NUR 2392 / NUR2392 MULTIDIMENSIONAL CARE II / MDC 2 | CLINICAL JUDGMENT EXAM
(CJE) | LATEST - RASMUSSEN – COMPREHENSIVE QUESTIONS AND ANSWERS |
VERIFIED AND WELLDETAILED ANSWERS | DETAILED EXPLANATIONS AND RATIONALES |
COMPLETE EXAM PREPARATION STUDY GUIDE | PRACTICE QUESTIONS | LATEST EXAM
UPDATE
• CORE DOMAINS*
• • Endocrine Disorders and Hormonal Regulation*
• • Cancer Care and Oncology Nursing*
• • Fluid, Electrolyte, and Acid–Base Balance*
• • Gastrointestinal Disorders and Nursing Management*
• • Complex Patient Assessment and Clinical Judgment*
• • Pharmacologic Management and Medication Safety*
• • Nutrition, Hydration, and Metabolic Management*
• • Prioritization, Patient Safety, and Multidimensional Care*
• INTRODUCTION*
• This comprehensive assessment is designed to strengthen the knowledge, clinical
reasoning, and decision-making skills required in Multidimensional Care II. The
questions evaluate foundational concepts, disease processes, assessment findings,
nursing interventions, pharmacologic considerations, patient safety, prioritization,
and practical application. Multiple-choice questions are used to develop recognition,
interpretation, analysis, and clinical judgment rather than memorization alone.
Particular emphasis is placed on connecting pathophysiology with assessment
findings and appropriate nursing actions. Scenario-based items encourage
application of knowledge to realistic patient-care situations and help learners
prepare for examination-style questions involving complex, multidimensional clinical
problems.*
SECTION ONE: QUESTIONS 1–100
Question 1. A client with diabetes insipidus is experiencing excessive thirst and urination.
Which finding would the nurse expect?
A. Urine specific gravity of 1.030
B. Urine specific gravity of 1.002
C. Severe glycosuria
D. Generalized edema
Correct Answer: B. Urine specific gravity of 1.002
,Explanation: Diabetes insipidus causes deficient antidiuretic hormone activity or renal
resistance to ADH, resulting in the excretion of large amounts of dilute urine. A very low
urine specific gravity is characteristic.
Question 2. Which hormone is primarily responsible for increasing water reabsorption in the
renal collecting ducts?
A. Aldosterone
B. Cortisol
C. Antidiuretic hormone
D. Thyroxine
Correct Answer: C. Antidiuretic hormone
Explanation: Antidiuretic hormone promotes water reabsorption in the collecting ducts,
concentrating the urine and helping maintain circulating volume.
Question 3. A client with syndrome of inappropriate antidiuretic hormone secretion (SIADH)
is at greatest risk for which electrolyte abnormality?
A. Hypernatremia
B. Hyponatremia
C. Hypercalcemia
D. Hypermagnesemia
Correct Answer: B. Hyponatremia
Explanation: Excessive ADH causes water retention, which dilutes serum sodium. Severe
hyponatremia can produce neurological manifestations, including confusion and seizures.
Question 4. Which assessment finding is most concerning in a client with severe
hyponatremia?
A. Dry skin
B. Mild thirst
C. New-onset seizure
D. Increased appetite
Correct Answer: C. New-onset seizure
Explanation: Severe hyponatremia can cause cerebral edema and neurological deterioration.
A seizure indicates significant neurological involvement and requires immediate
intervention.
Question 5. A client with primary adrenal insufficiency is being assessed. Which finding is
most consistent with Addison disease?
, A. Hypertension
B. Hypernatremia
C. Hyperkalemia
D. Weight gain
Correct Answer: C. Hyperkalemia
Explanation: Reduced aldosterone secretion decreases sodium retention and potassium
excretion, making hyperkalemia a characteristic finding in primary adrenal insufficiency.
Question 6. Which finding should the nurse associate with Cushing syndrome?
A. Hypotension and bronze skin
B. Weight loss and hypoglycemia
C. Central obesity and hyperglycemia
D. Severe dehydration and hyperkalemia
Correct Answer: C. Central obesity and hyperglycemia
Explanation: Excess cortisol promotes central fat deposition, protein catabolism, and
increased glucose production. Clients may develop truncal obesity, hyperglycemia, muscle
weakness, and skin changes.
Question 7. A client taking long-term corticosteroids should not abruptly discontinue the
medication primarily because abrupt withdrawal can cause:
A. Thyroid storm
B. Adrenal insufficiency
C. Diabetes insipidus
D. Hyperparathyroidism
Correct Answer: B. Adrenal insufficiency
Explanation: Long-term corticosteroid therapy suppresses the hypothalamic-pituitary-
adrenal axis. Abrupt discontinuation can prevent the body from producing sufficient
endogenous cortisol.
Question 8. Which assessment finding is most characteristic of hyperthyroidism?
A. Bradycardia
B. Cold intolerance
C. Weight gain
D. Heat intolerance
Correct Answer: D. Heat intolerance
Explanation: Increased thyroid hormone accelerates metabolic activity, commonly causing
heat intolerance, sweating, tachycardia, weight loss, and anxiety.
