Multidimensional Care II (NUR2392)/ MDC2 Final Exam; complete questions and answers_ updated 2026.

MDC 2 FINAL EXAM 1. A nurse is teaching a patient with diabetes mellitus who asks, “why is it necessary to maintain my blood glucose levels no lower than about 60 mg/dL (3.3 mmol/L)?” How would the nurse respond? a. “Glucose is the only fuel used by the body to produce the energy that it needs.” b. “Your brain needs a constant supply of glucose because it cannot store it.” c. “Without a minimum level of glucose, your body does not make red blood cells.” d. “Glucose in the blood prevents the formation of lactic acid and prevents acidosis.” 2. Which of the following surgical procedures is appropriate for a patient with chronic pancreatitis? a. Radical pancreatectomy b. Sphincterotomy c. Fistulotomy d. Proctocolectomy 3. The nurse identifies which lab result is consistent with a client’s diagnosis of hyperthyroidism? a. Decreased T3 and T4 levels b. Elevated serum thyrotropin-releasing hormone (TRH) level c. Decreased radioactive iodine uptake d. Increased serum T3 and T4 levels 4. A nurse is caring for a patient recently diagnosed with diabetes insipidus. Which of the following medications would be appropriate for this disorder? a. Furosemide b. Diltiazem c. Vasopressin d. Growth Hormone antagonist 5. A nurse is caring for a patient recently diagnosed with thyroid cancer. Which of the following lab results will validate this diagnosis? a. Increased Calcium b. Increase phosphorus c. Increased serum thyroglobulin level d. Decreased thyroglobulin level 6. Which food does the nurse teach the client with hypoparathyroidism to avoid in their diet? a. Canned vegetables b. Fresh fruitc. Red meat d. Milk 7. Which nursing intervention helps to prevent adrenocortical insufficiency a. Administering diuretic therapy b. Teaching the patient about a low-sodium diet c. Discontinuing high-dose steroid therapy quickly d. Reducing high-dose steroid therapy gradually 8. Which of the following is a common diagnostic study for patients with upper gastrointestinal disorder? a. Arterial blood gas b. Liver function test c. Barium enema d. Esophagogastroduodenoscopy 9. A nurse is caring for a 57-year-old Hispanic male who was recently diagnosed with Cushing’s disease. Which of the following laboratory tests validate the diagnosis? a. Elevated lymphocyte count b. Decreased late-night salivary cortisol test c. Decreased urine specific gravity d. Elevated urine cortisol level 10. A nurse is caring for a patient diagnosed with severe gastroesophageal reflux disease (GERD). Which of the following medications would the nurse expect the provider to order? a. Pantoprazole b. Metoclopramide c. Diphenoxylate/atropine d. Sucralfate 11. A nursing is caring for a patient recently diagnosed with pancreatitis. Which of the following are treatment options for pancreatitis? (select all that apply) a. Nothing by mouth b. Pain management c. Antacids d. IV fluids 12. James is a 56-year-old male who was recently diagnosed with Type 2 diabetes. Which of the following diagnostic tests would correlate with this diagnosis? (select all that apply). a. Increased Hemoglobin A1C level b. Increased random blood glucose c. Increased fasting blood glucose d. Increased hemoglobin level13. The nurse identifies which lab result is consistent with a client’s diagnosis of hyperthyroidism? a. Decreased T3 and T4 levels b. Elevated serum thyrotropin-releasing hormone (TRH) level c. Decreased radioactive iodine uptake d. Increased serum T3 and T4 levels 14. Which of the following is hallmark assessment finding in a client with hyperthyroidism? a. Weight gain b. Increased libido c. Hearth intolerance d. Diarrhea 15. A nurse cares for your patient with adrenal hyperfunction. The patient screams at her husband, burst into tears, and throws her water pitcher against the wall. She then tells the nurse, “I feel like I'm going crazy.” How would the nurse respond? a. “I will ask your doctor to order a psychiatric consult for you.” b. “You feel this way because of your hormone levels.” c. “Can I bring you information about support groups.” d. “I will close the door to your room and restrict visitors.” 