NUR 2356 MULTIDIMENSIONAL CARE I
EXAM 2 - ADVANCED PRACTICE
QUESTIONS AND VERIFIED ANSWERS
|GRADE A+| JUST RELEASED
1. A nurse is preparing a client for surgery and notes the client has a known allergy to
avocados and bananas. Which action is the priority for the nurse to take?
A. Alert the surgical team that the client is at high risk for a latex allergy.
B. Notify the dietitian to remove these fruits from the client’s postoperative tray.
C. Document the allergy in the medical record as a food sensitivity only.
D. Ensure the client receives an antihistamine prior to arriving in the OR.
Answer: A
Conceptual Explanation: There is a known cross-reactivity between certain fruits
(avocados, bananas, strawberries, kiwi) and latex; the surgical team must be alerted to
implement latex-free precautions.
2. Which electrolyte imbalance is most likely to cause a positive Chvostek’s sign and
Trousseau’s sign?
A. Hyperkalemia
B. Hypocalcemia
,C. Hyponatremia
D. Hypermagnesemia
Answer: B
Conceptual Explanation: Hypocalcemia increases neuromuscular excitability, leading to
tetany, which is clinically assessed via Chvostek’s sign (facial twitching) and Trousseau’s
sign (carpal spasm with BP cuff).
3. A client presents with pH 7.32, PaCO2 52 mmHg, and HCO3 24 mEq/L. Which acid-base
imbalance does the nurse identify?
A. Respiratory Acidosis
B. Respiratory Alkalosis
C. Metabolic Acidosis
D. Metabolic Alkalosis
Answer: A
Conceptual Explanation: A pH below 7.35 indicates acidosis, and a PaCO2 above 45
mmHg with a normal bicarbonate level indicates that the cause is respiratory in nature.
4. A postoperative client reports sudden chest pain and shortness of breath. The nurse notes
the client is tachycardic and tachypneic. Which complication should the nurse suspect first?
A. Hypovolemic shock
B. Pulmonary embolism
, C. Atelectasis
D. Pneumonia
Answer: B
Conceptual Explanation: Sudden onset of dyspnea, chest pain, and tachycardia in a post-
op patient are classic signs of a pulmonary embolism, a life-threatening complication of
DVT.
5. What is the primary responsibility of the nurse regarding informed consent for a surgical
procedure?
A. Explaining the risks and benefits of the surgery to the client.
B. Describing alternative treatments available to the client.
C. Obtaining the signature from the next of kin if the client is anxious.
D. Witnessing the client’s signature on the consent form.
Answer: D
Conceptual Explanation: The surgeon is responsible for explaining the procedure, risks,
and benefits; the nurse’s role is to witness the signature and ensure the client is competent
and gave consent voluntarily.
6. A client is diagnosed with hypokalemia. Which of the following ECG changes should the
nurse expect to observe?
A. Tall peaked T waves
EXAM 2 - ADVANCED PRACTICE
QUESTIONS AND VERIFIED ANSWERS
|GRADE A+| JUST RELEASED
1. A nurse is preparing a client for surgery and notes the client has a known allergy to
avocados and bananas. Which action is the priority for the nurse to take?
A. Alert the surgical team that the client is at high risk for a latex allergy.
B. Notify the dietitian to remove these fruits from the client’s postoperative tray.
C. Document the allergy in the medical record as a food sensitivity only.
D. Ensure the client receives an antihistamine prior to arriving in the OR.
Answer: A
Conceptual Explanation: There is a known cross-reactivity between certain fruits
(avocados, bananas, strawberries, kiwi) and latex; the surgical team must be alerted to
implement latex-free precautions.
2. Which electrolyte imbalance is most likely to cause a positive Chvostek’s sign and
Trousseau’s sign?
A. Hyperkalemia
B. Hypocalcemia
,C. Hyponatremia
D. Hypermagnesemia
Answer: B
Conceptual Explanation: Hypocalcemia increases neuromuscular excitability, leading to
tetany, which is clinically assessed via Chvostek’s sign (facial twitching) and Trousseau’s
sign (carpal spasm with BP cuff).
3. A client presents with pH 7.32, PaCO2 52 mmHg, and HCO3 24 mEq/L. Which acid-base
imbalance does the nurse identify?
A. Respiratory Acidosis
B. Respiratory Alkalosis
C. Metabolic Acidosis
D. Metabolic Alkalosis
Answer: A
Conceptual Explanation: A pH below 7.35 indicates acidosis, and a PaCO2 above 45
mmHg with a normal bicarbonate level indicates that the cause is respiratory in nature.
4. A postoperative client reports sudden chest pain and shortness of breath. The nurse notes
the client is tachycardic and tachypneic. Which complication should the nurse suspect first?
A. Hypovolemic shock
B. Pulmonary embolism
, C. Atelectasis
D. Pneumonia
Answer: B
Conceptual Explanation: Sudden onset of dyspnea, chest pain, and tachycardia in a post-
op patient are classic signs of a pulmonary embolism, a life-threatening complication of
DVT.
5. What is the primary responsibility of the nurse regarding informed consent for a surgical
procedure?
A. Explaining the risks and benefits of the surgery to the client.
B. Describing alternative treatments available to the client.
C. Obtaining the signature from the next of kin if the client is anxious.
D. Witnessing the client’s signature on the consent form.
Answer: D
Conceptual Explanation: The surgeon is responsible for explaining the procedure, risks,
and benefits; the nurse’s role is to witness the signature and ensure the client is competent
and gave consent voluntarily.
6. A client is diagnosed with hypokalemia. Which of the following ECG changes should the
nurse expect to observe?
A. Tall peaked T waves
