MDC 3 EXAM 2 REVIEW EXAM
QUESTIONS AND ANSWERS GRADED A+
2025/2026
Which assessment finding in a patient with acute bacterial sinusitis requires immediate
intervention? - ANS Periorbital swelling and severe headache — may indicate orbital cellulitis
or intracranial spread.
Which symptom is most characteristic of laryngeal cancer? - ANS Hoarseness lasting more
than 2 weeks — persistent hoarseness is an early red flag for malignancy.
The nurse teaches a patient with seasonal allergic rhinitis to start intranasal corticosteroids at
which time? - ANS Several weeks before pollen season — allows medication to reduce
inflammation before allergen exposure.
In obstructive sleep apnea, which patient statement indicates a need for further teaching? -
ANS "I'll take a sedative before bed to help me sleep" — sedatives worsen airway
obstruction.
A patient with epistaxis should be instructed to take which immediate action? - ANS Lean
forward and pinch the soft part of the nose for 10-15 minutes — prevents aspiration and
controls bleeding.
What is the priority nursing diagnosis for a patient with postoperative total laryngectomy? -
ANS Ineffective airway clearance — airway is priority after neck surgery.
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, Which patient with laryngeal trauma requires emergency airway intervention? - ANS Patient
with stridor and use of accessory muscles — signs of impending airway obstruction.
A patient with nasal fracture has clear drainage from one nostril. What should the nurse
suspect? - ANS Cerebrospinal fluid leak — test with glucose or halo test.
Which lifestyle factor is the greatest risk for laryngeal cancer? - ANS Smoking tobacco —
major cause of squamous cell carcinoma in the larynx.
What is the most effective method to confirm diagnosis of laryngeal cancer? - ANS Direct
laryngoscopy with biopsy — provides definitive diagnosis.
In teaching about CPAP for sleep apnea, which statement shows correct understanding? -
ANS "It keeps my airway open by delivering constant air pressure while I sleep."
What is the expected finding in a patient with untreated sleep apnea? - ANS Daytime
sleepiness — due to frequent nighttime awakenings and hypoxia.
Which patient with pharyngitis needs immediate further assessment? - ANS Patient with
drooling and difficulty swallowing — may indicate epiglottitis.
A patient reports sudden epistaxis after nasal spray overuse. What is the likely cause? -
ANS Local mucosal irritation — overuse can dry and damage mucosa.
The nurse suspects allergic rhinitis. Which symptom supports this diagnosis? - ANS Clear
nasal drainage and nasal congestion after allergen exposure.
Which patient needs priority follow-up after nasal packing for epistaxis? - ANS Patient with
fever and foul-smelling drainage — possible toxic shock syndrome.
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
QUESTIONS AND ANSWERS GRADED A+
2025/2026
Which assessment finding in a patient with acute bacterial sinusitis requires immediate
intervention? - ANS Periorbital swelling and severe headache — may indicate orbital cellulitis
or intracranial spread.
Which symptom is most characteristic of laryngeal cancer? - ANS Hoarseness lasting more
than 2 weeks — persistent hoarseness is an early red flag for malignancy.
The nurse teaches a patient with seasonal allergic rhinitis to start intranasal corticosteroids at
which time? - ANS Several weeks before pollen season — allows medication to reduce
inflammation before allergen exposure.
In obstructive sleep apnea, which patient statement indicates a need for further teaching? -
ANS "I'll take a sedative before bed to help me sleep" — sedatives worsen airway
obstruction.
A patient with epistaxis should be instructed to take which immediate action? - ANS Lean
forward and pinch the soft part of the nose for 10-15 minutes — prevents aspiration and
controls bleeding.
What is the priority nursing diagnosis for a patient with postoperative total laryngectomy? -
ANS Ineffective airway clearance — airway is priority after neck surgery.
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, Which patient with laryngeal trauma requires emergency airway intervention? - ANS Patient
with stridor and use of accessory muscles — signs of impending airway obstruction.
A patient with nasal fracture has clear drainage from one nostril. What should the nurse
suspect? - ANS Cerebrospinal fluid leak — test with glucose or halo test.
Which lifestyle factor is the greatest risk for laryngeal cancer? - ANS Smoking tobacco —
major cause of squamous cell carcinoma in the larynx.
What is the most effective method to confirm diagnosis of laryngeal cancer? - ANS Direct
laryngoscopy with biopsy — provides definitive diagnosis.
In teaching about CPAP for sleep apnea, which statement shows correct understanding? -
ANS "It keeps my airway open by delivering constant air pressure while I sleep."
What is the expected finding in a patient with untreated sleep apnea? - ANS Daytime
sleepiness — due to frequent nighttime awakenings and hypoxia.
Which patient with pharyngitis needs immediate further assessment? - ANS Patient with
drooling and difficulty swallowing — may indicate epiglottitis.
A patient reports sudden epistaxis after nasal spray overuse. What is the likely cause? -
ANS Local mucosal irritation — overuse can dry and damage mucosa.
The nurse suspects allergic rhinitis. Which symptom supports this diagnosis? - ANS Clear
nasal drainage and nasal congestion after allergen exposure.
Which patient needs priority follow-up after nasal packing for epistaxis? - ANS Patient with
fever and foul-smelling drainage — possible toxic shock syndrome.
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