16. Which statement by a patient with diabetes shows an understanding of the importance of self-care? a. “I really don't like having to stick myself to check my sugar.” b. “I plan to measure the sugar in my urine throughout the day.” c. “I am planning on getting my spouse to exercise with me to spend time in each other's company.” d. “I can use my regular cough medicine if I get a cold.” 17. Sam, a 44-year-old male, was recently diagnosed with gastric cancer. Sam has a wife and three small children. Sam and his wife are having a difficult time dealing with the recent diagnosis. Which of the following nursing interventions is appropriate for this patient? a. Educate on treatment options b. Consult the dietitian regarding nutritional needs c. Monitor lab values for abnormalities d. Consult social services to provide support to Sam and his family 18. A patient underwent a colon resection with colostomy placement. which of the following would the surgeon consult post operatively for colostomy management? a. dietitian b. respiratory therapy c. physical therapy d. wound, ostomy and continence nurse19. The nurse knows which intervention is needed for a client with pheochromocytoma? a. Assist to chair for blood pressure monitoring b. Education not to drink coffee or smoke c. Education on an exercise schedule to include activities such as running d. Encourage one glass of red wine each night to promote a good rest 20. You are providing discharge instructions to a patient who was recently diagnosed with hiatal hernia. The patient also has a history of GERD. Which of the following should be included in the patient and family education? a. Remain in an upright position one to two hours after eating b. Take antacids prior to eating c. Drink a carbonated beverage prior to meals d. Sleep with the head of the bed flat 21. A nurse is caring for a 29-year-old male patient with a history of alcoholism. He has been having frequent episodes of vomiting of bright red blood. what would be appropriate for this patient except: a. Make the patient NPO b. Transfusion of blood products c. Perform gastric lavage d. Encourage liquid intake 22. A nurse is providing patient and family education for a patient diagnosed with irritable bowel syndrome. Which of the following is important to include in the education? (select all that apply) a. Modify diet b. Stress reduction c. Adhere to prescribed medications d. Limit physical activity 23. Which of the following patients are at risk for developing stomatitis? a. A 48-year-old patient diagnosed with osteoarthritis b. A 70-year-old obese male c. A 55-year-old male with colon cancer d. A 50-year-old patient diagnosed with heart failure 24. A nurse is caring for a patient recently diagnosed with anorectal Abscess. Which of the following are appropriate nursing interventions for this patient? (select all that apply). a. Pain management b. Sitz bath c. Bed rest d. Fluid restriction25. Which of the following glands are considered the master gland? a. Thyroid b. Adrenal c. Pancreas d. Pituitary 26. The nurse knows that which statement is true about age related changes in the endocrine system in older adults? a. all hormone levels increase b. thyroid hormone levels decrease c. adrenal glands enlarge d. the thyroid gland enlarges 27. Which of the following assessment findings is consistent with the diagnosis of diabetes insipidus? a. Bradycardia b. Moist skin c. Polydipsia d. Hypertension 28. A nurse is caring for a patient who recently underwent a colon resection for colorectal cancer. The patient is post op day two and develops a fever. Vital signs are temperature of 102 degrees Fahrenheit, heart rate 126 BPM, blood pressure 100/50 mm Hg. The patient is complaining of increased abdominal pain. Based on this information, which of the following conditions is the patient exhibiting? a. Deep vein thrombosis b. Peritonitis c. Appendicitis d. Intestinal obstruction 29. A client with diabetes has a blood glucose of 640 mg/dL and reports always being thirsty and having to void. The nurse knows that which terms describe this subjective finding? a. Polydipsia and polyphagia b. Polydipsia and polyuria c. Polyzoaria and polyuria d. Polyphagia and polythelia 30. The nurse is caring for a hypoglycemic diabetic client with a blood glucose of 56 mg/dL. The client is awake but not alert. What action would the nurse take? a. Give a glass of orange juice with three sugar packets mixed in and monitor the client b. Give a glass of milk and monitor the client c. Give a complex carbohydrate and monitor the client d. Administer D50 IV push per orders and monitor the client31. Gwen is an 89-year-old female who was diagnosed with gastric cancer three months ago. Gwen has undergone chemotherapy and radiation Ann recently had surgery to remove the cancer. During the surgical procedure, the surgeon discovered that the cancer had spread to other organs. Gwen's family is having difficulty deciding treatment options. which of the following interventions are appropriate for Gwen's care? a. Schedule