NUR 2392 | Multidimensional Care II | Original Practice Exam 1 Page 1
, NUR 2392 EXAM 1
MULTIDIMENSIONAL CARE II
RASMUSSEN UNIVERSITY
100-Question Original Practice Examination
2026/2027 Edition
1. A client receiving chemotherapy has a temperature of 38.3 C and neutropenia.What is the priority nursing action?
A) Wait until the next routine laboratory draw
B) Promptly notify the provider and initiate the facility's febrile neutropenia protocol
C) Administer a live vaccine
D) Encourage visitors with colds
Correct Answer: B) Promptly notify the provider and initiate the facility's febrile neutropenia protocol
Rationale: Fever during neutropenia may indicate life-threatening infection and needs urgent assessment and treatment.
2. Which absolute neutrophil count indicates severe neutropenia?
A) An ANC above 5000 cells per microliter
B) An ANC below 500 cells per microliter
C) A hemoglobin of 14 g/dL
D) A platelet count of 250000 per microliter
Correct Answer: B) An ANC below 500 cells per microliter
Rationale: Severe neutropenia markedly increases infection risk.
3. What instruction is appropriate for a neutropenic client?
A) Use rectal thermometers daily
B) Eat unwashed produce
C) Avoid reporting new chills
D) Report fever promptly and practice meticulous hand hygiene
Correct Answer: D) Report fever promptly and practice meticulous hand hygiene Rationale: Infection prevention
and rapid fever reporting are essential.
4. Which lab result raises concern for spontaneous bleeding during cancer therapy?
A) Sodium of 139 mEq/L
B) Hemoglobin of 14.2 g/dL
C) WBC count of 7000 per microliter
D) Platelet count of 12000 per microliter
Correct Answer: D) Platelet count of 12000 per microliter
Rationale: Severe thrombocytopenia increases mucosal and internal bleeding risk.
5. Which intervention lowers bleeding risk in thrombocytopenia?
NUR 2392 | Multidimensional Care II | Original Practice Exam 1 Page 2
, A) Administer IM injections routinely
B) Use a hard-bristle brush
C) Use a soft toothbrush and avoid unnecessary invasive procedures
D) Encourage contact sports
Correct Answer: C) Use a soft toothbrush and avoid unnecessary invasive procedures Rationale: Trauma reduction helps
prevent bleeding when platelet counts are low.
6. A client receiving vesicant chemotherapy reports burning at the IV site. Whatshould the nurse do first?
A) Increase infusion speed
B) Massage the site firmly
C) Apply pressure and continue infusion
D) Stop the infusion and follow the extravasation protocol
Correct Answer: D) Stop the infusion and follow the extravasation protocol
Rationale: Extravasation can cause tissue necrosis and requires immediate action.
7. What assessment best supports chemotherapy-induced peripheral neuropathy?
A) Ask about distal tingling, numbness, gait changes, and falls
B) Check only temperature
C) Assess bowel sounds alone
D) Measure abdominal girth only
Correct Answer: A) Ask about distal tingling, numbness, gait changes, and falls
Rationale: Neurotoxic drugs can cause sensory impairment and mobility hazards.
8. Which finding suggests tumor lysis syndrome?
A) Isolated low cholesterol
B) Normal uric acid and stable kidney function
C) Hyperkalemia, hyperphosphatemia, and acute kidney injury
D) Low potassium with normal phosphorus always
Correct Answer: C) Hyperkalemia, hyperphosphatemia, and acute kidney injury
Rationale: Rapid tumor-cell breakdown releases intracellular ions and nucleic acid metabolites.
9. A cancer client has new back pain, leg weakness, and bladder dysfunction. What isthe priority?
A) Recommend routine stretching only
B) Urgent evaluation for metastatic spinal cord compression
C) Delay assessment until a scheduled oncology visit
D) Provide only a sleep aid
Correct Answer: B) Urgent evaluation for metastatic spinal cord compression
Rationale: Cord compression threatens permanent neurologic loss.
