MDC3 Exam - Lecture notes 1-4 with Answers (89 Solved Questions) - Past Exams

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1points1points1pointsMDC3Exam-Lecturenotes1-41.Which actionwould thenurse teachto help the patient preventvulvovaginitis?aWearloosecottonunderwear..bUsefemininehygienespraystoavoidodor..cCleansetheinnerlabialmucosawithsoap.andwater.dWipebacktofrontafterurination..QUESTION21.The nurse is educatinga patient on the prevention of toxic shocksyndrome(TSS).Whichstatementbythepatientindicatesalackofunderstanding?a“ItisbestifIwashmyhandsbeforeinsertingthe.tampon.”b“Atnight,Ishoulduse afeminine padratherthan a.tampon.”c“Ineed to changemytampon every8 hours.duringtheday.”d“IfIdon’tusetampons, IshouldnotgetTSS.”.QUESTION31.Apatientisadmittedtotheemergencydepartmentwithtoxic shocksyndrome.Whichactionbythenurseisthemostimportant?aRemovethetamponasthesourceof.infection.bTransfuse the patient tomanage lowbloodcount..cCollectabloodspecimenforcultureandsensitivity..dAdministerIVfluidstomaintainfluidandelectrolyte.balance.QUESTION41.A55-year-oldpostmenopausalwomanreportsahistoryofdyspareunia,backache, pelvis pressure, urinary tract infections, and a frequenturinaryurgency.Whichconditiondoesthenursesuspect?aCystocel.ebFibroid.cRectocele

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1points1points1points1pointsdOvarian.cystQUESTION51.Thenurse iscaringfora postoperativepatient following ananteriorcolporrhaphy.Whatactioncanbedelegatedtotheunlicensedassistivepersonnel(UAP)?aTeachingthepatienttoavoidliftingher4-year-old.grandsonbReviewingthehematocritandhemoglobinresults.c.Drawingashallowhotbathforcomfort.measuresdAssessingthelevelofpainandanydrainage.QUESTION61.A nurse is caring for four postoperative patients who each had a totalabdominalhysterectomy.Whichpatientwouldthenurseassessfirstuponinitialrounding?aPatientwhohaspainof“4”onascaleof0to10.bPatientwithatemperature of99°F(37.2°C)andbloodpressureof.115/73mmHgcPatientwhohashadtwosaturatedperinealpadsinthe.last2hoursdPatientwithaurinarycatheteroutput of150mL inthe last 3.hoursQUESTION71.A patient has undergonea vaginal hysterectomy with a bilateralsalpingo-oophorectomy.Sheisconcernedaboutalossoflibido.Whatinterventionbythenursewould bebest?aTeachthatestrogencreaminserted.vaginallymayhelp.bSuggestincreasingvitaminsandsupplements.daily.cDiscussthevalueofabalanceddietandexercise..dReinforcethatweightgain may beinevitable..QUESTION8

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1points1points1points1.A patient has recently been diagnosed with stage III endometrialcancerandasksthenurseforanexplanation.Whatresponsebythenurseiscorrectabout thestagingof the cancer?a“Itiscontainedintheendometriumofthecervix.”.b“Thecancernowinvolves thecervix.”.c“Ithas reachedthevaginaorlymphnodes.”.d“Thecancerhasspreadtothemucosaofthebowel.andbladder.”QUESTION91.ThepatientisemotionallyupsetabouttherecentdiagnosisofstageIVendometrialcancer.Which actionbythenurseisbest?aLetthepatientaloneforalongperiodof.reflectiontime.bAskfriendsandrelativestolimittheirvisits..cCreateanatmosphereofacceptanceand.discussion.dTellthepatientthatanemotionalresponseis.unacceptable.QUESTION101.Apatienthasscheduledbrachytherapysessionsandstatesthatshefeels as though she is not safe around her family. What is the bestresponsebythenurse?a“Youshoulduseaseparatebathroomfromtherestofthe.family.”b“Tobetotallysafe,itisagoodideatosleepinaseparate.room.”c“Itisbesttostay asafedistancefromfriendsorfamily between.treatments.”d“Youareonlyradioactivewhentheradioactiveimplant.isinplace.”QUE S T I ON111.Apatienthas justreturnedfromatotal abdominalhysterectomy andneedspostoperativenursingcare.Whatactioncanthenursedelegateto theunlicensed assistive personnel (UAP)?aCheckthehemoglobinandhematocrit.levels.bEvaluatethedressingfordrainage.

