FINAL EXAM NUR2392 NUR 2392 MULTIDIMENSIONAL
CARE II MDC 2 RASMUSSEN UNIVERSITY 2026 2027
COMPREHENSIVE EXAM PRACTICE QUESTIONS AND
ANSWERS
FINAL EXAMINATION
NUR2392 / NUR 2392 — MULTIDIMENSIONAL CARE II (MDC 2)
RASMUSSEN UNIVERSITY
ACADEMIC YEAR: 2026–2027
EXAM DATE: AUGUST 10, 2026
EXAM TYPE: COMPREHENSIVE PRACTICE FINAL EXAMINATION
TOTAL QUESTIONS: 100
QUESTION TYPES: MULTIPLE CHOICE AND SHORT ANSWER
Content Areas
• Oncology and Cancer Nursing
• Fluid and Electrolyte Balance
• Acid–Base Balance
• Gastrointestinal Disorders
• Endocrine Disorders
Author/Creator: Practice Examination Generated for Study and Review
TABLE OF CONTENTS
1. Section I — Oncology and Cancer Nursing ........................................ Questions 1–20
2. Section II — Fluid and Electrolyte Balance .................................... Questions 21–40
3. Section III — Acid–Base Balance ..................................................... Questions 41–55
4. Section IV — Gastrointestinal Disorders ......................................... Questions 56–80
5. Section V — Endocrine Disorders ..................................................... Questions 81–100
6. Answer and Rationale Key ................................................................ Questions 1–100
,SECTION I — ONCOLOGY AND CANCER NURSING
Questions 1–20
1. Multiple Choice
A client receiving chemotherapy has a temperature of 38.3°C (101°F). Which action should the
nurse take first?
A. Encourage oral fluids
B. Administer acetaminophen
C. Notify the healthcare provider immediately
D. Recheck the temperature in 4 hours
Correct Answer: C
Rationale: Fever in a client receiving chemotherapy may indicate infection during a period of
immunosuppression or neutropenia. Infection can progress rapidly in an immunocompromised
client, so the nurse should promptly notify the healthcare provider and follow the facility's
neutropenic-fever protocol. Antipyretics may mask the fever without treating the underlying
problem.
2. Multiple Choice
Which laboratory value is most important for assessing a client's risk for infection during
chemotherapy?
A. Hemoglobin
B. Absolute neutrophil count
C. Platelet count
D. Serum albumin
Correct Answer: B
Rationale: The absolute neutrophil count (ANC) is an important indicator of the client's ability
to fight bacterial and fungal infections. As the ANC decreases, infection risk increases.
Hemoglobin primarily reflects oxygen-carrying capacity, platelets reflect clotting ability, and
albumin reflects nutritional/protein status.
3. Short Answer
What is the primary purpose of administering an antiemetic to a client receiving chemotherapy?
Correct Answer: To prevent or reduce chemotherapy-induced nausea and vomiting.
,Rationale: Many antineoplastic agents stimulate pathways involved in nausea and vomiting.
Antiemetic therapy helps prevent these symptoms, improves comfort, supports adequate
hydration and nutrition, and may help the client tolerate the treatment regimen.
4. Multiple Choice
A client receiving chemotherapy develops oral mucositis. Which nursing intervention is
appropriate?
A. Use an alcohol-based mouthwash
B. Encourage very hot beverages
C. Provide gentle oral care with a soft toothbrush
D. Use lemon-glycerin swabs frequently
Correct Answer: C
Rationale: Mucositis causes painful inflammation and breakdown of oral mucosa. Gentle oral
care with a soft toothbrush helps maintain oral hygiene while minimizing tissue trauma. Alcohol-
containing products and very hot or irritating substances can worsen mucosal injury.
5. Multiple Choice
Which finding in a client receiving chemotherapy requires the most immediate follow-up?
A. Mild fatigue
B. Hair loss
C. Temperature of 38.5°C (101.3°F)
D. Mild change in taste
Correct Answer: C
Rationale: Fever during chemotherapy can signal a serious infection, particularly when
neutropenia is present. Fatigue, alopecia, and taste changes are common treatment effects but are
generally less immediately threatening than possible infection.
6. Multiple Choice
A client with thrombocytopenia secondary to cancer treatment is at increased risk for which
complication?
A. Infection
B. Bleeding
, C. Hyperglycemia
D. Fluid overload
Correct Answer: B
Rationale: Platelets are essential for primary hemostasis. A low platelet count increases the risk
for bruising, bleeding, and hemorrhage. Neutropenia is more directly associated with infection
risk.
7. Short Answer
Why should a client with chemotherapy-induced neutropenia avoid people who are acutely ill?
Correct Answer: Because the client's reduced immune defenses increase susceptibility to
infection.
Rationale: Neutropenia decreases the body's ability to respond effectively to invading
microorganisms. Avoiding exposure to contagious illnesses reduces the probability of infection
during the period of greatest immunosuppression.
8. Multiple Choice
Which assessment finding is most concerning in a client receiving chemotherapy who has a low
platelet count?
A. Petechiae
B. Mild nausea
C. Alopecia
D. Fatigue after walking
Correct Answer: A
Rationale: Petechiae are small areas of bleeding under the skin and may indicate significant
thrombocytopenia. They require assessment for additional bleeding. Nausea, alopecia, and
fatigue are common treatment effects.
9. Multiple Choice
A client receiving chemotherapy reports painful swallowing and mouth ulcers. Which dietary
recommendation is most appropriate?
