NUR 2502 / NUR2502 Final Exam
Multidimensional Care III / MDC 3 -
Rasmussen
1. A nurse is performing discharge teaching for a client who was recently diagnosed with heart failure.
Which of the following should be included in the client and family teaching? (Select all that apply)
A. Low sodium diet
B. Weekly weights (it has to be daily)
C. Symptoms to report to the provider
D. Medication teaching
E. Fluid restriction
2. Which of the following assessment findings is a priority during blood transfusion?
A. Chest pain
B. Fatigue
C. Joint pain
D. Headache
3. The nurse is caring for a client with mitral regurgitation. Which of the following would the nurse
anticipate the client to develop if left untreated?
A. Left-sided heart failure
B. Right-sided heart failure
C. Renal failure
D. Myocardial ischemia
4. Which of the following procedures are performed for a client with a pericardial effusion?
A. Thoracotomy
B. Pericardiocentesis
C. Coronary artery bypass graft
D. Thoracentesis
5. Which of the following medications are appropriate for the treatment of heart failure? (Select all that
apply)
A. Digoxin
B. Bronchodilators
C. Antibiotics
D. Diuretics
E. Angiotensin-converting enzyme (ACE) inhibitors
6. A hospitalized client has a platelet count of 58,000/mm3 (58 x 109/L). What action by the nurse is best?
A. Implement fall precautions.
B. Encourage high-protein foods.
C. Limit visitors to healthy adults.
D. Institute neutropenic precautions.
7. Which of the following assessment findings are consistent with aortic stenosis?
A. Systolic click
,B. Pitting edema
C. Harsh systolic crescendo decrescendo murmur
, D. Atrial fibrillation
8. While performing an admission assessment for a client, the nurse notes that the client has varicose veins
with ulcerations and lower extremity edema with a report of a feeling of heaviness. Which of the
following nursing diagnoses should the nurse identify as the priority in the client’s care?
A. Ineffective peripheral tissue perfusion
B. Alteration in body image
C. Impaired skin integrity
D. Alteration in activity tolerance
9. A client is receiving treatment for the diagnosis of hemophilia A. which of the following is the most
appropriate to include in the assessment of this client?
A. Cranial nerves
B. Appetite
C. Joint pain and bruising
D. Urine output
10. Which of the following is a treatment option for a client with infective endocarditis?
A. Bedrest
B. Antimicrobials
C. Diet modification
D. Antihypertensive
11. A client admitted for sickle cell crisis is distraught after learning her child also has the disease. What
response by the nurse is best?
A. “Both you and the father are equally responsible for passing it on.”
B. “There are many good treatments for sickle cell disease these days.”
C. “It’s not your fault; there is no way to know who will have this disease.”
D. “It’s understandable that you are upset about this news. Would you like to talk about what you’re
feeling?”
12. A nurse in a hematology clinic is working with four clients who have polycythemia vera. Which client
should the nurse see first?
A. A client with a swollen and painful left great toe
B. Client who reports dyspnea
C. Client with a blood pressure of 180/98 mm Hg
D. Client who reports calf tenderness and swelling
13. A nurse reviews the arterial blood gas (ABG) values of a client admitted with end-stage kidney disease; PH
7.26; PaCO2 37 mm Hg ; PaO2 94 mm Hg and HCO3 15 mEq/L. what do these values indicate?
A. Metabolic acidosis
B. Metabolic alkalosis
C. Respiratory acidosis
D. Respiratory alkalosis
14. Which of the following interventions should be included in the nutrition care plan of the client with
atherosclerosis?
Multidimensional Care III / MDC 3 -
Rasmussen
1. A nurse is performing discharge teaching for a client who was recently diagnosed with heart failure.
Which of the following should be included in the client and family teaching? (Select all that apply)
A. Low sodium diet
B. Weekly weights (it has to be daily)
C. Symptoms to report to the provider
D. Medication teaching
E. Fluid restriction
2. Which of the following assessment findings is a priority during blood transfusion?
A. Chest pain
B. Fatigue
C. Joint pain
D. Headache
3. The nurse is caring for a client with mitral regurgitation. Which of the following would the nurse
anticipate the client to develop if left untreated?
A. Left-sided heart failure
B. Right-sided heart failure
C. Renal failure
D. Myocardial ischemia
4. Which of the following procedures are performed for a client with a pericardial effusion?
A. Thoracotomy
B. Pericardiocentesis
C. Coronary artery bypass graft
D. Thoracentesis
5. Which of the following medications are appropriate for the treatment of heart failure? (Select all that
apply)
A. Digoxin
B. Bronchodilators
C. Antibiotics
D. Diuretics
E. Angiotensin-converting enzyme (ACE) inhibitors
6. A hospitalized client has a platelet count of 58,000/mm3 (58 x 109/L). What action by the nurse is best?
A. Implement fall precautions.
B. Encourage high-protein foods.
C. Limit visitors to healthy adults.
D. Institute neutropenic precautions.
7. Which of the following assessment findings are consistent with aortic stenosis?
A. Systolic click
,B. Pitting edema
C. Harsh systolic crescendo decrescendo murmur
, D. Atrial fibrillation
8. While performing an admission assessment for a client, the nurse notes that the client has varicose veins
with ulcerations and lower extremity edema with a report of a feeling of heaviness. Which of the
following nursing diagnoses should the nurse identify as the priority in the client’s care?
A. Ineffective peripheral tissue perfusion
B. Alteration in body image
C. Impaired skin integrity
D. Alteration in activity tolerance
9. A client is receiving treatment for the diagnosis of hemophilia A. which of the following is the most
appropriate to include in the assessment of this client?
A. Cranial nerves
B. Appetite
C. Joint pain and bruising
D. Urine output
10. Which of the following is a treatment option for a client with infective endocarditis?
A. Bedrest
B. Antimicrobials
C. Diet modification
D. Antihypertensive
11. A client admitted for sickle cell crisis is distraught after learning her child also has the disease. What
response by the nurse is best?
A. “Both you and the father are equally responsible for passing it on.”
B. “There are many good treatments for sickle cell disease these days.”
C. “It’s not your fault; there is no way to know who will have this disease.”
D. “It’s understandable that you are upset about this news. Would you like to talk about what you’re
feeling?”
12. A nurse in a hematology clinic is working with four clients who have polycythemia vera. Which client
should the nurse see first?
A. A client with a swollen and painful left great toe
B. Client who reports dyspnea
C. Client with a blood pressure of 180/98 mm Hg
D. Client who reports calf tenderness and swelling
13. A nurse reviews the arterial blood gas (ABG) values of a client admitted with end-stage kidney disease; PH
7.26; PaCO2 37 mm Hg ; PaO2 94 mm Hg and HCO3 15 mEq/L. what do these values indicate?
A. Metabolic acidosis
B. Metabolic alkalosis
C. Respiratory acidosis
D. Respiratory alkalosis
14. Which of the following interventions should be included in the nutrition care plan of the client with
atherosclerosis?
