NUR 2392 / NUR2392: Multidimensional Care II / MDC 2 Exam 2
(2021/2022) Rasmussen College
Questions
1. A patient is brought to the ED with respiratory depression. The patient has a history of COPD. What acid–base
imbalance is most likely?
a. Metabolic alkalosis
b. Respiratory acidosis
c. Metabolic acidosis and respiratory acidosis
d. Metabolic alkalosis and respiratory alkalosis
2. The nurse is evaluating the laboratory work of a patient who has uncontrolled metabolic acidosis. Which outcome
would result from this condition?
a. pH 7.40
b. Pao2 98 mm Hg
c. Bicarbonate 38 mEq/L
d. Serum potassium 5.7 mEq/L
3. The nurse is reviewing the standing orders for a patient who was admitted for evaluation of chest pain. The
patient has a history of chronic obstructive pulmonary disease (COPD) and his laboratory results and assessment
reveal that he has mild respiratory acidosis. The nurse would question which order?
a. Encourage oral fluids
b. Keep head of bed elevated
c. Oxygen therapy at 4 L/min as needed
d. Bedrest with bathroom privileges only
4. A 72-year-old man has recently been diagnosed with oral cancer. He has been undergoing both radiation and
chemotherapy. While visiting his oncologist, he mentions to the nurse that he has lost all of his hair and that his
mouth is very dry. He also states that he is certain he has a cavity, because one of his teeth is hurting. What
teaching will the nurse provide to decrease the incidence of dry mouth?
a. Consume eight glasses of water daily.
b. See the dentist immediately to get the tooth filled.
c. Brush with a combined mixture of baking soda and salt.
d. Increase dietary intake of grapefruits and oranges, which are high in vitamin C.
This study source was downloaded by 100000865245903 from CourseHero.com on 04-06-2023 08:35:30 GMT -05:00
https://www.coursehero.com/file/82326304/Multidementional-II-Exam-2-Practice-Questionsdocx/
, 5. Twenty minutes later after a careful assessment of the patient, the nurse notes that the patient’s SaO2 is 89% and
he has crackles scattered bilaterally. The oncologist decides to admit the patient to an acute care oncology unit,
and within the hour, he is transported to a hospital unit. What is the priority nursing intervention upon admission?
a. Start IV normal saline for rehydration.
b. Ask the oncologist for a dental consult.
c. Apply oxygen at 2 L per nasal cannula.
d. Perform frequent oral care with normal saline.
6. Based on the nurse’s admission priority for this patient, which interventions should be implemented? (Select all
that apply.)
a. Instruct the patient on how to cough effectively.
b. Humidify the oxygen that the patient is receiving.
c. Teach the patient to use oral suctioning as needed.
d. Ambulate the patient to the end of the hall twice every shift.
e. Monitor cough and gag reflexes with every shift assessment.
7. The next day, the patient’s daughter tells the nurse that her father refuses to eat meat because he doesn’t like the
taste. She asks for advice about increasing his dietary protein. What is the appropriate nursing response?
a. “I’ll ask the oncologist to talk with you about this.”
b. “Try adding seasonings or using sauces to enhance the taste of meat.”
c. “Remind your father that protein intake is essential if he is to recover.”
d. “Radiation can cause changes in taste buds that may be temporary or permanent.”
8. Two days later, as the patient is preparing for discharge, he discusses some concerns with the nurse. Which
patient statement alerts the nurse to a potential body image concern?
a. “My wife and I are going to a play tonight.”
b. “My grandchildren don’t want to hug me anymore.”
c. “I am going to fight this cancer with all I’ve got.”
d. “Losing my hair gave me a good reason to wear my ball cap collection.”
9. A patient is scheduled to start chemotherapy. What oral cavity problem does may occur in the patient?
a. Stomatitis
b. Candidiasis
c. Xerostomia
d. Oral abscess
10. A 23-year-old female patient reports having red, raised lesions at the base of her tongue and on the inside of her
mouth for the past 3 weeks. What priority assessment question should the nurse ask?
a. “Do you smoke cigarettes?”
b. “What type of work do you do?”
c. “Have you seen a dentist recently?”
d. “Do you have a history of human papillomavirus?”
11. An older patient with poor oral hygiene was admitted after a fall in which he sustained a fractured hip. What is
the priority nursing intervention?
a. Initiate oral care every 4 hours.
b. Implement aspiration precautions.