Patient for additional chemotherapy b. Schedule patient for additional radiation therapy c. Consult the palliative care nurse d. Discharge patient to Hospice 32. The nurse explains to a diabetic client that which lab test is the best indicator of the client’s average blood glucose level over the past three months? a. Oral glucose tolerance test b. Random blood glucose test c. Glycosylated hemoglobin (HbA1c) d. Preprandial blood glucose test 33. A nurse is caring for a patient who presented to the emergency room s/p motor vehicle accident. The patient is unconscious with a cervical collar in place. The patient has been diagnosed with syndrome of inappropriate anti diuretic hormone secretion. Which of the following lab values validate the diagnosis? a. Decrease serum sodium b. Increase serum sodium c. Decreased urine osmolality d. Decreased glomerular filtration rate 34. A 40-year-old female presents to the emergency room with upper abdominal pain radiating to her right shoulder and nausea. Upon assessment the patient's temperature is 101.2 degrees Fahrenheit, heart rate 110 BPM and a blood pressure is 140/82 MM HG. Based on the patient’s presentation, which of the following do you anticipate being the patient’s diagnosis? a. Pancreatitis b. Cholecystitis c. Appendicitis d. Diverticular disease 35. The laboratory values of a client who has diabetes mellitus include a fasting blood glucose level of 89mg/dL and hemoglobin A1C of 6%. What is the nurse’s interpretation of these findings? a. The client's glucose control for the past 24 hours has been good, but the overall control is poor. b. The client's glucose control for the past 24 hours has been poor, but the overall control is good. c. The values indicate the client has poorly managed his or her disease.d. The values indicate that the client has managed his or her disease well 36. Which of these laboratory results would be most important for a nurse to monitor for a client with a lower gastrointestinal bleed? a. Hemoglobin and hematocrit b. Bleeding time c. Platelet count d. Potassium level 37. A nurse is caring for a patient who was prescribed high dose corticosteroid therapy for one month to treat severe inflammatory condition. the patient symptoms have now resolved, and the patient asks when can I stop taking these medications how would the nurse respond? a. it is possible for the inflammation to recur if you stop the medication b. once you start corticosteroids you have to be weaned off them c. you must decrease the dose slowly so your hormones will work again d. the drug suppresses your immune system which must be built back up 38. Continuous muscle spasms in a patient with hypoparathyroidism are related to which condition? a. Nerve damage b. Seizures c. Tetany d. Decreased potassium 39. A nurse is performing discharge teaching for a patient who was recently diagnosed with gastritis. Which of the following should be included in the teaching? a. Exercise b. Eat three large meals each day c. Stress reduction d. Take NSAIDS as prescribed 40. The nurse instructs the patient who was on prolonged cortisol therapy to report which signs and symptoms? a. Anuria and hypoglycemia b. weight gain and moon face c. anorexia and muscle twitches d. hypotension and fluid loss drain 41. A nurse is caring for a patient recently diagnosed with Addison's disease. Which of the following signs and symptoms are consistent with this diagnosis? a. increase appetite b. muscle weakness c. weight gaind. hypertension 42. The nurse knows that which of the following is a therapeutic response to hydrocortisone for Addisonian crisis? a. Weight gain b. No signs of pitting edema c. Increased urine output d. Client is alert and oriented with improved lethargy 43. A nurse is caring for a patient recently diagnosed with a hiatal hernia. Which of the following is the least invasive surgical treatment for a patient with a hiatal hernia? a. Nissen fundoplication b. Endoluminal fundoplication c. Pyloroplasty d. Vagotomy 44. A nurse is caring for a 26-year-old female that presented to the emergency Department with abdominal pain, bloating, Constipation and bouts of diarrhea. Which of the following is the patient most likely exhibiting? a. Intestinal obstruction b. Hernia c. Malabsorption Syndrome d. Irritable bowel syndrome 45. Which of the following is a life-threatening emergency and serious complication of untreated or poorly treated hypothyroidism? a. Endemic goiter b. Thyroiditis c. Myxedema coma d. Multinodular toxic goiter 46. Kim is a 28-year-old female who presented to the emergency room with complaints of abdominal pain, nausea, and