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1points1points1points.cEmptytheurinefromtheurinary.catheterbag.dAssessheart,lung,andbowelsounds..QUESTION121.A 20-year-old patient is interested in protection from the humanpapillomavirus(HPV)sinceshemaybecomesexuallyactive.Whichresponse fromthe nurse is the most accurate?a“Youwillneedtohavethreeinjectionsoveraspanof1year.”.b“EitherGardasilorCervarixcanprovideprotection.”.c“Themostcommon sideeffectofthevaccineisitchingatthe.injectionsite.”d“YouaretoooldtoreceiveanHPVvaccine.”.QUESTION131.A 28-year-old patientis diagnosed with uterine leiomyoma and isexperiencingseveresymptoms.Whichactionsbythenursearethemostappropriateatthistime?(Selectallthatapply.)aReviewcompletebloodcountforpossibleiron-.deficiencyanemiabRelieveanxiety byrelaxationtechniquesand.education.cDiscussindetailthesideeffectsoflaparoscopicsurgery..dReducethepainby low-levelheat..eDiscussthehighriskofinfertilitywiththisdiagnosis..QUESTION141.Thenurseisgivingdischargeinstructionstoapatientwhohadatotalabdominalhysterectomy.Whichstatementsbythepatientindicateaneedforfurtherteaching?(Selectallthatapply.)a“Mygranddaughterweighs23lbs(10.5kg)soIneedtorefrain.frompickingherup.”b“IwillhavetolimitthetimesthatIclimbourstairsathometo.morningandnight.”c“I shouldnothaveanyproblemsdrivingtoseemymother,.wholives3hoursaway.”d“For1month,Iwillneedtorefrainfromsexualintercourse.”.

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1points1points1pointse“NowthatIhavetimeofffromwork,Icanreturntomy.exerciseroutinenextweek.”QUESTION151.The nurse is taking the history of a 24-year-old patient diagnosed withcervicalcancer.Whatpossibleriskfactorswouldthenurseassess?(Selectallthatapply.)aPoordiet.bNulliparity.cMultiplesexualpartners.dYoungerthan18atfirst.intercourseeSmoking.QUESTION161.A patient is scheduled to start external beam radiation therapy (EBRT)forherendometrialcancer.Whichteachingbythenurseisaccurate?(Selectallthatapply.)a“Itisnotwise tostayoutinthesun forlong.periodsoftime.”b“Your skinneedstobeinspecteddailyfor any.breakdown.”c“Theperinealareamaybecomedamagedwith.theradiation.”d“Thetechnicianappliesnewsitemarkingsbeforeeach.treatment.”e“Youwillneedtobehospitalizedduringthistherapy.”.QUESTION171.The nurse is teaching a patient who is undergoing brachytherapy aboutwhat to immediately report to her healthcare provider. Which signs andsymptomswouldbeincludedinthisteaching?(Selectallthatapply.)aTemperatureof99°F.(37.2°C)bVisiblebloodinthe.urinecHeavyvaginalbleeding.dConstipationfor3days.

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1points1points1pointseAbdominalpain.QUESTION181.A postmenopausal patient is experiencing low back and pelvic pain,fatigue,andbloodyvaginaldischarge.Whatlaboratorytestswouldthenurse expect to see ordered for this patient if endometrial cancer issuspected?(Selectallthatapply.)aWhitebloodcell(WBC)count.bProthrombintime(PT).cHemoglobinandhematocrit.(H&H)dCancerantigen-125(CA-.125)eInternationalnormalizedratio.(INR)QUESTION191.A patient has recurrent vulvovaginitis. Which statements by the patientindicateaneedforfurtherteaching?(Selectallthatapply.)a“Ishouldnotdoucheorusefemininehygiene.sprays.”b“I needtotakeallofmyantibioticsas.prescribed.”c“Icantakealong,hotbathtorelieve.itching.”d“Ishouldavoidhavingsexuntilmyinfection.isgone.”e“Ishoulduseantibacterialsoapto.cleanthearea.”QUESTION201.The nurse is doing home care teaching for a patient who hasundergonecryotherapy.Whichstatementsbythepatientindicateacorrectunderstandingoftheinstructions?(Selectallthatapply.)a“Thereshouldbelittleornodiscomfort.”.b“Ishould showerratherthantakeatubbath.”.c“Theremaybealotofbleedingforafewdays.”.d“I shouldnot usetampons, douche,orhave.sexualactivity.”

