COLLEGE OF NURSING
Bachelor of Science in Nursing (BSN)
MDC II - Multidimensional Care II
Academic Year: 2026/2027
Exam 1 Comprehensive Review Question Bank
Question 1
A burn patient presents with signs and symptoms of third spacing. Based on this
assessment, what fluid imbalance do these manifestations indicate?
A. Hypervolemia
B. Hypovolemia
C. Hypernatremia
D. Fluid volume excess
CORRECT ANSWER B. Hypovolemia
RATIONALE
Third spacing occurs when fluid shifts from the intravascular space into the interstitial space,
leading to decreased circulating blood volume (hypovolemia). Signs include decreased blood
pressure, tachycardia, decreased urine output, and increased hematocrit.
,Question 2
A breast cancer patient who completed chemotherapy and mastectomy now complains
of shortness of breath and persistent cough. CT shows a small nodule that is not
infiltrating the lungs. What is the next appropriate step?
A. Repeat CT in 3 months
B. Immediate surgical resection of the nodule
C. Pulmonology referral
D. Begin palliative chemotherapy
CORRECT ANSWER C. Pulmonology referral
RATIONALE
A pulmonology referral is appropriate for further evaluation of a lung nodule in a patient with
history of breast cancer to determine if it represents metastasis, a new primary, or a benign
process. Specialized evaluation may include bronchoscopy or PET scan.
Question 3
A patient enrolled in hospice care has family members with questions about the
program. What should the nurse educate regarding the MAIN goal of hospice?
A. Cure the underlying disease
B. Aggressive treatment to extend life
C. Quality of life and preparation for death
D. Provide custodial care only
CORRECT ANSWER C. Quality of life and preparation for death
RATIONALE
Hospice focuses on comfort, dignity, and quality of life for patients with a life expectancy of 6
months or less. The goal is palliative rather than curative, addressing physical, emotional, and
spiritual needs while supporting the patient and family through the dying process.
, Question 4
A breast cancer patient receiving chemotherapy develops peripheral neuropathy. What
intervention should the nurse implement to promote client safety?
A. Encourage the patient to walk barefoot
B. Inspect feet daily for injuries that go unnoticed
C. Apply heating pads for comfort
D. Use a heating pad on numb areas
CORRECT ANSWER B. Inspect feet daily for injuries that go unnoticed
RATIONALE
Peripheral neuropathy causes decreased sensation, putting the patient at risk for unnoticed foot
injuries that can lead to infection and ulceration. Daily foot inspection, wearing well-fitting shoes,
and avoiding extreme temperatures are essential safety measures.
Question 5
A patient expresses a desire for culturally sensitive care at the end of life. What question
should the nurse ask the patient?
A. Do you want to see your priest?
B. Can you tell me about any cultural or spiritual practices important to you?
C. Would you like a chaplain to visit?
D. Do you believe in an afterlife?
CORRECT ANSWER
B. Can you tell me about any cultural or spiritual practices important to you?
RATIONALE
This open-ended question respects patient autonomy and allows the patient to share specific
cultural and spiritual needs rather than the nurse making assumptions. It promotes culturally
competent, patient-centered care at the end of life.
Bachelor of Science in Nursing (BSN)
MDC II - Multidimensional Care II
Academic Year: 2026/2027
Exam 1 Comprehensive Review Question Bank
Question 1
A burn patient presents with signs and symptoms of third spacing. Based on this
assessment, what fluid imbalance do these manifestations indicate?
A. Hypervolemia
B. Hypovolemia
C. Hypernatremia
D. Fluid volume excess
CORRECT ANSWER B. Hypovolemia
RATIONALE
Third spacing occurs when fluid shifts from the intravascular space into the interstitial space,
leading to decreased circulating blood volume (hypovolemia). Signs include decreased blood
pressure, tachycardia, decreased urine output, and increased hematocrit.
,Question 2
A breast cancer patient who completed chemotherapy and mastectomy now complains
of shortness of breath and persistent cough. CT shows a small nodule that is not
infiltrating the lungs. What is the next appropriate step?
A. Repeat CT in 3 months
B. Immediate surgical resection of the nodule
C. Pulmonology referral
D. Begin palliative chemotherapy
CORRECT ANSWER C. Pulmonology referral
RATIONALE
A pulmonology referral is appropriate for further evaluation of a lung nodule in a patient with
history of breast cancer to determine if it represents metastasis, a new primary, or a benign
process. Specialized evaluation may include bronchoscopy or PET scan.
Question 3
A patient enrolled in hospice care has family members with questions about the
program. What should the nurse educate regarding the MAIN goal of hospice?
A. Cure the underlying disease
B. Aggressive treatment to extend life
C. Quality of life and preparation for death
D. Provide custodial care only
CORRECT ANSWER C. Quality of life and preparation for death
RATIONALE
Hospice focuses on comfort, dignity, and quality of life for patients with a life expectancy of 6
months or less. The goal is palliative rather than curative, addressing physical, emotional, and
spiritual needs while supporting the patient and family through the dying process.
, Question 4
A breast cancer patient receiving chemotherapy develops peripheral neuropathy. What
intervention should the nurse implement to promote client safety?
A. Encourage the patient to walk barefoot
B. Inspect feet daily for injuries that go unnoticed
C. Apply heating pads for comfort
D. Use a heating pad on numb areas
CORRECT ANSWER B. Inspect feet daily for injuries that go unnoticed
RATIONALE
Peripheral neuropathy causes decreased sensation, putting the patient at risk for unnoticed foot
injuries that can lead to infection and ulceration. Daily foot inspection, wearing well-fitting shoes,
and avoiding extreme temperatures are essential safety measures.
Question 5
A patient expresses a desire for culturally sensitive care at the end of life. What question
should the nurse ask the patient?
A. Do you want to see your priest?
B. Can you tell me about any cultural or spiritual practices important to you?
C. Would you like a chaplain to visit?
D. Do you believe in an afterlife?
CORRECT ANSWER
B. Can you tell me about any cultural or spiritual practices important to you?
RATIONALE
This open-ended question respects patient autonomy and allows the patient to share specific
cultural and spiritual needs rather than the nurse making assumptions. It promotes culturally
competent, patient-centered care at the end of life.