A. Spicy foods
B. Acidic citrus foods
CARE II MDC 2 RASMUSSEN UNIVERSITY 2026 2027
COMPREHENSIVE EXAM PRACTICE QUESTIONS AND
ANSWERS
FINAL EXAMINATION
NUR2392 / NUR 2392 — MULTIDIMENSIONAL CARE II (MDC 2)
RASMUSSEN UNIVERSITY
ACADEMIC YEAR: 2026–2027
EXAM DATE: AUGUST 10, 2026
EXAM TYPE: COMPREHENSIVE PRACTICE FINAL EXAMINATION
TOTAL QUESTIONS: 100
QUESTION TYPES: MULTIPLE CHOICE AND SHORT ANSWER
Content Areas
• Oncology and Cancer Nursing
• Fluid and Electrolyte Balance
• Acid–Base Balance
• Gastrointestinal Disorders
• Endocrine Disorders
Author/Creator: Practice Examination Generated for Study and Review
TABLE OF CONTENTS
1. Section I — Oncology and Cancer Nursing ........................................ Questions 1–20
2. Section II — Fluid and Electrolyte Balance .................................... Questions 21–40
3. Section III — Acid–Base Balance ..................................................... Questions 41–55
4. Section IV — Gastrointestinal Disorders ......................................... Questions 56–80
5. Section V — Endocrine Disorders ..................................................... Questions 81–100
6. Answer and Rationale Key ................................................................ Questions 1–100
,SECTION I — ONCOLOGY AND CANCER NURSING
Questions 1–20
1. Multiple Choice
A client receiving chemotherapy has a temperature of 38.3°C (101°F). Which action should the
nurse take first?
A. Encourage oral fluids
B. Administer acetaminophen
C. Notify the healthcare provider immediately
D. Recheck the temperature in 4 hours
Correct Answer: C
Rationale: Fever in a client receiving chemotherapy may indicate infection during a period of
immunosuppression or neutropenia. Infection can progress rapidly in an immunocompromised
client, so the nurse should promptly notify the healthcare provider and follow the facility's
neutropenic-fever protocol. Antipyretics may mask the fever without treating the underlying
problem.
2. Multiple Choice
Which laboratory value is most important for assessing a client's risk for infection during
chemotherapy?
A. Hemoglobin
B. Absolute neutrophil count
C. Platelet count
D. Serum albumin
Correct Answer: B
Rationale: The absolute neutrophil count (ANC) is an important indicator of the client's ability
to fight bacterial and fungal infections. As the ANC decreases, infection risk increases.
Hemoglobin primarily reflects oxygen-carrying capacity, platelets reflect clotting ability, and
albumin reflects nutritional/protein status.
3. Short Answer
What is the primary purpose of administering an antiemetic to a client receiving chemotherapy?
Correct Answer: To prevent or reduce chemotherapy-induced nausea and vomiting.
,Rationale: Many antineoplastic agents stimulate pathways involved in nausea and vomiting.
Antiemetic therapy helps prevent these symptoms, improves comfort, supports adequate
hydration and nutrition, and may help the client tolerate the treatment regimen.
4. Multiple Choice
A client receiving chemotherapy develops oral mucositis. Which nursing intervention is
appropriate?
A. Use an alcohol-based mouthwash
B. Encourage very hot beverages
C. Provide gentle oral care with a soft toothbrush
D. Use lemon-glycerin swabs frequently
Correct Answer: C
Rationale: Mucositis causes painful inflammation and breakdown of oral mucosa. Gentle oral
care with a soft toothbrush helps maintain oral hygiene while minimizing tissue trauma. Alcohol-
containing products and very hot or irritating substances can worsen mucosal injury.
5. Multiple Choice
Which finding in a client receiving chemotherapy requires the most immediate follow-up?
A. Mild fatigue
B. Hair loss
C. Temperature of 38.5°C (101.3°F)
D. Mild change in taste
Correct Answer: C
Rationale: Fever during chemotherapy can signal a serious infection, particularly when
neutropenia is present. Fatigue, alopecia, and taste changes are common treatment effects but are
generally less immediately threatening than possible infection.
6. Multiple Choice
A client with thrombocytopenia secondary to cancer treatment is at increased risk for which
complication?
A. Infection
B. Bleeding
, C. Hyperglycemia
D. Fluid overload
Correct Answer: B
Rationale: Platelets are essential for primary hemostasis. A low platelet count increases the risk
for bruising, bleeding, and hemorrhage. Neutropenia is more directly associated with infection
risk.
7. Short Answer
Why should a client with chemotherapy-induced neutropenia avoid people who are acutely ill?
Correct Answer: Because the client's reduced immune defenses increase susceptibility to
infection.
Rationale: Neutropenia decreases the body's ability to respond effectively to invading
microorganisms. Avoiding exposure to contagious illnesses reduces the probability of infection
during the period of greatest immunosuppression.
8. Multiple Choice
Which assessment finding is most concerning in a client receiving chemotherapy who has a low
platelet count?
A. Petechiae
B. Mild nausea
C. Alopecia
D. Fatigue after walking
Correct Answer: A
Rationale: Petechiae are small areas of bleeding under the skin and may indicate significant
thrombocytopenia. They require assessment for additional bleeding. Nausea, alopecia, and
fatigue are common treatment effects.
9. Multiple Choice
A client receiving chemotherapy reports painful swallowing and mouth ulcers. Which dietary
recommendation is most appropriate?
A. Spicy foods
B. Acidic citrus foods
