1|Page
NUR2502 Multidimensional Care III Final Exam Test
Bank
Complete Questions & Answers (A+ Graded 100%
Verified)
With Detailed Rationales | 2026-2027 Edition
Topic 1: Respiratory Disorders (Questions 1-25)
Question 1
A client with chronic bronchitis often shows signs of hypoxia. Which of
the following is the priority to monitor for in this client?
A) Barrel chest
B) Nutritional status
C) O2 levels
D) Clubbing of fingers
Correct Answer: C) O2 levels
Rationale: Oxygen saturation level is the most direct indicator of
hypoxia in a client with chronic bronchitis, as it reflects the adequacy of
oxygenation . Barrel chest, nutritional status, and clubbing are relevant
findings but are secondary to the priority assessment of oxygenation
status. Chronic bronchitis involves airway inflammation and mucus
production that impairs gas exchange, making oxygen monitoring
essential.
,2|Page
Question 2
Which of the following positions offers NO benefit to relieve dyspnea in
a client with chronic airflow limitation?
A) Sitting at the edge of the chair, leaning forward with arms folded and
resting on a table
B) A low semi-reclining position with shoulders back and niche
apart
C) Leaning forward in a chair with feet spread apart and elbows placed
on knees
D) Upright with head slightly flexed, with feet spread apart and
shoulders relaxed
Correct Answer: B) A low semi-reclining position with shoulders
back and niche apart
Rationale: A low semi-reclining position does not facilitate lung
expansion or diaphragmatic movement, offering no benefit for dyspnea
relief . The tripod position (leaning forward with arms supported) and
upright positions help improve breathing mechanics by allowing
accessory muscle use and maximizing diaphragmatic excursion.
Question 3
The nurse knows that which of the following tests is NOT used to
identify potential tuberculosis?
A) Sputum culture
B) Chest x-ray
C) Mantoux skin test
D) Saliva swab
Correct Answer: D) Saliva swab
,3|Page
Rationale: Saliva swab is not a standard diagnostic test for TB . Sputum
culture, chest X-ray, and Mantoux skin test are commonly used to
diagnose TB. Sputum culture remains the gold standard for TB
diagnosis, while the Mantoux test screens for exposure and chest X-ray
identifies pulmonary involvement.
Question 4
The nurse has identified a nursing diagnosis of ineffective airway
clearance with bronchospasms for a client with pneumonia. What
nursing intervention will help to conduct effective airway clearance?
A) Increase liters of humidified oxygen
B) Scheduled and PRN albuterol nebulizer bronchodilator
treatment
C) Handheld bronchodilator always as needed
D) Prednisone via inhaler or IV to reduce inflammation
Correct Answer: B) Scheduled and PRN albuterol nebulizer
bronchodilator treatment
Rationale: Bronchodilators relieve bronchospasms, improving airway
clearance in pneumonia . Scheduled and PRN administration ensures
consistent bronchodilation. While corticosteroids reduce inflammation,
bronchodilators provide more immediate relief of bronchospasm.
Oxygen therapy addresses hypoxemia but does not directly improve
airway clearance.
Question 5
A client with cystic fibrosis is admitted to the medical-surgical unit for
elective surgery. Which infection control measure is best for this patient?
, 4|Page
A) Place two clients with CF in the same room
B) Standard precautions, including handwashing are sufficient
C) Client to be placed on contact isolation
D) Measures that limit close contacts between two people with CF are
needed
Correct Answer: B) Standard precautions, including handwashing
are sufficient
Rationale: Standard precautions, including handwashing, are sufficient
for routine care of CF patients . However, CF patients should NOT be
placed in the same room due to risk of cross-contamination with
resistant organisms. Contact precautions may be added if the patient has
multidrug-resistant organisms.
Question 6
A nurse is caring for a client with end-stage emphysema. All of the
following are expected findings EXCEPT?
A) Increased CO2
B) Decreased PO2
C) Decreased pH
D) Increased pH
E) Decreased CO2
Correct Answer: C) Decreased pH AND E) Decreased CO2 (both
are NOT expected)
Rationale: In end-stage emphysema, patients typically retain CO2
(hypercapnia), leading to respiratory acidosis with decreased pH .