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1pointse“Icanresumemyweight-liftingexerciseclass.tomorrow.”QUESTION211.Apatientwhohadahysterectomyhasa200-mgdoseofciprofloxacin(Cipro) ordered toinfuse in 30 minutes.Atwhatratewouldthe nurseinfusethemedicationifthepharmacyprovides200mgina100-mLbagofnormalsaline?(Recordyouranswerusingawholenumber.)mL/hr200

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QUESTION11.A 52-year-old female client had been treated for human papillomavirus. After 3 years oftesting,theclient’sPapsmearsarenormal.Thenurserealizesthattheclient’snextPapsmear should be in:110years.22years.33years.45years.1pointsQUESTION21.The nurseis instructing a female client about breast self-examination. Which of thefollowinginstructionswouldnotbecorrect for thenursetoprovide?1“Amenstruatingwomanshouldcheckherbreast monthly8daysfollowingher.menses.”2“An invertednipple isnota cause for alarm.”.3“Visuallycheckthebreastsinfrontof amirror.”.4“During menopause, youshouldcheck yourbreastsonceamonthduringthe.sametimeframe.”1pointsQUESTION31.The nurse is instructing a femaleclient on the importance of having routinemammogramsbecause mammograms:1can detectmasses beforethey become palpable..2involvesnoradiation..3hasa25%rateoffalsepositives..4combinesablood testwithradiology..1pointsQUESTION4

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1.The nurse determines that a female client has a lower risk for developing breast cancerwhenwhichof thefollowing isassessed?1Smoking.2Breastfeeding.3Alcoholintake.4Obesity.1pointsQUESTION51.The nurse should instruct the client that when performing a breast self-examination, payparticular attention to which of the following areas since the greatest number ofmalignanciesarefoundin this breastarea?1Upper outerquadrantofthe breasttothe axilla.2Portionof the breastclosesttotheneck.3Portion ofthe breastclosesttothexiphoid process.4Portion ofthebreastclosesttothe abdomen.1pointsQUESTION61.The nurse is determining if a female client is at risk for benign breast disease. Which ofthefollowing isa risk factorforthisdisorder?1Alcoholintake.2Caffeineuse.3Age55.4Smoking.1pointsQUESTION71.Aclientisscheduledforaprophylacticmastectomy.Thenurseshouldremindtheclientthatskinflapswillbeleftafter the surgeryfor:

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1donation forsomeone needing a skin transplant..2reconstruction..3suturingtothechestwall..4possibleuseforother skindisorders..1pointsQUESTION81.Thenurseteachingayoungwomen’scommunityservicegroupaboutbreastself-examination(BSE)willincludethat1annualmammogramsshouldbescheduledinadditionto.BSE.2performingBSEafterthemenstrualperiodismore.comfortable.3BSEshouldbedonedailywhiletakingabathorshower..4BSEwillreducetheriskofdyingfrom breastcancer..1pointsQUESTION91.Thenurseprovidesdischargeteachingfora61-yr-oldpatientwhohashadaleft modified radical mastectomy and lymph node dissection. Whichstatementbythepatientindicatesthatteachinghasbeensuccessful?1“Iwillneedtousemyrightarm andtoresttheleft.one.”2“Iwillkeepmyleftarminaslinguntiltheincisionis.healed.”3“Iwillavoid reachingover thestove withmy.lefthand.”4“Iwillstoptheleftarmexercisesifmovingthearm.ispainful.”1pointsQUESTION101.ApatientnewlydiagnosedwithstageIbreastcancerisdiscussingtreatmentoptions with the nurse. Which statement by the patient indicates thatadditionalteachingmaybeneeded?1“Mastectomyisthebestchoicetodecrease thechanceof

