NUR 2356
MULTIDIMENSIONAL
CARE 1 EXAM 1 AND 2
BUNDLE LATEST
QUESTIONS AND
CORRECT DETAILED
ANSWERS WITH
RATIONALES/MDC1 EXAM
1 /MULTIDIMENSIONAL
CARE
Question 1:
A client with chronic obstructive pulmonary disease (COPD) is receiving oxygen therapy at 2
L/min via nasal cannula. Which of the following assessments would alert the nurse to an early
sign of hypoxemia?
A) Cyanosis of the lips
B) Increased restlessness
, C) Clubbing of the fingers
D) Decreased respiratory rate
Answer:
B) Increased restlessness
Rationale: Early signs of hypoxemia include increased restlessness, anxiety, confusion, and
agitation. Cyanosis and clubbing are late signs of chronic hypoxemia, while a decreased
respiratory rate may indicate respiratory failure.
Question 2:
A nurse is providing care for a client with a history of congestive heart failure (CHF) who reports
shortness of breath and a productive cough. What is the priority nursing intervention?
A) Encourage the client to cough and deep breathe
B) Administer prescribed diuretic
C) Position the client in high Fowler's
D) Obtain a sputum sample for analysis
Answer:
C) Position the client in high Fowler's
Rationale: The priority intervention is to maximize lung expansion and improve oxygenation by
positioning the client in a high Fowler's position. Administering the diuretic is also important but
comes after improving oxygenation. Coughing and deep breathing would not be as effective if
the patient is struggling to breathe, and sputum analysis would be appropriate but not urgent in
this scenario.
Question 3:
A client with newly diagnosed type 1 diabetes is being discharged. What is the most important
aspect of teaching for the nurse to emphasize?
A) The importance of physical exercise
B) Recognizing signs and symptoms of hypoglycemia
C) Administering insulin injections correctly
D) Following a strict meal plan
Answer:
B) Recognizing signs and symptoms of hypoglycemia
Rationale: While all options are important for diabetes management, recognizing the signs and
symptoms of hypoglycemia is the most critical because hypoglycemia can be life-threatening if
not addressed promptly. Patients need to know how to treat low blood sugar to prevent
complications.
MULTIDIMENSIONAL
CARE 1 EXAM 1 AND 2
BUNDLE LATEST
QUESTIONS AND
CORRECT DETAILED
ANSWERS WITH
RATIONALES/MDC1 EXAM
1 /MULTIDIMENSIONAL
CARE
Question 1:
A client with chronic obstructive pulmonary disease (COPD) is receiving oxygen therapy at 2
L/min via nasal cannula. Which of the following assessments would alert the nurse to an early
sign of hypoxemia?
A) Cyanosis of the lips
B) Increased restlessness
, C) Clubbing of the fingers
D) Decreased respiratory rate
Answer:
B) Increased restlessness
Rationale: Early signs of hypoxemia include increased restlessness, anxiety, confusion, and
agitation. Cyanosis and clubbing are late signs of chronic hypoxemia, while a decreased
respiratory rate may indicate respiratory failure.
Question 2:
A nurse is providing care for a client with a history of congestive heart failure (CHF) who reports
shortness of breath and a productive cough. What is the priority nursing intervention?
A) Encourage the client to cough and deep breathe
B) Administer prescribed diuretic
C) Position the client in high Fowler's
D) Obtain a sputum sample for analysis
Answer:
C) Position the client in high Fowler's
Rationale: The priority intervention is to maximize lung expansion and improve oxygenation by
positioning the client in a high Fowler's position. Administering the diuretic is also important but
comes after improving oxygenation. Coughing and deep breathing would not be as effective if
the patient is struggling to breathe, and sputum analysis would be appropriate but not urgent in
this scenario.
Question 3:
A client with newly diagnosed type 1 diabetes is being discharged. What is the most important
aspect of teaching for the nurse to emphasize?
A) The importance of physical exercise
B) Recognizing signs and symptoms of hypoglycemia
C) Administering insulin injections correctly
D) Following a strict meal plan
Answer:
B) Recognizing signs and symptoms of hypoglycemia
Rationale: While all options are important for diabetes management, recognizing the signs and
symptoms of hypoglycemia is the most critical because hypoglycemia can be life-threatening if
not addressed promptly. Patients need to know how to treat low blood sugar to prevent
complications.
