NUR 2356 MULTIDIMENSIONAL CARE
FINAL EXAM QUESTIONS AND
VERIFIED ANSWERS |GRADE A+| JUST
RELEASED
1. A patient’s arterial blood gas results are pH 7.30, PaCO2 52 mmHg, and HCO3 26 mEq/L.
Which condition does the nurse suspect?
A. Metabolic Acidosis
B. Respiratory Alkalosis
C. Metabolic Alkalosis
D. Respiratory Acidosis
Answer: D
Conceptual Explanation: The pH is low (acidosis) and the PaCO2 is high (respiratory),
while the HCO3 is normal, indicating uncompensated respiratory acidosis.
2. Which assessment finding should the nurse prioritize in a patient diagnosed with left-sided
heart failure?
A. Peripheral edema in the lower extremities
B. Jugular venous distension (JVD)
C. Hepatosplenomegaly
,D. Crackles heard upon lung auscultation
Answer: D
Conceptual Explanation: Left-sided heart failure results in pulmonary congestion, leading
to symptoms like crackles, dyspnea, and orthopnea. The other options are symptoms of
right-sided heart failure.
3. A patient is receiving Digoxin for heart failure. Which laboratory value requires immediate
notification to the healthcare provider?
A. Serum Magnesium 2.0 mEq/L
B. Serum Sodium 138 mEq/L
C. Serum Digoxin level 1.2 ng/mL
D. Serum Potassium 3.1 mEq/L
Answer: D
Conceptual Explanation: Hypokalemia (potassium < 3.5) significantly increases the risk of
digoxin toxicity, even if the digoxin level is within the therapeutic range (0.8-2.0 ng/mL).
4. The nurse is caring for a patient post-thyroidectomy. The patient reports tingling in the
fingers and around the mouth. What is the priority action?
A. Check the patient’s blood pressure
B. Administer a sedative as prescribed
C. Assess for Chvostek’s sign
, D. Encourage the patient to cough and deep breathe
Answer: C
Conceptual Explanation: Tingling (paresthesia) is a sign of hypocalcemia, often caused by
accidental removal of parathyroid glands during thyroidectomy. Assessing for Chvostek’s
sign or Trousseau’s sign is the priority to evaluate for tetany.
5. A patient with Chronic Obstructive Pulmonary Disease (COPD) is receiving oxygen via nasal
cannula. Which flow rate is typically most appropriate for this patient?
A. 15 L/min
B. 6-8 L/min
C. 10-12 L/min
D. 1-2 L/min
Answer: D
Conceptual Explanation: In COPD, high concentrations of oxygen can suppress the
hypoxic drive, leading to respiratory depression. Low-flow oxygen (1-2 L/min) is generally
maintained.
6. Which dietary instruction is essential for a patient diagnosed with Chronic Kidney Disease
(CKD) on hemodialysis?
A. Increase intake of dairy products for calcium
B. Limit potassium-rich foods like bananas and potatoes
FINAL EXAM QUESTIONS AND
VERIFIED ANSWERS |GRADE A+| JUST
RELEASED
1. A patient’s arterial blood gas results are pH 7.30, PaCO2 52 mmHg, and HCO3 26 mEq/L.
Which condition does the nurse suspect?
A. Metabolic Acidosis
B. Respiratory Alkalosis
C. Metabolic Alkalosis
D. Respiratory Acidosis
Answer: D
Conceptual Explanation: The pH is low (acidosis) and the PaCO2 is high (respiratory),
while the HCO3 is normal, indicating uncompensated respiratory acidosis.
2. Which assessment finding should the nurse prioritize in a patient diagnosed with left-sided
heart failure?
A. Peripheral edema in the lower extremities
B. Jugular venous distension (JVD)
C. Hepatosplenomegaly
,D. Crackles heard upon lung auscultation
Answer: D
Conceptual Explanation: Left-sided heart failure results in pulmonary congestion, leading
to symptoms like crackles, dyspnea, and orthopnea. The other options are symptoms of
right-sided heart failure.
3. A patient is receiving Digoxin for heart failure. Which laboratory value requires immediate
notification to the healthcare provider?
A. Serum Magnesium 2.0 mEq/L
B. Serum Sodium 138 mEq/L
C. Serum Digoxin level 1.2 ng/mL
D. Serum Potassium 3.1 mEq/L
Answer: D
Conceptual Explanation: Hypokalemia (potassium < 3.5) significantly increases the risk of
digoxin toxicity, even if the digoxin level is within the therapeutic range (0.8-2.0 ng/mL).
4. The nurse is caring for a patient post-thyroidectomy. The patient reports tingling in the
fingers and around the mouth. What is the priority action?
A. Check the patient’s blood pressure
B. Administer a sedative as prescribed
C. Assess for Chvostek’s sign
, D. Encourage the patient to cough and deep breathe
Answer: C
Conceptual Explanation: Tingling (paresthesia) is a sign of hypocalcemia, often caused by
accidental removal of parathyroid glands during thyroidectomy. Assessing for Chvostek’s
sign or Trousseau’s sign is the priority to evaluate for tetany.
5. A patient with Chronic Obstructive Pulmonary Disease (COPD) is receiving oxygen via nasal
cannula. Which flow rate is typically most appropriate for this patient?
A. 15 L/min
B. 6-8 L/min
C. 10-12 L/min
D. 1-2 L/min
Answer: D
Conceptual Explanation: In COPD, high concentrations of oxygen can suppress the
hypoxic drive, leading to respiratory depression. Low-flow oxygen (1-2 L/min) is generally
maintained.
6. Which dietary instruction is essential for a patient diagnosed with Chronic Kidney Disease
(CKD) on hemodialysis?
A. Increase intake of dairy products for calcium
B. Limit potassium-rich foods like bananas and potatoes
