EXAM 2 - NUR 2502 / NUR2502: MULTIDIMENSIONAL CARE
III (MDC 3) - RASMUSSEN UNIVERSITY - 2026/2027
COMPLETE PRACTICE EXAM WITH ANSWERS AND
RATIONALES
EXAM 2 — MULTIDIMENSIONAL CARE III
NUR 2502 / NUR2502
Comprehensive Practice Examination
2026–2027 Academic Year
Institution: Rasmussen University
Course: Multidimensional Care III (MDC 3)
Exam: Exam 2 Practice Examination
Format: Multiple-Choice and Short-Answer Questions
Total Questions: 200+
Prepared as: Original educational practice material
Date: August 10, 2026
TABLE OF CONTENTS
Section I — Upper Respiratory System
1. Respiratory Assessment and Diagnostic Procedures
2. Upper Respiratory Infections
3. Epistaxis and Facial/Upper-Airway Disorders
4. Tonsillectomy and Related Care
5. Laryngeal Disorders and Laryngectomy
Section II — Lower Respiratory System
6. Asthma
7. Chronic Obstructive Pulmonary Disease
8. Pneumonia
9. Tuberculosis
, 10. Cystic Fibrosis
11. Lung Cancer
12. Pulmonary Hypertension and Other Disorders
13. Oxygenation and Respiratory Failure
Section III — Cardiovascular System
14. Hypertension
15. Heart Failure
16. Dysrhythmias
17. Vascular Disorders
18. Valvular and Pericardial Disorders
Section IV — Hematologic System
19. Anemias
20. Leukemia
21. Hemophilia and Coagulation Disorders
22. Blood Products and Transfusion Safety
Section V — Urinary/Renal System
23. Acute Kidney Injury
24. Chronic Kidney Disease
25. Glomerular and Urinary Disorders
26. BPH, Urinary Obstruction, and Bladder Disorders
Section VI — Reproductive System
27. Female Reproductive Disorders
28. Male Reproductive Disorders
29. Prostate Disorders
30. Menopause and Related Nursing Care
Section VII — Integrated Clinical Judgment
31. Prioritization
, 32. Safety and Delegation
33. Medication and Patient Education
34. Multisystem Clinical Cases
SECTION I
UPPER RESPIRATORY SYSTEM
Respiratory Assessment, Diagnostics, and Upper-Airway Disorders
Question 1 — Multiple Choice
A nurse is assessing a patient who reports shortness of breath. Which finding requires the most
immediate nursing intervention?
A. Respiratory rate of 22/minute
B. Oxygen saturation of 94% on room air
C. New-onset inspiratory stridor
D. Productive cough with clear sputum
Correct Answer: C. New-onset inspiratory stridor
Rationale:
Inspiratory stridor is a high-pitched sound associated with significant upper-airway narrowing or
obstruction. Because airway obstruction can progress rapidly, stridor requires immediate
assessment and intervention. A respiratory rate of 22/minute represents mild tachypnea, while an
oxygen saturation of 94% may be acceptable depending on the patient's baseline and clinical
condition. A productive cough with clear sputum is not, by itself, an indication of an immediately
compromised airway.
Question 2 — Multiple Choice
The nurse is preparing to assess a patient's respiratory system. Which assessment should the
nurse perform first?
A. Auscultate the posterior lung fields
B. Inspect the patient's respiratory pattern
C. Percuss all lung fields
D. Ask the patient to cough deeply
Correct Answer: B. Inspect the patient's respiratory pattern
, Rationale:
Inspection is the first component of the physical assessment sequence. The nurse should initially
observe respiratory rate, rhythm, depth, effort, symmetry, positioning, and use of accessory
muscles. Auscultation and percussion occur after inspection and other appropriate assessment
steps.
Question 3 — Short Answer
A patient with respiratory disease is using accessory muscles to breathe. What does this finding
indicate?
Correct Answer:
Use of accessory muscles indicates increased work of breathing and respiratory distress.
Rationale:
Accessory muscles are recruited when the patient is having difficulty moving air using normal
respiratory muscles. This may occur with airway obstruction, severe asthma, COPD
exacerbation, pneumonia, or other conditions that increase the work required for ventilation. The
finding should prompt additional assessment for worsening respiratory compromise.
Question 4 — Multiple Choice
Which assessment finding is most concerning in a patient experiencing acute respiratory
distress?
A. Mild anxiety
B. Nasal congestion
C. Restlessness and altered level of consciousness
D. Respiratory rate of 20/minute
Correct Answer: C. Restlessness and altered level of consciousness
Rationale:
Restlessness, confusion, or altered consciousness can indicate inadequate oxygenation or
worsening carbon dioxide retention. These neurological changes may be late or significant
manifestations of respiratory compromise. The nurse should immediately assess airway,
breathing, oxygenation, and circulation and intervene according to the patient's condition.
