MDC 2 EXAM RASMUSSEN MULTIDIMENSIONAL
CARE II QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) Q&A 2026/2027 INSTANT
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1. A nurse is caring for a client with heart failure who reports
increased shortness of breath. Which assessment finding
requires immediate intervention?
A. Weight gain of 1 lb in 24 hours
B. Mild ankle edema
C. Oxygen saturation of 86%
D. Fatigue after activity
Correct Answer: C. Oxygen saturation of 86%
Rationale: A low oxygen saturation indicates impaired
oxygenation and possible respiratory compromise requiring
immediate nursing action.
2. A nurse is teaching a client with hypertension about
lifestyle modifications. Which statement indicates
understanding?
A. “I should increase my sodium intake.”
B. “I will exercise regularly and reduce salt intake.”
,C. “I can stop medications when my pressure improves.”
D. “I should avoid checking my blood pressure.”
Correct Answer: B. “I will exercise regularly and reduce salt
intake.”
Rationale: Lifestyle changes such as exercise, weight
management, and sodium restriction help control
hypertension.
3. A nurse is caring for a client receiving anticoagulant
therapy. Which laboratory value should the nurse monitor?
A. Hemoglobin A1C
B. INR
C. Serum calcium
D. White blood cell count
Correct Answer: B. INR
Rationale: INR measures effectiveness and safety of warfarin
therapy and helps prevent bleeding complications.
4. A client taking furosemide reports muscle weakness. Which
electrolyte imbalance should the nurse suspect?
A. Hyperkalemia
B. Hypokalemia
C. Hypernatremia
D. Hypercalcemia
,Correct Answer: B. Hypokalemia
Rationale: Loop diuretics increase potassium loss, causing
weakness, fatigue, and cardiac rhythm changes.
5. A nurse is caring for a client with COPD. Which intervention
promotes effective breathing?
A. Encourage rapid breathing
B. Teach pursed-lip breathing
C. Restrict fluids
D. Keep the client lying flat
Correct Answer: B. Teach pursed-lip breathing
Rationale: Pursed-lip breathing improves exhalation and
decreases air trapping in COPD.
6. A nurse is assessing a client with diabetes mellitus. Which
finding indicates hypoglycemia?
A. Dry skin
B. Fruity breath odor
C. Shakiness and sweating
D. Increased thirst
Correct Answer: C. Shakiness and sweating
Rationale: Adrenergic symptoms such as sweating, tremors,
and anxiety occur during hypoglycemia.
, 7. A nurse is teaching a client about insulin administration.
Which instruction is correct?
A. Rotate injection sites
B. Massage injection sites after administration
C. Store all insulin at room temperature permanently
D. Inject insulin only into the same location
Correct Answer: A. Rotate injection sites
Rationale: Rotating sites prevents lipodystrophy and promotes
consistent insulin absorption.
8. A client with pneumonia has a temperature of 39°C
(102.2°F). Which intervention is appropriate?
A. Apply heavy blankets
B. Encourage fluid intake if not contraindicated
C. Restrict oral fluids
D. Avoid monitoring temperature
Correct Answer: B. Encourage fluid intake if not
contraindicated
Rationale: Fluids help prevent dehydration and loosen
respiratory secretions.
CARE II QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) Q&A 2026/2027 INSTANT
DOWNLOAD PDF
1. A nurse is caring for a client with heart failure who reports
increased shortness of breath. Which assessment finding
requires immediate intervention?
A. Weight gain of 1 lb in 24 hours
B. Mild ankle edema
C. Oxygen saturation of 86%
D. Fatigue after activity
Correct Answer: C. Oxygen saturation of 86%
Rationale: A low oxygen saturation indicates impaired
oxygenation and possible respiratory compromise requiring
immediate nursing action.
2. A nurse is teaching a client with hypertension about
lifestyle modifications. Which statement indicates
understanding?
A. “I should increase my sodium intake.”
B. “I will exercise regularly and reduce salt intake.”
,C. “I can stop medications when my pressure improves.”
D. “I should avoid checking my blood pressure.”
Correct Answer: B. “I will exercise regularly and reduce salt
intake.”
Rationale: Lifestyle changes such as exercise, weight
management, and sodium restriction help control
hypertension.
3. A nurse is caring for a client receiving anticoagulant
therapy. Which laboratory value should the nurse monitor?
A. Hemoglobin A1C
B. INR
C. Serum calcium
D. White blood cell count
Correct Answer: B. INR
Rationale: INR measures effectiveness and safety of warfarin
therapy and helps prevent bleeding complications.
4. A client taking furosemide reports muscle weakness. Which
electrolyte imbalance should the nurse suspect?
A. Hyperkalemia
B. Hypokalemia
C. Hypernatremia
D. Hypercalcemia
,Correct Answer: B. Hypokalemia
Rationale: Loop diuretics increase potassium loss, causing
weakness, fatigue, and cardiac rhythm changes.
5. A nurse is caring for a client with COPD. Which intervention
promotes effective breathing?
A. Encourage rapid breathing
B. Teach pursed-lip breathing
C. Restrict fluids
D. Keep the client lying flat
Correct Answer: B. Teach pursed-lip breathing
Rationale: Pursed-lip breathing improves exhalation and
decreases air trapping in COPD.
6. A nurse is assessing a client with diabetes mellitus. Which
finding indicates hypoglycemia?
A. Dry skin
B. Fruity breath odor
C. Shakiness and sweating
D. Increased thirst
Correct Answer: C. Shakiness and sweating
Rationale: Adrenergic symptoms such as sweating, tremors,
and anxiety occur during hypoglycemia.
, 7. A nurse is teaching a client about insulin administration.
Which instruction is correct?
A. Rotate injection sites
B. Massage injection sites after administration
C. Store all insulin at room temperature permanently
D. Inject insulin only into the same location
Correct Answer: A. Rotate injection sites
Rationale: Rotating sites prevents lipodystrophy and promotes
consistent insulin absorption.
8. A client with pneumonia has a temperature of 39°C
(102.2°F). Which intervention is appropriate?
A. Apply heavy blankets
B. Encourage fluid intake if not contraindicated
C. Restrict oral fluids
D. Avoid monitoring temperature
Correct Answer: B. Encourage fluid intake if not
contraindicated
Rationale: Fluids help prevent dehydration and loosen
respiratory secretions.
