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NUR 2502 / NUR2502 FINAL EXAM (LATEST 2026) |
MULTIDIMENSIONAL CARE III (MDC 3) – 120 VERIFIED
QUESTIONS WITH 100% CORRECT ANSWERS & RATIONALES,
ALREADY GRADED A+
1.
A nurse is assessing a client admitted with decompensated heart failure who
reports increasing shortness of breath, fatigue, and weight gain of 5 pounds
in the last 3 days. Which assessment finding requires the nurse’s immediate
intervention?
A. Presence of bilateral +2 pitting edema in the ankles
B. Crackles heard at the bases of both lungs
C. Oxygen saturation of 82% on room air
D. Jugular vein distention at 30 degrees
Rationale: Hypoxemia (O₂ sat 82%) is life-threatening and indicates
impaired gas exchange requiring immediate intervention, such as oxygen
administration. Edema, JVD, and crackles are expected in heart failure but
not as urgent as critically low oxygen levels.
2.
A client with chronic kidney disease presents with muscle cramps,
paresthesia, and a positive Chvostek’s sign. The nurse anticipates which
electrolyte imbalance?
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A. Hypernatremia
B. Hypocalcemia
C. Hyperkalemia
D. Hypermagnesemia
Rationale: Low calcium levels cause neuromuscular excitability, leading to
cramps, tingling, and positive Chvostek’s/Trousseau’s signs. Hyperkalemia
and hypermagnesemia may occur in CKD but do not cause these specific
symptoms.
3.
A nurse is reviewing discharge instructions with a client prescribed warfarin
for atrial fibrillation. Which statement by the client requires further
teaching?
A. “I will keep my follow-up appointments to check my INR.”
B. “I should report any unusual bleeding or bruising.”
C. “I will increase my intake of leafy green vegetables for better
nutrition.”
D. “I must take this medication at the same time every day.”
Rationale: Leafy green vegetables are high in vitamin K, which interferes
with warfarin’s therapeutic effect. Consistent intake is essential, but
increasing intake suddenly can reduce anticoagulation effectiveness.
4.
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A client with COPD is receiving oxygen at 4 L/min via nasal cannula.
Which finding indicates oxygen toxicity?
A. Productive cough with thick sputum
B. New onset of restlessness and substernal chest pain
C. Clubbing of the fingers
D. Wheezing during expiration
Rationale: High O₂ levels can cause restlessness, substernal pain, and
hypoventilation due to loss of hypoxic drive in COPD clients. Clubbing is a
chronic change, not acute toxicity.
5.
The nurse is caring for a client with sickle cell crisis experiencing severe
pain. Which is the priority intervention?
A. Encourage ambulation to promote circulation
B. Apply cold packs to painful areas
C. Administer prescribed opioid analgesics
D. Restrict oral fluids to reduce workload on the kidneys
Rationale: The priority in sickle cell crisis is pain management with
opioids. Cold worsens vasoconstriction, and fluid restriction is
contraindicated. Adequate hydration and rest are important after pain relief.
6.
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A client with pneumonia is ordered IV antibiotics. Which assessment should
the nurse perform first before initiating therapy?
A. Review the culture and sensitivity report
B. Check for a history of drug allergies
C. Assess for allergy to penicillin or cephalosporins
D. Monitor temperature and white blood cell count
Rationale: Allergies to antibiotics, particularly penicillin/cephalosporins,
must be identified before administration to prevent life-threatening
anaphylaxis. Other steps follow after ensuring safety.
7.
A nurse is educating a client with type 2 diabetes about foot care. Which
statement indicates understanding?
A. “I will soak my feet daily to prevent dryness.”
B. “I will check my feet every day for cuts or sores.”
C. “I will walk barefoot in the house to strengthen circulation.”
D. “I will trim my toenails close to the skin to prevent ingrown nails.”
Rationale: Daily foot inspection prevents unnoticed injuries that can lead to
infection. Soaking increases risk of skin breakdown, barefoot walking
increases risk of injury, and trimming nails close increases infection risk.
8.
