MDC 2 exam 1, 2026 Multidimensional
Care II Nursing Test Prep questions and
answerS
1. The nurse is working on a burn unit, and an acutely ill client is exhibiting signs and symptoms of third
spacing. Based on this change in status, the nurse should expect the client to exhibit signs and
symptoms of which imbalance. - >>>>>>ANSWER hypovolemia
2. A client with a strong family history of breast cancer is considering genetic testing for BRCA1 and
BRCA2 mutations. The client expresses concern about the implications of the test results. What is the
nurse's best response to support the client's decision-making process? - >>>>>>ANSWER Inform the
client about the potential psychological impact of the test results
3. A client with a history of breast cancer treated with mastectomy and chemotherapy five years ago
presents with shortness of breath and a persistent cough. A chest CT scan reveals a small nodule with no
infiltrates in the lung. Which step should the nurse anticipate as the next part of the client's care plan? -
>>>>>>ANSWER Notify the physician for a referral to a pulmonologist for bronchoscopy and biopsy of
the lung nodule
4. A nurse is working with a client who has chosen to enroll in hospice care. The client's family is
unfamiliar with the concept and has many questions. What should the nurse explain as the primary
focus of hospice care? - >>>>>>ANSWER To focus on quality of life and preparation for death without
hastening death or prolonging life
5. A client with breast cancer is experiencing chemotherapy-induced peripheral neuropathy. The nurse is
developing a plan of care. Which intervention should the nurse include to promote client safety? -
>>>>>>ANSWER Instruct the client to inspect the feet daily for injuries that may go unnoticed
6. A client with advanced pancreatic cancer is experiencing intractable pain. The oncology team decides
to initiate a continuous infusion of client-controlled analgesia (PCA). Which nursing action is essential
when educating the client and family about PCA use? - >>>>>>ANSWER Teach the client to use the PCA
button before pain becomes severe to maintain control
, 7. A nurse is working with a client who has expressed a desire for culturally sensitive care at the end of
life. Which assessment questions are most appropriate for the nurse to ask to ensure that the client's
wishes are respected? - >>>>>>ANSWER "Can you tell me about any cultural or spiritual practices that
are important for your care?"
8. A client with a history of vomiting and diarrhea presents with signs of fluid volume deficit (FVD). The
nurse notes that the client's blood urea nitrogen (BUN) to serum creatinine ratio is 25:1. Which action
should the nurse prioritize to address the client's condition? - >>>>>>ANSWER "Initiate an intravenous
infusion of isotonic electrolyte solution."
9. A client with chronic kidney disease presents with signs of fluid volume excess (FVE), including edema,
distended jugular veins, and crackles upon lung auscultation. The client is currently on a sodium-
restricted diet but continues to experience fluid retention. Which nursing action is most important to
address the client's condition? - >>>>>>ANSWER Administer a loop diuretic as prescribed and monitor
electrolyte levels
10. A client is admitted with severe dehydration. The healthcare provider orders an IV solution to
correct these deficits. Which IV solution would be most appropriate to administer to achieve this goal? -
>>>>>>ANSWER 0.9% Normal Saline
11. A client with a history of heart failure is admitted to the emergency department with signs of
dehydration. The healthcare provider orders an isotonic intravenous solution. Which action should the
nurse prioritize to ensure client safety? - >>>>>>ANSWER Monitor the client for signs of fluid overload
during administration
12. A nurse who works in an oncology clinic is assessing a client who has arrived for a 2-month follow-up
appointment following chemotherapy. The nurse notes that the client's skin appears yellow. Which
blood tests should be done to further explore this clinical sign? - >>>>>>ANSWER Liver function tests
(LFTs)
13. Which nursing action best demonstrates primary cancer prevention? - >>>>>>ANSWER Promoting
and providing vaccines
Care II Nursing Test Prep questions and
answerS
1. The nurse is working on a burn unit, and an acutely ill client is exhibiting signs and symptoms of third
spacing. Based on this change in status, the nurse should expect the client to exhibit signs and
symptoms of which imbalance. - >>>>>>ANSWER hypovolemia
2. A client with a strong family history of breast cancer is considering genetic testing for BRCA1 and
BRCA2 mutations. The client expresses concern about the implications of the test results. What is the
nurse's best response to support the client's decision-making process? - >>>>>>ANSWER Inform the
client about the potential psychological impact of the test results
3. A client with a history of breast cancer treated with mastectomy and chemotherapy five years ago
presents with shortness of breath and a persistent cough. A chest CT scan reveals a small nodule with no
infiltrates in the lung. Which step should the nurse anticipate as the next part of the client's care plan? -
>>>>>>ANSWER Notify the physician for a referral to a pulmonologist for bronchoscopy and biopsy of
the lung nodule
4. A nurse is working with a client who has chosen to enroll in hospice care. The client's family is
unfamiliar with the concept and has many questions. What should the nurse explain as the primary
focus of hospice care? - >>>>>>ANSWER To focus on quality of life and preparation for death without
hastening death or prolonging life
5. A client with breast cancer is experiencing chemotherapy-induced peripheral neuropathy. The nurse is
developing a plan of care. Which intervention should the nurse include to promote client safety? -
>>>>>>ANSWER Instruct the client to inspect the feet daily for injuries that may go unnoticed
6. A client with advanced pancreatic cancer is experiencing intractable pain. The oncology team decides
to initiate a continuous infusion of client-controlled analgesia (PCA). Which nursing action is essential
when educating the client and family about PCA use? - >>>>>>ANSWER Teach the client to use the PCA
button before pain becomes severe to maintain control
, 7. A nurse is working with a client who has expressed a desire for culturally sensitive care at the end of
life. Which assessment questions are most appropriate for the nurse to ask to ensure that the client's
wishes are respected? - >>>>>>ANSWER "Can you tell me about any cultural or spiritual practices that
are important for your care?"
8. A client with a history of vomiting and diarrhea presents with signs of fluid volume deficit (FVD). The
nurse notes that the client's blood urea nitrogen (BUN) to serum creatinine ratio is 25:1. Which action
should the nurse prioritize to address the client's condition? - >>>>>>ANSWER "Initiate an intravenous
infusion of isotonic electrolyte solution."
9. A client with chronic kidney disease presents with signs of fluid volume excess (FVE), including edema,
distended jugular veins, and crackles upon lung auscultation. The client is currently on a sodium-
restricted diet but continues to experience fluid retention. Which nursing action is most important to
address the client's condition? - >>>>>>ANSWER Administer a loop diuretic as prescribed and monitor
electrolyte levels
10. A client is admitted with severe dehydration. The healthcare provider orders an IV solution to
correct these deficits. Which IV solution would be most appropriate to administer to achieve this goal? -
>>>>>>ANSWER 0.9% Normal Saline
11. A client with a history of heart failure is admitted to the emergency department with signs of
dehydration. The healthcare provider orders an isotonic intravenous solution. Which action should the
nurse prioritize to ensure client safety? - >>>>>>ANSWER Monitor the client for signs of fluid overload
during administration
12. A nurse who works in an oncology clinic is assessing a client who has arrived for a 2-month follow-up
appointment following chemotherapy. The nurse notes that the client's skin appears yellow. Which
blood tests should be done to further explore this clinical sign? - >>>>>>ANSWER Liver function tests
(LFTs)
13. Which nursing action best demonstrates primary cancer prevention? - >>>>>>ANSWER Promoting
and providing vaccines
