lOMoARcPSD|37439172
Lomoarcpsd|37439172
MDC3 final exam practice
2025
Mdc III (Rasmussen University)
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1. Which of the following is the surgical treatment of choice for end-stage heart
failure? Question 40 ✅
a. Ventricular assist devices (vads)
b. Cardiac resynchronization therapy (CRT)
c. Percutaneous angiogram
d. Genetic counseling
2. A client with an abdominal aortic aneurysm arrives at the emergency department.
Which finding is consistent with rupture into the abdominal cavity?
#20✅
a. Hypertension
b. Abdominal distension
c. Difficulty swallowing
d. Bounding pulses
3. A nurse is caring for four clients with leukemia. After handing off a report. Which
client should the nurse see first?✅
a. Client who had two bloody diarrhea stools this morning
b. Client who has been premedicated for nausea prior to chemotherapy
c. A client who is crying and feeling lonely
d. Client with an unchanged lesion to the lower right lateral malleolus
4. A nurse is caring for a client recently diagnosed with hypertension. Which
statement by the client indicates the need for further teaching? #46 ✅ a. I will
reduce my sodium intake to less than 1500 mg daily.
b. I will use relaxation techniques to reduce my stress.
c. I will reduce my smoking to half a pack a day. ✅
d. I will implement a heart-healthy diet and reduce my weight
5. The nurse assesses a client and documents the following findings: edema 2+
bilateral ankles, brown pigmentation of lower extremity skin. Aching pain of lower
extremities when standing that resolves with elevation and 2+ pedal pulses. What
condition does the client likely have? Question 29 ✅ a. Deep vein thrombosis
b. Venous insufficiency pg 726
c. Peripheral arterial disease
d. Raynaud’s disease
Downloaded by Jordan Potter ()
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6. The nurse is caring for four clients in a post-surgical unit. Which client should the
nurse assess first? ✅
a. A client who needs a beta blocker and has a blood pressure of 100/60mmhg
b. A client who needs to use the bathroom 1 hour after receiving their first dose of
captopril
c. A hypertensive client with a blood pressure of 145/80mmhg
d. A client who needs pain medication before a dressing change for a surgical
wound
7. #7 The nurse is caring for a client with pericarditis. If left untreated, the client is at
risk for cardiac tamponade. Which clinical manifestation is associated with cardiac
tamponade? A. Bradycardia
b. Hypertension
c. Muffled heart sounds ✅pg. 690 of the book
d. Flattened jugular vein
8. #56 Which client would not be a candidate for thrombolytic therapy?
a. Client with a blood pressure of 100/60mmhg
b. Client with a pulse of 102 beats/minute
c. Client with a history a history of hemorrhagic stroke one month ago ✅page
716 hemorrhagic is a risk that is monitored for during the procedure.
d. Client age 65 years
9. #62 A nurse reviews the arterial blood gas (ABG) values of a client admitted with
end-stage kidney disease: PH 7.26; Paco2 37mmhg Pa02 94mm Hg, and HC03 15
meq/L. What do these values indicate? A. Metabolic acidosis ✅
b. Respiratory alkalosis
c. Respiratory acidosis
d. Metabolic alkalosis
10. #53 The nurse is working in the emergency department and has four clients at the
same time. Which client should the nurse see first? A. A client who states she has
not urinated in 8 hours
b. A client with a history of chronic obstructive pulmonary disease reporting
Increased dyspnea ✅
c. A client requesting antibiotics for a cough
d. A client who has a facial fracture with severe facial and oral swelling
Downloaded by Jordan Potter ()
Lomoarcpsd|37439172
MDC3 final exam practice
2025
Mdc III (Rasmussen University)
Downloaded by Jordan Potter ()
, lOMoARcPSD|37439172
1. Which of the following is the surgical treatment of choice for end-stage heart
failure? Question 40 ✅
a. Ventricular assist devices (vads)
b. Cardiac resynchronization therapy (CRT)
c. Percutaneous angiogram
d. Genetic counseling
2. A client with an abdominal aortic aneurysm arrives at the emergency department.
Which finding is consistent with rupture into the abdominal cavity?
#20✅
a. Hypertension
b. Abdominal distension
c. Difficulty swallowing
d. Bounding pulses
3. A nurse is caring for four clients with leukemia. After handing off a report. Which
client should the nurse see first?✅
a. Client who had two bloody diarrhea stools this morning
b. Client who has been premedicated for nausea prior to chemotherapy
c. A client who is crying and feeling lonely
d. Client with an unchanged lesion to the lower right lateral malleolus
4. A nurse is caring for a client recently diagnosed with hypertension. Which
statement by the client indicates the need for further teaching? #46 ✅ a. I will
reduce my sodium intake to less than 1500 mg daily.
b. I will use relaxation techniques to reduce my stress.
c. I will reduce my smoking to half a pack a day. ✅
d. I will implement a heart-healthy diet and reduce my weight
5. The nurse assesses a client and documents the following findings: edema 2+
bilateral ankles, brown pigmentation of lower extremity skin. Aching pain of lower
extremities when standing that resolves with elevation and 2+ pedal pulses. What
condition does the client likely have? Question 29 ✅ a. Deep vein thrombosis
b. Venous insufficiency pg 726
c. Peripheral arterial disease
d. Raynaud’s disease
Downloaded by Jordan Potter ()
, lOMoARcPSD|37439172
6. The nurse is caring for four clients in a post-surgical unit. Which client should the
nurse assess first? ✅
a. A client who needs a beta blocker and has a blood pressure of 100/60mmhg
b. A client who needs to use the bathroom 1 hour after receiving their first dose of
captopril
c. A hypertensive client with a blood pressure of 145/80mmhg
d. A client who needs pain medication before a dressing change for a surgical
wound
7. #7 The nurse is caring for a client with pericarditis. If left untreated, the client is at
risk for cardiac tamponade. Which clinical manifestation is associated with cardiac
tamponade? A. Bradycardia
b. Hypertension
c. Muffled heart sounds ✅pg. 690 of the book
d. Flattened jugular vein
8. #56 Which client would not be a candidate for thrombolytic therapy?
a. Client with a blood pressure of 100/60mmhg
b. Client with a pulse of 102 beats/minute
c. Client with a history a history of hemorrhagic stroke one month ago ✅page
716 hemorrhagic is a risk that is monitored for during the procedure.
d. Client age 65 years
9. #62 A nurse reviews the arterial blood gas (ABG) values of a client admitted with
end-stage kidney disease: PH 7.26; Paco2 37mmhg Pa02 94mm Hg, and HC03 15
meq/L. What do these values indicate? A. Metabolic acidosis ✅
b. Respiratory alkalosis
c. Respiratory acidosis
d. Metabolic alkalosis
10. #53 The nurse is working in the emergency department and has four clients at the
same time. Which client should the nurse see first? A. A client who states she has
not urinated in 8 hours
b. A client with a history of chronic obstructive pulmonary disease reporting
Increased dyspnea ✅
c. A client requesting antibiotics for a cough
d. A client who has a facial fracture with severe facial and oral swelling
Downloaded by Jordan Potter ()
