NUR2392 Final Exam: Multidimensional Care II
Verified & Updated Questions and Answers -
Rasmussen University
1. A nurse is assessing a client for signs of hypocalcemia. Which of the following
findings would indicate a positive Chvostek’s sign?
A. Cardiac dysrhythmias and prolonged QT interval
B. Carpal spasm induced by inflating a blood pressure cuff
C. Numbness and tingling in the extremities
D. Spasm of the facial muscles following a tap on the facial nerve
Answer: D
Explanation: Chvostek’s sign is a clinical sign of hypocalcemia (low calcium levels)
characterized by a spasm of the facial muscles when the facial nerve is tapped anterior to
the ear.
2. A client with chronic obstructive pulmonary disease (COPD) is receiving
oxygen therapy. What is the most appropriate oxygen delivery device for this
client to ensure precise concentration?
A. Simple face mask
B. Non-rebreather mask
C. Nasal cannula
D. Venturi mask
Answer: D
Explanation: The Venturi mask is preferred for COPD patients because it delivers a
precise, fixed concentration of oxygen, which is critical to avoid suppressing the hypoxic
drive.
,3. A nurse is caring for a client who is 4 hours postoperative. Which of the
following assessment findings is the most immediate concern?
A. Pain level of 6 on a 0-10 scale
B. Temperature of 99.1°F (37.3°C)
C. Urine output of 20 mL/hr over the last 2 hours
D. Absent bowel sounds
Answer: C
Explanation: Postoperative urine output should be at least 30 mL/hr. Output below this
suggests decreased renal perfusion or hypovolemia and requires immediate intervention.
4. Which of the following laboratory values should a nurse prioritize for a client
scheduled for surgery tomorrow?
A. Hemoglobin 14.0 g/dL
B. Sodium 138 mEq/L
C. Potassium 2.8 mEq/L
D. WBC count 8,000/mm3
Answer: C
Explanation: A potassium level of 2.8 mEq/L is significantly low (hypokalemia) and can
lead to life-threatening cardiac dysrhythmias during anesthesia; this must be corrected
before surgery.
5. A nurse is preparing to administer Albuterol to a client with an acute asthma
attack. What is the primary purpose of this medication?
A. To provide rapid bronchodilation
B. To thin respiratory secretions
C. To reduce airway inflammation
D. To prevent future asthma attacks
Answer: A
, Explanation: Albuterol is a short-acting beta-2 agonist (SABA) that acts quickly to dilate
the bronchioles during an acute exacerbation.
6. A client presents with pitting edema, crackles in the lung bases, and a weight
gain of 5 lbs in 2 days. Which condition does the nurse suspect?
A. Hypovolemia
B. Hypokalemia
C. Hyponatremia
D. Hypervolemia
Answer: D
Explanation: These are classic signs of fluid volume excess (hypervolemia), where the
body retains sodium and water, leading to interstitial edema and pulmonary congestion.
7. Which acid-base imbalance is most likely in a client who has been vomiting
for the past 24 hours?
A. Respiratory acidosis
B. Metabolic alkalosis
C. Metabolic acidosis
D. Respiratory alkalosis
Answer: B
Explanation: Vomiting results in the loss of stomach acid (hydrochloric acid), which leads
to an increase in blood pH and bicarbonate, causing metabolic alkalosis.
8. A client is diagnosed with Left-sided Heart Failure. Which assessment finding
should the nurse expect?
A. Jugular venous distention
B. Splenomegaly
C. Shortness of breath and crackles
D. Dependent peripheral edema
Answer: C
Verified & Updated Questions and Answers -
Rasmussen University
1. A nurse is assessing a client for signs of hypocalcemia. Which of the following
findings would indicate a positive Chvostek’s sign?
A. Cardiac dysrhythmias and prolonged QT interval
B. Carpal spasm induced by inflating a blood pressure cuff
C. Numbness and tingling in the extremities
D. Spasm of the facial muscles following a tap on the facial nerve
Answer: D
Explanation: Chvostek’s sign is a clinical sign of hypocalcemia (low calcium levels)
characterized by a spasm of the facial muscles when the facial nerve is tapped anterior to
the ear.
2. A client with chronic obstructive pulmonary disease (COPD) is receiving
oxygen therapy. What is the most appropriate oxygen delivery device for this
client to ensure precise concentration?
A. Simple face mask
B. Non-rebreather mask
C. Nasal cannula
D. Venturi mask
Answer: D
Explanation: The Venturi mask is preferred for COPD patients because it delivers a
precise, fixed concentration of oxygen, which is critical to avoid suppressing the hypoxic
drive.
,3. A nurse is caring for a client who is 4 hours postoperative. Which of the
following assessment findings is the most immediate concern?
A. Pain level of 6 on a 0-10 scale
B. Temperature of 99.1°F (37.3°C)
C. Urine output of 20 mL/hr over the last 2 hours
D. Absent bowel sounds
Answer: C
Explanation: Postoperative urine output should be at least 30 mL/hr. Output below this
suggests decreased renal perfusion or hypovolemia and requires immediate intervention.
4. Which of the following laboratory values should a nurse prioritize for a client
scheduled for surgery tomorrow?
A. Hemoglobin 14.0 g/dL
B. Sodium 138 mEq/L
C. Potassium 2.8 mEq/L
D. WBC count 8,000/mm3
Answer: C
Explanation: A potassium level of 2.8 mEq/L is significantly low (hypokalemia) and can
lead to life-threatening cardiac dysrhythmias during anesthesia; this must be corrected
before surgery.
5. A nurse is preparing to administer Albuterol to a client with an acute asthma
attack. What is the primary purpose of this medication?
A. To provide rapid bronchodilation
B. To thin respiratory secretions
C. To reduce airway inflammation
D. To prevent future asthma attacks
Answer: A
, Explanation: Albuterol is a short-acting beta-2 agonist (SABA) that acts quickly to dilate
the bronchioles during an acute exacerbation.
6. A client presents with pitting edema, crackles in the lung bases, and a weight
gain of 5 lbs in 2 days. Which condition does the nurse suspect?
A. Hypovolemia
B. Hypokalemia
C. Hyponatremia
D. Hypervolemia
Answer: D
Explanation: These are classic signs of fluid volume excess (hypervolemia), where the
body retains sodium and water, leading to interstitial edema and pulmonary congestion.
7. Which acid-base imbalance is most likely in a client who has been vomiting
for the past 24 hours?
A. Respiratory acidosis
B. Metabolic alkalosis
C. Metabolic acidosis
D. Respiratory alkalosis
Answer: B
Explanation: Vomiting results in the loss of stomach acid (hydrochloric acid), which leads
to an increase in blood pH and bicarbonate, causing metabolic alkalosis.
8. A client is diagnosed with Left-sided Heart Failure. Which assessment finding
should the nurse expect?
A. Jugular venous distention
B. Splenomegaly
C. Shortness of breath and crackles
D. Dependent peripheral edema
Answer: C