vomiting for the past 24 hours. Kim is afebrile, heart rate is 130 BPM, and blood pressure is 90/60 MM HG. During the pain assessment, Kim rates her pain attend on a scale 0-10. You note her pain to be in the periumbilical region. Based on the assessment findings, which of the following would you anticipate being Kim's diagnosis. a. Peritonitis b. Appendants c. Crohn's disease d. Ulcerative colitis 47. A nurse assesses a patient who has a 15-year history of diabetes and notes decreased tactile sensation in both feet. What action would the nurse take first?a. Document the finding in the patient’s chart b. Compare extremities for deficiencies c. Examine the patient's feet for signs of injury d. Notify the health care provider 48. Which of the following is a main assessment finding in a client with hypothyroidism? a. irritability b. cold intolerance c. Constipation d. fatigue 49. What Instructions does the nurse include in when teaching the diabetic client about proper foot care? a. use rubbing alcohol to help make the skin on the soles of the feet thicker b. wear open toed shoes or sandals when it's warm outside to prevent perspiration c. use moisturizing cream on feet after bathing but not in between toes d. use cold water for bathing the feet to prevent a thermal injury 50. A nurse is caring for a patient who has been diagnosed with diabetes type 2. Which of the following should not be included in the discharge instructions? a. Monitor blood glucose b. Adhere to dietary modifications c. Increase physical activity d. Restrict fluid intake 51. A nurse teaches a patient who was diagnosed with diabetes melittids. Which statement would the nurse include in this patient's plan of care to delay the onset of microvascular and macrovascular complications? a. “maintain tight glycemic control and prevent hyperglycemia” b. “restrict your fluid intake to no more than two liters a day” c. “prevent hypoglycemia by eating a bedtime snack” d. “limit your intake of protein to prevent ketoacidosis” 52. You are the nurse providing care for a patient who underwent thyroidectomy two days ago. To Prevent complications with this surgery, which laboratory value requires close monitoring by a nurse? a. Calcium level b. Sodium level c. Potassium level d. Lactate level 53. Maria is a 45-year-old Hispanic female who presented to the emergency Department with epigastric pain she states that the pain is worse after eating Maria has a history ofobesity and diabetes Maria was diagnosed with gastroesophageal reflux disease which of the following would be a treatment? (Select all that apply) a. diet and lifestyle modifications b. gastrectomy c. protein pump inhibitors d. prostaglandins 54. A nurse is caring for a patient who has recently been diagnosed with gastroesophageal reflux disease. Which of the following is the surgical management approach for patients with this condition? a. Nissen fundoplication b. Endoluminal fundoplication c. Vagotomy d. Gastroenterostomy 55. A nurse is providing discharge instructions to a patient recently diagnosed with peptic ulcer disease. Which of the following should not be part of the discharge instructions? a. avoid spicy foods b. resume alcohol in moderation c. follow medications as prescribed d. signs and symptoms to report 56. A nurse is caring for a patient who presented with bright red rectal bleeding. The patient had three bowel movements since his arrival 2 hours ago. You confirm visible blood in the stool. Which of the following diagnostic tests would you anticipate the patient to undergo? a. Complete blood count b. Upper GI c. Urinalysis d. Barium swallow 57. A client assessment reveals fatigue, poor memory, and stiff muscles with labs showing an elevated TSH and low T3 and T4 levels. The nurse knows that these are manifestations of which disorder. a. hypothyroidism b. hyperthyroidism c. hypoparathyroidism d. Hyperparathyroidism 58. What does the nurse expect to find when assessing a patient with Cushing syndrome? a. Signs of dehydration b. Facial flushing c. Hypertension d. Muscle hypertrophy59. A client asked a nurse when they can expect to feel improvement after starting a prescription for thyroid hormone for treatment of hypothyroid. How would the nurse respond? a. A few days b. 2 weeks c. 1 month d. 3 days 60. A nurse is caring for a patient who was status post and upper endoscopic procedure. Which of the following should be included in the post procedure assessment? a. Fecal occult test b. Gag reflex c. Temperature d. Bowel sounds 61. An older adult client reports lack of energy and needing several naps throughout the day. Which problem