Question 5 — Multiple Choice
III (MDC 3) - RASMUSSEN UNIVERSITY - 2026/2027
COMPLETE PRACTICE EXAM WITH ANSWERS AND
RATIONALES
EXAM 2 — MULTIDIMENSIONAL CARE III
NUR 2502 / NUR2502
Comprehensive Practice Examination
2026–2027 Academic Year
Institution: Rasmussen University
Course: Multidimensional Care III (MDC 3)
Exam: Exam 2 Practice Examination
Format: Multiple-Choice and Short-Answer Questions
Total Questions: 200+
Prepared as: Original educational practice material
Date: August 10, 2026
TABLE OF CONTENTS
Section I — Upper Respiratory System
1. Respiratory Assessment and Diagnostic Procedures
2. Upper Respiratory Infections
3. Epistaxis and Facial/Upper-Airway Disorders
4. Tonsillectomy and Related Care
5. Laryngeal Disorders and Laryngectomy
Section II — Lower Respiratory System
6. Asthma
7. Chronic Obstructive Pulmonary Disease
8. Pneumonia
9. Tuberculosis
, 10. Cystic Fibrosis
11. Lung Cancer
12. Pulmonary Hypertension and Other Disorders
13. Oxygenation and Respiratory Failure
Section III — Cardiovascular System
14. Hypertension
15. Heart Failure
16. Dysrhythmias
17. Vascular Disorders
18. Valvular and Pericardial Disorders
Section IV — Hematologic System
19. Anemias
20. Leukemia
21. Hemophilia and Coagulation Disorders
22. Blood Products and Transfusion Safety
Section V — Urinary/Renal System
23. Acute Kidney Injury
24. Chronic Kidney Disease
25. Glomerular and Urinary Disorders
26. BPH, Urinary Obstruction, and Bladder Disorders
Section VI — Reproductive System
27. Female Reproductive Disorders
28. Male Reproductive Disorders
29. Prostate Disorders
30. Menopause and Related Nursing Care
Section VII — Integrated Clinical Judgment
31. Prioritization
, 32. Safety and Delegation
33. Medication and Patient Education
34. Multisystem Clinical Cases
SECTION I
UPPER RESPIRATORY SYSTEM
Respiratory Assessment, Diagnostics, and Upper-Airway Disorders
Question 1 — Multiple Choice
A nurse is assessing a patient who reports shortness of breath. Which finding requires the most
immediate nursing intervention?
A. Respiratory rate of 22/minute
B. Oxygen saturation of 94% on room air
C. New-onset inspiratory stridor
D. Productive cough with clear sputum
Correct Answer: C. New-onset inspiratory stridor
Rationale:
Inspiratory stridor is a high-pitched sound associated with significant upper-airway narrowing or
obstruction. Because airway obstruction can progress rapidly, stridor requires immediate
assessment and intervention. A respiratory rate of 22/minute represents mild tachypnea, while an
oxygen saturation of 94% may be acceptable depending on the patient's baseline and clinical
condition. A productive cough with clear sputum is not, by itself, an indication of an immediately
compromised airway.
Question 2 — Multiple Choice
The nurse is preparing to assess a patient's respiratory system. Which assessment should the
nurse perform first?
A. Auscultate the posterior lung fields
B. Inspect the patient's respiratory pattern
C. Percuss all lung fields
D. Ask the patient to cough deeply
Correct Answer: B. Inspect the patient's respiratory pattern
, Rationale:
Inspection is the first component of the physical assessment sequence. The nurse should initially
observe respiratory rate, rhythm, depth, effort, symmetry, positioning, and use of accessory
muscles. Auscultation and percussion occur after inspection and other appropriate assessment
steps.
Question 3 — Short Answer
A patient with respiratory disease is using accessory muscles to breathe. What does this finding
indicate?
Correct Answer:
Use of accessory muscles indicates increased work of breathing and respiratory distress.
Rationale:
Accessory muscles are recruited when the patient is having difficulty moving air using normal
respiratory muscles. This may occur with airway obstruction, severe asthma, COPD
exacerbation, pneumonia, or other conditions that increase the work required for ventilation. The
finding should prompt additional assessment for worsening respiratory compromise.
Question 4 — Multiple Choice
Which assessment finding is most concerning in a patient experiencing acute respiratory
distress?
A. Mild anxiety
B. Nasal congestion
C. Restlessness and altered level of consciousness
D. Respiratory rate of 20/minute
Correct Answer: C. Restlessness and altered level of consciousness
Rationale:
Restlessness, confusion, or altered consciousness can indicate inadequate oxygenation or
worsening carbon dioxide retention. These neurological changes may be late or significant
manifestations of respiratory compromise. The nurse should immediately assess airway,
breathing, oxygenation, and circulation and intervene according to the patient's condition.
Question 5 — Multiple Choice
