,NUR 2502 Exam 2 | Multidimensional Care III (2026) Actual Q&A
PDF | Rasmussen College
1. A nurse is caring for a client with a recent diagnosis of sinus cancer who asks for another
course of antibiotics, believing he has another sinus infection. What is the nurse's best
response?
A) "Tell me more about your understanding of sinus cancer symptoms."
B) "I will tell the physician to order an antibiotic."
C) "Let me bring you a brochure about sinus cancer."
D) "Why are you doubting your doctor's diagnosis?"
Correct Answer: "Tell me more about your understanding of sinus cancer symptoms."
Rationale: This open-ended response encourages the client to express their concerns and
misconceptions about their diagnosis. It allows the nurse to assess the client's
understanding, provide appropriate education, and address any fears, which is essential for
therapeutic communication and patient-centered care.
2. A client presents with signs and symptoms often associated with lung cancer. Which
clinical manifestations should the nurse expect to observe? (Select all that apply.)
A) Hypothermia
B) Hoarseness
C) Peripheral edema
D) Chest tightness
E) Frank hemoptysis
Correct Answer: Hoarseness, Chest tightness, Frank hemoptysis
Rationale: Lung cancer commonly presents with hoarseness (from recurrent laryngeal nerve
involvement), chest tightness or pain, and frank hemoptysis (coughing up blood).
Hypothermia and peripheral edema are not typical initial manifestations of lung cancer.
,3. A nurse is assessing a client with cystic fibrosis. Which assessment findings are consistent
with this disorder? (Select all that apply.)
A) Thick, sticky mucus
B) Recurrent respiratory infections
C) Steatorrhea
D) Decreased forced vital capacity (FVC)
E) Gastroesophageal reflux disease (GERD)
Correct Answer: Thick, sticky mucus, Recurrent respiratory infections, Steatorrhea,
Decreased forced vital capacity (FVC), Gastroesophageal reflux disease (GERD)
Rationale: Cystic fibrosis causes thick, sticky mucus that obstructs airways and glands,
leading to recurrent respiratory infections, decreased FVC, and malabsorption (steatorrhea).
GERD is also common due to increased intra-abdominal pressure and motility issues.
4. The nurse is caring for a client with end-stage emphysema. Which arterial blood gas (ABG)
finding would be expected?
A) Increased pH
B) Decreased pH
C) Increased PaO2
D) Increased PaCO2
Correct Answer: Increased PaCO2
Rationale: In end-stage emphysema, the client experiences chronic hypercapnia (elevated
PaCO2) due to alveolar destruction and ineffective gas exchange. This results in respiratory
acidosis (decreased pH) and hypoxemia (decreased PaO2).
5. A client with cystic fibrosis is being discharged. Which treatment option should the nurse
include in the teaching plan?
A) Chest physiotherapy
B) Weight reduction
, C) Pain management
D) Tracheostomy
Correct Answer: Chest physiotherapy
Rationale: Chest physiotherapy (CPT) is a cornerstone of cystic fibrosis management to
mobilize and clear the thick, tenacious secretions from the airways. Weight reduction is not
indicated; these clients often need nutritional support, and tracheostomy is not a routine
treatment for CF.
6. A client with chronic bronchitis often shows signs of hypoxia. Which of the following is the
priority to monitor in this client?
A) Oxygen (O2) levels
B) Barrel chest
C) Nutritional status
D) Clubbing of fingers
Correct Answer: Oxygen (O2) levels
Rationale: In a client with chronic bronchitis and hypoxia, monitoring oxygen levels is the
priority because hypoxia can lead to serious complications such as respiratory failure. Barrel
chest, nutritional status, and clubbing of fingers are important but secondary to
oxygenation.
7. The nurse is teaching a client about post-rhinoplasty care. Which statements by the client
indicate an understanding of the instructions? (Select all that apply.)
A) "I will have a very large dressing on my nose."
B) "I may have a very dry mouth and throat."
C) "There will be swelling that will cause a loss of sense of smell."
D) "I will have bruising around my eyes, nose, and face."
