NUR 2502 Multidimensional Care III Exam Prep
[Latest 2025/2026 Edition] | Complete Test Bank
with Verified Questions and Correct Answers |
Study Guide, Practice Exams, and Detailed
Rationales for Nursing Students, ATI, HESI, and
NCLEX Success
QUESTION 1
A nurse is assessing a patient with chronic heart failure. Which symptom would most
likely indicate fluid overload?
A) Weight loss
B) Shortness of breath
C) Increased appetite
D) Decreased urine output
RATIONALE: Shortness of breath is a common symptom of fluid overload in patients
with heart failure due to pulmonary congestion.
QUESTION 2
In caring for a patient with diabetes, which of the following is the priority assessment for
the nurse?
A) Blood pressure
B) Blood glucose level
C) Weight
D) Skin integrity
RATIONALE: Monitoring blood glucose levels is critical in diabetes management to
prevent complications such as hypoglycemia or hyperglycemia.
QUESTION 3
A nurse is preparing to administer a medication that requires monitoring the patient’s
heart rate. What is the most appropriate action for the nurse?
A) Administer the medication without checking the heart rate.
B) Check the heart rate before administering the medication.
C) Wait until the patient complains of palpitations to check the heart rate.
D) Check the heart rate after administering the medication.
RATIONALE: Checking the heart rate before administering the medication is essential to
ensure patient safety and prevent adverse effects.
,QUESTION 4
A patient with COPD is experiencing increased wheezing and dyspnea. What is the
nurse's priority intervention?
A) Encourage deep breathing exercises.
B) Administer bronchodilator as ordered.
C) Notify the physician.
D) Place the patient in a supine position.
RATIONALE: Administering a bronchodilator is the priority intervention to relieve
bronchospasm and improve airflow.
QUESTION 5
When educating a patient about hypertension management, which lifestyle
modification should the nurse emphasize?
A) Increased intake of saturated fats
B) Regular physical activity
C) Decreased fluid intake
D) Increased sodium intake
RATIONALE: Regular physical activity is an essential lifestyle modification that can help
lower blood pressure and improve cardiovascular health.
QUESTION 6
A nurse is caring for a patient post-surgery. What is the most important nursing action to
prevent complications related to immobility?
A) Encourage fluid intake.
B) Encourage early ambulation.
C) Administer pain medication.
D) Monitor vital signs.
RATIONALE: Early ambulation is crucial to prevent complications such as deep vein
thrombosis (DVT) and pulmonary embolism.
QUESTION 7
In managing a patient with chronic kidney disease, which dietary restriction should the
nurse prioritize?
A) Increased protein intake
B) Decreased sodium intake
C) Increased carbohydrate intake
D) Increased potassium intake
,RATIONALE: Decreasing sodium intake is important to help manage fluid retention and
blood pressure in patients with chronic kidney disease.
QUESTION 8
A nurse is assessing a patient with pneumonia. Which finding would most likely indicate
the presence of a pleural effusion?
A) Hyperresonance upon percussion
B) Dullness to percussion
C) Clear lung sounds
D) Increased respiratory rate
RATIONALE: Dullness to percussion is a common finding in pleural effusion due to the
presence of fluid in the pleural space.
QUESTION 9
When caring for a patient receiving IV fluids, which assessment is most critical for the
nurse to perform?
A) Assessing the patient’s pain level
B) Monitoring for signs of fluid overload
C) Checking the patient's temperature
D) Evaluating the patient's appetite
RATIONALE: Monitoring for signs of fluid overload is critical to prevent complications
such as heart failure and pulmonary edema.
QUESTION 10
A nurse is explaining the importance of medication adherence to a patient with
hypertension. What is the most effective strategy to enhance adherence?
A) Simplifying the medication regimen.
B) Providing written information.
C) Scheduling frequent follow-ups.
D) Encouraging the patient to self-medicate.
RATIONALE: Simplifying the medication regimen can significantly enhance adherence
by making it easier for the patient to manage.
QUESTION 11
A patient with asthma is experiencing an acute attack. What is the first-line medication
the nurse should administer?
, A) Corticosteroids
B) Short-acting beta agonists (SABAs)
C) Long-acting beta agonists (LABAs)
D) Anticholinergics
RATIONALE: Short-acting beta agonists (SABAs) are the first-line medications for
immediate relief during an acute asthma attack.
QUESTION 12
When caring for a patient with diabetes, which of the following is a sign of
hyperglycemia?
A) Increased sweating
B) Frequent urination
C) Shakiness
D) Confusion
RATIONALE: Frequent urination (polyuria) is a common symptom of hyperglycemia due
to the osmotic effect of excess glucose in the blood.
QUESTION 13
A nurse is assessing a patient for signs of dehydration. Which finding would indicate
dehydration?
A) Weight gain
B) Dry mucous membranes
C) Increased urine output
D) Normal skin turgor
RATIONALE: Dry mucous membranes are a classic sign of dehydration, indicating
insufficient fluid levels in the body.
QUESTION 14
In caring for a patient with heart failure, what is the most important dietary
consideration?
A) Increased carbohydrate intake
B) Low sodium diet
C) High protein diet
D) Increased fat intake
RATIONALE: A low sodium diet is critical for managing heart failure to help reduce fluid
retention and lower blood pressure.
