NUR2502 EXAM 2 MDC3
MULTIDIMENSIONAL CARE 3 ACTUAL TEST
PAPER COMPLETE ANSWER GUIDE
GUARANTEED TO PASS
⩥ Which of the following positions offers no benefit to relieve dyspnea
in a client with chronic air flow limitation?
A. sitting at the edge of the chair, leaning forward with his arms folded
and resting on a table
B. A low- semi reclining positions with shoulders back and niche apart
C. Leaning forward in a chair with feet spread apart and elbows placed
on knees
D. upright with head slightly flexed, with feet spread apart and shoulders
relaxed.
Answer: B. A low- semi reclining positions with shoulders back and
niche apart
⩥ The nurse knows that which of the following test is not used to
identify potential tuberculosis
A. sputum culture
B. Chest x-ray
C. Mantoux skin test
D. Saliva swab.
,Answer: D. Saliva swab
⩥ The nurse has identified a nursing diagnosis of ineffective airway
clearance with bronchospasms for client with pneumonia. What nursing
intervention will help to conduct refractive air clearance for a client with
pneumonia?
A. increase liters of humidified oxygen perfect marks
B. Scheduled and PRN albuterol nebulizer bronchodilator treatment
C. Handheld bronchodilator always as needed
D. Prednisone via inhaler or IV to reduce the inflammation.
Answer: B. Scheduled and PRN albuterol nebulizer bronchodilator
treatment
⩥ The nurse is teaching a client about post-rhinoplasty care. Which
statement by the clients indicate an understanding of the instructions?
SATA
A. I will have a very large dressing on my nose
B. I may have a very dry mouth and throat
C. There will be swelling that will cause a loss of sense of smell
D. I will have bruising around my eyes, nose and face
E. I should limit coughing, sneezing and blowing my nose
F. I will be able to breathing only from my nose
G. I should take a stool softener to prevent straining during bowel
movements.
,Answer: A. I will have a very large dressing on my nose
B. I may have a very dry mouth and throat
D. I will have bruising around my eyes, nose and face
E. I should limit coughing, sneezing and blowing my nose
G. I should take a stool softener to prevent straining during bowel
movements
⩥ A 27yr old male presents to the E.R with difficulty breathing,
respiratory rate is 36 bpm, O2 is 85% on RA. Breaths are diminished
bilaterally. Which of the following is a nursing intervention priority?
A. Complete patient history
B. Secure the airway
C. Draw labs
D. Starts IV.
Answer: B. Secure the airway
⩥ Nurse is teaching a client with COPD about energy conservation.
What does the nurse advise the patient to avoid?
A. performing activities at a relaxed pace through the day with rest
periods
B. Working on activities that require using the arms at chest level or
lower
C. Eating 3 large meals per day
D. Talking and performing activity separately.
, Answer: C. Eating 3 large meals per day
⩥ Which statement by the patient indicates understanding about
radiation therapy for neck cancer?
A. I will need to wear sunscreen or protect my skin with clothing at all
times/ my cousin may initially be hoarse but should improve over time
B. There are not side effects other than a hoarse voice
C. Radiation does not cause a dry mouth
D. My throat is not directly affected by radiation.
Answer: A. I will need to wear sunscreen or protect my skin with
clothing at all times/ my cousin may initially be hoarse but should
improve over time
⩥ Which intervention promotes comfort in dyspnea management for a
patient with lung cancer?
A. Administer morphine on a routine, scheduled basis
B. Place the patient in a supine position with a pillow under the knees
and legs
C. Encourage coughing, deep breathing and independence ambulation
D. Provide nitroglycerine as prescribed/provide supplemental oxygen
via nasal cannula or mask.
Answer: A. Administer morphine on a routine, scheduled basis
MULTIDIMENSIONAL CARE 3 ACTUAL TEST
PAPER COMPLETE ANSWER GUIDE
GUARANTEED TO PASS
⩥ Which of the following positions offers no benefit to relieve dyspnea
in a client with chronic air flow limitation?
A. sitting at the edge of the chair, leaning forward with his arms folded
and resting on a table
B. A low- semi reclining positions with shoulders back and niche apart
C. Leaning forward in a chair with feet spread apart and elbows placed
on knees
D. upright with head slightly flexed, with feet spread apart and shoulders
relaxed.
Answer: B. A low- semi reclining positions with shoulders back and
niche apart
⩥ The nurse knows that which of the following test is not used to
identify potential tuberculosis
A. sputum culture
B. Chest x-ray
C. Mantoux skin test
D. Saliva swab.
,Answer: D. Saliva swab
⩥ The nurse has identified a nursing diagnosis of ineffective airway
clearance with bronchospasms for client with pneumonia. What nursing
intervention will help to conduct refractive air clearance for a client with
pneumonia?
A. increase liters of humidified oxygen perfect marks
B. Scheduled and PRN albuterol nebulizer bronchodilator treatment
C. Handheld bronchodilator always as needed
D. Prednisone via inhaler or IV to reduce the inflammation.
Answer: B. Scheduled and PRN albuterol nebulizer bronchodilator
treatment
⩥ The nurse is teaching a client about post-rhinoplasty care. Which
statement by the clients indicate an understanding of the instructions?
SATA
A. I will have a very large dressing on my nose
B. I may have a very dry mouth and throat
C. There will be swelling that will cause a loss of sense of smell
D. I will have bruising around my eyes, nose and face
E. I should limit coughing, sneezing and blowing my nose
F. I will be able to breathing only from my nose
G. I should take a stool softener to prevent straining during bowel
movements.
,Answer: A. I will have a very large dressing on my nose
B. I may have a very dry mouth and throat
D. I will have bruising around my eyes, nose and face
E. I should limit coughing, sneezing and blowing my nose
G. I should take a stool softener to prevent straining during bowel
movements
⩥ A 27yr old male presents to the E.R with difficulty breathing,
respiratory rate is 36 bpm, O2 is 85% on RA. Breaths are diminished
bilaterally. Which of the following is a nursing intervention priority?
A. Complete patient history
B. Secure the airway
C. Draw labs
D. Starts IV.
Answer: B. Secure the airway
⩥ Nurse is teaching a client with COPD about energy conservation.
What does the nurse advise the patient to avoid?
A. performing activities at a relaxed pace through the day with rest
periods
B. Working on activities that require using the arms at chest level or
lower
C. Eating 3 large meals per day
D. Talking and performing activity separately.
, Answer: C. Eating 3 large meals per day
⩥ Which statement by the patient indicates understanding about
radiation therapy for neck cancer?
A. I will need to wear sunscreen or protect my skin with clothing at all
times/ my cousin may initially be hoarse but should improve over time
B. There are not side effects other than a hoarse voice
C. Radiation does not cause a dry mouth
D. My throat is not directly affected by radiation.
Answer: A. I will need to wear sunscreen or protect my skin with
clothing at all times/ my cousin may initially be hoarse but should
improve over time
⩥ Which intervention promotes comfort in dyspnea management for a
patient with lung cancer?
A. Administer morphine on a routine, scheduled basis
B. Place the patient in a supine position with a pillow under the knees
and legs
C. Encourage coughing, deep breathing and independence ambulation
D. Provide nitroglycerine as prescribed/provide supplemental oxygen
via nasal cannula or mask.
Answer: A. Administer morphine on a routine, scheduled basis
