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MDC3 EXAM 2 (RASMUSSEN COLLEGE)/ MULTIDIMENSIONAL
CARE 3 EXAM NEWEST 2025 ACTUAL EXAM COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+BRAND NEW!
A nurse is caring for a client who has been diagnosed with COPD. Which of the following should be a treatment priority for this client?
A. Improve gas exchange
B. Increase activity level
C. Blood pressure control
D. Prevention of infection - CORRECT ANSWER
A. Improve gas exchange Nurse is providing discharge instructions for a client diagnosed with pneumonia. Which information is the nurse sure to include? A. Complete antibiotics as prescribes, rest, drink fluids and minimize contact with crowds B. Take all antibiotics as ordered, resume all activity as before hospitalization
C. No restrictions regarding activities, diet and rest because the client is fully recovered
when discharged
D. Continue antibiotics only also no further sign of pneumonia is present avoid exposing
immunosuppressant individuals - CORRECT ANSWER >>>>A. Complete antibiotics as prescribes, rest, drink fluids and minimize contact with crowds A nurse is caring for a client who recently underwent a laryngectomy for neck cancer. Which of the following multidimensional nursing strategies can be used to care of these clients. SATA
A. Alternative means of communication
B. Diet modification
C. Oral Cares
D. Pain management
E. Aerobic Exercise - CORRECT ANSWER >>>>A.
Alternative means of communication B. Diet modification D. Pain management A patient with recent diagnosis of sinus cancer states that he wants another round of antibiotics because he believe he has another sinus infections. What is the best nurse response?
A. I will call the physician to request an order for the antibiotics
B. Why are you doubting the doctors diagnosis C. Let me bring you a brochure about sinus
cancer
A. Chest physiotherapy
B. Corticosteroids
C. Non-invasive ventilation
D. Leukotriene Modifers - CORRECT ANSWER
D. Leukotriene Modifers Nurse is caring for a 32 yr old female who presented to the E.R with complaints of SOB, fatigue and chest pain. The client went to the hospital after giving birth to a babygirl. Upon assessment, a RR is 32bpm and labored. HR is 130 bpm and BP is 140/50. Cardiac catheterization revealed elevated pulmonary artery pressure. The client was diagnosed with pulmonary hypertension. Which of the following cause pulmonary hypertension. a. Hypotension B. Hypertension
C. Fenfluramine/Phentermine
D. Pregnancy - CORRECT ANSWER >>>>C.
Fenfluramine/Phentermine The nurse knows that a high-little flow of O2 is contraindicated in a patient with COPD related to which of the following?
A. Client depends on high CO2 levels to breathe
B. Client depends on hypoxic drive to breathe C. Receiving too much O2 over a short time
can result in headaches D. Tolerance to the oxygen develops and higher doses needed later would be ineffective. -
CORRECT ANSWER >>>>B. Client depends on hypoxic drive to breathe The nurse teaches a client with asthma to monitor for which problem when exercising?
A. increase peak expiratory flow rates
B. Wheezing from bronchospasm
C. Swelling in the feet and ankle
D. Respiratory muscle fatigue - CORRECT
ANSWER >>>>B. Wheezing from bronchospasm A client arrived in the E.R with epistaxis. What is the nurses priority intervention?
A. Position the client upright with head forward
B. Apply an ice pack to the nose
C. Monitor the color and amount of blood
D. Place nasal packing - CORRECT ANSWER >>>>A. Position the client upright with head
forward Which statement is true regarding asthma and COPD of the lower respiratory system?
A. COPD causes episode of respiratory distress with no permanent alveoli damage
B. In asthma, the lungs lose elasticity and become hyperinflated
What should the nurse instruct the patient to do when using an incentive spirometer.
A. Inhale deeply and exhale forcefully through the device
B. put lips on the device and slowly inhale as long as possible
C. use pursed lips before and after usage
D. exhale slowly through the nose and inhale by sniffig - CORRECT ANSWER >>>>B. put lips on
the device and slowly inhale as long as possible Nurse plans for all of the following nursing care interventions that should be included for a client who is diagnosed with a nasal fracture except?
