NUR2502 MDC3 EXAM 2 QUESTIONS & ANSWERS 2026/2027 UPDATED COMPREHENS…
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
NUR2502 MDC3 Exam 2
Questions & Answers
2026/2027 Updated
Comprehensive Nursing
Assessment (Rationales)
Verified Answers Exam Ready With Rationales 99 QUESTIONS
DOCUMENT OVERVIEW
This comprehensive document provides 99 updated questions with their correct answers
and detailed rationales, covering advanced nursing assessment. It is suitable for in-depth
study, thorough review of key concepts, and preparation for nursing certification exams.
TOPICS
Respiratory Illnesses: COPD & Emphysema Q1–Q24
Infectious Respiratory Diseases: TB & Pneumonia Q25–Q41
Respiratory Illnesses: Asthma & Bronchitis Q42–Q57
Upper Respiratory & Airway Management Q58–Q81
Acute Respiratory Distress & General Assessment Q82–Q90
Cystic Fibrosis & Pulmonary Hypertension Q91–Q99
Page 1
, E XA M Q U EST I O N S
Q1 QUESTION 1 OF 99
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
RESPONSE
A. O2 levels
RATIONALE
Clients with chronic bronchitis experience impaired gas exchange, leading to hypoxemia.
Continuous monitoring of oxygen saturation is paramount to assess the effectiveness of
interventions and prevent further complications of low oxygen levels. While other options may be
present, direct oxygenation status is the immediate priority.
Q2 QUESTION 2 OF 99
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
RESPONSE
B. A low- semi reclining positions with shoulders back and niche apart
RATIONALE
Positions that promote tripodding or pursed-lip breathing facilitate optimal lung expansion and
exhalation. A semi-reclining position, especially with shoulders back, can impede diaphragmatic
excursion and air outflow, potentially worsening dyspnea. This posture does not optimize the
mechanics of breathing for clients with airflow limitation.
Page 2
, Q3 QUESTION 3 OF 99
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
RESPONSE
C. Eating 3 large meals per day
RATIONALE
Individuals with COPD experience dyspnea, which increases with exertion. Large meals require
significant energy for digestion and can lead to abdominal distension, further compromising
respiratory effort by elevating the diaphragm. Smaller, more frequent meals are recommended to
conserve energy and reduce the work of breathing.
Q4 QUESTION 4 OF 99
A nurse is caring for a client with end stage emphysema. All of the following are expected
findings except?
A. Increase CO2
B. Decrease PO2
C. decreased pH
D. Increased pH
e. Decreased CO2
RESPONSE
C. decreased pH
e. Decreased CO2
RATIONALE
In end-stage emphysema, chronic hypercapnia (increased CO2) leads to metabolic compensation,
resulting in a normal or slightly elevated pH. Therefore, a decreased pH (acidosis) and decreased
CO2 (alkalosis) are not expected findings in this condition.
Page 3
, Q5 QUESTION 5 OF 99
A nurse is caring for a client who has been diagnosed with COPD. Which of the following
should be a treatment priority for this client?
A. Improve gas exchange
B. Increase activity level
C. Blood pressure control
D. Prevention of infection
RESPONSE
A. Improve gas exchange
RATIONALE
Chronic obstructive pulmonary disease (COPD) is primarily characterized by airflow limitation and
impaired gas exchange. Therefore, optimizing oxygenation and ventilation is the most critical
intervention to manage the disease's core pathophysiology and prevent hypoxemia. While other
options may be relevant, they are secondary to addressing the fundamental respiratory deficit.
Q6 QUESTION 6 OF 99
A nursing is caring for a client with chronic obstructive pulmonary disease. The patient asks
what are the treatment options. All of the following are considered to treat the disease
except?
A. Chest physiotherapy
B. Corticosteroids
C. Non-invasive ventilation
D. Leukotriene Modifers
RESPONSE
D. Leukotriene Modifers
RATIONALE
Management of COPD primarily focuses on bronchodilation, reducing inflammation, and airway
clearance. While chest physiotherapy, corticosteroids, and non-invasive ventilation directly
address these goals, leukotriene modifiers are typically used for asthma management, not as a
primary treatment for COPD.
