RASMUSSEN • NUR 2502 MULTIDIMENSIONAL CARE III
MDC III FINAL EXAM
AND STUDY GUIDE
A+
2026/2027
Cardiovascular • Respiratory • Reproductive • Hematologic • Urinary
A+ 5 100%
QUESTIONS VERIFIED EXAM DOMAINS COVERED RATIONALES INCLUDED
CATEGORIES
1. Cardiovascular Disorders & Heart Failure
2. Cardiac Dysrhythmias & Perfusion
3. Respiratory Disorders
4. Reproductive & Women's Health Disorders
5. Hematologic & Urinary Disorders
Aligned to Rasmussen NUR 2502 competencies: reproductive, urinary, respiratory,
cardiovascular, and hematologic multidimensional nursing care strategies.
STUVIAACTUALEXAM
, SECTION 1 — Cardiovascular Disorders & Heart Failure
Q1. A 68-year-old client with a history of hypertension is admitted with dyspnea, orthopnea, and pink frothy sputum. Lung
auscultation reveals bilateral crackles. The nurse recognizes these findings as most consistent with which condition?
A. Left-sided heart failure with pulmonary congestion
B. Right-sided heart failure with peripheral venous congestion only
C. Chronic stable angina without fluid overload
D. Isolated peripheral arterial disease
Correct Answer: A
Rationale: Left-sided heart failure causes blood to back up into the pulmonary circulation, producing crackles, orthopnea, and pink frothy
sputum. Right-sided failure more typically causes systemic edema and JVD.
Q2. A client with chronic heart failure is taught to weigh daily. The nurse instructs the client to report which finding immediately?
A. Weight loss of 1 lb over two weeks with improved appetite
B. Weight gain of 2 lb overnight or 3 to 5 lb in one week
C. Stable weight with mild ankle swelling that resolves by morning
D. A single missed dose of a prescribed diuretic without other symptoms
Correct Answer: B
Rationale: Rapid weight gain indicates fluid retention and possible decompensation. Clients should report a 2-lb overnight gain or 3-5 lb
weekly gain to allow early intervention.
Q3. Before administering IV furosemide to a client with acute decompensated heart failure, the nurse prioritizes which
assessment?
A. Capillary blood glucose only
B. Only the client's preferred sleeping position
C. Blood pressure, serum potassium, and current volume status
D. Deep tendon reflexes exclusively
Correct Answer: C
Rationale: Loop diuretics can cause hypotension and hypokalemia. Baseline BP and potassium guide safe administration and monitoring.
Q4. A client with HFrEF is prescribed digoxin. The nurse holds the dose and notifies the provider when which finding is present?
A. Apical pulse 72 beats/min with normal rhythm
B. Blood pressure 128/78 mm Hg
C. Serum potassium 4.2 mEq/L
D. Apical pulse 48 beats/min or new visual changes and nausea
Correct Answer: D
Rationale: Digoxin toxicity risk rises with bradycardia and GI or visual symptoms. An apical rate below 60 generally warrants holding the
dose and further evaluation.
Q5. Discharge teaching for a client with heart failure includes avoiding which over-the-counter product class because it can
worsen fluid retention?
A. NSAIDs such as ibuprofen
B. Acetaminophen for mild pain
C. Stool softeners as directed
D. Vitamin D supplements within recommended doses
Correct Answer: A
Rationale: NSAIDs promote sodium and water retention and can blunt diuretic and ACE inhibitor effects, increasing risk of exacerbation.
Q6. A client with right-sided heart failure is most likely to exhibit which cluster of findings?
A. Pulmonary crackles and pink frothy sputum without systemic edema
MDC III FINAL EXAM
AND STUDY GUIDE
A+
2026/2027
Cardiovascular • Respiratory • Reproductive • Hematologic • Urinary
A+ 5 100%
QUESTIONS VERIFIED EXAM DOMAINS COVERED RATIONALES INCLUDED
CATEGORIES
1. Cardiovascular Disorders & Heart Failure
2. Cardiac Dysrhythmias & Perfusion
3. Respiratory Disorders
4. Reproductive & Women's Health Disorders
5. Hematologic & Urinary Disorders
Aligned to Rasmussen NUR 2502 competencies: reproductive, urinary, respiratory,
cardiovascular, and hematologic multidimensional nursing care strategies.
STUVIAACTUALEXAM
, SECTION 1 — Cardiovascular Disorders & Heart Failure
Q1. A 68-year-old client with a history of hypertension is admitted with dyspnea, orthopnea, and pink frothy sputum. Lung
auscultation reveals bilateral crackles. The nurse recognizes these findings as most consistent with which condition?
A. Left-sided heart failure with pulmonary congestion
B. Right-sided heart failure with peripheral venous congestion only
C. Chronic stable angina without fluid overload
D. Isolated peripheral arterial disease
Correct Answer: A
Rationale: Left-sided heart failure causes blood to back up into the pulmonary circulation, producing crackles, orthopnea, and pink frothy
sputum. Right-sided failure more typically causes systemic edema and JVD.
Q2. A client with chronic heart failure is taught to weigh daily. The nurse instructs the client to report which finding immediately?
A. Weight loss of 1 lb over two weeks with improved appetite
B. Weight gain of 2 lb overnight or 3 to 5 lb in one week
C. Stable weight with mild ankle swelling that resolves by morning
D. A single missed dose of a prescribed diuretic without other symptoms
Correct Answer: B
Rationale: Rapid weight gain indicates fluid retention and possible decompensation. Clients should report a 2-lb overnight gain or 3-5 lb
weekly gain to allow early intervention.
Q3. Before administering IV furosemide to a client with acute decompensated heart failure, the nurse prioritizes which
assessment?
A. Capillary blood glucose only
B. Only the client's preferred sleeping position
C. Blood pressure, serum potassium, and current volume status
D. Deep tendon reflexes exclusively
Correct Answer: C
Rationale: Loop diuretics can cause hypotension and hypokalemia. Baseline BP and potassium guide safe administration and monitoring.
Q4. A client with HFrEF is prescribed digoxin. The nurse holds the dose and notifies the provider when which finding is present?
A. Apical pulse 72 beats/min with normal rhythm
B. Blood pressure 128/78 mm Hg
C. Serum potassium 4.2 mEq/L
D. Apical pulse 48 beats/min or new visual changes and nausea
Correct Answer: D
Rationale: Digoxin toxicity risk rises with bradycardia and GI or visual symptoms. An apical rate below 60 generally warrants holding the
dose and further evaluation.
Q5. Discharge teaching for a client with heart failure includes avoiding which over-the-counter product class because it can
worsen fluid retention?
A. NSAIDs such as ibuprofen
B. Acetaminophen for mild pain
C. Stool softeners as directed
D. Vitamin D supplements within recommended doses
Correct Answer: A
Rationale: NSAIDs promote sodium and water retention and can blunt diuretic and ACE inhibitor effects, increasing risk of exacerbation.
Q6. A client with right-sided heart failure is most likely to exhibit which cluster of findings?
A. Pulmonary crackles and pink frothy sputum without systemic edema