may these symptoms be associated with that is often seen in older adults? a. Hypothyroidism b. Hyperparathyroidism c. Overproduction of cortisol d. Underproduction of glucagon 62. A nurse is caring for a patient recently diagnosed with colorectal cancer which of the following lab values would confirm this diagnosis? a. Increase serum creatinine b. decrease albumen c. increase carcinoembryonic antigens (CEA) d. decreased white blood count 63. A nurse is caring for a 60-year-old female that underwent a hysterectomy and is post op day 2. She has no active bowel sounds and has not passed any gas. CT scan completed shows no volvulus or intussusception found. Which of the following the suspect the patient is experiencing? a. Perforated colon b. Mechanical bowel obstruction c. Normal findings given surgical procedure d. Non-mechanical bowel obstruction 64. A nurse cares for a patient with chronic hypercortisolism. What action would the nurse take to prevent infection? a. Wash hands when entering the room b. Keep the patient in airborne isolationc. Observe the patient for signs of weight gain d. Access the patient’s daily chest X Ray 65. Ellen is a 65-year-old female who presented to the emergency Department with epigastric discomfort, loss of appetite, and weight loss. she has a history of diabetes and alcoholism. Based on Ellen symptoms and history which of the following does she likely have. a. peptic ulcer disease b. gastrointestinal bleed c. gastric cancer d. candidiasis 66. A nurse is caring for a 56-year-old female who presented to the emergency Department with feeling of fullness in the chest dysphagia and chest pain. She states that she has been having these symptoms for the past couple of months. Which of the following conditions could she be exhibiting based on her symptoms? a. peptic ulcer disease b. gastritis c. hiatal hernia d. gastroesophageal reflux disease 67. A nurse is caring for a patient who recently underwent a colon resection. The patient has an Ng tube to low intermittent suction, upon assessment the patient is complaining of increasing abdominal pain. Which nursing intervention will the nurse perform first? a. Vital Signs b. Perform a pain assessment c. Auscultate bowel sounds d. Assess patency of the Ng tube 68. A nurse is caring for a patient diagnosed with a bleeding gastric ulcer. Based on his diagnosis, you would anticipate the patient stool to have which of the following assessments? a. Coffee-ground b. Bright red c. Black and tarry d. Formed green 69. A nurse is caring for a 37-year-old male who presented to the emergency Department with weight loss, bloating, and bruising. The patients stool test and hydrogen breath tests were positive. Which of the following conditions is the patient exhibiting? a. Cholecystitis b. Malabsorption c. Pancreatitis d. Crohn’s disease70. A nurse is caring for a patient that has recently been diagnosed with ulcerative colitis. Which of the following statements by the patient would indicate an understanding of the disease process? a. “it is caused by an inflammatory process of the GI tract” b. “diet modification can cure the disease” c. “there is no cure for this disease” d. “I am at a lower risk of developing cancer” 71. During a physical assessment of a client endocrine system, which gland can be palpitated? a. Pancreas b. Thyroid c. Adrenal glands d. Parathyroid 72. Which of the following interventions would meet the multidimensional needs of a patient experiencing an upper gastrointestinal disorder? (select all that apply) a. consult the dietitian for cultural dietary needs b. conduct a cultural assessment c. provide an interpreter d. provide emotional and spiritual support 73. A nurse is caring for a Hispanic patient who was recently been diagnosed with type 2 diabetes. Which of the following interventions are important to implement to improve compliance following discharge? (select all that apply) a. Consult the dietitian to instruct on dietary restrictions b. Conduct a cultural assessment c. Consult diabetes educator d. Provide written instructions in Spanish 74. You are providing education for a patient recently diagnosed with gastroesophageal reflux disease. Which of the following foods should the patient avoid? a. Low-fat foods b. Salad c. Coffee d. White bread 75. A nurse is caring for a patient with a nasogastric (NG) tube. Which of the following is not an appropriate action by the nurse? a.) Check the tube placement every 4 to 8 hours b.) Measure and document the NG drainage c.) Pin the tube to the client’s gown so the client can’t turn the head d.) Provide oral care every 4 to 8 hours