NUR 2392 / NUR2392 Final Exam –
Multidimensional Care II (MDC 2) | Rasmussen
College | Verified Questions & Correct Answers |
Grade A | Latest Update
Question 1: A client with chronic obstructive pulmonary disease (COPD) has a PaCO2 of 55
mmHg. The nurse recognizes this indicates:
Answer: Chronic respiratory acidosis
Rationale: Elevated PaCO2 (>45 mmHg) with normal pH suggests compensation; common in
COPD.
Question 2: The nurse is assessing a client with chronic kidney disease (CKD). Which lab value
is most concerning?
Answer: Creatinine 3.5 mg/dL
Rationale: Indicates stage 4 CKD; monitor for uremia and dialysis need.
Question 3: For a client with type 2 diabetes on metformin, the nurse teaches to: (Select all that
apply)
Answer: Take with meals; Report muscle pain; Avoid alcohol
Rationale: Reduces GI upset; lactic acidosis risk with alcohol or renal issues.
Question 4: A client with rheumatoid arthritis (RA) is prescribed etanercept. The nurse monitors
for:
Answer: Infections
Rationale: TNF inhibitor suppresses immunity; TB screening required.
Question 5: The nurse identifies pain as a priority for a client with advanced cancer. This is
because pain:
Answer: Undermines quality of life
Rationale: WHO pain ladder guides multimodal management.
, Question 6: A client with heart failure (HF) is on furosemide. The nurse assesses for:
Answer: Hypokalemia
Rationale: Loop diuretic causes potassium loss; monitor electrolytes.
Question 7: For a client with chronic low back pain, the nurse recommends:
Answer: Non-pharmacologic therapies first
Rationale: Exercise, PT; opioids for severe cases only.
Question 8: A client with stage 3 CKD should limit:
Answer: Protein intake
Rationale: Reduces uremic toxins; 0.8 g/kg/day recommended.
Question 9: The nurse teaches a client with osteoporosis to:
Answer: Perform weight-bearing exercises
Rationale: Increases bone density; avoid high-impact if frail.
Question 10: A client with multiple sclerosis (MS) experiences fatigue. The nurse suggests:
Answer: Energy conservation techniques
Rationale: Pacing activities; rest periods.
Question 11: For a client with chronic venous insufficiency, the nurse applies compression
stockings to:
Answer: Promote venous return
Rationale: Reduces edema; 20-30 mmHg pressure.
Question 12: A client with Alzheimer's disease is prescribed donepezil. The nurse monitors for:
Answer: Cholinergic side effects
Rationale: Nausea, diarrhea; enhances acetylcholine.
Question 13: The nurse prioritizes palliative care for a client with end-stage lung cancer by:
Answer: Assessing unmet needs
Rationale: Holistic focus on comfort, dignity.
Multidimensional Care II (MDC 2) | Rasmussen
College | Verified Questions & Correct Answers |
Grade A | Latest Update
Question 1: A client with chronic obstructive pulmonary disease (COPD) has a PaCO2 of 55
mmHg. The nurse recognizes this indicates:
Answer: Chronic respiratory acidosis
Rationale: Elevated PaCO2 (>45 mmHg) with normal pH suggests compensation; common in
COPD.
Question 2: The nurse is assessing a client with chronic kidney disease (CKD). Which lab value
is most concerning?
Answer: Creatinine 3.5 mg/dL
Rationale: Indicates stage 4 CKD; monitor for uremia and dialysis need.
Question 3: For a client with type 2 diabetes on metformin, the nurse teaches to: (Select all that
apply)
Answer: Take with meals; Report muscle pain; Avoid alcohol
Rationale: Reduces GI upset; lactic acidosis risk with alcohol or renal issues.
Question 4: A client with rheumatoid arthritis (RA) is prescribed etanercept. The nurse monitors
for:
Answer: Infections
Rationale: TNF inhibitor suppresses immunity; TB screening required.
Question 5: The nurse identifies pain as a priority for a client with advanced cancer. This is
because pain:
Answer: Undermines quality of life
Rationale: WHO pain ladder guides multimodal management.
, Question 6: A client with heart failure (HF) is on furosemide. The nurse assesses for:
Answer: Hypokalemia
Rationale: Loop diuretic causes potassium loss; monitor electrolytes.
Question 7: For a client with chronic low back pain, the nurse recommends:
Answer: Non-pharmacologic therapies first
Rationale: Exercise, PT; opioids for severe cases only.
Question 8: A client with stage 3 CKD should limit:
Answer: Protein intake
Rationale: Reduces uremic toxins; 0.8 g/kg/day recommended.
Question 9: The nurse teaches a client with osteoporosis to:
Answer: Perform weight-bearing exercises
Rationale: Increases bone density; avoid high-impact if frail.
Question 10: A client with multiple sclerosis (MS) experiences fatigue. The nurse suggests:
Answer: Energy conservation techniques
Rationale: Pacing activities; rest periods.
Question 11: For a client with chronic venous insufficiency, the nurse applies compression
stockings to:
Answer: Promote venous return
Rationale: Reduces edema; 20-30 mmHg pressure.
Question 12: A client with Alzheimer's disease is prescribed donepezil. The nurse monitors for:
Answer: Cholinergic side effects
Rationale: Nausea, diarrhea; enhances acetylcholine.
Question 13: The nurse prioritizes palliative care for a client with end-stage lung cancer by:
Answer: Assessing unmet needs
Rationale: Holistic focus on comfort, dignity.
