NR565 Multidimensional Care 3 (MDC3) Practice
Rasmussen NUR2502/NUR2759
Multidimensional Care 3 (MDC3)
Exam I Practice Test — Best 100 Questions , correct answers and
rationales (2026)
Covers reproductive/breast disorders, gynecologic disorders & STIs, urinary/renal disorders, respiratory disorders,
neurological disorders (seizures), infection control/isolation, and general multidimensional nursing care concepts.
The correct answer is bolded and highlighted in yellow immediately below each question's choices, followed by a brief
rationale.
1
, NR565 Multidimensional Care 3 (MDC3) Practice
Contents
Reproductive & Breast Disorders — Questions 1–18
Gynecologic Disorders & Sexually Transmitted Infections — Questions 19–33
Urinary & Renal Disorders — Questions 34–50
Respiratory Disorders — Questions 51–70
Neurological Disorders (Seizures & Related Conditions) — Questions 71–85
Infection Control & Isolation Precautions — Questions 86–90
General Nursing Care, Assessment & Patient Education — Questions 91–100
2
, NR565 Multidimensional Care 3 (MDC3) Practice
Reproductive & Breast Disorders
1. Which risk factor is most strongly associated with the development of breast cancer?
A. Being female, older than 50, with a BRCA1 or BRCA2 gene mutation
B. Male sex with no family history
C. Young age at first pregnancy
D. History of breastfeeding for over 12 months
Correct Answer: A. Being female, older than 50, with a BRCA1 or BRCA2 gene mutation
Rationale: Female sex, advancing age, and BRCA1/BRCA2 mutations are among the strongest known risk factors for
breast cancer development.
2. A patient asks how often a clinical breast exam should be performed. The nurse's best response, per current general
guidance, is that patients should:
A. Discuss the appropriate breast cancer screening schedule with their provider based on individual risk factors
B. Never need a clinical breast exam if performing self-exams
C. Have a clinical breast exam only once in a lifetime
D. Avoid all breast screening until symptoms develop
Correct Answer: A. Discuss the appropriate breast cancer screening schedule with their provider based on
individual risk factors
Rationale: Current guidance emphasizes individualized, shared decision-making between patient and provider
regarding breast cancer screening schedules based on personal risk factors.
3. A patient with a new palpable breast mass is scheduled for a mammogram and possible biopsy. The nurse understands that
a mammographic finding of microcalcifications with irregular borders is:
A. Suspicious for malignancy and requires further diagnostic workup
B. Always a benign finding requiring no follow-up
C. Diagnostic of infection only
D. An expected normal finding in all patients
Correct Answer: A. Suspicious for malignancy and requires further diagnostic workup
Rationale: Irregular, clustered microcalcifications on mammography are a suspicious finding for malignancy and
warrant further diagnostic evaluation, such as biopsy.
4. A patient recovering from a mastectomy asks about arm precautions on the affected side. Appropriate nursing teaching
includes:
A. Avoid blood pressure measurements, injections, and venipuncture on the affected arm
B. Encourage vigorous, heavy lifting on the affected side immediately
C. No precautions are necessary regardless of lymph node involvement
D. Avoid all arm movement permanently
Correct Answer: A. Avoid blood pressure measurements, injections, and venipuncture on the affected arm
Rationale: Avoiding blood pressure cuffs, injections, and venipuncture on the affected arm (especially with axillary
lymph node dissection) helps reduce the risk of lymphedema and infection.
5. Which finding after mastectomy with axillary lymph node dissection should the nurse teach the patient to report promptly?
A. Swelling, heaviness, or tightness in the affected arm (possible lymphedema)
B. Mild, expected incisional soreness
C. Slight bruising immediately post-op
D. Normal healing progress with no new symptoms
Correct Answer: A. Swelling, heaviness, or tightness in the affected arm (possible lymphedema)
Rationale: New swelling, heaviness, or tightness in the arm after axillary lymph node dissection may indicate
lymphedema, requiring prompt evaluation and management.
