NUR2392 Exam 2: Multidimensional Care II -
Comprehensive Verified & Updated Questions
and Answers - Rasmussen University
1. A nurse is caring for a patient with GERD. Which lifestyle modification should
the nurse include in the teaching plan?
A. Eat three large meals a day to keep the stomach full.
B. Lie down immediately after eating for better digestion.
C. Avoid caffeine, chocolate, and peppermint.
D. Wear tight-fitting clothing to support the abdomen.
Answer: C
Explanation: Caffeine, chocolate, and peppermint decrease Lower Esophageal Sphincter
(LES) pressure, which exacerbates GERD symptoms. Patients should also eat small frequent
meals and remain upright after eating.
2. A patient with cirrhosis has a high ammonia level and is showing signs of
hepatic encephalopathy. Which medication should the nurse expect to
administer?
A. Lactulose
B. Spironolactone
C. Furosemide
D. Propranolol
Answer: A
Explanation: Lactulose is used to promote the excretion of ammonia through the stool in
patients with hepatic encephalopathy.
,3. A client is admitted with acute pancreatitis. Which laboratory result is most
diagnostic of this condition?
A. Decreased white blood cell count
B. Elevated serum amylase and lipase
C. Elevated serum calcium
D. Decreased serum bilirubin
Answer: B
Explanation: Serum amylase and lipase are the primary enzymes released when the
pancreas is inflamed; lipase is more specific to the pancreas.
4. A nurse is reviewing the plan of care for a patient with nephrotic syndrome.
What is a primary clinical manifestation of this disorder?
A. Elevated serum albumin
B. Gross hematuria and hypertension
C. Weight loss and dehydration
D. Hypoproteinemia and massive proteinuria
Answer: D
Explanation: Nephrotic syndrome is characterized by massive proteinuria,
hypoalbuminemia (hypoproteinemia), and significant edema.
5. Which electrolyte imbalance is a patient at risk for if they have Chvostek’s
sign and Trousseau’s sign?
A. Hyperkalemia
B. Hypermagnesemia
C. Hyponatremia
D. Hypocalcemia
Answer: D
Explanation: Positive Chvostek’s and Trousseau’s signs are classic indicators of
neuromuscular irritability caused by low calcium levels.
, 6. A patient with a history of Peptic Ulcer Disease (PUD) reports sudden, severe
abdominal pain that radiates to the shoulder. What is the nurse’s priority
action?
A. Administer an antacid as ordered.
B. Check the patient’s blood glucose level.
C. Assist the patient to a supine position.
D. Assess for signs of perforation and notify the provider.
Answer: D
Explanation: Sudden, sharp pain radiating to the shoulder suggests perforation, which is a
surgical emergency. The nurse must assess for a rigid, board-like abdomen and shock.
7. Which type of insulin should the nurse expect to reach its peak action within
30 to 90 minutes?
A. Lispro (Rapid-acting)
B. Glargine (Long-acting)
C. NPH (Intermediate-acting)
D. Regular (Short-acting)
Answer: A
Explanation: Rapid-acting insulins like Lispro, Aspart, and Glulisine have an onset of 15
minutes and peak within 30 to 90 minutes.
8. A patient is diagnosed with Hepatitis A. The nurse knows that the most
common mode of transmission for this virus is:
A. Fecal-oral route
B. Sexual intercourse
C. Blood-to-blood contact
D. Contaminated needles
Answer: A
Comprehensive Verified & Updated Questions
and Answers - Rasmussen University
1. A nurse is caring for a patient with GERD. Which lifestyle modification should
the nurse include in the teaching plan?
A. Eat three large meals a day to keep the stomach full.
B. Lie down immediately after eating for better digestion.
C. Avoid caffeine, chocolate, and peppermint.
D. Wear tight-fitting clothing to support the abdomen.
Answer: C
Explanation: Caffeine, chocolate, and peppermint decrease Lower Esophageal Sphincter
(LES) pressure, which exacerbates GERD symptoms. Patients should also eat small frequent
meals and remain upright after eating.
2. A patient with cirrhosis has a high ammonia level and is showing signs of
hepatic encephalopathy. Which medication should the nurse expect to
administer?
A. Lactulose
B. Spironolactone
C. Furosemide
D. Propranolol
Answer: A
Explanation: Lactulose is used to promote the excretion of ammonia through the stool in
patients with hepatic encephalopathy.
,3. A client is admitted with acute pancreatitis. Which laboratory result is most
diagnostic of this condition?
A. Decreased white blood cell count
B. Elevated serum amylase and lipase
C. Elevated serum calcium
D. Decreased serum bilirubin
Answer: B
Explanation: Serum amylase and lipase are the primary enzymes released when the
pancreas is inflamed; lipase is more specific to the pancreas.
4. A nurse is reviewing the plan of care for a patient with nephrotic syndrome.
What is a primary clinical manifestation of this disorder?
A. Elevated serum albumin
B. Gross hematuria and hypertension
C. Weight loss and dehydration
D. Hypoproteinemia and massive proteinuria
Answer: D
Explanation: Nephrotic syndrome is characterized by massive proteinuria,
hypoalbuminemia (hypoproteinemia), and significant edema.
5. Which electrolyte imbalance is a patient at risk for if they have Chvostek’s
sign and Trousseau’s sign?
A. Hyperkalemia
B. Hypermagnesemia
C. Hyponatremia
D. Hypocalcemia
Answer: D
Explanation: Positive Chvostek’s and Trousseau’s signs are classic indicators of
neuromuscular irritability caused by low calcium levels.
, 6. A patient with a history of Peptic Ulcer Disease (PUD) reports sudden, severe
abdominal pain that radiates to the shoulder. What is the nurse’s priority
action?
A. Administer an antacid as ordered.
B. Check the patient’s blood glucose level.
C. Assist the patient to a supine position.
D. Assess for signs of perforation and notify the provider.
Answer: D
Explanation: Sudden, sharp pain radiating to the shoulder suggests perforation, which is a
surgical emergency. The nurse must assess for a rigid, board-like abdomen and shock.
7. Which type of insulin should the nurse expect to reach its peak action within
30 to 90 minutes?
A. Lispro (Rapid-acting)
B. Glargine (Long-acting)
C. NPH (Intermediate-acting)
D. Regular (Short-acting)
Answer: A
Explanation: Rapid-acting insulins like Lispro, Aspart, and Glulisine have an onset of 15
minutes and peak within 30 to 90 minutes.
8. A patient is diagnosed with Hepatitis A. The nurse knows that the most
common mode of transmission for this virus is:
A. Fecal-oral route
B. Sexual intercourse
C. Blood-to-blood contact
D. Contaminated needles
Answer: A