(CJE) | LATEST - RASMUSSEN – COMPREHENSIVE QUESTIONS AND ANSWERS |
VERIFIED AND WELLDETAILED ANSWERS | DETAILED EXPLANATIONS AND RATIONALES |
COMPLETE EXAM PREPARATION STUDY GUIDE | PRACTICE QUESTIONS | LATEST EXAM
UPDATE
• CORE DOMAINS*
• • Endocrine Disorders and Hormonal Regulation*
• • Cancer Care and Oncology Nursing*
• • Fluid, Electrolyte, and Acid–Base Balance*
• • Gastrointestinal Disorders and Nursing Management*
• • Complex Patient Assessment and Clinical Judgment*
• • Pharmacologic Management and Medication Safety*
• • Nutrition, Hydration, and Metabolic Management*
• • Prioritization, Patient Safety, and Multidimensional Care*
• INTRODUCTION*
• This comprehensive assessment is designed to strengthen the knowledge, clinical
reasoning, and decision-making skills required in Multidimensional Care II. The
questions evaluate foundational concepts, disease processes, assessment findings,
nursing interventions, pharmacologic considerations, patient safety, prioritization,
and practical application. Multiple-choice questions are used to develop recognition,
interpretation, analysis, and clinical judgment rather than memorization alone.
Particular emphasis is placed on connecting pathophysiology with assessment
findings and appropriate nursing actions. Scenario-based items encourage
application of knowledge to realistic patient-care situations and help learners
prepare for examination-style questions involving complex, multidimensional clinical
problems.*
SECTION ONE: QUESTIONS 1–100
Question 1. A client with diabetes insipidus is experiencing excessive thirst and urination.
Which finding would the nurse expect?
A. Urine specific gravity of 1.030
B. Urine specific gravity of 1.002
C. Severe glycosuria
D. Generalized edema
Correct Answer: B. Urine specific gravity of 1.002
,Explanation: Diabetes insipidus causes deficient antidiuretic hormone activity or renal
resistance to ADH, resulting in the excretion of large amounts of dilute urine. A very low
urine specific gravity is characteristic.
Question 2. Which hormone is primarily responsible for increasing water reabsorption in the
renal collecting ducts?
A. Aldosterone
B. Cortisol
C. Antidiuretic hormone
D. Thyroxine
Correct Answer: C. Antidiuretic hormone
Explanation: Antidiuretic hormone promotes water reabsorption in the collecting ducts,
concentrating the urine and helping maintain circulating volume.
Question 3. A client with syndrome of inappropriate antidiuretic hormone secretion (SIADH)
is at greatest risk for which electrolyte abnormality?
A. Hypernatremia
B. Hyponatremia
C. Hypercalcemia
D. Hypermagnesemia
Correct Answer: B. Hyponatremia
Explanation: Excessive ADH causes water retention, which dilutes serum sodium. Severe
hyponatremia can produce neurological manifestations, including confusion and seizures.
Question 4. Which assessment finding is most concerning in a client with severe
hyponatremia?
A. Dry skin
B. Mild thirst
C. New-onset seizure
D. Increased appetite
Correct Answer: C. New-onset seizure
Explanation: Severe hyponatremia can cause cerebral edema and neurological deterioration.
A seizure indicates significant neurological involvement and requires immediate
intervention.
Question 5. A client with primary adrenal insufficiency is being assessed. Which finding is
most consistent with Addison disease?
, A. Hypertension
B. Hypernatremia
C. Hyperkalemia
D. Weight gain
Correct Answer: C. Hyperkalemia
Explanation: Reduced aldosterone secretion decreases sodium retention and potassium
excretion, making hyperkalemia a characteristic finding in primary adrenal insufficiency.
Question 6. Which finding should the nurse associate with Cushing syndrome?
A. Hypotension and bronze skin
B. Weight loss and hypoglycemia
C. Central obesity and hyperglycemia
D. Severe dehydration and hyperkalemia
Correct Answer: C. Central obesity and hyperglycemia
Explanation: Excess cortisol promotes central fat deposition, protein catabolism, and
increased glucose production. Clients may develop truncal obesity, hyperglycemia, muscle
weakness, and skin changes.
Question 7. A client taking long-term corticosteroids should not abruptly discontinue the
medication primarily because abrupt withdrawal can cause:
A. Thyroid storm
B. Adrenal insufficiency
C. Diabetes insipidus
D. Hyperparathyroidism
Correct Answer: B. Adrenal insufficiency
Explanation: Long-term corticosteroid therapy suppresses the hypothalamic-pituitary-
adrenal axis. Abrupt discontinuation can prevent the body from producing sufficient
endogenous cortisol.
Question 8. Which assessment finding is most characteristic of hyperthyroidism?
A. Bradycardia
B. Cold intolerance
C. Weight gain
D. Heat intolerance
Correct Answer: D. Heat intolerance
Explanation: Increased thyroid hormone accelerates metabolic activity, commonly causing
heat intolerance, sweating, tachycardia, weight loss, and anxiety.
