NUR 2502 Final Exam 2025/2026 –
Multidimensional Care III (MDC 3) – Rasmussen
College | 100+ Verified Questions with Correct
Answers | A+ Study Guide
Module: Cardiovascular
Question 1
A nurse observes a client with atrial fibrillation (AF) with a heart rate of 180 bpm. What is the
priority nursing intervention?
A: Administer medications to slow the heart rate
B: Monitor urine output
C: Apply compression stockings
D: Encourage deep breathing exercises
A: Administer medications to slow the heart rate
Rationale: In AF with a rapid rate (180 bpm), controlling the heart rate is critical to prevent
complications like heart failure. Medications like beta-blockers are prioritized. B is unrelated to
immediate management. C addresses clotting risk, not rate. D is insufficient for rapid AF.
Question 2
A client with heart failure is taught to monitor for worsening symptoms. Which symptom should
the nurse emphasize?
A: Weight gain of 2–3 pounds in 24 hours
B: Increased appetite
C: Improved exercise tolerance
D: Decreased blood pressure
A: Weight gain of 2–3 pounds in 24 hours
Rationale: Rapid weight gain indicates fluid retention, a key sign of worsening heart failure. B,
C, and D are not specific to heart failure exacerbation.
Question 3
Which diagnostic test is most effective for confirming heart failure?
A: Echocardiogram
B: Chest X-ray
C: Electrocardiogram (ECG)
D: Complete blood count (CBC)
A: Echocardiogram
Rationale: An echocardiogram assesses heart function and ejection fraction, confirming heart
failure. B shows fluid but is less specific. C detects rhythm issues. D is unrelated to heart
function.
, Question 4
A client with myocardial infarction (MI) reports substernal chest pain. What is the priority
nursing action?
A: Administer nitroglycerin as prescribed
B: Encourage rest and relaxation
C: Monitor blood pressure
D: Provide supplemental oxygen
A: Administer nitroglycerin as prescribed
Rationale: Nitroglycerin relieves chest pain in MI by dilating coronary arteries. B is secondary. C
is important but not immediate. D is appropriate but not the priority for pain.
Question 5
What is a hallmark sign of infective endocarditis?
A: New or changed heart murmur
B: Increased urine output
C: Decreased respiratory rate
D: Stable blood pressure
A: New or changed heart murmur
Rationale: Infective endocarditis causes vegetations on heart valves, leading to new or changed
murmurs. B, C, and D are not specific to endocarditis.
Question 6
A client with atrial fibrillation is at risk for which complication?
A: Thromboembolism
B: Hypoglycemia
C: Pneumonia
D: Osteoporosis
A: Thromboembolism
Rationale: AF causes blood stasis in the atria, increasing thromboembolism risk. B, C, and D are
unrelated to AF.
Question 7
A nurse is caring for a client with hypertension (BP 172/92 mmHg). What is the priority
intervention?
A: Administer antihypertensive medication as prescribed
B: Encourage a low-sodium diet
C: Monitor for headache
D: Promote relaxation techniques
A: Administer antihypertensive medication as prescribed
Rationale: Immediate BP reduction with medication is critical for severe hypertension. B, C, and
D are supportive but not immediate priorities.
Question 8
What is a key symptom of acute coronary syndrome (ACS)?
A: Chest pain radiating to the jaw
B: Increased appetite
Multidimensional Care III (MDC 3) – Rasmussen
College | 100+ Verified Questions with Correct
Answers | A+ Study Guide
Module: Cardiovascular
Question 1
A nurse observes a client with atrial fibrillation (AF) with a heart rate of 180 bpm. What is the
priority nursing intervention?
A: Administer medications to slow the heart rate
B: Monitor urine output
C: Apply compression stockings
D: Encourage deep breathing exercises
A: Administer medications to slow the heart rate
Rationale: In AF with a rapid rate (180 bpm), controlling the heart rate is critical to prevent
complications like heart failure. Medications like beta-blockers are prioritized. B is unrelated to
immediate management. C addresses clotting risk, not rate. D is insufficient for rapid AF.
Question 2
A client with heart failure is taught to monitor for worsening symptoms. Which symptom should
the nurse emphasize?
A: Weight gain of 2–3 pounds in 24 hours
B: Increased appetite
C: Improved exercise tolerance
D: Decreased blood pressure
A: Weight gain of 2–3 pounds in 24 hours
Rationale: Rapid weight gain indicates fluid retention, a key sign of worsening heart failure. B,
C, and D are not specific to heart failure exacerbation.
Question 3
Which diagnostic test is most effective for confirming heart failure?
A: Echocardiogram
B: Chest X-ray
C: Electrocardiogram (ECG)
D: Complete blood count (CBC)
A: Echocardiogram
Rationale: An echocardiogram assesses heart function and ejection fraction, confirming heart
failure. B shows fluid but is less specific. C detects rhythm issues. D is unrelated to heart
function.
, Question 4
A client with myocardial infarction (MI) reports substernal chest pain. What is the priority
nursing action?
A: Administer nitroglycerin as prescribed
B: Encourage rest and relaxation
C: Monitor blood pressure
D: Provide supplemental oxygen
A: Administer nitroglycerin as prescribed
Rationale: Nitroglycerin relieves chest pain in MI by dilating coronary arteries. B is secondary. C
is important but not immediate. D is appropriate but not the priority for pain.
Question 5
What is a hallmark sign of infective endocarditis?
A: New or changed heart murmur
B: Increased urine output
C: Decreased respiratory rate
D: Stable blood pressure
A: New or changed heart murmur
Rationale: Infective endocarditis causes vegetations on heart valves, leading to new or changed
murmurs. B, C, and D are not specific to endocarditis.
Question 6
A client with atrial fibrillation is at risk for which complication?
A: Thromboembolism
B: Hypoglycemia
C: Pneumonia
D: Osteoporosis
A: Thromboembolism
Rationale: AF causes blood stasis in the atria, increasing thromboembolism risk. B, C, and D are
unrelated to AF.
Question 7
A nurse is caring for a client with hypertension (BP 172/92 mmHg). What is the priority
intervention?
A: Administer antihypertensive medication as prescribed
B: Encourage a low-sodium diet
C: Monitor for headache
D: Promote relaxation techniques
A: Administer antihypertensive medication as prescribed
Rationale: Immediate BP reduction with medication is critical for severe hypertension. B, C, and
D are supportive but not immediate priorities.
Question 8
What is a key symptom of acute coronary syndrome (ACS)?
A: Chest pain radiating to the jaw
B: Increased appetite
