NUR2502 Multidimensional Care 3
(MDC3) Exam 2: Comprehensive 280-
Question Practice Question-Bank with
Correct Answers & Detailed
Rationales/Instant Download pdf
Q1: A client with chronic bronchitis often shows signs of hypoxia. Which of
the following is the priority to monitor for in this client?
A. O2 levels
B. Barrel chest
C. Nutritional Status
D. Clubbing of fingers
Answer: A. O2 levels
Rationale: In a client with chronic bronchitis and hypoxia, monitoring
oxygen levels is the priority to prevent further complications. Barrel chest
and clubbing are long-term changes, while nutritional status is important
but not the immediate priority.
Q2: Which of the following positions offers no benefit to relieve dyspnea in
a client with chronic airflow limitation?
A. Sitting at the edge of the chair, leaning forward with arms folded
and resting on a table
B. A low-semi reclining position 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 position with shoulders back and
niche apart
Rationale: The tripod position (leaning forward with arms supported) is
beneficial for relieving dyspnea. A low-semi reclining position does not
provide the same mechanical advantage for breathing and offers no
benefit.
Q3: The nurse knows that which of the following tests 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
Rationale: TB is identified through sputum culture, chest x-ray, and
Mantoux skin test. A saliva swab is not a diagnostic test for tuberculosis.
Q4: The nurse has identified a nursing diagnosis of ineffective airway
clearance with bronchospasms for a client with pneumonia. What nursing
intervention will help to conduct effective airway clearance?
A. Increase liters of humidified oxygen
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
Rationale: Albuterol is a bronchodilator that helps open airways and clear
secretions. Scheduled and PRN administration ensures consistent
management of bronchospasms.
Q5: The nurse is teaching a client about post-rhinoplasty care. Which
statements by the client indicate an understanding of the instructions?
(Select all that apply)
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 breathe only from my nose"
G. "I should take a stool softener to prevent straining during bowel
movements"
Answer: A, B, D, E, G
Rationale: Post-rhinoplasty care includes a large dressing, dry mouth (from
mouth breathing), bruising, limiting coughing/sneezing/blowing nose, and
taking stool softeners to prevent straining. Loss of smell (C) is not expected,
and the client will not be able to breathe only from the nose (F).
Q6: A nurse is caring for a client with dehydration. Which assessment
finding is expected?
A. Bradycardia
B. Moist mucous membranes
C. Decreased urine output
D. Weight gain
, Answer: C. Decreased urine output
Rationale: Dehydration leads to reduced urine production as the body
conserves fluid.
Q7: Which acid-base imbalance is associated with prolonged vomiting?
A. Metabolic acidosis
B. Respiratory acidosis
C. Metabolic alkalosis
D. Respiratory alkalosis
Answer: C. Metabolic alkalosis
Rationale: Prolonged vomiting causes loss of gastric acid (HCl), leading to
metabolic alkalosis.
Q8: Which nursing intervention is priority for a client with hyperkalemia?
A. Encourage potassium-rich foods
B. Monitor cardiac rhythm
C. Restrict calcium intake
D. Increase sodium intake
Answer: B. Monitor cardiac rhythm
Rationale: Hyperkalemia can cause life-threatening cardiac dysrhythmias.
Cardiac monitoring is the priority intervention.
Q9: Which electrolyte imbalance is most commonly associated with muscle
weakness and cardiac dysrhythmias?
A. Hypercalcemia
B. Hypokalemia
C. Hypernatremia
D. Hypermagnesemia
(MDC3) Exam 2: Comprehensive 280-
Question Practice Question-Bank with
Correct Answers & Detailed
Rationales/Instant Download pdf
Q1: A client with chronic bronchitis often shows signs of hypoxia. Which of
the following is the priority to monitor for in this client?
A. O2 levels
B. Barrel chest
C. Nutritional Status
D. Clubbing of fingers
Answer: A. O2 levels
Rationale: In a client with chronic bronchitis and hypoxia, monitoring
oxygen levels is the priority to prevent further complications. Barrel chest
and clubbing are long-term changes, while nutritional status is important
but not the immediate priority.
Q2: Which of the following positions offers no benefit to relieve dyspnea in
a client with chronic airflow limitation?
A. Sitting at the edge of the chair, leaning forward with arms folded
and resting on a table
B. A low-semi reclining position 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 position with shoulders back and
niche apart
Rationale: The tripod position (leaning forward with arms supported) is
beneficial for relieving dyspnea. A low-semi reclining position does not
provide the same mechanical advantage for breathing and offers no
benefit.
Q3: The nurse knows that which of the following tests 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
Rationale: TB is identified through sputum culture, chest x-ray, and
Mantoux skin test. A saliva swab is not a diagnostic test for tuberculosis.
Q4: The nurse has identified a nursing diagnosis of ineffective airway
clearance with bronchospasms for a client with pneumonia. What nursing
intervention will help to conduct effective airway clearance?
A. Increase liters of humidified oxygen
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
Rationale: Albuterol is a bronchodilator that helps open airways and clear
secretions. Scheduled and PRN administration ensures consistent
management of bronchospasms.
Q5: The nurse is teaching a client about post-rhinoplasty care. Which
statements by the client indicate an understanding of the instructions?
(Select all that apply)
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 breathe only from my nose"
G. "I should take a stool softener to prevent straining during bowel
movements"
Answer: A, B, D, E, G
Rationale: Post-rhinoplasty care includes a large dressing, dry mouth (from
mouth breathing), bruising, limiting coughing/sneezing/blowing nose, and
taking stool softeners to prevent straining. Loss of smell (C) is not expected,
and the client will not be able to breathe only from the nose (F).
Q6: A nurse is caring for a client with dehydration. Which assessment
finding is expected?
A. Bradycardia
B. Moist mucous membranes
C. Decreased urine output
D. Weight gain
, Answer: C. Decreased urine output
Rationale: Dehydration leads to reduced urine production as the body
conserves fluid.
Q7: Which acid-base imbalance is associated with prolonged vomiting?
A. Metabolic acidosis
B. Respiratory acidosis
C. Metabolic alkalosis
D. Respiratory alkalosis
Answer: C. Metabolic alkalosis
Rationale: Prolonged vomiting causes loss of gastric acid (HCl), leading to
metabolic alkalosis.
Q8: Which nursing intervention is priority for a client with hyperkalemia?
A. Encourage potassium-rich foods
B. Monitor cardiac rhythm
C. Restrict calcium intake
D. Increase sodium intake
Answer: B. Monitor cardiac rhythm
Rationale: Hyperkalemia can cause life-threatening cardiac dysrhythmias.
Cardiac monitoring is the priority intervention.
Q9: Which electrolyte imbalance is most commonly associated with muscle
weakness and cardiac dysrhythmias?
A. Hypercalcemia
B. Hypokalemia
C. Hypernatremia
D. Hypermagnesemia
