NUR2356 MDC I: Multidimensional Care I
FINAL EXAM PRACTICE TEST - Cumulative
2026-2027 Academic Year | Integrated Nursing
Assessment
1. [Fluids] A patient with heart failure is receiving IV furosemide 40 mg BID. Which
assessment finding is MOST important for the nurse to monitor?
A. Blood pressure
B. Serum potassium level
C. Urine output
D. Respiratory rate
Verified Answer: B
Rationale: Loop diuretics cause rapid potassium wasting; hypokalemia <3.5 mEq/L
increases the risk of fatal ventricular dysrhythmias. While U/O and BP are monitored,
the immediate life-threat is electrolyte-mediated cardiac instability.
2. [Respiratory] SATA A nurse is discharging a patient with COPD. Which instructions
should be included? (Select ALL that apply.)
A. “Use pursed-lip breathing when dyspneic.”
B. “Limit fluids to 1 L/day to decrease mucus.”
,C. “Receive pneumococcal & annual flu vaccines.”
D. “Use albuterol MDI daily as maintenance.”
E. “Report increased sputum or fever promptly.”
Verified Answers: A, C, E
Rationale: Pursed-lip breathing prolongs expiration & reduces air-trapping (A).
Vaccinations decrease exacerbations (C). Early infection recognition prevents
decompensation (E). Fluids are encouraged (unless contraindicated) to thin
secretions—B is incorrect. Albuterol is a short-acting rescue drug, not daily
maintenance—D is incorrect.
3. [Endocrine] (Calculation) The provider prescribes insulin aspart 8 units subcut now.
Available: 100 units/mL vial. How many mL will the nurse draw up?
Verified Answer: 0.08 mL
Rationale: (Desired ÷ Concentration) = 8 units ÷ 100 units/mL = 0.08 mL. Use 0.5 mL
syringe for accuracy.
4. [Cardio] A patient with newly diagnosed HTN (BP 168/102 mmHg) is starting
lisinopril 10 mg daily. Which teaching point is priority?
A. “Take the drug at bedtime to prevent dizziness.”
B. “Increase potassium-rich foods in your diet.”
C. “Stop the drug if you develop a dry cough.”
D. “Check your BP daily and record results.”
, Verified Answer: D
Rationale: Self-monitoring provides data for titration and evaluates effectiveness. ACE
inhibitors can cause cough but patient should consult provider before stopping.
Hyperkalemia risk exists—unrestricted potassium intake (B) is unsafe.
5. [GI] A patient with PUD is prescribed omeprazole 20 mg and clarithromycin 500 mg.
Which statement indicates teaching was effective?
A. “I will take the omeprazole with food for best absorption.”
B. “I can crush the clarithromycin ER tablet if it’s hard to swallow.”
C. “I will complete the full 14-day course even if pain stops.”
D. “Antacid tablets are fine whenever I feel heartburn.”
Verified Answer: C
Rationale: Premature discontinuation of antibiotics promotes resistance and treatment
failure. Omeprazole is taken 30 min before a meal (A incorrect); ER clarithromycin must
remain intact (B incorrect); concurrent antacids can interfere with antibiotic absorption.
6. [Neuro] A patient 4 h post-thrombectomy suddenly becomes lethargic with a BP of
220/110 mmHg. What is the nurse’s first action?
A. Administer PRN hydralazine per protocol
B. Lower head of bed to 15°
C. Notify stroke provider immediately
D. Start IV nicardipine drip using pump
FINAL EXAM PRACTICE TEST - Cumulative
2026-2027 Academic Year | Integrated Nursing
Assessment
1. [Fluids] A patient with heart failure is receiving IV furosemide 40 mg BID. Which
assessment finding is MOST important for the nurse to monitor?
A. Blood pressure
B. Serum potassium level
C. Urine output
D. Respiratory rate
Verified Answer: B
Rationale: Loop diuretics cause rapid potassium wasting; hypokalemia <3.5 mEq/L
increases the risk of fatal ventricular dysrhythmias. While U/O and BP are monitored,
the immediate life-threat is electrolyte-mediated cardiac instability.
2. [Respiratory] SATA A nurse is discharging a patient with COPD. Which instructions
should be included? (Select ALL that apply.)
A. “Use pursed-lip breathing when dyspneic.”
B. “Limit fluids to 1 L/day to decrease mucus.”
,C. “Receive pneumococcal & annual flu vaccines.”
D. “Use albuterol MDI daily as maintenance.”
E. “Report increased sputum or fever promptly.”
Verified Answers: A, C, E
Rationale: Pursed-lip breathing prolongs expiration & reduces air-trapping (A).
Vaccinations decrease exacerbations (C). Early infection recognition prevents
decompensation (E). Fluids are encouraged (unless contraindicated) to thin
secretions—B is incorrect. Albuterol is a short-acting rescue drug, not daily
maintenance—D is incorrect.
3. [Endocrine] (Calculation) The provider prescribes insulin aspart 8 units subcut now.
Available: 100 units/mL vial. How many mL will the nurse draw up?
Verified Answer: 0.08 mL
Rationale: (Desired ÷ Concentration) = 8 units ÷ 100 units/mL = 0.08 mL. Use 0.5 mL
syringe for accuracy.
4. [Cardio] A patient with newly diagnosed HTN (BP 168/102 mmHg) is starting
lisinopril 10 mg daily. Which teaching point is priority?
A. “Take the drug at bedtime to prevent dizziness.”
B. “Increase potassium-rich foods in your diet.”
C. “Stop the drug if you develop a dry cough.”
D. “Check your BP daily and record results.”
, Verified Answer: D
Rationale: Self-monitoring provides data for titration and evaluates effectiveness. ACE
inhibitors can cause cough but patient should consult provider before stopping.
Hyperkalemia risk exists—unrestricted potassium intake (B) is unsafe.
5. [GI] A patient with PUD is prescribed omeprazole 20 mg and clarithromycin 500 mg.
Which statement indicates teaching was effective?
A. “I will take the omeprazole with food for best absorption.”
B. “I can crush the clarithromycin ER tablet if it’s hard to swallow.”
C. “I will complete the full 14-day course even if pain stops.”
D. “Antacid tablets are fine whenever I feel heartburn.”
Verified Answer: C
Rationale: Premature discontinuation of antibiotics promotes resistance and treatment
failure. Omeprazole is taken 30 min before a meal (A incorrect); ER clarithromycin must
remain intact (B incorrect); concurrent antacids can interfere with antibiotic absorption.
6. [Neuro] A patient 4 h post-thrombectomy suddenly becomes lethargic with a BP of
220/110 mmHg. What is the nurse’s first action?
A. Administer PRN hydralazine per protocol
B. Lower head of bed to 15°
C. Notify stroke provider immediately
D. Start IV nicardipine drip using pump
