NUR 2502 / NUR2502 Final Exam 2026/2027: Multidimensional
Care III (MDC 3) – Rasmussen Practice Exam with Answers and
Rationales
NUR 2502 / NUR2502
MULTIDIMENSIONAL CARE III (MDC 3)
Comprehensive Final Exam Practice Paper
2026–2027 Academic Year
Institution: Rasmussen University
Course: NUR 2502 / NUR2502 – Multidimensional Care III
Exam Type: Comprehensive Practice Final Examination
Questions: 105
Format: Multiple-Choice and Short-Answer
Author/Creator: Original AI-generated study material
TABLE OF CONTENTS
1. Examination Instructions
2. Section I – Cardiovascular System: Questions 1–25
3. Section II – Hematologic System: Questions 26–40
4. Section III – Respiratory System: Questions 41–65
5. Section IV – Urinary/Renal System: Questions 66–85
6. Section V – Reproductive System: Questions 86–95
7. Section VI – Multisystem, Emergency Care & Clinical Judgment: Questions
96–105
8. Final Review Checklist
EXAMINATION INSTRUCTIONS
, • Select the one best answer for multiple-choice questions.
• Short-answer questions should be answered using concise clinical
terminology.
• Each answer is followed by a teaching rationale.
• This is an original practice examination and is not represented as
Rasmussen University's actual examination or official test bank.
• Prioritize airway, breathing, circulation, safety, acute changes in condition,
and evidence-based nursing interventions.
• Medication questions assume standard adult nursing practice unless
otherwise stated.
• Institutional protocols and current clinical guidelines should always
supersede study materials when they differ.
SECTION I — CARDIOVASCULAR SYSTEM
Question 1 — Multiple Choice
A client with left-sided heart failure develops increasing dyspnea, bilateral crackles, and an
oxygen saturation of 86%. Which action should the nurse take first?
A. Encourage oral fluids
B. Place the client in high-Fowler's position and administer prescribed oxygen
C. Obtain the client's daily weight
D. Restrict sodium intake
Correct answer: B
Rationale: The client is experiencing impaired oxygenation associated with pulmonary
congestion. Positioning upright improves lung expansion, while prescribed oxygen supports
oxygenation. Daily weight and sodium restriction are important for heart-failure management but
are not the immediate priority.
Question 2 — Multiple Choice
Which assessment finding is most consistent with right-sided heart failure?
,A. Pulmonary crackles
B. Pink frothy sputum
C. Peripheral edema and jugular venous distention
D. Severe inspiratory wheezing
Correct answer: C
Rationale: Right-sided heart failure causes systemic venous congestion, producing peripheral
edema, jugular venous distention, hepatomegaly, and weight gain. Left-sided failure more
commonly produces pulmonary congestion.
Question 3 — Multiple Choice
A client taking digoxin has an apical pulse of 52/min. What should the nurse do?
A. Administer the medication as scheduled
B. Hold the medication and notify the provider according to protocol
C. Administer an additional dose
D. Encourage increased sodium intake
Correct answer: B
Rationale: Digoxin can slow the heart rate. Bradycardia is a clinically significant finding and
warrants holding the dose and further evaluation. Digoxin toxicity may also produce nausea,
vomiting, visual disturbances, confusion, and dysrhythmias.
Question 4 — Short Answer
Name two findings that may indicate digoxin toxicity.
Correct answer: Examples include nausea/vomiting, anorexia, visual disturbances, confusion,
bradycardia, or dysrhythmias.
Rationale: Digoxin toxicity can affect gastrointestinal, neurologic, visual, and cardiac systems.
Recognizing early toxicity helps prevent potentially serious dysrhythmias.
Question 5 — Multiple Choice
A client with acute pulmonary edema is severely dyspneic and coughing pink, frothy sputum.
Which position is most appropriate?
A. Supine
B. Trendelenburg
, C. High-Fowler's
D. Prone
Correct answer: C
Rationale: High-Fowler's positioning promotes maximum lung expansion and decreases venous
return to the heart, which can reduce pulmonary congestion. Supine and Trendelenburg positions
can worsen respiratory compromise.
Question 6 — Multiple Choice
Which laboratory value is most useful in evaluating ventricular stretch associated with heart
failure?
A. BNP
B. Hemoglobin
C. INR
D. Amylase
Correct answer: A
Rationale: B-type natriuretic peptide (BNP) is released in response to ventricular stretch and
increased cardiac pressure. Elevated BNP can support the assessment of heart failure when
interpreted with the client's clinical presentation.
Question 7 — Multiple Choice
A client reports crushing substernal chest pressure radiating to the jaw. Which nursing action has
the highest priority?
A. Encourage ambulation
B. Obtain a 12-lead ECG promptly
C. Give a high-fat snack
D. Place the client in Trendelenburg
Correct answer: B
Rationale: The presentation is concerning for acute coronary syndrome. Rapid ECG evaluation
helps identify ischemic changes and guides urgent treatment. The client should also be assessed
continuously and emergency protocols followed.