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.cancerrecurrence.”2“Icanprobablyhavereconstructivesurgeryatthesametimeasa.mastectomy.”3“Iwillprobablyneedradiationtothebreastafterhavingthe.surgery.”4“Thereareseveraloptionsthat Icanconsider fortreatingthe.cancer.”1pointsQUESTION111.The nursewillanticipate teaching apatientwho is diagnosedwithlobularcarcinomainsitu(LCIS)about1lumpectomy..2lymphatic.mapping.3tamoxifen.4MammaPrint.testing.1pointsQUESTION121.Which information should the nurse include in teachinga patient who isscheduledfor externalbeamradiation tothebreast?1Carefulskincareintheradiatedareawillbe.necessary.2Wigsmaybeuseduntilthehairregrowsafter.radiationtherapy.3Visitorsarerestricteduntiltheradiationtherapyis.completed.4Theradiationtherapywilltakeaweektocomplete..1pointsQUESTION131.Whichactionwillthenurseincludeintheplanofcareforapatientwithrightarmlymphedema?1Assistwithapplicationofacompression.sleeve.2Avoidisometricexerciseontheright arm.

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.3Keeptherightarmatorbelowthelevelof.theheart.4Checkbloodpressure(BP)onbothrightand.leftarms.1pointsQUESTION141.A56-yr-oldpatientisconcernedabouthavingamoderateamountofvaginalbleedingafter5yearsofmenopause.Thenursewillanticipateteachingthepatientabout1uterineballoontherapy..2endometrialbiopsy..3endometrialablation..4dilationandcurettage.(D&C).1pointsQUESTION151.Anursing diagnosisthat is likely tobeappropriatefor a67-yr-old patient whohas justbeendiagnosedwith stageIIIovariancanceris1riskforinfectionrelatedtoimpairedimmunefunction..2sexualdysfunctionrelatedtolossofvaginalsensation..3anxietyrelatedtocancerdiagnosisandneedfor.treatmentdecisions.4situational lowself-esteemrelatedtoguiltaboutdelaying.medicalcare.1pointsQUESTION161.Whichpatientinthewomen’shealthclinicwillthenurseexpecttoteachaboutanendometrialbiopsy?1A25-yr-oldpatientwho hasafamily history ofhereditary.nonpolyposiscolorectalcancer2A45-yr-oldpatientwhohashadsixpreviousfull-termpregnanciesand.twospontaneousabortions

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3A55-yr-oldpatientwhohas3to4alcoholicdrinkseachday.4A35-yr-oldpatientwhohasusedoralcontraceptivesfor15years.1pointsQUESTION171.A31-yr-oldpatientwhohasbeendiagnosedwithhumanpapillomavirus(HPV)infectiongivesahealthhistorythatincludessmokingtobacco,takingoralcontraceptives,andhavingbeentreatedtwiceforvaginalcandidiasis.Whichtopicwillthenurseincludeinpatientteaching?1Riskfactorsfor cervical.cancer2Use of water-soluble.lubricants3Antifungalcream.administration4Possibledifficultieswith.conception1pointsQUESTION181.A50-yr-oldpatientisdiagnosedwithuterinebleedingcausedbyaleiomyoma.Which information will the nurse includein the patientteachingplan?1Thesymptomsmaydecreaseafterthepatient.undergoesmenopause.2Aspirinoracetaminophenmaybeusedtocontrolmildto.moderatepain.3Thetumorsizeislikely toincreasethroughoutthepatient’s.lifetime.4Thepatientwillneedfrequentmonitoringtodetect any.malignantchanges.1pointsQUESTION191.A 58-yr-oldpatientison the medical-surgicalunitafterundergoingaradicalvulvectomyforvulvarcarcinoma.Thegreatestrisktothepatientatthistimeis1inadequatenutrition..2woundinfection..

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•3ineffectivesexual.pattern.4self-caredeficit..1pointsQUESTION201.A healthy 24-yr-oldpatient who has been vaccinated against humanpapillomavirus (HPV) has a normal Pap test result. Which information will thenurse include in patient teaching when calling the patient with the results ofthePaptest?1YearlyPaptestingissuggestedforwomenwithmultiple.sexualpartners.2NofurtherPaptestingisneededuntilyoudecidetobecome.pregnant.3Paptestingisrecommendedevery3yearsforwomen.yourage.4Youcanwaituntilafterage30beforehavinganotherPap.test.

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