,NUR 2392 Final Exam | Multidimensional Care II (2026)
Actual Q&A PDF | Rasmussen College
1. A nurse is preparing a patient for surgery. Which action is the nurse’s responsibility
regarding informed consent?
A) Explaining the surgical risks and benefits to the patient
B) Obtaining the patient’s signature on the consent form
C) Witnessing the patient’s signature and verifying understanding
D) Deciding whether the patient is competent to sign
Correct Answer: Witnessing the patient’s signature and verifying understanding
Rationale: The nurse’s role in informed consent is to witness the patient’s signature and
verify that the patient is competent, understands the information, and is signing voluntarily.
The surgeon is responsible for explaining the procedure, risks, benefits, and alternatives.
The nurse does not obtain consent (B), and a spouse may only sign if the patient is legally
incompetent (C). Competence is a legal determination, not a nursing decision (D).
2. A patient scheduled for elective surgery has a serum potassium level of 3.0 mEq/L. What
is the nurse’s priority action?
A) Document the finding and proceed with surgery
B) Notify the provider for immediate follow-up
C) Encourage the patient to eat a banana
D) Recheck the potassium level after surgery
Correct Answer: Notify the provider for immediate follow-up
,Rationale: Hypokalemia (K+ < 3.5 mEq/L) increases the risk of cardiac dysrhythmias
under anesthesia and potentiates neuromuscular blockade, so elective surgery should be
postponed pending correction. Simply documenting the finding (A) or waiting until after
surgery (D) is unsafe. While potassium-rich foods are beneficial, they are not an immediate
intervention for a critically low level before surgery (C).
3. A patient is admitted with severe vomiting and diarrhea. Which acid-base imbalance
should the nurse anticipate?
A) Metabolic alkalosis
B) Metabolic acidosis
C) Respiratory alkalosis
D) Respiratory acidosis
Correct Answer: Metabolic acidosis
Rationale: Severe vomiting and diarrhea cause significant loss of bicarbonate-rich
intestinal fluids, leading to metabolic acidosis. While vomiting alone can cause metabolic
alkalosis, the combination with diarrhea typically results in a net loss of bicarbonate,
producing a metabolic acidosis.
4. A patient with a new ileostomy has a bluish, dusky stoma. What is the nurse’s priority
action?
A) Document the finding as a normal variation
B) Notify the healthcare provider immediately
C) Apply a warm compress to the stoma
D) Change the ostomy pouch
Correct Answer: Notify the healthcare provider immediately
, Rationale: A bluish, dusky, or black stoma may indicate ischemia or necrosis and requires
immediate notification of the healthcare provider. A healthy stoma should be pink to red
and moist.
5. A patient with type 1 diabetes has a blood glucose of 520 mg/dL, pH 7.15, and positive
serum ketones. Which intervention is the priority?
A) Administer subcutaneous insulin
B) Administer intravenous fluids and insulin
C) Administer oral glucose gel
D) Encourage a high-carbohydrate meal
Correct Answer: Administer intravenous fluids and insulin
Rationale: This presentation is consistent with diabetic ketoacidosis (DKA), which
requires aggressive intravenous fluid resuscitation and intravenous insulin as priority
interventions. Subcutaneous insulin (A), oral glucose (C), and high-carbohydrate meals (D)
are inappropriate or insufficient for acute DKA management.
6. A patient with heart failure is receiving furosemide. Which laboratory value requires
immediate follow-up?
A) Potassium 3.1 mEq/L
B) Sodium 138 mEq/L
C) Calcium 9.2 mg/dL
D) Magnesium 2.0 mg/dL
Correct Answer: Potassium 3.1 mEq/L
Actual Q&A PDF | Rasmussen College
1. A nurse is preparing a patient for surgery. Which action is the nurse’s responsibility
regarding informed consent?
A) Explaining the surgical risks and benefits to the patient
B) Obtaining the patient’s signature on the consent form
C) Witnessing the patient’s signature and verifying understanding
D) Deciding whether the patient is competent to sign
Correct Answer: Witnessing the patient’s signature and verifying understanding
Rationale: The nurse’s role in informed consent is to witness the patient’s signature and
verify that the patient is competent, understands the information, and is signing voluntarily.
The surgeon is responsible for explaining the procedure, risks, benefits, and alternatives.
The nurse does not obtain consent (B), and a spouse may only sign if the patient is legally
incompetent (C). Competence is a legal determination, not a nursing decision (D).
2. A patient scheduled for elective surgery has a serum potassium level of 3.0 mEq/L. What
is the nurse’s priority action?
A) Document the finding and proceed with surgery
B) Notify the provider for immediate follow-up
C) Encourage the patient to eat a banana
D) Recheck the potassium level after surgery
Correct Answer: Notify the provider for immediate follow-up
,Rationale: Hypokalemia (K+ < 3.5 mEq/L) increases the risk of cardiac dysrhythmias
under anesthesia and potentiates neuromuscular blockade, so elective surgery should be
postponed pending correction. Simply documenting the finding (A) or waiting until after
surgery (D) is unsafe. While potassium-rich foods are beneficial, they are not an immediate
intervention for a critically low level before surgery (C).
3. A patient is admitted with severe vomiting and diarrhea. Which acid-base imbalance
should the nurse anticipate?
A) Metabolic alkalosis
B) Metabolic acidosis
C) Respiratory alkalosis
D) Respiratory acidosis
Correct Answer: Metabolic acidosis
Rationale: Severe vomiting and diarrhea cause significant loss of bicarbonate-rich
intestinal fluids, leading to metabolic acidosis. While vomiting alone can cause metabolic
alkalosis, the combination with diarrhea typically results in a net loss of bicarbonate,
producing a metabolic acidosis.
4. A patient with a new ileostomy has a bluish, dusky stoma. What is the nurse’s priority
action?
A) Document the finding as a normal variation
B) Notify the healthcare provider immediately
C) Apply a warm compress to the stoma
D) Change the ostomy pouch
Correct Answer: Notify the healthcare provider immediately
, Rationale: A bluish, dusky, or black stoma may indicate ischemia or necrosis and requires
immediate notification of the healthcare provider. A healthy stoma should be pink to red
and moist.
5. A patient with type 1 diabetes has a blood glucose of 520 mg/dL, pH 7.15, and positive
serum ketones. Which intervention is the priority?
A) Administer subcutaneous insulin
B) Administer intravenous fluids and insulin
C) Administer oral glucose gel
D) Encourage a high-carbohydrate meal
Correct Answer: Administer intravenous fluids and insulin
Rationale: This presentation is consistent with diabetic ketoacidosis (DKA), which
requires aggressive intravenous fluid resuscitation and intravenous insulin as priority
interventions. Subcutaneous insulin (A), oral glucose (C), and high-carbohydrate meals (D)
are inappropriate or insufficient for acute DKA management.
6. A patient with heart failure is receiving furosemide. Which laboratory value requires
immediate follow-up?
A) Potassium 3.1 mEq/L
B) Sodium 138 mEq/L
C) Calcium 9.2 mg/dL
D) Magnesium 2.0 mg/dL
Correct Answer: Potassium 3.1 mEq/L