Question 8 — Multiple Choice
Care III (MDC 3) – Rasmussen Practice Exam with Answers and
Rationales
NUR 2502 / NUR2502
MULTIDIMENSIONAL CARE III (MDC 3)
Comprehensive Final Exam Practice Paper
2026–2027 Academic Year
Institution: Rasmussen University
Course: NUR 2502 / NUR2502 – Multidimensional Care III
Exam Type: Comprehensive Practice Final Examination
Questions: 105
Format: Multiple-Choice and Short-Answer
Author/Creator: Original AI-generated study material
TABLE OF CONTENTS
1. Examination Instructions
2. Section I – Cardiovascular System: Questions 1–25
3. Section II – Hematologic System: Questions 26–40
4. Section III – Respiratory System: Questions 41–65
5. Section IV – Urinary/Renal System: Questions 66–85
6. Section V – Reproductive System: Questions 86–95
7. Section VI – Multisystem, Emergency Care & Clinical Judgment: Questions
96–105
8. Final Review Checklist
EXAMINATION INSTRUCTIONS
, • Select the one best answer for multiple-choice questions.
• Short-answer questions should be answered using concise clinical
terminology.
• Each answer is followed by a teaching rationale.
• This is an original practice examination and is not represented as
Rasmussen University's actual examination or official test bank.
• Prioritize airway, breathing, circulation, safety, acute changes in condition,
and evidence-based nursing interventions.
• Medication questions assume standard adult nursing practice unless
otherwise stated.
• Institutional protocols and current clinical guidelines should always
supersede study materials when they differ.
SECTION I — CARDIOVASCULAR SYSTEM
Question 1 — Multiple Choice
A client with left-sided heart failure develops increasing dyspnea, bilateral crackles, and an
oxygen saturation of 86%. Which action should the nurse take first?
A. Encourage oral fluids
B. Place the client in high-Fowler's position and administer prescribed oxygen
C. Obtain the client's daily weight
D. Restrict sodium intake
Correct answer: B
Rationale: The client is experiencing impaired oxygenation associated with pulmonary
congestion. Positioning upright improves lung expansion, while prescribed oxygen supports
oxygenation. Daily weight and sodium restriction are important for heart-failure management but
are not the immediate priority.
Question 2 — Multiple Choice
Which assessment finding is most consistent with right-sided heart failure?
,A. Pulmonary crackles
B. Pink frothy sputum
C. Peripheral edema and jugular venous distention
D. Severe inspiratory wheezing
Correct answer: C
Rationale: Right-sided heart failure causes systemic venous congestion, producing peripheral
edema, jugular venous distention, hepatomegaly, and weight gain. Left-sided failure more
commonly produces pulmonary congestion.
Question 3 — Multiple Choice
A client taking digoxin has an apical pulse of 52/min. What should the nurse do?
A. Administer the medication as scheduled
B. Hold the medication and notify the provider according to protocol
C. Administer an additional dose
D. Encourage increased sodium intake
Correct answer: B
Rationale: Digoxin can slow the heart rate. Bradycardia is a clinically significant finding and
warrants holding the dose and further evaluation. Digoxin toxicity may also produce nausea,
vomiting, visual disturbances, confusion, and dysrhythmias.
Question 4 — Short Answer
Name two findings that may indicate digoxin toxicity.
Correct answer: Examples include nausea/vomiting, anorexia, visual disturbances, confusion,
bradycardia, or dysrhythmias.
Rationale: Digoxin toxicity can affect gastrointestinal, neurologic, visual, and cardiac systems.
Recognizing early toxicity helps prevent potentially serious dysrhythmias.
Question 5 — Multiple Choice
A client with acute pulmonary edema is severely dyspneic and coughing pink, frothy sputum.
Which position is most appropriate?
A. Supine
B. Trendelenburg
, C. High-Fowler's
D. Prone
Correct answer: C
Rationale: High-Fowler's positioning promotes maximum lung expansion and decreases venous
return to the heart, which can reduce pulmonary congestion. Supine and Trendelenburg positions
can worsen respiratory compromise.
Question 6 — Multiple Choice
Which laboratory value is most useful in evaluating ventricular stretch associated with heart
failure?
A. BNP
B. Hemoglobin
C. INR
D. Amylase
Correct answer: A
Rationale: B-type natriuretic peptide (BNP) is released in response to ventricular stretch and
increased cardiac pressure. Elevated BNP can support the assessment of heart failure when
interpreted with the client's clinical presentation.
Question 7 — Multiple Choice
A client reports crushing substernal chest pressure radiating to the jaw. Which nursing action has
the highest priority?
A. Encourage ambulation
B. Obtain a 12-lead ECG promptly
C. Give a high-fat snack
D. Place the client in Trendelenburg
Correct answer: B
Rationale: The presentation is concerning for acute coronary syndrome. Rapid ECG evaluation
helps identify ischemic changes and guides urgent treatment. The client should also be assessed
continuously and emergency protocols followed.
Question 8 — Multiple Choice