A. prepare the patient for surgery
B. Pack nasal cavity
C. provide emotional supports
D. manage pain - CORRECT ANSWER >>>>B.
Pack nasal cavity a 32 yr old male presented to the E.R. status post motor vehicle accident. He was the unrestrained driver who hit. He has lacerations on face and blood coming from his nose. Based on the events and assessment findings, which of the following disorders is the client exhibiting? A. Epistaxis
B. Head cancer
C. Sinus Cancer
D. Nasal fracture - CORRECT ANSWER >>>>D.
E. distended abdomen
F. GERD
G. cough with sputum
H. low O
In planning care for a client with COPD with difficulty breathing, the nurse acknowledge what condition is present in the client?
A. decreased levels of calories and protein since dyspnea cause activity intolerance
B. COPD has no effect on calorie and protein needs, milk tolerance, appetite and weight
C. COPD causes an increased metabolism and the need for additional calories and protein supplements D. Anabolic state, which creates conditions for building body strength and muscle mass - CORRECT ANSWER >>>>C. COPD causes an increased metabolism and the need for additional calories and protein supplements You are providing discharge education to a client with COPD. Which of the following would be a treatment priority for this client?
A. Prevention of respiratory infection
B. Energy Conservation
C. Weight Loss
D. Yearly influenza vaccination - CORRECT
ANSWER >>>>B. Energy Conservation Client with chronic asthma ask the nurse, what does it mean that my doctor said i have a barrel chest? what is the best response by the nurse? A. your chest has become barrel shaped because you breath hard and your muscles have increased force B. When a person has chronic asthma, air gets trapped in the lungs keeping them expanded C. It is nothing to worry about. It just means you have COPD, you chest looks like a barrel D. Ill ask the doctor to come and explain. It is scary when a strange term is used - CORRECT ANSWER >>>>B. When a person has chronic asthma, air gets trapped in the lungs keeping them expanded A nurse is caring for a 56 yr old male who was diagnosed with neck cancer. All of the following assessment findings are consistent with the diagnosis except? A. Hoarseness
B. Sore Throat
C. Ear pain
D. Pedal pulses diminished - CORRECT ANSWER
D. Pedal pulses diminished A client admitted with asthma, which assessment findings are most like to indicate that the clients condition is deteriorating toward respiratory failure
A. Rales, rhonchi and productive cough with yellow sputum
E. Sleeping supine is ideal - CORRECT ANSWER >>>>A. Avoid the use of sleep aids and
sedative agents
B. Proper use of control position air pressure
(CPAP) device
C. Weight reduction
D. Reduce or eliminate alcohol consumption Anxiety is common among clients who are
diagnosed with COPD. Which of the following interventions can assist in reducing the clients anxiety?.
A. Increase meal sizes
B. Professional counseling
C. Relaxation techniques
D. Increase activity
D. Written plan for dealing with anxiety F. Plan periods of rest through the day - CORRECT ANSWER >>>>B. Professional counseling
C. Relaxation techniques
D. Written plan for dealing with anxiety
F. Plan periods of rest through the day You are caring for a 60 yr old female presenting to the E.R post a MVA. She was unrestrained, has multiple facial lacerations. Which of the following is a nursing priority intervention.
A. Maintain a patent airway
B. Pain management
C. Prepare the patient for testing
D. Draw labs - CORRECT ANSWER >>>>A.
Maintain a patent airway client presents with S/S that are often associated with lung cancer. Which clinical manifestation does the nurse expect to observe in these clients?
A. Hemoptysis, hoarsness, cough and SOB
B. Abdominal distention, steatorrhea, dyspnea C. Wheezing, clubbing of the nails, cyanosis
and dyspnea D. Fever, fatigue, display near and peripheral edema - CORRECT ANSWER >>>>A. Hemoptysis, hoarsness, cough and SOB Which of the following are common problems associated with cystic fibrosis in adults?
