RASMUSSEN MDC 3 EXAM 2 WITH MDC
3 FINAL EXAM (CONTAINS BOTH MDC
EXAM 2 & MDC 3 FINAL EXAM) ALL 300
QUESTIONS AND CORRECT ANSWERS
MDC 3 EXAM 2 (150 QUESTIONS)
A nurse is providing discharge instructions to a client recently diagnosed with TB.
Which statements by the client indicate a correct understanding of the teaching?
STA - ANSWER-I will avoid alcoholic beverages while on this treatment plan
I will follow-up with my health care providers regularly
I need to adhere to my medication schedule strictly
A client arrives in the ED with epistaxis (nosebleed). What is the nurse's priority
intervention? - ANSWER-Position the client upright with the head forward
During an admission, the client tells the nurse that she was recently prescribed a
new medication called Montelukast. What is the best response to an understanding
of the montelukast? - ANSWER-Have you been taking this medication on a
scheduled basis?
A nurse is caring for a client with cystic fibrosis. Which are assessment findings
for a client with this disorder? - ANSWER-- GERD
- Steatorrhea
- Thick, sticky mucus
- Recurrent upper respiratory infections
pg. 1
,Which intervention promotes comfort and dyspnea management for a client with
lung cancer? - ANSWER-Provide supplemental oxygen via nasal cannula or mask
Which of the following is a major diagnostic test for cystic fibrosis? - ANSWER-
Sweat chloride test
The nurse is assessing a patient who reports being struck in the face and head
several times during the assessment. The nurse observed pink-tinged drainage from
the client's nares. What nursing action provided relevant assessment data? -
ANSWER-Place a drop of the drainage on filter paper and look for a yellow ring.
The nurse is providing discharge instructions for a client diagnosed with
pneumonia. Which information is the nurse sure to include - ANSWER-Complete
antibiotics as prescribed
Rest
Drink fluids
Minimize contact with crowds
A client was recently diagnosed with laryngeal cancer. When the nurse begins
taking the client's history, the client asks, "Did you know that I have cancer?" The
appropriate nurse response is - ANSWER-Tell me more about your concerns
A homeless client is being discharged from a long term therapy floor for TB. What
referral by the nurse is the most appropriate? - ANSWER-Outpatient public health
visiting nurses for direct observation
A nurse is caring for a post-op patient returning to the unit after surgical removal
of cancer of the head. Which action should the nurse take initially? SATA -
ANSWER-Monitor for airway maintenance
Ensure adequate gas exchange
pg. 2
,Assess the client's hemodynamic status
The nurse teaches a client with asthma to monitor for which problem while
exercising - ANSWER-Wheezing from bronchospasm
The nurse is caring for a client one day after receiving radiation therapy for neck
cancer. Which finding would the nurse expect after radiation? - ANSWER-Hoarse
voice
Anxiety is common among clients who are diagnosed with COPD. Which of the
following interventions can assist in reducing a client's anxiety? SATA -
ANSWER-Written plan for dealing with anxiety
Professional counseling
Relaxation techniques
Plan out periods of rest throughout the day
Montelukast
- Class
- What is it used for? - ANSWER-leukotriene receptor antagonists (LTRAs).
It works by blocking the action of substances in the body that cause the symptoms
of asthma and allergic rhinitis
A client who has COPD and asthma is receiving oxygen at 2L per minute. A
family member tells the nurse "my mother did not look good so I turned her
oxygen up to 7L". Which of these nursing actions is best? - ANSWER-Decrease
oxygen to 2L per minute and assess the client
A client presented to the ED with difficulty breathing. Upon examination the client
has pus behind the tonsil and swelling on the right side of her neck. She is
pg. 3
, diagnosed with a peritonsillar abscess. Which of the following is a treatment
priority for this client? - ANSWER-Maintain a patent airway
The nurse is teaching a client about post-rhinoplasty care. Which statement by the
client indicates an understanding of the instructions - ANSWER-I will have nasal
packing and mustache dressing
OR
I will not cough forcefully or strain for the first few days to prevent possible
bleeding.
The nurse knows which of the following is the purpose of montelukast for a client
with - ANSWER-Blockers leukotriene receptors to decrease inflammation
The change of shift report has just been completed on the med/surg unit. Which
client will the oncoming nurse plan to assess first - ANSWER-Client with cystic
fibrosis who has an elevated temperature and a newly increased respiratory rate of
38 breaths/min
The nurse is caring for a client who was recently diagnosed with cystic fibrosis.
Which of the following is a treatment option for this disorder? - ANSWER-Chest
physiotherapy
A client presented with signs and symptoms that are often associated with lung
cancer. Which clinical manifestations does the nurse expect to observe in this
client? SATA - ANSWER-Frank hemoptysis
Peripheral edema
Hoarseness
Chest tightness
pg. 4
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