Rasmussen University
3 MAXE · 2CDM
★ ★
R School of Nursing
EST. 1900
EMPOWERED LEARNING. INSPIRED FUTURES.
MDC II — Exam 3 Nursing Review
G I · E N D O C R I N E · O N CO LO G Y · F LU I D & E L E CT R O LYT E S · D I A B E T E S
INSTITUTION Rasmussen University COURSE CODE MDC2
PROGRAM Associate of Science in Nursing — ACADEMIC YEAR
ADN
EXAM TITLE MDC II Exam 3 — Comprehensive COURSE TITLE Multidimensional Care II
Review
TOTAL QUESTIONS 82 Questions FORMAT Multiple Choice — Select the
Single Best Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each multiple-choice question.
▸ Content covers GI disorders, endocrine conditions, oncology, fluid & electrolytes, diabetes management,
and end-of-life care.
▸ Normal lab values and clinical parameters are integrated throughout rationales.
▸ Correct answers and clinical rationales appear below each question for board review purposes.
▸ All data reflects current evidence-based nursing practice.
, COMPREHENSIVE NURSING REVIEW Questions 1 – 82
1. Two days after a bowel resection, what is the nurse's priority assessment?
A. Neurological assessment
B. Abdominal assessment to prevent complications
C. Cardiac telemetry monitoring
D. Extremity pulse assessment
CORRECT ANSWER B — Abdominal assessment to prevent complications.
RATIONALE Post-bowel resection, the priority assessment is the abdomen — the nurse must
assess for return of bowel sounds (indicating peristalsis), distention, pain, and
signs of complications: anastomotic leak (fever, tachycardia, peritonitis), wound
infection, or paralytic ileus. Early detection of complications prevents progression
to life-threatening conditions. Bowel sounds typically return within 48–72 hours
post-op. The nurse also monitors NG tube drainage and surgical site.
2. A patient's parenteral nutrition (PN) bag runs out and a new bag is not available. What
should the nurse administer to prevent rebound hypoglycemia?
A. 0.9% Normal Saline
B. 10% Dextrose solution
C. Lactated Ringer's
D. 0.45% Normal Saline
CORRECT ANSWER B — 10% Dextrose solution.
RATIONALE TPN contains high concentrations of dextrose (typically 25–35%). When TPN is
abruptly stopped, the pancreas continues to secrete insulin in response to the
high glucose load, but the dextrose source is gone → rapid hypoglycemia. A 10%
dextrose solution must be administered to prevent rebound hypoglycemia while
awaiting the next TPN bag. TPN must NEVER be abruptly stopped — it should be
tapered when discontinuing. The nurse must always have a backup bag or
dextrose solution available.
3 MAXE · 2CDM
★ ★
R School of Nursing
EST. 1900
EMPOWERED LEARNING. INSPIRED FUTURES.
MDC II — Exam 3 Nursing Review
G I · E N D O C R I N E · O N CO LO G Y · F LU I D & E L E CT R O LYT E S · D I A B E T E S
INSTITUTION Rasmussen University COURSE CODE MDC2
PROGRAM Associate of Science in Nursing — ACADEMIC YEAR
ADN
EXAM TITLE MDC II Exam 3 — Comprehensive COURSE TITLE Multidimensional Care II
Review
TOTAL QUESTIONS 82 Questions FORMAT Multiple Choice — Select the
Single Best Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each multiple-choice question.
▸ Content covers GI disorders, endocrine conditions, oncology, fluid & electrolytes, diabetes management,
and end-of-life care.
▸ Normal lab values and clinical parameters are integrated throughout rationales.
▸ Correct answers and clinical rationales appear below each question for board review purposes.
▸ All data reflects current evidence-based nursing practice.
, COMPREHENSIVE NURSING REVIEW Questions 1 – 82
1. Two days after a bowel resection, what is the nurse's priority assessment?
A. Neurological assessment
B. Abdominal assessment to prevent complications
C. Cardiac telemetry monitoring
D. Extremity pulse assessment
CORRECT ANSWER B — Abdominal assessment to prevent complications.
RATIONALE Post-bowel resection, the priority assessment is the abdomen — the nurse must
assess for return of bowel sounds (indicating peristalsis), distention, pain, and
signs of complications: anastomotic leak (fever, tachycardia, peritonitis), wound
infection, or paralytic ileus. Early detection of complications prevents progression
to life-threatening conditions. Bowel sounds typically return within 48–72 hours
post-op. The nurse also monitors NG tube drainage and surgical site.
2. A patient's parenteral nutrition (PN) bag runs out and a new bag is not available. What
should the nurse administer to prevent rebound hypoglycemia?
A. 0.9% Normal Saline
B. 10% Dextrose solution
C. Lactated Ringer's
D. 0.45% Normal Saline
CORRECT ANSWER B — 10% Dextrose solution.
RATIONALE TPN contains high concentrations of dextrose (typically 25–35%). When TPN is
abruptly stopped, the pancreas continues to secrete insulin in response to the
high glucose load, but the dextrose source is gone → rapid hypoglycemia. A 10%
dextrose solution must be administered to prevent rebound hypoglycemia while
awaiting the next TPN bag. TPN must NEVER be abruptly stopped — it should be
tapered when discontinuing. The nurse must always have a backup bag or
dextrose solution available.