Page 4
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
NUR2502 MDC3 Exam 2
Questions & Answers
2026/2027 Updated
Comprehensive Nursing
Assessment (Rationales)
Verified Answers Exam Ready With Rationales 99 QUESTIONS
DOCUMENT OVERVIEW
This comprehensive document provides 99 updated questions with their correct answers
and detailed rationales, covering advanced nursing assessment. It is suitable for in-depth
study, thorough review of key concepts, and preparation for nursing certification exams.
TOPICS
Respiratory Illnesses: COPD & Emphysema Q1–Q24
Infectious Respiratory Diseases: TB & Pneumonia Q25–Q41
Respiratory Illnesses: Asthma & Bronchitis Q42–Q57
Upper Respiratory & Airway Management Q58–Q81
Acute Respiratory Distress & General Assessment Q82–Q90
Cystic Fibrosis & Pulmonary Hypertension Q91–Q99
Page 1
, E XA M Q U EST I O N S
Q1 QUESTION 1 OF 99
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
RESPONSE
A. O2 levels
RATIONALE
Clients with chronic bronchitis experience impaired gas exchange, leading to hypoxemia.
Continuous monitoring of oxygen saturation is paramount to assess the effectiveness of
interventions and prevent further complications of low oxygen levels. While other options may be
present, direct oxygenation status is the immediate priority.
Q2 QUESTION 2 OF 99
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
RESPONSE
B. A low- semi reclining positions with shoulders back and niche apart
RATIONALE
Positions that promote tripodding or pursed-lip breathing facilitate optimal lung expansion and
exhalation. A semi-reclining position, especially with shoulders back, can impede diaphragmatic
excursion and air outflow, potentially worsening dyspnea. This posture does not optimize the
mechanics of breathing for clients with airflow limitation.
Page 2
, Q3 QUESTION 3 OF 99
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
RESPONSE
C. Eating 3 large meals per day
RATIONALE
Individuals with COPD experience dyspnea, which increases with exertion. Large meals require
significant energy for digestion and can lead to abdominal distension, further compromising
respiratory effort by elevating the diaphragm. Smaller, more frequent meals are recommended to
conserve energy and reduce the work of breathing.
Q4 QUESTION 4 OF 99
A nurse is caring for a client with end stage emphysema. All of the following are expected
findings except?
A. Increase CO2
B. Decrease PO2
C. decreased pH
D. Increased pH
e. Decreased CO2
RESPONSE
C. decreased pH
e. Decreased CO2
RATIONALE
In end-stage emphysema, chronic hypercapnia (increased CO2) leads to metabolic compensation,
resulting in a normal or slightly elevated pH. Therefore, a decreased pH (acidosis) and decreased
CO2 (alkalosis) are not expected findings in this condition.
Page 3
, Q5 QUESTION 5 OF 99
A nurse is caring for a client who has been diagnosed with COPD. Which of the following
should be a treatment priority for this client?
A. Improve gas exchange
B. Increase activity level
C. Blood pressure control
D. Prevention of infection
RESPONSE
A. Improve gas exchange
RATIONALE
Chronic obstructive pulmonary disease (COPD) is primarily characterized by airflow limitation and
impaired gas exchange. Therefore, optimizing oxygenation and ventilation is the most critical
intervention to manage the disease's core pathophysiology and prevent hypoxemia. While other
options may be relevant, they are secondary to addressing the fundamental respiratory deficit.
Q6 QUESTION 6 OF 99
A nursing is caring for a client with chronic obstructive pulmonary disease. The patient asks
what are the treatment options. All of the following are considered to treat the disease
except?
A. Chest physiotherapy
B. Corticosteroids
C. Non-invasive ventilation
D. Leukotriene Modifers
RESPONSE
D. Leukotriene Modifers
RATIONALE
Management of COPD primarily focuses on bronchodilation, reducing inflammation, and airway
clearance. While chest physiotherapy, corticosteroids, and non-invasive ventilation directly
address these goals, leukotriene modifiers are typically used for asthma management, not as a
primary treatment for COPD.
Page 4