[Latest 2025/2026 Edition] | Complete Test Bank
with Verified Questions and Correct Answers |
Study Guide, Practice Exams, and Detailed
Rationales for Nursing Students, ATI, HESI, and
NCLEX Success
QUESTION 1
A nurse is assessing a patient with chronic heart failure. Which symptom would most
likely indicate fluid overload?
A) Weight loss
B) Shortness of breath
C) Increased appetite
D) Decreased urine output
RATIONALE: Shortness of breath is a common symptom of fluid overload in patients
with heart failure due to pulmonary congestion.
QUESTION 2
In caring for a patient with diabetes, which of the following is the priority assessment for
the nurse?
A) Blood pressure
B) Blood glucose level
C) Weight
D) Skin integrity
RATIONALE: Monitoring blood glucose levels is critical in diabetes management to
prevent complications such as hypoglycemia or hyperglycemia.
QUESTION 3
A nurse is preparing to administer a medication that requires monitoring the patient’s
heart rate. What is the most appropriate action for the nurse?
A) Administer the medication without checking the heart rate.
B) Check the heart rate before administering the medication.
C) Wait until the patient complains of palpitations to check the heart rate.
D) Check the heart rate after administering the medication.
RATIONALE: Checking the heart rate before administering the medication is essential to
ensure patient safety and prevent adverse effects.
,QUESTION 4
A patient with COPD is experiencing increased wheezing and dyspnea. What is the
nurse's priority intervention?
A) Encourage deep breathing exercises.
B) Administer bronchodilator as ordered.
C) Notify the physician.
D) Place the patient in a supine position.
RATIONALE: Administering a bronchodilator is the priority intervention to relieve
bronchospasm and improve airflow.
QUESTION 5
When educating a patient about hypertension management, which lifestyle
modification should the nurse emphasize?
A) Increased intake of saturated fats
B) Regular physical activity
C) Decreased fluid intake
D) Increased sodium intake
RATIONALE: Regular physical activity is an essential lifestyle modification that can help
lower blood pressure and improve cardiovascular health.
QUESTION 6
A nurse is caring for a patient post-surgery. What is the most important nursing action to
prevent complications related to immobility?
A) Encourage fluid intake.
B) Encourage early ambulation.
C) Administer pain medication.
D) Monitor vital signs.
RATIONALE: Early ambulation is crucial to prevent complications such as deep vein
thrombosis (DVT) and pulmonary embolism.
QUESTION 7
In managing a patient with chronic kidney disease, which dietary restriction should the
nurse prioritize?
A) Increased protein intake
B) Decreased sodium intake
C) Increased carbohydrate intake
D) Increased potassium intake
,RATIONALE: Decreasing sodium intake is important to help manage fluid retention and
blood pressure in patients with chronic kidney disease.
QUESTION 8
A nurse is assessing a patient with pneumonia. Which finding would most likely indicate
the presence of a pleural effusion?
A) Hyperresonance upon percussion
B) Dullness to percussion
C) Clear lung sounds
D) Increased respiratory rate
RATIONALE: Dullness to percussion is a common finding in pleural effusion due to the
presence of fluid in the pleural space.
QUESTION 9
When caring for a patient receiving IV fluids, which assessment is most critical for the
nurse to perform?
A) Assessing the patient’s pain level
B) Monitoring for signs of fluid overload
C) Checking the patient's temperature
D) Evaluating the patient's appetite
RATIONALE: Monitoring for signs of fluid overload is critical to prevent complications
such as heart failure and pulmonary edema.
QUESTION 10
A nurse is explaining the importance of medication adherence to a patient with
hypertension. What is the most effective strategy to enhance adherence?
A) Simplifying the medication regimen.
B) Providing written information.
C) Scheduling frequent follow-ups.
D) Encouraging the patient to self-medicate.
RATIONALE: Simplifying the medication regimen can significantly enhance adherence
by making it easier for the patient to manage.
QUESTION 11
A patient with asthma is experiencing an acute attack. What is the first-line medication
the nurse should administer?
, A) Corticosteroids
B) Short-acting beta agonists (SABAs)
C) Long-acting beta agonists (LABAs)
D) Anticholinergics
RATIONALE: Short-acting beta agonists (SABAs) are the first-line medications for
immediate relief during an acute asthma attack.
QUESTION 12
When caring for a patient with diabetes, which of the following is a sign of
hyperglycemia?
A) Increased sweating
B) Frequent urination
C) Shakiness
D) Confusion
RATIONALE: Frequent urination (polyuria) is a common symptom of hyperglycemia due
to the osmotic effect of excess glucose in the blood.
QUESTION 13
A nurse is assessing a patient for signs of dehydration. Which finding would indicate
dehydration?
A) Weight gain
B) Dry mucous membranes
C) Increased urine output
D) Normal skin turgor
RATIONALE: Dry mucous membranes are a classic sign of dehydration, indicating
insufficient fluid levels in the body.
QUESTION 14
In caring for a patient with heart failure, what is the most important dietary
consideration?
A) Increased carbohydrate intake
B) Low sodium diet
C) High protein diet
D) Increased fat intake
RATIONALE: A low sodium diet is critical for managing heart failure to help reduce fluid
retention and lower blood pressure.
