Rasmussen College MDC 3 FINAL Exam | 100% CORRECT ANSWER s | Latest Version
Question : The nurse is arriving at the beginning of her shift
and has taken report on four clients on amedical-surgical unit.Which client should the nurse see first? A. A client with hypertension with a blood pressure of 172/92mm Hg. B. A client with pain that is two days post-operative from a prostatectomy. C. A client ready for discharge education after treatment of an acute kidney injury. D. A client with a history of asthma complaining of increased dyspnea.
CORRECT ANSWER : D. A client with a history of asthma
complaining of increased dyspnea.
Question : When educating a female client on the signs and
symptoms of myocardial infarction, the nurserecognizes which of the following should be included in the teaching? A.Women experience intermittent claudication B. Substernal chest pain is the most common symptom in women C. Pain usually resolves with rest and relaxation D. Older adults and women often present with atypical signs and symptoms.
CORRECT ANSWER : D. Older adults and women often
present with atypical signs and symptoms.
Question : Which of the following is a priority nursing
intervention for a client in atrial fibrillation with arate of 180 beats per minute? A. Administer medications to slow the rate
- Monitor urine output C. Administer anticoagulants D.
Apply compression stockings
CORRECT ANSWER : A. Administer medications to slow
the rate
Question : The nurse educates the client that besides an
echocardiogram, which of the following tests isthe best tool for diagnosing heart failure? A. Pulmonary artery catheter B.B-type natriuretic peptide (BNP) C. Radionuclide studies D.Multigated angiographic (MUGA) scan
CORRECT ANSWER : B. B-type natriuretic peptide (BNP)
Question : A nurse is caring for a client diagnosed with
polycythemia vera. Which of the followingshould the nurse include in the client and family education? A. Resume normal activity B. Diet high in vitamin K intake C. Decrease fluid
intake to no more than 1 liter per day D. Wear support hose while awake
CORRECT ANSWER : D. Wear support hose while awake
Question : The nurse is caring for a client who presented to
the emergency department with pulmonaryedema. The client is hypotensive with a pulse oximeter reading of 85% on room air. Which ofthe following is a nursing priority? A.Administer IV fluids B. Obtain a chest x-ray C. Administer diuretics D. Administer oxygen
CORRECT ANSWER: D. Administer oxygen
Question : The nurse is caring for four clients on a post-
surgical unit. The nurse understands thatmonitoring the client for which post-operative compilation takes priority? A.Nausea B. Pneumonia C. Constipation D. Urinary retention
CORRECT ANSWER : B. Pneumonia
Question : A nurse is caring for a client with a history of an
abdominal aortic aneurism. Which of thefollowing assessment findings requires immediate intervention? A. Nausea and
vomiting B. Back pain C. Decreased urine output D. Absent peripheral pulses
CORRECT ANSWER : D. Absent peripheral pulses
Question : A nurse is caring for a 19-year old male recently
diagnosed with leukemia. Which of thefollowing nursing interventions is appropriate for the care of this client? A.Strict hand hygiene to prevent infection B. Therapeutic phlebotomy C. Low residual diet D. Fluid restriction
CORRECT ANSWER : A. Strict hand hygiene to prevent
infection
Question : The nurse is discharging home a client at risk for
venous thromboembolism on enoxaparinsodium. What instruction is a priority for the nurse to provide to this client?
- “You must have your prothrombin time (PT)/International
- “MAssage the injection site after the heparin is injected.”
- “You must have your activated partial thromboplastin time
normalized ratio (INR)checked every 2 weeks.” B. “Notify your health care provider if your stools appear dark or tarry.”
(aPTT) checked every 72hours.”