NUR 2502 / NUR2502 Final Exam
(Latest UPDATE 2026):
Multidimensional Care III / MDC 3 -
Rasmussen
1. A client with left-sided heart failure reports dyspnea and has crackles in both
lungs. What is the nurse’s priority action?
A. Administer IV furosemide
B. Place the client supine
C. Administer oxygen
D. Restrict fluids
Answer: C
Rationale: Oxygenation is priority (ABCs). Crackles indicate pulmonary congestion impairing
gas exchange.
2. A client taking digoxin has a heart rate of 54 bpm. What should the nurse do?
A. Give the medication
B. Hold the medication
C. Double the dose
D. Administer potassium
Answer: B
Rationale: Digoxin is held if HR <60 bpm due to risk of bradycardia.
3. Which lab value requires immediate intervention?
A. Sodium 140 mEq/L
B. Potassium 6.2 mEq/L
C. Hemoglobin 13 g/dL
D. WBC 7,000/mm³
,Answer: B
Rationale: Hyperkalemia can cause life-threatening dysrhythmias.
4. A COPD patient becomes lethargic while on 4 L/min oxygen. What is the likely
cause?
A. Hypoglycemia
B. CO₂ retention
C. Dehydration
D. Infection
Answer: B
Rationale: High oxygen levels can suppress hypoxic respiratory drive in COPD.
5. A patient with chest pain has ST-segment elevation. This indicates:
A. Stable angina
B. Myocardial infarction
C. Heart block
D. Pericarditis
Answer: B
Rationale: ST elevation suggests acute MI requiring immediate treatment.
6. A client with blood glucose 42 mg/dL is alert. What should the nurse
administer?
A. IV insulin
B. 15 g oral glucose
C. Glucagon IM
D. Dextrose IV
Answer: B
Rationale: Conscious hypoglycemic patient receives 15 g rapid-acting carbohydrate.
7. Early sign of increased intracranial pressure (ICP)?
, A. Bradycardia
B. Decreased LOC
C. Fixed pupils
D. Hypertension
Answer: B
Rationale: Change in LOC is the earliest indicator.
8. Which intervention is priority for a client in septic shock?
A. Administer antibiotics
B. Give IV fluids
C. Monitor temperature
D. Apply oxygen
Answer: B
Rationale: Fluid resuscitation is first-line to restore perfusion.
9. A client with renal failure is at highest risk for:
A. Hypokalemia
B. Hyperkalemia
C. Hypoglycemia
D. Hyponatremia
Answer: B
Rationale: Kidneys excrete potassium; failure causes retention.
10. Which assessment finding suggests digoxin toxicity?
A. Hypertension
B. Yellow vision
C. Tachycardia
D. Increased appetite
Answer: B
Rationale: Visual disturbances are classic signs.
(Latest UPDATE 2026):
Multidimensional Care III / MDC 3 -
Rasmussen
1. A client with left-sided heart failure reports dyspnea and has crackles in both
lungs. What is the nurse’s priority action?
A. Administer IV furosemide
B. Place the client supine
C. Administer oxygen
D. Restrict fluids
Answer: C
Rationale: Oxygenation is priority (ABCs). Crackles indicate pulmonary congestion impairing
gas exchange.
2. A client taking digoxin has a heart rate of 54 bpm. What should the nurse do?
A. Give the medication
B. Hold the medication
C. Double the dose
D. Administer potassium
Answer: B
Rationale: Digoxin is held if HR <60 bpm due to risk of bradycardia.
3. Which lab value requires immediate intervention?
A. Sodium 140 mEq/L
B. Potassium 6.2 mEq/L
C. Hemoglobin 13 g/dL
D. WBC 7,000/mm³
,Answer: B
Rationale: Hyperkalemia can cause life-threatening dysrhythmias.
4. A COPD patient becomes lethargic while on 4 L/min oxygen. What is the likely
cause?
A. Hypoglycemia
B. CO₂ retention
C. Dehydration
D. Infection
Answer: B
Rationale: High oxygen levels can suppress hypoxic respiratory drive in COPD.
5. A patient with chest pain has ST-segment elevation. This indicates:
A. Stable angina
B. Myocardial infarction
C. Heart block
D. Pericarditis
Answer: B
Rationale: ST elevation suggests acute MI requiring immediate treatment.
6. A client with blood glucose 42 mg/dL is alert. What should the nurse
administer?
A. IV insulin
B. 15 g oral glucose
C. Glucagon IM
D. Dextrose IV
Answer: B
Rationale: Conscious hypoglycemic patient receives 15 g rapid-acting carbohydrate.
7. Early sign of increased intracranial pressure (ICP)?
, A. Bradycardia
B. Decreased LOC
C. Fixed pupils
D. Hypertension
Answer: B
Rationale: Change in LOC is the earliest indicator.
8. Which intervention is priority for a client in septic shock?
A. Administer antibiotics
B. Give IV fluids
C. Monitor temperature
D. Apply oxygen
Answer: B
Rationale: Fluid resuscitation is first-line to restore perfusion.
9. A client with renal failure is at highest risk for:
A. Hypokalemia
B. Hyperkalemia
C. Hypoglycemia
D. Hyponatremia
Answer: B
Rationale: Kidneys excrete potassium; failure causes retention.
10. Which assessment finding suggests digoxin toxicity?
A. Hypertension
B. Yellow vision
C. Tachycardia
D. Increased appetite
Answer: B
Rationale: Visual disturbances are classic signs.
