1
NUR2392 Final Exam 2024/2025 –
Multidimensional Care II (MDC 2) |
Rasmussen | Real Questions and
Correct Answers
1. A client with chronic obstructive pulmonary disease (COPD) reports increased
dyspnea. What should the nurse assess first?
a) Blood pressure
b) Oxygen saturation
c) Heart rate
d) Bowel sounds
Rationale: Oxygen saturation is critical in COPD to evaluate respiratory status and guide
oxygen therapy, per Rasmussen’s MDC 2 respiratory care principles.
2. A client with heart failure is prescribed furosemide. What should the nurse
monitor?
a) Blood glucose
b) Potassium levels
c) Hemoglobin
d) Thyroid function
Rationale: Furosemide can cause hypokalemia, requiring potassium monitoring, as
emphasized in Rasmussen’s MDC 2 cardiovascular care.
3. A client with type 2 diabetes reports nausea and vomiting. What should the nurse
suspect?
a) Hypoglycemia
b) Diabetic ketoacidosis
c) Hyperthyroidism
d) Dehydration
Rationale: Nausea and vomiting in diabetes may indicate diabetic ketoacidosis, a
metabolic emergency, per Rasmussen’s MDC 2 endocrine care.
4. A client post-myocardial infarction reports chest pain. What is the priority nursing
action?
a) Administer acetaminophen
b) Administer nitroglycerin as prescribed
c) Encourage deep breathing
d) Restrict fluids
Rationale: Nitroglycerin relieves ischemic chest pain, per Rasmussen’s MDC 2
cardiovascular emergency protocols.
, 2
5. A client with pneumonia has crackles in the lower lobes. What should the nurse
encourage?
a) Bed rest
b) Deep breathing and coughing
c) Fluid restriction
d) High-sodium diet
Rationale: Deep breathing and coughing clear secretions, improving oxygenation in
pneumonia, per Rasmussen’s MDC 2 respiratory care.
6. A client with chronic kidney disease (CKD) reports swelling. What should the nurse
assess?
a) Fluid overload
b) Hypoglycemia
c) Joint inflammation
d) Respiratory rate
Rationale: Swelling in CKD suggests fluid overload, requiring assessment, per
Rasmussen’s MDC 2 renal care principles.
7. A client with asthma reports wheezing. What is the priority nursing intervention?
a) Restrict oxygen use
b) Administer albuterol as prescribed
c) Encourage caffeine intake
d) Monitor blood pressure
Rationale: Albuterol relieves bronchospasm in asthma, per Rasmussen’s MDC 2
respiratory emergency care.
8. A client with heart failure has a weight gain of 3 kg in 2 days. What should the
nurse do?
a) Ignore the weight gain
b) Notify the healthcare provider
c) Increase fluid intake
d) Restrict potassium
Rationale: Rapid weight gain indicates fluid retention in heart failure, requiring provider
notification, per Rasmussen’s MDC 2 standards.
9. A client with diabetes has a blood glucose of 50 mg/dL. What should the nurse do
first?
a) Administer insulin
b) Give 15 g of simple carbohydrates
c) Restrict fluids
d) Monitor vital signs
Rationale: Hypoglycemia requires immediate carbohydrate administration, per
Rasmussen’s MDC 2 endocrine protocols.
10. A client with COPD is on oxygen at 2 L/min. What should the nurse monitor?
a) Blood glucose
b) Respiratory rate
c) Urine output
d) Joint mobility
Rationale: Respiratory rate assesses oxygen therapy effectiveness in COPD, per
Rasmussen’s MDC 2 respiratory care.
NUR2392 Final Exam 2024/2025 –
Multidimensional Care II (MDC 2) |
Rasmussen | Real Questions and
Correct Answers
1. A client with chronic obstructive pulmonary disease (COPD) reports increased
dyspnea. What should the nurse assess first?
a) Blood pressure
b) Oxygen saturation
c) Heart rate
d) Bowel sounds
Rationale: Oxygen saturation is critical in COPD to evaluate respiratory status and guide
oxygen therapy, per Rasmussen’s MDC 2 respiratory care principles.
2. A client with heart failure is prescribed furosemide. What should the nurse
monitor?
a) Blood glucose
b) Potassium levels
c) Hemoglobin
d) Thyroid function
Rationale: Furosemide can cause hypokalemia, requiring potassium monitoring, as
emphasized in Rasmussen’s MDC 2 cardiovascular care.
3. A client with type 2 diabetes reports nausea and vomiting. What should the nurse
suspect?
a) Hypoglycemia
b) Diabetic ketoacidosis
c) Hyperthyroidism
d) Dehydration
Rationale: Nausea and vomiting in diabetes may indicate diabetic ketoacidosis, a
metabolic emergency, per Rasmussen’s MDC 2 endocrine care.
4. A client post-myocardial infarction reports chest pain. What is the priority nursing
action?
a) Administer acetaminophen
b) Administer nitroglycerin as prescribed
c) Encourage deep breathing
d) Restrict fluids
Rationale: Nitroglycerin relieves ischemic chest pain, per Rasmussen’s MDC 2
cardiovascular emergency protocols.
, 2
5. A client with pneumonia has crackles in the lower lobes. What should the nurse
encourage?
a) Bed rest
b) Deep breathing and coughing
c) Fluid restriction
d) High-sodium diet
Rationale: Deep breathing and coughing clear secretions, improving oxygenation in
pneumonia, per Rasmussen’s MDC 2 respiratory care.
6. A client with chronic kidney disease (CKD) reports swelling. What should the nurse
assess?
a) Fluid overload
b) Hypoglycemia
c) Joint inflammation
d) Respiratory rate
Rationale: Swelling in CKD suggests fluid overload, requiring assessment, per
Rasmussen’s MDC 2 renal care principles.
7. A client with asthma reports wheezing. What is the priority nursing intervention?
a) Restrict oxygen use
b) Administer albuterol as prescribed
c) Encourage caffeine intake
d) Monitor blood pressure
Rationale: Albuterol relieves bronchospasm in asthma, per Rasmussen’s MDC 2
respiratory emergency care.
8. A client with heart failure has a weight gain of 3 kg in 2 days. What should the
nurse do?
a) Ignore the weight gain
b) Notify the healthcare provider
c) Increase fluid intake
d) Restrict potassium
Rationale: Rapid weight gain indicates fluid retention in heart failure, requiring provider
notification, per Rasmussen’s MDC 2 standards.
9. A client with diabetes has a blood glucose of 50 mg/dL. What should the nurse do
first?
a) Administer insulin
b) Give 15 g of simple carbohydrates
c) Restrict fluids
d) Monitor vital signs
Rationale: Hypoglycemia requires immediate carbohydrate administration, per
Rasmussen’s MDC 2 endocrine protocols.
10. A client with COPD is on oxygen at 2 L/min. What should the nurse monitor?
a) Blood glucose
b) Respiratory rate
c) Urine output
d) Joint mobility
Rationale: Respiratory rate assesses oxygen therapy effectiveness in COPD, per
Rasmussen’s MDC 2 respiratory care.
