrel chest appearance. Wheezing may occur due to airway
narrowing, and tachypnea is a compensatory response to hypoxia. Weight loss, not gain, is
common due to increased work of breathing. Distended jugular veins may occur in cor
pulmonale but are not a classic finding .
PRACTICE QUESTIONS WITH CORRECT ANSWERS &
EXPLANATIONS
SECTION 1: RESPIRATORY DISORDERS (Questions 1-50)
1. A client with chronic bronchitis often shows signs of hypoxia. Which assessment is the
priority to monitor for in this client?
• A) Barrel chest development
• B) Nutritional status
• C) Oxygen saturation levels
• D) Clubbing of fingers
Correct Answer: C) Oxygen saturation levels
Explanation: In chronic bronchitis, hypoxia is a primary concern due to chronic inflammation and
mucus production obstructing airways. Monitoring oxygen saturation is the priority to detect
early signs of respiratory compromise and prevent complications like respiratory failure. Barrel
chest and clubbing are chronic changes that develop over time, while nutritional status is
important but not the priority when hypoxia is a concern .
2. Which position offers NO benefit to relieve dyspnea in a client with chronic airflow
limitation?
• A) Sitting at the edge of a chair, leaning forward with arms folded and resting on a table
• B) Low semi-reclining position with shoulders back and knees apart
• C) Leaning forward in a chair with feet spread apart and elbows placed on knees
• D) Upright position with head slightly flexed, feet spread apart, and shoulders relaxed
Correct Answer: B) Low semi-reclining position with shoulders back and knees apart
Explanation: The tripod position (leaning forward with arms supported) and upright positioning
help relieve dyspnea by allowing maximal chest expansion and permitting accessory muscles to
,assist with breathing. A low semi-reclining position does not provide the same mechanical
advantage and may actually impede diaphragmatic movement .
3. Which assessment finding does the nurse interpret as being associated most closely with
lung disease?
• A) Cough
• B) Dyspnea
• C) Chest pain
• D) Sputum production
Correct Answer: A) Cough
Explanation: Cough is a main sign of lung disease and is often the earliest indicator. Dyspnea is a
subjective perception that varies among patients and may not be consistent with the severity of
the presenting problem. Sputum production may be associated with coughing but can indicate
other conditions. Chest pain can occur with other health problems as well as lung problems .
4. A nurse is teaching a client about their new diagnosis of pulmonary fibrosis. Which
statement would the nurse include in the teaching?
• A) "A sputum culture may show the presence of mycobacterium."
• B) "This is an incurable, autosomal recessive genetic disease that affects many organs."
• C) "Inflammation of the mucous membranes in the airways can trigger an attack."
• D) "Most clients have progressive disease with a life expectancy of less than 5 years."
Correct Answer: C) "Inflammation of the mucous membranes in the airways can trigger an
attack."
Explanation: Pulmonary fibrosis involves inflammation and scarring of lung tissue. The
inflammatory process in the airways can trigger exacerbations. This condition is not typically
autosomal recessive, and while progressive, life expectancy varies significantly among patients .
5. A nurse is providing discharge instructions to a client recently diagnosed with TB. Which
statements by the client indicate correct understanding of the teaching? (Select all that apply)
, • A) "I will follow up with my healthcare provider regularly."
• B) "My family does not require testing."
• C) "I need to strictly adhere to my medication schedule."
• D) "I will avoid alcoholic beverages while on this treatment plan."
• E) "I will visit the clinic every week for injections of medication."
Correct Answers: A, C, D
Explanation: TB treatment requires regular follow-up, strict medication adherence to prevent
drug resistance, and avoidance of alcohol due to potential hepatotoxicity from TB medications.
Family members and close contacts should be tested for TB exposure. Weekly injections are not
typically required; TB is primarily treated with oral medications .
6. The nurse is teaching a client about post-rhinoplasty care. Which statement by the client
indicates an understanding of the instructions?
• A) "I should remain supine if possible."
• B) "I should take over-the-counter NSAIDs."
• C) "I will have nasal packing and a mustache dressing."
• D) "I will be able to breathe only from my nose."
Correct Answer: C) "I will have nasal packing and a mustache dressing."
Explanation: Post-rhinoplasty care includes nasal packing and a small drip pad (mustache
dressing) to absorb drainage. Patients should keep their head elevated, not supine. NSAIDs
should be avoided due to bleeding risk. Mouth breathing is expected due to nasal packing .
7. Which statement from a client with seasonal influenza requires additional teaching?
• A) "I'm contagious only when symptoms are present."
• B) "I can reduce my risk by implementing good hand hygiene."
• C) "I should receive a new influenza vaccine every year."
• D) "I can be diagnosed on presentation of symptoms."
Correct Answer: A) "I'm contagious only when symptoms are present."
, Explanation: Clients with influenza can be contagious 1 day before symptoms develop and up to
5-7 days after becoming sick. The statement that one is contagious only when symptoms are
present is incorrect and requires additional teaching .
8. A nurse is providing teaching to a client recently diagnosed with sleep apnea. Which
statement by the client indicates an understanding of the teaching?
• A) "Sleep apnea only has an impact on my mental concentration."
• B) "I should contact the provider if my oxygen level is below 90%."
• C) "I should begin treatment only if my snoring impacts my partner."
• D) "I should contact the provider for a prescription for sleep medication."
Correct Answer: B) "I should contact the provider if my oxygen level is below 90%."
Explanation: Sleep apnea causes intermittent hypoxia that can lead to serious cardiovascular
complications. Oxygen saturation below 90% indicates significant desaturation requiring
medical attention. Sleep apnea affects more than mental concentration and treatment should
not be delayed based solely on impact on others .
9. A nurse is caring for a client who has emphysema. Which findings should the nurse expect
to assess? (Select all that apply)
• A) Weight gain
• B) Wheezing
• C) Tachypnea
• D) Barrel chest
• E) Distended jugular vein
Correct Answers: B, C, D
Explanation: Emphysema is characterized by destruction of alveolar walls, leading to air
trapping, hyperinflation, and a barrel chest appearance. Wheezing may occur due to airway
narrowing, and tachypnea is a compensatory response to hypoxia. Weight loss, not gain, is
common due to increased work of breathing. Distended jugular veins may occur in cor
pulmonale but are not a classic finding .
