NUR 2356 MULTIDIMENSIONAL CARE I
FINAL EXAM STUDY GUIDE
QUESTIONS AND VERIFIED ANSWERS
|GRADE A+| JUST RELEASED
1. A patient presents with a serum potassium level of 6.2 mEq/L. Which cardiac monitor
finding is the nurse most likely to observe?
A. Tall, peaked T waves
B. Prominent U waves
C. ST-segment depression
D. Shortened PR interval
Answer: A
Conceptual Explanation: Hyperkalemia (potassium > 5.0 mEq/L) typically manifests on
an EKG as tall, peaked T waves, widened QRS complexes, and prolonged PR intervals.
2. Which arterial blood gas (ABG) result would the nurse expect to find in a patient with a
history of chronic obstructive pulmonary disease (COPD)?
A. pH 7.48, PaCO2 30, HCO3 22
B. pH 7.50, PaCO2 40, HCO3 32
C. pH 7.30, PaCO2 38, HCO3 18
,D. pH 7.32, PaCO2 55, HCO3 28
Answer: D
Conceptual Explanation: COPD patients typically experience respiratory acidosis (low pH,
high PaCO2) due to CO2 retention, often with partial compensation (elevated HCO3).
3. A nurse is caring for a patient who is at risk for skin breakdown. Which Braden Scale score
would indicate the highest risk?
A. 18
B. 14
C. 10
D. 23
Answer: C
Conceptual Explanation: On the Braden Scale, lower scores indicate higher risk. A score of
10 represents a high risk for pressure injury development.
4. When assessing a Stage 3 pressure injury, which clinical finding should the nurse expect to
document?
A. Non-blanchable erythema of intact skin
B. Partial-thickness loss of dermis presenting as a shallow open ulcer
C. Full-thickness tissue loss with visible subcutaneous fat
D. Full-thickness tissue loss with exposed bone, tendon, or muscle
, Answer: C
Conceptual Explanation: Stage 3 pressure injuries involve full-thickness skin loss where
adipose (fat) is visible, but bone, tendon, or muscle are not exposed.
5. A nurse is preparing to administer an intramuscular (IM) injection to an obese patient.
Which site is the preferred choice for safety and absorption?
A. Dorsogluteal
B. Deltoid
C. Ventrogluteal
D. Vastus lateralis
Answer: C
Conceptual Explanation: The ventrogluteal site is the preferred and safest site for IM
injections in adults because it is away from major blood vessels and nerves.
6. Which transmission-based precaution is required for a patient diagnosed with Pulmonary
Tuberculosis?
A. Airborne Precautions
B. Droplet Precautions
C. Contact Precautions
D. Protective Environment
Answer: A
FINAL EXAM STUDY GUIDE
QUESTIONS AND VERIFIED ANSWERS
|GRADE A+| JUST RELEASED
1. A patient presents with a serum potassium level of 6.2 mEq/L. Which cardiac monitor
finding is the nurse most likely to observe?
A. Tall, peaked T waves
B. Prominent U waves
C. ST-segment depression
D. Shortened PR interval
Answer: A
Conceptual Explanation: Hyperkalemia (potassium > 5.0 mEq/L) typically manifests on
an EKG as tall, peaked T waves, widened QRS complexes, and prolonged PR intervals.
2. Which arterial blood gas (ABG) result would the nurse expect to find in a patient with a
history of chronic obstructive pulmonary disease (COPD)?
A. pH 7.48, PaCO2 30, HCO3 22
B. pH 7.50, PaCO2 40, HCO3 32
C. pH 7.30, PaCO2 38, HCO3 18
,D. pH 7.32, PaCO2 55, HCO3 28
Answer: D
Conceptual Explanation: COPD patients typically experience respiratory acidosis (low pH,
high PaCO2) due to CO2 retention, often with partial compensation (elevated HCO3).
3. A nurse is caring for a patient who is at risk for skin breakdown. Which Braden Scale score
would indicate the highest risk?
A. 18
B. 14
C. 10
D. 23
Answer: C
Conceptual Explanation: On the Braden Scale, lower scores indicate higher risk. A score of
10 represents a high risk for pressure injury development.
4. When assessing a Stage 3 pressure injury, which clinical finding should the nurse expect to
document?
A. Non-blanchable erythema of intact skin
B. Partial-thickness loss of dermis presenting as a shallow open ulcer
C. Full-thickness tissue loss with visible subcutaneous fat
D. Full-thickness tissue loss with exposed bone, tendon, or muscle
, Answer: C
Conceptual Explanation: Stage 3 pressure injuries involve full-thickness skin loss where
adipose (fat) is visible, but bone, tendon, or muscle are not exposed.
5. A nurse is preparing to administer an intramuscular (IM) injection to an obese patient.
Which site is the preferred choice for safety and absorption?
A. Dorsogluteal
B. Deltoid
C. Ventrogluteal
D. Vastus lateralis
Answer: C
Conceptual Explanation: The ventrogluteal site is the preferred and safest site for IM
injections in adults because it is away from major blood vessels and nerves.
6. Which transmission-based precaution is required for a patient diagnosed with Pulmonary
Tuberculosis?
A. Airborne Precautions
B. Droplet Precautions
C. Contact Precautions
D. Protective Environment
Answer: A