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anon. 04-06-2023 08:35:30 GMT -05:00
d. Use swabs to moisten the mouth as needed.
https://www.coursehero.com/file/82326304/Multidementional-II-Exam-2-Practice-Questionsdocx/
(2021/2022) Rasmussen College
Questions
1. A patient is brought to the ED with respiratory depression. The patient has a history of COPD. What acid–base
imbalance is most likely?
a. Metabolic alkalosis
b. Respiratory acidosis
c. Metabolic acidosis and respiratory acidosis
d. Metabolic alkalosis and respiratory alkalosis
2. The nurse is evaluating the laboratory work of a patient who has uncontrolled metabolic acidosis. Which outcome
would result from this condition?
a. pH 7.40
b. Pao2 98 mm Hg
c. Bicarbonate 38 mEq/L
d. Serum potassium 5.7 mEq/L
3. The nurse is reviewing the standing orders for a patient who was admitted for evaluation of chest pain. The
patient has a history of chronic obstructive pulmonary disease (COPD) and his laboratory results and assessment
reveal that he has mild respiratory acidosis. The nurse would question which order?
a. Encourage oral fluids
b. Keep head of bed elevated
c. Oxygen therapy at 4 L/min as needed
d. Bedrest with bathroom privileges only
4. A 72-year-old man has recently been diagnosed with oral cancer. He has been undergoing both radiation and
chemotherapy. While visiting his oncologist, he mentions to the nurse that he has lost all of his hair and that his
mouth is very dry. He also states that he is certain he has a cavity, because one of his teeth is hurting. What
teaching will the nurse provide to decrease the incidence of dry mouth?
a. Consume eight glasses of water daily.
b. See the dentist immediately to get the tooth filled.
c. Brush with a combined mixture of baking soda and salt.
d. Increase dietary intake of grapefruits and oranges, which are high in vitamin C.
This study source was downloaded by 100000865245903 from CourseHero.com on 04-06-2023 08:35:30 GMT -05:00
https://www.coursehero.com/file/82326304/Multidementional-II-Exam-2-Practice-Questionsdocx/
, 5. Twenty minutes later after a careful assessment of the patient, the nurse notes that the patient’s SaO2 is 89% and
he has crackles scattered bilaterally. The oncologist decides to admit the patient to an acute care oncology unit,
and within the hour, he is transported to a hospital unit. What is the priority nursing intervention upon admission?
a. Start IV normal saline for rehydration.
b. Ask the oncologist for a dental consult.
c. Apply oxygen at 2 L per nasal cannula.
d. Perform frequent oral care with normal saline.
6. Based on the nurse’s admission priority for this patient, which interventions should be implemented? (Select all
that apply.)
a. Instruct the patient on how to cough effectively.
b. Humidify the oxygen that the patient is receiving.
c. Teach the patient to use oral suctioning as needed.
d. Ambulate the patient to the end of the hall twice every shift.
e. Monitor cough and gag reflexes with every shift assessment.
7. The next day, the patient’s daughter tells the nurse that her father refuses to eat meat because he doesn’t like the
taste. She asks for advice about increasing his dietary protein. What is the appropriate nursing response?
a. “I’ll ask the oncologist to talk with you about this.”
b. “Try adding seasonings or using sauces to enhance the taste of meat.”
c. “Remind your father that protein intake is essential if he is to recover.”
d. “Radiation can cause changes in taste buds that may be temporary or permanent.”
8. Two days later, as the patient is preparing for discharge, he discusses some concerns with the nurse. Which
patient statement alerts the nurse to a potential body image concern?
a. “My wife and I are going to a play tonight.”
b. “My grandchildren don’t want to hug me anymore.”
c. “I am going to fight this cancer with all I’ve got.”
d. “Losing my hair gave me a good reason to wear my ball cap collection.”
9. A patient is scheduled to start chemotherapy. What oral cavity problem does may occur in the patient?
a. Stomatitis
b. Candidiasis
c. Xerostomia
d. Oral abscess
10. A 23-year-old female patient reports having red, raised lesions at the base of her tongue and on the inside of her
mouth for the past 3 weeks. What priority assessment question should the nurse ask?
a. “Do you smoke cigarettes?”
b. “What type of work do you do?”
c. “Have you seen a dentist recently?”
d. “Do you have a history of human papillomavirus?”
11. An older patient with poor oral hygiene was admitted after a fall in which he sustained a fractured hip. What is
the priority nursing intervention?
a. Initiate oral care every 4 hours.
b. Implement aspiration precautions.
This study scou. rceR
weasqduoe
wsntloaadecdobn
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00l0t0w
08i6t5h
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3gfriosmte
Croe
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Hiee
rot.ictoim
anon. 04-06-2023 08:35:30 GMT -05:00
d. Use swabs to moisten the mouth as needed.
https://www.coursehero.com/file/82326304/Multidementional-II-Exam-2-Practice-Questionsdocx/