10. Which cluster suggests superior vena cava syndrome?
NUR 2392 | Multidimensional Care II | Original Practice Exam 1 Page 3
, NUR 2392 EXAM 1
MULTIDIMENSIONAL CARE II
RASMUSSEN UNIVERSITY
100-Question Original Practice Examination
2026/2027 Edition
1. A client receiving chemotherapy has a temperature of 38.3 C and neutropenia.What is the priority nursing action?
A) Wait until the next routine laboratory draw
B) Promptly notify the provider and initiate the facility's febrile neutropenia protocol
C) Administer a live vaccine
D) Encourage visitors with colds
Correct Answer: B) Promptly notify the provider and initiate the facility's febrile neutropenia protocol
Rationale: Fever during neutropenia may indicate life-threatening infection and needs urgent assessment and treatment.
2. Which absolute neutrophil count indicates severe neutropenia?
A) An ANC above 5000 cells per microliter
B) An ANC below 500 cells per microliter
C) A hemoglobin of 14 g/dL
D) A platelet count of 250000 per microliter
Correct Answer: B) An ANC below 500 cells per microliter
Rationale: Severe neutropenia markedly increases infection risk.
3. What instruction is appropriate for a neutropenic client?
A) Use rectal thermometers daily
B) Eat unwashed produce
C) Avoid reporting new chills
D) Report fever promptly and practice meticulous hand hygiene
Correct Answer: D) Report fever promptly and practice meticulous hand hygiene Rationale: Infection prevention
and rapid fever reporting are essential.
4. Which lab result raises concern for spontaneous bleeding during cancer therapy?
A) Sodium of 139 mEq/L
B) Hemoglobin of 14.2 g/dL
C) WBC count of 7000 per microliter
D) Platelet count of 12000 per microliter
Correct Answer: D) Platelet count of 12000 per microliter
Rationale: Severe thrombocytopenia increases mucosal and internal bleeding risk.
5. Which intervention lowers bleeding risk in thrombocytopenia?
NUR 2392 | Multidimensional Care II | Original Practice Exam 1 Page 2
, A) Administer IM injections routinely
B) Use a hard-bristle brush
C) Use a soft toothbrush and avoid unnecessary invasive procedures
D) Encourage contact sports
Correct Answer: C) Use a soft toothbrush and avoid unnecessary invasive procedures Rationale: Trauma reduction helps
prevent bleeding when platelet counts are low.
6. A client receiving vesicant chemotherapy reports burning at the IV site. Whatshould the nurse do first?
A) Increase infusion speed
B) Massage the site firmly
C) Apply pressure and continue infusion
D) Stop the infusion and follow the extravasation protocol
Correct Answer: D) Stop the infusion and follow the extravasation protocol
Rationale: Extravasation can cause tissue necrosis and requires immediate action.
7. What assessment best supports chemotherapy-induced peripheral neuropathy?
A) Ask about distal tingling, numbness, gait changes, and falls
B) Check only temperature
C) Assess bowel sounds alone
D) Measure abdominal girth only
Correct Answer: A) Ask about distal tingling, numbness, gait changes, and falls
Rationale: Neurotoxic drugs can cause sensory impairment and mobility hazards.
8. Which finding suggests tumor lysis syndrome?
A) Isolated low cholesterol
B) Normal uric acid and stable kidney function
C) Hyperkalemia, hyperphosphatemia, and acute kidney injury
D) Low potassium with normal phosphorus always
Correct Answer: C) Hyperkalemia, hyperphosphatemia, and acute kidney injury
Rationale: Rapid tumor-cell breakdown releases intracellular ions and nucleic acid metabolites.
9. A cancer client has new back pain, leg weakness, and bladder dysfunction. What isthe priority?
A) Recommend routine stretching only
B) Urgent evaluation for metastatic spinal cord compression
C) Delay assessment until a scheduled oncology visit
D) Provide only a sleep aid
Correct Answer: B) Urgent evaluation for metastatic spinal cord compression
Rationale: Cord compression threatens permanent neurologic loss.
10. Which cluster suggests superior vena cava syndrome?
NUR 2392 | Multidimensional Care II | Original Practice Exam 1 Page 3
