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NUR 2755 Final Exam (2023/2024) – Rasmussen
Multidimensional Care IV | Verified Questions
with 100% Correct Answers
1. A client with end-stage renal disease is experiencing fluid overload. What is the
nurse’s priority intervention?
A. Administer a diuretic without assessing the client
B. Assess the client’s respiratory status and vital signs
C. Encourage increased fluid intake
D. Restrict the client’s mobility
Answer: B
Rationale: Assessing respiratory status and vital signs is critical in fluid overload, as it
can lead to pulmonary edema, a life-threatening condition. Holistic care prioritizes early
detection of complications, per 2023 standards, ensuring timely intervention.
Administering diuretics requires assessment, increased fluid intake worsens the
condition, and restricting mobility is not indicated.
2. Which intervention best supports holistic care for a client with chronic pain?
A. Administer pain medication only
B. Incorporate relaxation techniques and assess emotional needs
C. Ignore the client’s emotional complaints
D. Limit family involvement in care planning
Answer: B
Rationale: Holistic care addresses physical, emotional, and psychological needs.
Relaxation techniques and emotional assessment complement pain management, per
2023 multidimensional care principles, enhancing overall well-being. Relying solely on
medication or ignoring emotional needs is not holistic.
3. A client with heart failure reports shortness of breath. What is the nurse’s first
action?
A. Place the client in a supine position
B. Position the client in high Fowler’s and administer oxygen
C. Encourage deep coughing exercises
D. Administer a bronchodilator immediately
Answer: B
Rationale: Positioning in high Fowler’s and administering oxygen improves oxygenation
and reduces respiratory distress in heart failure, per 2023 guidelines. Supine positioning
worsens breathing, coughing is not indicated, and bronchodilators are specific to
obstructive lung conditions.
4. What is the priority nursing action for a client experiencing a hypoglycemic
episode?
A. Administer insulin immediately
B. Provide a fast-acting carbohydrate source
C. Restrict all food intake
NUR 2755 Final Exam (2023/2024) – Rasmussen
Multidimensional Care IV | Verified Questions
with 100% Correct Answers
1. A client with end-stage renal disease is experiencing fluid overload. What is the
nurse’s priority intervention?
A. Administer a diuretic without assessing the client
B. Assess the client’s respiratory status and vital signs
C. Encourage increased fluid intake
D. Restrict the client’s mobility
Answer: B
Rationale: Assessing respiratory status and vital signs is critical in fluid overload, as it
can lead to pulmonary edema, a life-threatening condition. Holistic care prioritizes early
detection of complications, per 2023 standards, ensuring timely intervention.
Administering diuretics requires assessment, increased fluid intake worsens the
condition, and restricting mobility is not indicated.
2. Which intervention best supports holistic care for a client with chronic pain?
A. Administer pain medication only
B. Incorporate relaxation techniques and assess emotional needs
C. Ignore the client’s emotional complaints
D. Limit family involvement in care planning
Answer: B
Rationale: Holistic care addresses physical, emotional, and psychological needs.
Relaxation techniques and emotional assessment complement pain management, per
2023 multidimensional care principles, enhancing overall well-being. Relying solely on
medication or ignoring emotional needs is not holistic.
3. A client with heart failure reports shortness of breath. What is the nurse’s first
action?
A. Place the client in a supine position
B. Position the client in high Fowler’s and administer oxygen
C. Encourage deep coughing exercises
D. Administer a bronchodilator immediately
Answer: B
Rationale: Positioning in high Fowler’s and administering oxygen improves oxygenation
and reduces respiratory distress in heart failure, per 2023 guidelines. Supine positioning
worsens breathing, coughing is not indicated, and bronchodilators are specific to
obstructive lung conditions.
4. What is the priority nursing action for a client experiencing a hypoglycemic
episode?
A. Administer insulin immediately
B. Provide a fast-acting carbohydrate source
C. Restrict all food intake
