,NUR 2392 Final Exam | Multidimensional Care II
(2026) Actual Q&A PDF | Rasmussen
1. A patient receiving chemotherapy develops nausea and vomiting. What is the
nurse's highest priority action?
A) Encourage a high-protein diet
B) Administer an antiemetic as prescribed
C) Monitor vital signs every 4 hours
D) Offer ginger tea
Correct Answer: B) Administer an antiemetic as prescribed
Rationale: Chemotherapy-induced nausea and vomiting (CINV) is best managed
by administering prescribed antiemetics to prevent dehydration, electrolyte
imbalances, and patient distress. Nonpharmacologic measures are adjuncts.
2. The nurse is caring for a severely hypoglycemic patient who is unconscious.
Which intervention should the nurse anticipate?
A) Administer 10–15 g of oral glucose tablets
B) Give glucagon intramuscularly
C) Push IV dextrose 50% (D50W) as prescribed
D) Provide a snack with complex carbohydrates
Correct Answer: C) Push IV dextrose 50% (D50W) as prescribed
,Rationale: An unconscious patient cannot swallow safely; IV dextrose rapidly
raises blood glucose. Glucagon may be used if IV access is unavailable, but IV
dextrose is first-line.
3. A patient with an acute asthma exacerbation has the following arterial blood
gas: pH 7.28, PaCO₂ 50 mmHg, PaO₂ 75 mmHg, HCO₃⁻ 26 mEq/L. The nurse
interprets this as:
A) Uncompensated metabolic acidosis
B) Partially compensated respiratory acidosis
C) Uncompensated respiratory acidosis
D) Fully compensated metabolic alkalosis
Correct Answer: C) Uncompensated respiratory acidosis
Rationale: Low pH and elevated PaCO₂ with normal HCO₃⁻ indicate acute
respiratory acidosis without renal compensation. Immediate bronchodilator
therapy is needed to improve ventilation.
4. The nurse is interpreting an ABG. After labeling the pH, what is the next step?
A) Check for compensation
B) Determine the primary cause of the imbalance
C) Notify the healthcare provider
D) Evaluate oxygenation
Correct Answer: B) Determine the primary cause of the imbalance
, Rationale: After determining whether the pH is acidotic or alkalotic, the next
step is to identify whether the primary disturbance is respiratory (PaCO₂) or
metabolic (HCO₃⁻).
5. A patient with a history of gastritis is being discharged. Which instruction
should the nurse include?
A) Take NSAIDs as prescribed for pain
B) Eat three large meals each day
C) Limit alcohol intake
D) Increase caffeine consumption
Correct Answer: C) Limit alcohol intake
Rationale: Alcohol irritates the gastric mucosa and should be limited. NSAIDs
should be avoided; small, frequent meals are better tolerated. Caffeine may
also increase acid secretion.
6. The nurse is caring for a patient with hypernatremia. Which fluid is
appropriate for acute hypernatremia?
A) 0.9% normal saline
B) 0.45% sodium chloride
C) 5% dextrose in water (D5W)
D) Lactated Ringer's
Correct Answer: C) 5% dextrose in water (D5W)
(2026) Actual Q&A PDF | Rasmussen
1. A patient receiving chemotherapy develops nausea and vomiting. What is the
nurse's highest priority action?
A) Encourage a high-protein diet
B) Administer an antiemetic as prescribed
C) Monitor vital signs every 4 hours
D) Offer ginger tea
Correct Answer: B) Administer an antiemetic as prescribed
Rationale: Chemotherapy-induced nausea and vomiting (CINV) is best managed
by administering prescribed antiemetics to prevent dehydration, electrolyte
imbalances, and patient distress. Nonpharmacologic measures are adjuncts.
2. The nurse is caring for a severely hypoglycemic patient who is unconscious.
Which intervention should the nurse anticipate?
A) Administer 10–15 g of oral glucose tablets
B) Give glucagon intramuscularly
C) Push IV dextrose 50% (D50W) as prescribed
D) Provide a snack with complex carbohydrates
Correct Answer: C) Push IV dextrose 50% (D50W) as prescribed
,Rationale: An unconscious patient cannot swallow safely; IV dextrose rapidly
raises blood glucose. Glucagon may be used if IV access is unavailable, but IV
dextrose is first-line.
3. A patient with an acute asthma exacerbation has the following arterial blood
gas: pH 7.28, PaCO₂ 50 mmHg, PaO₂ 75 mmHg, HCO₃⁻ 26 mEq/L. The nurse
interprets this as:
A) Uncompensated metabolic acidosis
B) Partially compensated respiratory acidosis
C) Uncompensated respiratory acidosis
D) Fully compensated metabolic alkalosis
Correct Answer: C) Uncompensated respiratory acidosis
Rationale: Low pH and elevated PaCO₂ with normal HCO₃⁻ indicate acute
respiratory acidosis without renal compensation. Immediate bronchodilator
therapy is needed to improve ventilation.
4. The nurse is interpreting an ABG. After labeling the pH, what is the next step?
A) Check for compensation
B) Determine the primary cause of the imbalance
C) Notify the healthcare provider
D) Evaluate oxygenation
Correct Answer: B) Determine the primary cause of the imbalance
, Rationale: After determining whether the pH is acidotic or alkalotic, the next
step is to identify whether the primary disturbance is respiratory (PaCO₂) or
metabolic (HCO₃⁻).
5. A patient with a history of gastritis is being discharged. Which instruction
should the nurse include?
A) Take NSAIDs as prescribed for pain
B) Eat three large meals each day
C) Limit alcohol intake
D) Increase caffeine consumption
Correct Answer: C) Limit alcohol intake
Rationale: Alcohol irritates the gastric mucosa and should be limited. NSAIDs
should be avoided; small, frequent meals are better tolerated. Caffeine may
also increase acid secretion.
6. The nurse is caring for a patient with hypernatremia. Which fluid is
appropriate for acute hypernatremia?
A) 0.9% normal saline
B) 0.45% sodium chloride
C) 5% dextrose in water (D5W)
D) Lactated Ringer's
Correct Answer: C) 5% dextrose in water (D5W)