NUR 2502 / NUR2502 FINAL EXAM (LATEST 2026) |
MULTIDIMENSIONAL CARE III (MDC 3) – 120 VERIFIED
QUESTIONS WITH 100% CORRECT ANSWERS & RATIONALES,
ALREADY GRADED A+
1.
A nurse is assessing a client admitted with decompensated heart failure who
reports increasing shortness of breath, fatigue, and weight gain of 5 pounds
in the last 3 days. Which assessment finding requires the nurse’s immediate
intervention?
A. Presence of bilateral +2 pitting edema in the ankles
B. Crackles heard at the bases of both lungs
C. Oxygen saturation of 82% on room air
D. Jugular vein distention at 30 degrees
Rationale: Hypoxemia (O₂ sat 82%) is life-threatening and indicates
impaired gas exchange requiring immediate intervention, such as oxygen
administration. Edema, JVD, and crackles are expected in heart failure but
not as urgent as critically low oxygen levels.
2.
A client with chronic kidney disease presents with muscle cramps,
paresthesia, and a positive Chvostek’s sign. The nurse anticipates which
electrolyte imbalance?
,2|Page
A. Hypernatremia
B. Hypocalcemia
C. Hyperkalemia
D. Hypermagnesemia
Rationale: Low calcium levels cause neuromuscular excitability, leading to
cramps, tingling, and positive Chvostek’s/Trousseau’s signs. Hyperkalemia
and hypermagnesemia may occur in CKD but do not cause these specific
symptoms.
3.
A nurse is reviewing discharge instructions with a client prescribed warfarin
for atrial fibrillation. Which statement by the client requires further
teaching?
A. “I will keep my follow-up appointments to check my INR.”
B. “I should report any unusual bleeding or bruising.”
C. “I will increase my intake of leafy green vegetables for better
nutrition.”
D. “I must take this medication at the same time every day.”
Rationale: Leafy green vegetables are high in vitamin K, which interferes
with warfarin’s therapeutic effect. Consistent intake is essential, but
increasing intake suddenly can reduce anticoagulation effectiveness.
4.
,3|Page
A client with COPD is receiving oxygen at 4 L/min via nasal cannula.
Which finding indicates oxygen toxicity?
A. Productive cough with thick sputum
B. New onset of restlessness and substernal chest pain
C. Clubbing of the fingers
D. Wheezing during expiration
Rationale: High O₂ levels can cause restlessness, substernal pain, and
hypoventilation due to loss of hypoxic drive in COPD clients. Clubbing is a
chronic change, not acute toxicity.
5.
The nurse is caring for a client with sickle cell crisis experiencing severe
pain. Which is the priority intervention?
A. Encourage ambulation to promote circulation
B. Apply cold packs to painful areas
C. Administer prescribed opioid analgesics
D. Restrict oral fluids to reduce workload on the kidneys
Rationale: The priority in sickle cell crisis is pain management with
opioids. Cold worsens vasoconstriction, and fluid restriction is
contraindicated. Adequate hydration and rest are important after pain relief.
6.
, 4|Page
A client with pneumonia is ordered IV antibiotics. Which assessment should
the nurse perform first before initiating therapy?
A. Review the culture and sensitivity report
B. Check for a history of drug allergies
C. Assess for allergy to penicillin or cephalosporins
D. Monitor temperature and white blood cell count
Rationale: Allergies to antibiotics, particularly penicillin/cephalosporins,
must be identified before administration to prevent life-threatening
anaphylaxis. Other steps follow after ensuring safety.
7.
A nurse is educating a client with type 2 diabetes about foot care. Which
statement indicates understanding?
A. “I will soak my feet daily to prevent dryness.”
B. “I will check my feet every day for cuts or sores.”
C. “I will walk barefoot in the house to strengthen circulation.”
D. “I will trim my toenails close to the skin to prevent ingrown nails.”
Rationale: Daily foot inspection prevents unnoticed injuries that can lead to
infection. Soaking increases risk of skin breakdown, barefoot walking
increases risk of injury, and trimming nails close increases infection risk.
8.