6. A patient with fibrocystic breast changes asks about symptom management. Appropriate nursing teaching includes:
A. Wearing a supportive bra and reducing caffeine intake may help reduce discomfort
3
Rasmussen NUR2502/NUR2759
Multidimensional Care 3 (MDC3)
Exam I Practice Test — Best 100 Questions , correct answers and
rationales (2026)
Covers reproductive/breast disorders, gynecologic disorders & STIs, urinary/renal disorders, respiratory disorders,
neurological disorders (seizures), infection control/isolation, and general multidimensional nursing care concepts.
The correct answer is bolded and highlighted in yellow immediately below each question's choices, followed by a brief
rationale.
1
, NR565 Multidimensional Care 3 (MDC3) Practice
Contents
Reproductive & Breast Disorders — Questions 1–18
Gynecologic Disorders & Sexually Transmitted Infections — Questions 19–33
Urinary & Renal Disorders — Questions 34–50
Respiratory Disorders — Questions 51–70
Neurological Disorders (Seizures & Related Conditions) — Questions 71–85
Infection Control & Isolation Precautions — Questions 86–90
General Nursing Care, Assessment & Patient Education — Questions 91–100
2
, NR565 Multidimensional Care 3 (MDC3) Practice
Reproductive & Breast Disorders
1. Which risk factor is most strongly associated with the development of breast cancer?
A. Being female, older than 50, with a BRCA1 or BRCA2 gene mutation
B. Male sex with no family history
C. Young age at first pregnancy
D. History of breastfeeding for over 12 months
Correct Answer: A. Being female, older than 50, with a BRCA1 or BRCA2 gene mutation
Rationale: Female sex, advancing age, and BRCA1/BRCA2 mutations are among the strongest known risk factors for
breast cancer development.
2. A patient asks how often a clinical breast exam should be performed. The nurse's best response, per current general
guidance, is that patients should:
A. Discuss the appropriate breast cancer screening schedule with their provider based on individual risk factors
B. Never need a clinical breast exam if performing self-exams
C. Have a clinical breast exam only once in a lifetime
D. Avoid all breast screening until symptoms develop
Correct Answer: A. Discuss the appropriate breast cancer screening schedule with their provider based on
individual risk factors
Rationale: Current guidance emphasizes individualized, shared decision-making between patient and provider
regarding breast cancer screening schedules based on personal risk factors.
3. A patient with a new palpable breast mass is scheduled for a mammogram and possible biopsy. The nurse understands that
a mammographic finding of microcalcifications with irregular borders is:
A. Suspicious for malignancy and requires further diagnostic workup
B. Always a benign finding requiring no follow-up
C. Diagnostic of infection only
D. An expected normal finding in all patients
Correct Answer: A. Suspicious for malignancy and requires further diagnostic workup
Rationale: Irregular, clustered microcalcifications on mammography are a suspicious finding for malignancy and
warrant further diagnostic evaluation, such as biopsy.
4. A patient recovering from a mastectomy asks about arm precautions on the affected side. Appropriate nursing teaching
includes:
A. Avoid blood pressure measurements, injections, and venipuncture on the affected arm
B. Encourage vigorous, heavy lifting on the affected side immediately
C. No precautions are necessary regardless of lymph node involvement
D. Avoid all arm movement permanently
Correct Answer: A. Avoid blood pressure measurements, injections, and venipuncture on the affected arm
Rationale: Avoiding blood pressure cuffs, injections, and venipuncture on the affected arm (especially with axillary
lymph node dissection) helps reduce the risk of lymphedema and infection.
5. Which finding after mastectomy with axillary lymph node dissection should the nurse teach the patient to report promptly?
A. Swelling, heaviness, or tightness in the affected arm (possible lymphedema)
B. Mild, expected incisional soreness
C. Slight bruising immediately post-op
D. Normal healing progress with no new symptoms
Correct Answer: A. Swelling, heaviness, or tightness in the affected arm (possible lymphedema)
Rationale: New swelling, heaviness, or tightness in the arm after axillary lymph node dissection may indicate
lymphedema, requiring prompt evaluation and management.
6. A patient with fibrocystic breast changes asks about symptom management. Appropriate nursing teaching includes:
A. Wearing a supportive bra and reducing caffeine intake may help reduce discomfort
3
