MDC 4 PRACTICE EXAM QUESTIONS AND CORRECT ANSWERS . 2025/2026

MDC 4 PRACTICE EXAM QUESTIONS AND CORRECT
ANSWERS . 2025/2026
QUESTION: The nurse is arriving at the beginning of her shift and has taken report on four clients on a
medical surgical unit . Which client should the nurse see first ? - ANSWER-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
nurse recognizes which of the following should be included in the teaching? - ANSWER-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 a
rate of 180 beats per minute? - ANSWER-Administer medications to slow the rate




QUESTION: A nurse is caring for a client diagnosed with polycythemia vera. Which of the following
should the nurse include in the client and family education? - ANSWER-Wear support hose while awake




QUESTION: The nurse is caring for a client who presented to the emergency department with
pulmonary edema. The client is hypotensive with a pulse oximeter reading of 85% on room air. Which of
the following is a nursing priority? - ANSWER-administer oxygen




QUESTION: The nurse is caring for four clients on a post-surgical unit. The nurse understands that
monitoring the client for which post-operative compilation takes priority? - ANSWER-Pneumonia

,QUESTION: A nurse is performing discharge teaching for a client who has recently diagnosed with heart
failure. Which of the following should be included in the client teaching? (SATA) - ANSWER-Medication
teaching

Low sodium diet

Symptoms to report to the provider

Fluid restriction




QUESTION: The nurse is caring for a client with mitral regurgitation. Which of the following would the
nurse anticipate the client to develop if left untreated? - ANSWER-left sided heart failure




QUESTION: A nurse is caring for a 65-year old male who recently underwent an aortic valve
replacement. Which of the following is a post-operative nursing care priority? - ANSWER-Assess for
bleeding




QUESTION: A nurse is caring for a client recently diagnosed with hypertension. Which of the following
should be included in the discharge teaching? - ANSWER-Adherence to sodium restrictions




QUESTION: A nurse is caring for a client with a history of an abdominal aortic aneurism. Which of the
following assessment findings requires immediate intervention? - ANSWER-absent peripheral pulses.




QUESTION: A nurse is caring for a 19-year old male recently diagnosed with leukemia. Which of the
following nursing interventions is appropriate for the care of this client? - ANSWER-Strict hand hygiene
to prevent infection

,QUESTION: The nurse is discharging home a client at risk for venous thromboembolism on enoxaparin
sodium. What instruction is a priority for the nurse to provide to this client? - ANSWER-Notify your
health provider if your stools appear dark or tarry




QUESTION: Which of the following assessment findings are consistent with aortic stenosis? - ANSWER-
Harsh systolic crescendo-decrescendo murmur




QUESTION: The nurse is assessing a client with severe anemia. Which clinical manifestation does the
nurse expect to see in this client? - ANSWER-pale, cool skin




QUESTION: Which of the following would predispose a client to mitral stenosis? - ANSWER-rheumatic
fever




QUESTION: A hospitalized client has a platelet count of 58,000/mm3 (58 x 109/L). What action by the
nurse is best? - ANSWER-Implement fall precautions




QUESTION: Which of the following assessment findings is a priority during a blood transfusion? -
ANSWER-chest pain




QUESTION: Which of the following medications are appropriate for the treatment of heart failure?
(SATA) - ANSWER-Diuretics

Digoxin

, angiotensin -converting enzyme ( ace ) inhibitors.




QUESTION: Which of the following is a treatment option for a client with sickle cell disease? - ANSWER-
Blood product administration




QUESTION: The nurse questions which order for a client with thrombocytopenia? - ANSWER-Administer
intramuscular (IM) medication




QUESTION: A nurse is caring for a client who was recently diagnosed with left ventricular heart failure.
What is an early sign the client is most likely to report? - ANSWER-dyspnea on exertion




QUESTION: The nurse knows that hemolytic reactions to blood transfusions occur most often within the
first ____ milliliters of the infusion. - ANSWER-50




QUESTION: A client is receiving treatment for the diagnosis of hemophilia A. Which of the following is
the most appropriate to include in the assessment of this client? - ANSWER-Joint pain and bruising




QUESTION: The nurse receives an order to infuse heparin 1200 units/hr IV. The bag contains 25,000
units heparin in 500mL D5W. Calculate the IV rate in mL/hr._____mL/hr. (Record answer as a whole
number). - ANSWER-24




QUESTION: A client states that their legs have pain with walking that decreases with rest. The nurse
observes absence of hair on the client's lower extremities and the client has a threndy, weakened