A. Obesity
B. Impaired glucose control
C. Hypo/Hypertension
D. Asthma - CORRECT ANSWER >>>>B. Impaired glucose control
purpose of fluticasone inhaler for a client with asthma>
A. Relax smooth muscles of the airway
B. Act as a bronchodilator in a severe episode C. Reduce obstruction of the airways by
decreasing inflammation D. Reduces the histamine effect of the triggering agents - CORRECT ANSWER >>>>C. Reduce obstruction of the airways by decreasing inflammation Client asks about a positive skin test result from TB. What explanation does the nurse give to the clients?
A. There is active disease, but you are not infectious to others
B. There is active disease and you need immediate treatment
C. You have had contact with the bacterium in the past either through infection or
vaccination D. A repeat skin test is necessary because the test could give a false positive result - CORRECT ANSWER >>>>C. You have had contact with the bacterium in the past either through infection or vaccination which of the following is a major diagnostic test for cystic fibrosis? A. Sweat chloride test
B. ABG's
C. Chest X-ray
D. CT scan of the chest - CORRECT ANSWER
A. Sweat chloride test
You are providing discharge education to a client with COPD. Which of the following should not be included in the education? A. Energy conservation techniques
B. Limit calorie intake and limit snacks
C. Prevention of respiratory infections
D. Yearly influenza vaccination - CORRECT ANSWER >>>>B. Limit calorie intake and limit
snacks During an admission assessment, the client tells the nurse that she was recently prescribed a new medication called montelukast but she forgets to pick up at the pharmacy. What is the best response by the nurse to assess the clients understanding of the montelukast A. Why didnt you remember to get the prescription filled? You know this medication is needed
B. Have you been having more exacerbations and difficulty managing your asthma
recently?
C. Dont worry about not having picked up the medication, have you just been too busy?
D. Dont you know montelukast would have prevented you from coming to the hospital? -
CORRECT ANSWER >>>>B. Have you been having more exacerbations and difficulty managing your asthma recently? Which statement, from a client with seasonal influenza, requires more teaching?
A. I can be diagnosed on presentation of symptoms
B. I should recieve a new influenza vaccine every year
A nurse admits a client from the E.R with new onset of dyspnea and productive cough. Pneumonia is suspected. Client has an O2 of 96%, is on 2L of oxygen and has bilateral crackles on lung base. Oral temp is 98.9, HR 103. The provider enters the following orders - which will the nurse perform first
A. Collect blood sample for CBC
B. Administer PO antipyretic for temp over 101 C. Administer broad spectrum antibiotics
through IV D. Collect Sputum sample for culture - CORRECT ANSWER >>>>D. Collect Sputum sample for culture A nurse is providing discharge instructions to a client recently diagnosed with TB. Which statements by the client indicates the need for further teaching?
A. I will continue treatment for my TB for 26 weeks
B. My family is at risk and does not require testing
C. I will follow up with my healthcare providers regularly
D. I will avoid alcoholic beverages while on this treatment plan - CORRECT ANSWER >>>>B.
My family is at risk and does not require testing The nurse is caring for a client with a diagnosis of asthma. The nurse notes wheezing through the lung fields, decreased O2 sats and suprasternal retraction inhalation. Which is the priority action by the nurse based on these findings?
A. Administer oxygen and a rescue inhaler
B. Call a code blue and begin CPR
C. Assess for a midline trachea
D. Perform peak expiratory flow readings - CORRECT ANSWER >>>>A. Administer oxygen and
a rescue inhaler A client has been taking isoniazid (INH) for TB for 3 weeks. What information gathered by the public health nurse needs to be reported to the healthcare provider immediately.
A. client has been taking isoniazid daily as prescribed
B. client smokes 1.5 packs of cigarettes per day C. client is is drinking 4-6 alcoholic
beverages per day D. client was recently started on chantix to quit smoking - CORRECT ANSWER >>>>C. client is is drinking 4-6 alcoholic beverages per day An 84 yr old client is diagnosed with rhinosinusitis. The nurse questions which medication that she sees on the clients PRN medication list. A. Analgesic
B. Nasal Spray
C. Antihistamine
D. Antipyretic - CORRECT ANSWER >>>>C.
Antihistamine A nurse is assessing a client with pneumonia and notes decreased lungs sounds on the left side and decreased lung expansion. What is the nurses priority action.