Decreased CO2 and increased pH would indicate respiratory alkalosis,
NUR2502 Multidimensional Care III Final Exam Test
Bank
Complete Questions & Answers (A+ Graded 100%
Verified)
With Detailed Rationales | 2026-2027 Edition
Topic 1: Respiratory Disorders (Questions 1-25)
Question 1
A client with chronic bronchitis often shows signs of hypoxia. Which of
the following is the priority to monitor for in this client?
A) Barrel chest
B) Nutritional status
C) O2 levels
D) Clubbing of fingers
Correct Answer: C) O2 levels
Rationale: Oxygen saturation level is the most direct indicator of
hypoxia in a client with chronic bronchitis, as it reflects the adequacy of
oxygenation . Barrel chest, nutritional status, and clubbing are relevant
findings but are secondary to the priority assessment of oxygenation
status. Chronic bronchitis involves airway inflammation and mucus
production that impairs gas exchange, making oxygen monitoring
essential.
,2|Page
Question 2
Which of the following positions offers NO benefit to relieve dyspnea in
a client with chronic airflow limitation?
A) Sitting at the edge of the chair, leaning forward with arms folded and
resting on a table
B) A low semi-reclining position with shoulders back and niche
apart
C) Leaning forward in a chair with feet spread apart and elbows placed
on knees
D) Upright with head slightly flexed, with feet spread apart and
shoulders relaxed
Correct Answer: B) A low semi-reclining position with shoulders
back and niche apart
Rationale: A low semi-reclining position does not facilitate lung
expansion or diaphragmatic movement, offering no benefit for dyspnea
relief . The tripod position (leaning forward with arms supported) and
upright positions help improve breathing mechanics by allowing
accessory muscle use and maximizing diaphragmatic excursion.
Question 3
The nurse knows that which of the following tests is NOT used to
identify potential tuberculosis?
A) Sputum culture
B) Chest x-ray
C) Mantoux skin test
D) Saliva swab
Correct Answer: D) Saliva swab
,3|Page
Rationale: Saliva swab is not a standard diagnostic test for TB . Sputum
culture, chest X-ray, and Mantoux skin test are commonly used to
diagnose TB. Sputum culture remains the gold standard for TB
diagnosis, while the Mantoux test screens for exposure and chest X-ray
identifies pulmonary involvement.
Question 4
The nurse has identified a nursing diagnosis of ineffective airway
clearance with bronchospasms for a client with pneumonia. What
nursing intervention will help to conduct effective airway clearance?
A) Increase liters of humidified oxygen
B) Scheduled and PRN albuterol nebulizer bronchodilator
treatment
C) Handheld bronchodilator always as needed
D) Prednisone via inhaler or IV to reduce inflammation
Correct Answer: B) Scheduled and PRN albuterol nebulizer
bronchodilator treatment
Rationale: Bronchodilators relieve bronchospasms, improving airway
clearance in pneumonia . Scheduled and PRN administration ensures
consistent bronchodilation. While corticosteroids reduce inflammation,
bronchodilators provide more immediate relief of bronchospasm.
Oxygen therapy addresses hypoxemia but does not directly improve
airway clearance.
Question 5
A client with cystic fibrosis is admitted to the medical-surgical unit for
elective surgery. Which infection control measure is best for this patient?
, 4|Page
A) Place two clients with CF in the same room
B) Standard precautions, including handwashing are sufficient
C) Client to be placed on contact isolation
D) Measures that limit close contacts between two people with CF are
needed
Correct Answer: B) Standard precautions, including handwashing
are sufficient
Rationale: Standard precautions, including handwashing, are sufficient
for routine care of CF patients . However, CF patients should NOT be
placed in the same room due to risk of cross-contamination with
resistant organisms. Contact precautions may be added if the patient has
multidrug-resistant organisms.
Question 6
A nurse is caring for a client with end-stage emphysema. All of the
following are expected findings EXCEPT?
A) Increased CO2
B) Decreased PO2
C) Decreased pH
D) Increased pH
E) Decreased CO2
Correct Answer: C) Decreased pH AND E) Decreased CO2 (both
are NOT expected)
Rationale: In end-stage emphysema, patients typically retain CO2
(hypercapnia), leading to respiratory acidosis with decreased pH .
Decreased CO2 and increased pH would indicate respiratory alkalosis,