E) "I should limit coughing, sneezing, and blowing my nose."
PDF | Rasmussen College
1. A nurse is caring for a client with a recent diagnosis of sinus cancer who asks for another
course of antibiotics, believing he has another sinus infection. What is the nurse's best
response?
A) "Tell me more about your understanding of sinus cancer symptoms."
B) "I will tell the physician to order an antibiotic."
C) "Let me bring you a brochure about sinus cancer."
D) "Why are you doubting your doctor's diagnosis?"
Correct Answer: "Tell me more about your understanding of sinus cancer symptoms."
Rationale: This open-ended response encourages the client to express their concerns and
misconceptions about their diagnosis. It allows the nurse to assess the client's
understanding, provide appropriate education, and address any fears, which is essential for
therapeutic communication and patient-centered care.
2. A client presents with signs and symptoms often associated with lung cancer. Which
clinical manifestations should the nurse expect to observe? (Select all that apply.)
A) Hypothermia
B) Hoarseness
C) Peripheral edema
D) Chest tightness
E) Frank hemoptysis
Correct Answer: Hoarseness, Chest tightness, Frank hemoptysis
Rationale: Lung cancer commonly presents with hoarseness (from recurrent laryngeal nerve
involvement), chest tightness or pain, and frank hemoptysis (coughing up blood).
Hypothermia and peripheral edema are not typical initial manifestations of lung cancer.
,3. A nurse is assessing a client with cystic fibrosis. Which assessment findings are consistent
with this disorder? (Select all that apply.)
A) Thick, sticky mucus
B) Recurrent respiratory infections
C) Steatorrhea
D) Decreased forced vital capacity (FVC)
E) Gastroesophageal reflux disease (GERD)
Correct Answer: Thick, sticky mucus, Recurrent respiratory infections, Steatorrhea,
Decreased forced vital capacity (FVC), Gastroesophageal reflux disease (GERD)
Rationale: Cystic fibrosis causes thick, sticky mucus that obstructs airways and glands,
leading to recurrent respiratory infections, decreased FVC, and malabsorption (steatorrhea).
GERD is also common due to increased intra-abdominal pressure and motility issues.
4. The nurse is caring for a client with end-stage emphysema. Which arterial blood gas (ABG)
finding would be expected?
A) Increased pH
B) Decreased pH
C) Increased PaO2
D) Increased PaCO2
Correct Answer: Increased PaCO2
Rationale: In end-stage emphysema, the client experiences chronic hypercapnia (elevated
PaCO2) due to alveolar destruction and ineffective gas exchange. This results in respiratory
acidosis (decreased pH) and hypoxemia (decreased PaO2).
5. A client with cystic fibrosis is being discharged. Which treatment option should the nurse
include in the teaching plan?
A) Chest physiotherapy
B) Weight reduction
, C) Pain management
D) Tracheostomy
Correct Answer: Chest physiotherapy
Rationale: Chest physiotherapy (CPT) is a cornerstone of cystic fibrosis management to
mobilize and clear the thick, tenacious secretions from the airways. Weight reduction is not
indicated; these clients often need nutritional support, and tracheostomy is not a routine
treatment for CF.
6. A client with chronic bronchitis often shows signs of hypoxia. Which of the following is the
priority to monitor in this client?
A) Oxygen (O2) levels
B) Barrel chest
C) Nutritional status
D) Clubbing of fingers
Correct Answer: Oxygen (O2) levels
Rationale: In a client with chronic bronchitis and hypoxia, monitoring oxygen levels is the
priority because hypoxia can lead to serious complications such as respiratory failure. Barrel
chest, nutritional status, and clubbing of fingers are important but secondary to
oxygenation.
7. The nurse is teaching a client about post-rhinoplasty care. Which statements by the client
indicate an understanding of the instructions? (Select all that apply.)
A) "I will have a very large dressing on my nose."
B) "I may have a very dry mouth and throat."
C) "There will be swelling that will cause a loss of sense of smell."
D) "I will have bruising around my eyes, nose, and face."
E) "I should limit coughing, sneezing, and blowing my nose."
