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NUR 2356 FINAL EXAM 2 LATEST VERSIONS 2026
MULTIDIMENSIONAL CARE 1 FINAL/ MDC 1 FINAL EXAM
200+QUESTIONS AND CORRECT ANSWERS|RASMUSSEN
COLLEGE
Question 1
A nurse is caring for a client with heart failure who suddenly develops crackles,
dyspnea, and pink frothy sputum. Which action should the nurse take first?
A. Increase oral fluids
B. Place the client in high Fowler’s position
C. Encourage ambulation
D. Administer a sedative
Answer: B
Rationale: High Fowler’s position improves lung expansion and oxygenation
during pulmonary edema.
Question 2
Which laboratory value is most concerning for a client receiving warfarin
therapy?
A. INR 1.0
B. INR 2.5
C. INR 3.0
D. INR 5.2
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Answer: D
Rationale: An INR above therapeutic range increases bleeding risk.
Question 3
A nurse is caring for a postoperative client who suddenly becomes restless and
reports shortness of breath. Which complication should the nurse suspect first?
A. Hypoglycemia
B. Pulmonary embolism
C. Urinary retention
D. Hypertension
Answer: B
Rationale: Sudden dyspnea and restlessness may indicate pulmonary embolism.
Question 4
Which assessment finding requires immediate intervention for a client with
diabetes mellitus?
A. Blood glucose 140 mg/dL
B. Fruity breath odor and Kussmaul respirations
C. Mild thirst
D. HbA1c of 7%
Answer: B
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Rationale: Fruity breath and Kussmaul respirations indicate diabetic
ketoacidosis.
Question 5
A nurse is caring for a client receiving a blood transfusion who develops chills
and flank pain. What is the priority nursing action?
A. Slow the infusion rate
B. Stop the transfusion immediately
C. Continue the transfusion and reassess
D. Administer acetaminophen only
Answer: B
Rationale: Chills and flank pain suggest a hemolytic transfusion reaction.
Question 6
Which electrolyte imbalance is most associated with peaked T waves on ECG?
A. Hypokalemia
B. Hyperkalemia
C. Hyponatremia
D. Hypercalcemia
Answer: B
Rationale: Hyperkalemia commonly produces peaked T waves.
Question 7
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A nurse is teaching a client with chronic obstructive pulmonary disease (COPD)
about breathing techniques. Which instruction is appropriate?
A. Use rapid shallow breathing
B. Practice pursed-lip breathing
C. Hold breaths for prolonged periods
D. Breathe only through the mouth
Answer: B
Rationale: Pursed-lip breathing improves airway pressure and ventilation.
Question 8
Which finding is most indicative of hypovolemic shock?
A. Bradycardia and hypertension
B. Warm flushed skin
C. Tachycardia and hypotension
D. Bounding peripheral pulses
Answer: C
Rationale: Hypovolemic shock commonly causes tachycardia and low blood
pressure.
Question 9
A nurse is assessing a client with meningitis. Which symptom requires
immediate reporting?
A. Mild headache
pg. 4
NUR 2356 FINAL EXAM 2 LATEST VERSIONS 2026
MULTIDIMENSIONAL CARE 1 FINAL/ MDC 1 FINAL EXAM
200+QUESTIONS AND CORRECT ANSWERS|RASMUSSEN
COLLEGE
Question 1
A nurse is caring for a client with heart failure who suddenly develops crackles,
dyspnea, and pink frothy sputum. Which action should the nurse take first?
A. Increase oral fluids
B. Place the client in high Fowler’s position
C. Encourage ambulation
D. Administer a sedative
Answer: B
Rationale: High Fowler’s position improves lung expansion and oxygenation
during pulmonary edema.
Question 2
Which laboratory value is most concerning for a client receiving warfarin
therapy?
A. INR 1.0
B. INR 2.5
C. INR 3.0
D. INR 5.2
pg. 1
,2|Page
Answer: D
Rationale: An INR above therapeutic range increases bleeding risk.
Question 3
A nurse is caring for a postoperative client who suddenly becomes restless and
reports shortness of breath. Which complication should the nurse suspect first?
A. Hypoglycemia
B. Pulmonary embolism
C. Urinary retention
D. Hypertension
Answer: B
Rationale: Sudden dyspnea and restlessness may indicate pulmonary embolism.
Question 4
Which assessment finding requires immediate intervention for a client with
diabetes mellitus?
A. Blood glucose 140 mg/dL
B. Fruity breath odor and Kussmaul respirations
C. Mild thirst
D. HbA1c of 7%
Answer: B
pg. 2
,3|Page
Rationale: Fruity breath and Kussmaul respirations indicate diabetic
ketoacidosis.
Question 5
A nurse is caring for a client receiving a blood transfusion who develops chills
and flank pain. What is the priority nursing action?
A. Slow the infusion rate
B. Stop the transfusion immediately
C. Continue the transfusion and reassess
D. Administer acetaminophen only
Answer: B
Rationale: Chills and flank pain suggest a hemolytic transfusion reaction.
Question 6
Which electrolyte imbalance is most associated with peaked T waves on ECG?
A. Hypokalemia
B. Hyperkalemia
C. Hyponatremia
D. Hypercalcemia
Answer: B
Rationale: Hyperkalemia commonly produces peaked T waves.
Question 7
pg. 3
, 4|Page
A nurse is teaching a client with chronic obstructive pulmonary disease (COPD)
about breathing techniques. Which instruction is appropriate?
A. Use rapid shallow breathing
B. Practice pursed-lip breathing
C. Hold breaths for prolonged periods
D. Breathe only through the mouth
Answer: B
Rationale: Pursed-lip breathing improves airway pressure and ventilation.
Question 8
Which finding is most indicative of hypovolemic shock?
A. Bradycardia and hypertension
B. Warm flushed skin
C. Tachycardia and hypotension
D. Bounding peripheral pulses
Answer: C
Rationale: Hypovolemic shock commonly causes tachycardia and low blood
pressure.
Question 9
A nurse is assessing a client with meningitis. Which symptom requires
immediate reporting?
A. Mild headache
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