NUR2356 Multidimensional Care I / MDC
1 – Book 2 Exam And Answers Plus
Rationales Rasmussen University
Question 1
A patient with a history of COPD is receiving oxygen via nasal cannula at
3 L/min. The nurse notes that the patient's respiratory rate has decreased
from 22 to 10 breaths per minute. What is the priority nursing action?
A) Decrease the oxygen flow rate to 2 L/min
B) Continue to monitor the patient closely
C) Notify the healthcare provider immediately
D) Prepare for intubation
╔════════════════════╗
✅ Correct Answer: C
╚════════════════════╝
Rationale: A decrease in respiratory rate in a COPD patient receiving
oxygen may indicate carbon dioxide retention (hypoventilation). COPD
patients rely on hypoxic drive to breathe; high oxygen delivery can
suppress this drive. The provider should be notified immediately as this
is a respiratory emergency.
,Question 2
A patient is admitted with a diagnosis of pneumonia. The nurse
auscultates crackles in the lower lung bases. Which nursing intervention
is most appropriate?
A) Encourage the patient to cough and deep breathe
B) Place the patient in a supine position
C) Restrict all oral fluids
D) Administer a bronchodilator
╔════════════════════╗
✅ Correct Answer: A
╚════════════════════╝
Rationale: Crackles indicate fluid or secretions in the airways. Coughing
and deep breathing help mobilize secretions and improve oxygenation.
Supine positioning would worsen respiratory function, and fluid
restriction is not indicated unless the patient has heart failure.
Question 3
A patient has an order for a 24-hour urine collection. The nurse has just
started the collection at 0800. At what time should the collection end?
,A) 0800 the following day
B) 0800 the same day
C) 2000 the same day
D) 0800 two days later
╔════════════════════╗
✅ Correct Answer: A
╚════════════════════╝
Rationale: A 24-hour urine collection begins after the first void is
discarded and continues for 24 hours, ending at the same time the
following day. The final void at the end of the collection period is
included.
Question 4
Which of the following dietary choices indicates that a patient with heart
failure understands a low-sodium diet?
A) Canned vegetable soup
B) Fresh grilled chicken with steamed vegetables
C) Salted pretzels
D) Ham sandwich with pickles
╔════════════════════╗
✅ Correct Answer: B
╚════════════════════╝
, Rationale: Fresh grilled chicken and steamed vegetables are low in
sodium. Canned soups, salted pretzels, ham, and pickles are all high in
sodium and should be avoided on a low-sodium diet.
Question 5
A patient has a nasogastric (NG) tube attached to low intermittent
suction. Which finding should the nurse report to the healthcare provider
immediately?
A) Gastric aspirate pH of 4
B) Bright red blood in the gastric aspirate
C) Greenish-yellow drainage in the collection canister
D) The patient complains of a dry mouth
╔════════════════════╗
✅ Correct Answer: B
╚════════════════════╝
Rationale: Bright red blood in the gastric aspirate indicates active
bleeding and is an emergency. A pH of 4 is normal for gastric contents.
Greenish-yellow drainage is normal bile. Dry mouth is expected with
NPO status.
Question 6
1 – Book 2 Exam And Answers Plus
Rationales Rasmussen University
Question 1
A patient with a history of COPD is receiving oxygen via nasal cannula at
3 L/min. The nurse notes that the patient's respiratory rate has decreased
from 22 to 10 breaths per minute. What is the priority nursing action?
A) Decrease the oxygen flow rate to 2 L/min
B) Continue to monitor the patient closely
C) Notify the healthcare provider immediately
D) Prepare for intubation
╔════════════════════╗
✅ Correct Answer: C
╚════════════════════╝
Rationale: A decrease in respiratory rate in a COPD patient receiving
oxygen may indicate carbon dioxide retention (hypoventilation). COPD
patients rely on hypoxic drive to breathe; high oxygen delivery can
suppress this drive. The provider should be notified immediately as this
is a respiratory emergency.
,Question 2
A patient is admitted with a diagnosis of pneumonia. The nurse
auscultates crackles in the lower lung bases. Which nursing intervention
is most appropriate?
A) Encourage the patient to cough and deep breathe
B) Place the patient in a supine position
C) Restrict all oral fluids
D) Administer a bronchodilator
╔════════════════════╗
✅ Correct Answer: A
╚════════════════════╝
Rationale: Crackles indicate fluid or secretions in the airways. Coughing
and deep breathing help mobilize secretions and improve oxygenation.
Supine positioning would worsen respiratory function, and fluid
restriction is not indicated unless the patient has heart failure.
Question 3
A patient has an order for a 24-hour urine collection. The nurse has just
started the collection at 0800. At what time should the collection end?
,A) 0800 the following day
B) 0800 the same day
C) 2000 the same day
D) 0800 two days later
╔════════════════════╗
✅ Correct Answer: A
╚════════════════════╝
Rationale: A 24-hour urine collection begins after the first void is
discarded and continues for 24 hours, ending at the same time the
following day. The final void at the end of the collection period is
included.
Question 4
Which of the following dietary choices indicates that a patient with heart
failure understands a low-sodium diet?
A) Canned vegetable soup
B) Fresh grilled chicken with steamed vegetables
C) Salted pretzels
D) Ham sandwich with pickles
╔════════════════════╗
✅ Correct Answer: B
╚════════════════════╝
, Rationale: Fresh grilled chicken and steamed vegetables are low in
sodium. Canned soups, salted pretzels, ham, and pickles are all high in
sodium and should be avoided on a low-sodium diet.
Question 5
A patient has a nasogastric (NG) tube attached to low intermittent
suction. Which finding should the nurse report to the healthcare provider
immediately?
A) Gastric aspirate pH of 4
B) Bright red blood in the gastric aspirate
C) Greenish-yellow drainage in the collection canister
D) The patient complains of a dry mouth
╔════════════════════╗
✅ Correct Answer: B
╚════════════════════╝
Rationale: Bright red blood in the gastric aspirate indicates active
bleeding and is an emergency. A pH of 4 is normal for gastric contents.
Greenish-yellow drainage is normal bile. Dry mouth is expected with
NPO status.
Question 6
