RASMUSSEN UNIVERSITY
Bachelor of Science in Nursing (BSN)
MDC III - Multidimensional Care III
Academic Year: 2026/2027
Exam 1 Question Bank - Reproductive & Renal Disorders
Question 1
A 20-year-old sexually active male reports symptoms of a low-grade fever, headache,
malaise, muscular aches, sore throat, and a rash on his hands and feet. What condition
does the nurse anticipate?
A. HIV
B. HPV
C. Syphilis
D. Gonorrhea
CORRECT ANSWER C. Syphilis
RATIONALE
Secondary syphilis presents with systemic flu-like symptoms (fever, malaise, headache, sore
throat, muscle aches) and a characteristic rash on the palms of the hands and soles of the feet.
This stage occurs 6 weeks to 6 months after primary infection.
, Question 2
A client returns from surgery after a laparoscopic total abdominal hysterectomy. On
initial assessment, which finding by the nurse requires immediate intervention?
A. Decreased bowel sounds in all quadrants
B. Heavy vaginal bleeding with clots
C. Temperature of 99°F (37.2°C)
D. Client statement that pain is a 4 on a scale of 0 to 10
CORRECT ANSWER B. Heavy vaginal bleeding with clots
RATIONALE
Heavy vaginal bleeding with clots indicates postoperative hemorrhage, which is a life-threatening
complication requiring immediate intervention. Decreased bowel sounds, low-grade fever, and
mild pain are expected postoperative findings.
Question 3
A 70-year-old woman with chronic kidney disease and a history of type 2 diabetes had
surgery two weeks ago to place a vascular graft access for hemodialysis. Which
precaution will the nurse follow to ensure the function of the AV graft?
A. Insert an IV and run saline at 10 mL/hr.
B. Keep the patient's arm elevated on two pillows.
C. Monitor blood pressure and radial pulses in both arms.
D. Check for a bruit and thrill by auscultation and palpation over the site.
CORRECT ANSWER
D. Check for a bruit and thrill by auscultation and palpation over the site.
RATIONALE
A bruit (audible) and thrill (palpable) indicate patency and function of an AV graft or fistula.
Absence suggests thrombosis or malfunction requiring immediate intervention. No BP, IV, or
blood draws should be performed on the access arm.
Bachelor of Science in Nursing (BSN)
MDC III - Multidimensional Care III
Academic Year: 2026/2027
Exam 1 Question Bank - Reproductive & Renal Disorders
Question 1
A 20-year-old sexually active male reports symptoms of a low-grade fever, headache,
malaise, muscular aches, sore throat, and a rash on his hands and feet. What condition
does the nurse anticipate?
A. HIV
B. HPV
C. Syphilis
D. Gonorrhea
CORRECT ANSWER C. Syphilis
RATIONALE
Secondary syphilis presents with systemic flu-like symptoms (fever, malaise, headache, sore
throat, muscle aches) and a characteristic rash on the palms of the hands and soles of the feet.
This stage occurs 6 weeks to 6 months after primary infection.
, Question 2
A client returns from surgery after a laparoscopic total abdominal hysterectomy. On
initial assessment, which finding by the nurse requires immediate intervention?
A. Decreased bowel sounds in all quadrants
B. Heavy vaginal bleeding with clots
C. Temperature of 99°F (37.2°C)
D. Client statement that pain is a 4 on a scale of 0 to 10
CORRECT ANSWER B. Heavy vaginal bleeding with clots
RATIONALE
Heavy vaginal bleeding with clots indicates postoperative hemorrhage, which is a life-threatening
complication requiring immediate intervention. Decreased bowel sounds, low-grade fever, and
mild pain are expected postoperative findings.
Question 3
A 70-year-old woman with chronic kidney disease and a history of type 2 diabetes had
surgery two weeks ago to place a vascular graft access for hemodialysis. Which
precaution will the nurse follow to ensure the function of the AV graft?
A. Insert an IV and run saline at 10 mL/hr.
B. Keep the patient's arm elevated on two pillows.
C. Monitor blood pressure and radial pulses in both arms.
D. Check for a bruit and thrill by auscultation and palpation over the site.
CORRECT ANSWER
D. Check for a bruit and thrill by auscultation and palpation over the site.
RATIONALE
A bruit (audible) and thrill (palpable) indicate patency and function of an AV graft or fistula.
Absence suggests thrombosis or malfunction requiring immediate intervention. No BP, IV, or
blood draws should be performed on the access arm.
