✅ NUR 2356 Multidimensional Care I –
Practice Questions & Answers
1. A nurse reviews lab results for a client with suspected infection. Which
finding most strongly indicates a bacterial infection?
A. Low erythrocyte sedimentation rate (ESR)
B. Increased neutrophils
C. Decreased white blood cell count
D. Elevated lymphocytes
Answer: B – Increased neutrophils
2. A client with heart failure is prescribed furosemide. Which finding requires
immediate action?
A. Potassium 2.9 mEq/L
B. Blood pressure 112/68
C. Weight loss of 1 lb overnight
D. Urine output 900 mL in 24 hours
Answer: A – Potassium 2.9 mEq/L
3. A nurse teaches a client with COPD about breathing techniques. Which
technique is most effective to prevent airway collapse?
A. Incentive spirometry
B. Pursed-lip breathing
C. Chest physiotherapy
D. Diaphragmatic breathing only
Answer: B – Pursed-lip breathing
4. A nurse prepares to administer digoxin. Which finding indicates the need to
hold the medication?
A. Apical pulse 54 bpm
B. Respiratory rate 24
C. Potassium 4.0 mEq/L
,D. Blood pressure 130/82
Answer: A – Apical pulse 54 bpm
5. A post-op client reports sudden chest pain and shortness of breath. What is
the nurse’s first action?
A. Apply oxygen
B. Notify the provider
C. Administer morphine
D. Complete a pain assessment
Answer: A – Apply oxygen
6. Which intervention best prevents ventilator-associated pneumonia (VAP)?
A. Donning sterile gloves
B. Raising HOB 30–45 degrees
C. Limiting oral care to once daily
D. Discontinuing suctioning
Answer: B – Raise the head of the bed 30–45°
7. A nurse cares for a client with anemia. Which assessment finding is
expected?
A. Bradycardia
B. Cold intolerance
C. Hypertension
D. Decreased respiratory rate
Answer: B – Cold intolerance
8. A client with diabetes is shaky, sweaty, and confused. Blood glucose is 48
mg/dL. What is the priority action?
A. Administer glucagon IM
B. Provide 15 g of fast-acting carbs
C. Notify the provider
D. Recheck blood glucose in 30 min
Answer: B – Provide 15 g of fast-acting carbohydrate
, 9. Which PPE is required when caring for a client with C. difficile?
A. N95 respirator
B. Surgical mask only
C. Gloves and gown
D. Gloves only
Answer: C – Gloves and gown
10. A nurse evaluates a patient with pneumonia. Which finding indicates
improvement?
A. Respiratory rate 32
B. O₂ saturation 95% on room air
C. New crackles in lower lobes
D. Temperature 102.1°F
Answer: B – O₂ sat 95%
11. Which client has the highest risk for pressure injury?
A. Client with diarrhea
B. Client on oxygen therapy
C. Client with a hip fracture and immobility
D. Client with a history of hypertension
Answer: C – Immobilized client
12. The nurse teaches a client newly diagnosed with hypertension. Which
behavior shows understanding?
A. “I will reduce my sodium intake.”
B. “I will take my medication only if I feel dizzy.”
C. “I will increase canned foods.”
D. “I can stop medication once my BP improves.”
Answer: A – Reduce sodium
13. A nurse suspects sepsis in a client. Which finding is most concerning?
A. Urine output 40 mL/hr
B. Heart rate 110
C. Lactate 5 mmol/L
Practice Questions & Answers
1. A nurse reviews lab results for a client with suspected infection. Which
finding most strongly indicates a bacterial infection?
A. Low erythrocyte sedimentation rate (ESR)
B. Increased neutrophils
C. Decreased white blood cell count
D. Elevated lymphocytes
Answer: B – Increased neutrophils
2. A client with heart failure is prescribed furosemide. Which finding requires
immediate action?
A. Potassium 2.9 mEq/L
B. Blood pressure 112/68
C. Weight loss of 1 lb overnight
D. Urine output 900 mL in 24 hours
Answer: A – Potassium 2.9 mEq/L
3. A nurse teaches a client with COPD about breathing techniques. Which
technique is most effective to prevent airway collapse?
A. Incentive spirometry
B. Pursed-lip breathing
C. Chest physiotherapy
D. Diaphragmatic breathing only
Answer: B – Pursed-lip breathing
4. A nurse prepares to administer digoxin. Which finding indicates the need to
hold the medication?
A. Apical pulse 54 bpm
B. Respiratory rate 24
C. Potassium 4.0 mEq/L
,D. Blood pressure 130/82
Answer: A – Apical pulse 54 bpm
5. A post-op client reports sudden chest pain and shortness of breath. What is
the nurse’s first action?
A. Apply oxygen
B. Notify the provider
C. Administer morphine
D. Complete a pain assessment
Answer: A – Apply oxygen
6. Which intervention best prevents ventilator-associated pneumonia (VAP)?
A. Donning sterile gloves
B. Raising HOB 30–45 degrees
C. Limiting oral care to once daily
D. Discontinuing suctioning
Answer: B – Raise the head of the bed 30–45°
7. A nurse cares for a client with anemia. Which assessment finding is
expected?
A. Bradycardia
B. Cold intolerance
C. Hypertension
D. Decreased respiratory rate
Answer: B – Cold intolerance
8. A client with diabetes is shaky, sweaty, and confused. Blood glucose is 48
mg/dL. What is the priority action?
A. Administer glucagon IM
B. Provide 15 g of fast-acting carbs
C. Notify the provider
D. Recheck blood glucose in 30 min
Answer: B – Provide 15 g of fast-acting carbohydrate
, 9. Which PPE is required when caring for a client with C. difficile?
A. N95 respirator
B. Surgical mask only
C. Gloves and gown
D. Gloves only
Answer: C – Gloves and gown
10. A nurse evaluates a patient with pneumonia. Which finding indicates
improvement?
A. Respiratory rate 32
B. O₂ saturation 95% on room air
C. New crackles in lower lobes
D. Temperature 102.1°F
Answer: B – O₂ sat 95%
11. Which client has the highest risk for pressure injury?
A. Client with diarrhea
B. Client on oxygen therapy
C. Client with a hip fracture and immobility
D. Client with a history of hypertension
Answer: C – Immobilized client
12. The nurse teaches a client newly diagnosed with hypertension. Which
behavior shows understanding?
A. “I will reduce my sodium intake.”
B. “I will take my medication only if I feel dizzy.”
C. “I will increase canned foods.”
D. “I can stop medication once my BP improves.”
Answer: A – Reduce sodium
13. A nurse suspects sepsis in a client. Which finding is most concerning?
A. Urine output 40 mL/hr
B. Heart rate 110
C. Lactate 5 mmol/L
