NUR2392 Exam 1: Multidimensional Care II
Verified & Updated Questions and Answers -
Rasmussen University
1. A nurse is preparing a patient for surgery. Which of the following is the
nurse’s primary responsibility regarding informed consent?
A. Explaining the risks and benefits of the procedure
B. Obtaining the surgical consent from the family
C. Describing alternative treatments to the patient
D. Witnessing the patient’s signature and ensuring understanding
Answer: D
Explanation: The surgeon is responsible for explaining the procedure, risks, and benefits.
The nurse’s role is to witness the signature and verify that the patient is competent and
understands the information provided.
2. A patient in the operating room develops a heart rate of 120 bpm, muscle
rigidity, and a rapidly rising temperature. What is the priority intervention?
A. Apply a cooling blanket and administer Dantrolene
B. Administer IV antibiotics
C. Increase the dose of the anesthetic agent
D. Perform a rapid chest X-ray
Answer: A
Explanation: These symptoms indicate Malignant Hyperthermia, a life-threatening
emergency. Dantrolene sodium is the skeletal muscle relaxant used to treat it.
,3. Which lab result would cause the most concern for a patient scheduled for
surgery in two hours?
A. Sodium 136 mEq/L
B. Hemoglobin 13 g/dL
C. Potassium 2.8 mEq/L
D. Blood urea nitrogen (BUN) 18 mg/dL
Answer: C
Explanation: A potassium level of 2.8 is significantly low (hypokalemia) and increases the
risk of cardiac arrhythmias during anesthesia.
4. What is the primary purpose of the ‘Time Out’ before a surgical procedure
begins?
A. To allow the surgeon to scrub in
B. To administer the preoperative sedative
C. To count all sponges and instruments
D. To verify the correct patient, site, and procedure
Answer: D
Explanation: The Universal Protocol ‘Time Out’ is a safety measure to ensure the correct
patient, site, and procedure are identified by the entire surgical team.
5. A postoperative patient is found to have an evisceration of the abdominal
wound. Which action should the nurse take first?
A. Cover the wound with sterile, saline-soaked dressings
B. Notify the surgeon immediately
C. Push the organs back into the abdominal cavity
D. Place the patient in a High-Fowler’s position
Answer: A
Explanation: In the event of evisceration, the first action is to protect the exposed organs
with sterile saline-soaked gauze to keep them moist, followed by notifying the provider.
, 6. A nurse is caring for a patient with hypocalcemia. Which clinical
manifestation should the nurse expect to find?
A. Bone pain
B. Hyporeflexia
C. Constipation
D. Positive Trousseau’s sign
Answer: D
Explanation: Hypocalcemia causes neuromuscular excitability, which results in signs like
Trousseau’s sign (carpal spasm) and Chvostek’s sign (facial twitching).
7. Which arterial blood gas (ABG) result indicates compensated respiratory
acidosis?
A. pH 7.32, PaCO2 50, HCO3 24
B. pH 7.36, PaCO2 55, HCO3 30
C. pH 7.48, PaCO2 30, HCO3 22
D. pH 7.25, PaCO2 40, HCO3 18
Answer: B
Explanation: Compensated respiratory acidosis is characterized by a pH within normal
range (7.35-7.45) but on the acidic side, an elevated PaCO2, and an elevated HCO3 as the
kidneys compensate.
8. A patient with excessive vomiting for 24 hours is at risk for which acid-base
imbalance?
A. Respiratory alkalosis
B. Metabolic acidosis
C. Metabolic alkalosis
D. Respiratory acidosis
Answer: C
Verified & Updated Questions and Answers -
Rasmussen University
1. A nurse is preparing a patient for surgery. Which of the following is the
nurse’s primary responsibility regarding informed consent?
A. Explaining the risks and benefits of the procedure
B. Obtaining the surgical consent from the family
C. Describing alternative treatments to the patient
D. Witnessing the patient’s signature and ensuring understanding
Answer: D
Explanation: The surgeon is responsible for explaining the procedure, risks, and benefits.
The nurse’s role is to witness the signature and verify that the patient is competent and
understands the information provided.
2. A patient in the operating room develops a heart rate of 120 bpm, muscle
rigidity, and a rapidly rising temperature. What is the priority intervention?
A. Apply a cooling blanket and administer Dantrolene
B. Administer IV antibiotics
C. Increase the dose of the anesthetic agent
D. Perform a rapid chest X-ray
Answer: A
Explanation: These symptoms indicate Malignant Hyperthermia, a life-threatening
emergency. Dantrolene sodium is the skeletal muscle relaxant used to treat it.
,3. Which lab result would cause the most concern for a patient scheduled for
surgery in two hours?
A. Sodium 136 mEq/L
B. Hemoglobin 13 g/dL
C. Potassium 2.8 mEq/L
D. Blood urea nitrogen (BUN) 18 mg/dL
Answer: C
Explanation: A potassium level of 2.8 is significantly low (hypokalemia) and increases the
risk of cardiac arrhythmias during anesthesia.
4. What is the primary purpose of the ‘Time Out’ before a surgical procedure
begins?
A. To allow the surgeon to scrub in
B. To administer the preoperative sedative
C. To count all sponges and instruments
D. To verify the correct patient, site, and procedure
Answer: D
Explanation: The Universal Protocol ‘Time Out’ is a safety measure to ensure the correct
patient, site, and procedure are identified by the entire surgical team.
5. A postoperative patient is found to have an evisceration of the abdominal
wound. Which action should the nurse take first?
A. Cover the wound with sterile, saline-soaked dressings
B. Notify the surgeon immediately
C. Push the organs back into the abdominal cavity
D. Place the patient in a High-Fowler’s position
Answer: A
Explanation: In the event of evisceration, the first action is to protect the exposed organs
with sterile saline-soaked gauze to keep them moist, followed by notifying the provider.
, 6. A nurse is caring for a patient with hypocalcemia. Which clinical
manifestation should the nurse expect to find?
A. Bone pain
B. Hyporeflexia
C. Constipation
D. Positive Trousseau’s sign
Answer: D
Explanation: Hypocalcemia causes neuromuscular excitability, which results in signs like
Trousseau’s sign (carpal spasm) and Chvostek’s sign (facial twitching).
7. Which arterial blood gas (ABG) result indicates compensated respiratory
acidosis?
A. pH 7.32, PaCO2 50, HCO3 24
B. pH 7.36, PaCO2 55, HCO3 30
C. pH 7.48, PaCO2 30, HCO3 22
D. pH 7.25, PaCO2 40, HCO3 18
Answer: B
Explanation: Compensated respiratory acidosis is characterized by a pH within normal
range (7.35-7.45) but on the acidic side, an elevated PaCO2, and an elevated HCO3 as the
kidneys compensate.
8. A patient with excessive vomiting for 24 hours is at risk for which acid-base
imbalance?
A. Respiratory alkalosis
B. Metabolic acidosis
C. Metabolic alkalosis
D. Respiratory acidosis
Answer: C
