2025) Multidimensional Care III / MDC 3 -
Rasmussen
1. A nurse is caring for a client with heart failure who is receiving furosemide.
Which laboratory value should the nurse monitor closely?
• Calcium
• Magnesium
• Potassium
• Sodium
Furosemide is a loop diuretic that can cause significant potassium
loss, leading to hypokalemia.
2. A client with COPD is experiencing shortness of breath. What is the priority
nursing action?
• Encourage fluid intake
• Administer oxygen as prescribed
• Provide a high-protein meal
• Place in supine position
Administering oxygen relieves hypoxia, the most immediate threat
to life.
3. Which of the following foods should a client on a low-sodium diet avoid?
,• Canned soup
• Fresh fruit
• Boiled chicken
• Steamed vegetables
Canned soup typically contains high sodium and should be avoided
on a low-sodium diet.
4. A nurse is teaching a client about managing GERD. Which statement
indicates a need for further teaching?
• "I will avoid peppermint and chocolate."
• "I will eat smaller meals more frequently."
• "I will elevate the head of my bed when sleeping."
• "I can have orange juice with breakfast."
Orange juice is acidic and can worsen GERD symptoms.
5. A client with asthma presents with wheezing and shortness of breath. What
is the priority nursing intervention?
• Encourage fluid intake
• Administer a short-acting beta agonist (albuterol)
• Perform chest physiotherapy
• Teach pursed-lip breathing
Short-acting beta agonists are first-line for acute asthma attacks.
6. Which of the following is a late sign of hypoxia?
, • Restlessness
• Cyanosis
• Tachypnea
• Anxiety
Cyanosis is a late sign indicating severe oxygen deprivation.
7. A nurse is caring for a client with tuberculosis. What type of precautions are
needed?
• Contact
• Airborne
• Droplet
• Reverse isolation
TB is transmitted via airborne particles; therefore, airborne
precautions are required.
8. What is a common side effect of ACE inhibitors such as lisinopril?
• Constipation
• Dry cough
• Tachycardia
• Hyperglycemia
Dry cough is a common side effect due to increased bradykinin
levels.
9. A client with a DVT is started on warfarin. What should the nurse monitor?