Exam 1: NUR 2356/ NUR2356 (Latest 2023/
2024) Multidimensional Care I/ MDC 1
Exam Review | Modules 1-3 Covered|
Complete Guide with Questions and Verified
Answers (2023/ 2024)- Rasmussen
Q: Different forms of nutrition
Answer:
oral: by mouth
Enteral: through MG tube, G-Tub
Perenteral: IV lines
Q: What does protein contribute
Answer:
contributes to growth, maintaince, repair of body tissues
Q: Vitamins
Answer:
are necessary for metabolism
Fat soluble vit A,D,E,K
water soluble Vital C and B complex
Q: Mineral
Answer:
complete essential biochemical reaction sin the body
Q: Water
Answer:
is critical for cell function an prelacies fluids the obeyed loses through perspiration, elimination,
and respiration
Q: How do changes in mastication(chewing) and swallowing influence nutritional intake
Answer:
people with diffculting chew are giving ground or bit sized foods which changes the appearance
People who struggle with swallowing are given thicken beverages which change the taste
Q: What is hydration status
Answer:
The amount of fluid the client drinks and the amount of fluid the client loses from body
Q: what people might have fluid restriction
Answer:
people with chronic renal failure, heart failure, SIADH
Q: What medication might causes dehydration
Answer:
diuretics, laxatives, enemas, over the counter medication, herbal remedies
Q: stress incontinence
Answer:
the inability to control the voiding of urine under physical stress such as running, sneezing,
laughing, or coughing
Q: urge incontinence
Answer:
state in which a person experiences involuntary passage of urine that occurs soon after a strong
sense of urgency to void
Q: overflow incontinence
Answer:
involuntary loss of urine associated with overdistention and overflow of the bladder
Q: functional incontinence
Answer:
the person has bladder control but cannot use the toilet in time
Q: unconscious incontinence
Answer:
loss of urine when the person does not realize the bladder is full and has no urge to void
Q: Diarrhea
Answer:
3 loss stools per day
Q: What is comfort
Answer:
is a state of physical well being, pleasure, and absence of pain or strep
Q: What is a primary role of the nurse
Answer:
is to promote basic care and comfort
Q: What is the desired outcome for optimal health and well being of any individual
Answer:
is to have comfort or be comfortable
Q: what are Physiologic and Psychosocial Consequences of Decreased Comfort
Answer:
as pain, nausea, dyspnea, and itching
Q: Bowel elimination control depends on
Answer:
multiple factors, including muscle strength and nerve function
Exam 1: NUR 2356/ NUR2356 (Latest 2023/
2024) Multidimensional Care I/ MDC 1
Exam | Questions and Verified Answers|
Grade A- Rasmussen
Q: A nurse is teaching a group of newly licensed nurses on complementary and alternative
therapies they can incorporate into their practice without the need for specialized licensing or
certification. Which of the following should the nurse encourage them to use? (Select all that
apply.)
Answer:
A. Guided imagery
B. Massage therapy
C. Meditation
D. Music therapy
E. Therapeutic touch
Q: A nurse is reviewing complementary and alternative therapies with a group of newly
licensed nurses. Which of the following interventions are mind-body therapies? (Select all that
apply.)
Answer:
A. Art therapy
B. Acupressure
C. Yoga
D. Therapeutic touch
E. Biofeedback
Q: A nurse is caring for a client who fell at a nursing home. The client is oriented to person,
place, and time and can follow directions. Which of the following actions should the nurse take
to decrease the risk of another fall? (Select all that apply.)
Answer:
A. Place a belt restraint on the client when they are sitting on the bedside commode.
B. Keep the bed in its lowest position with all side rails up.
C. Make sure that the client’s call light is within reach.
D. Provide the client with nonskid footwear.
E. Complete a fall-risk assessment.
Q: A nurse observes smoke coming from under the door of the staff’s lounge. Which of the
following actions is the nurse’s priority?
Answer:
A. Extinguish the fire.
B. Activate the fire alarm.
C. Move clients who are nearby.
D. Close all open doors on the unit.
Q: A nurse is caring for a client who has a history of falls. Which of the following actions is the
nurse’s priority?
Answer:
A. Complete a fall-risk assessment.
B. Educate the client and family about fall risks.
C. Eliminate safety hazards from the client’s environment.
D. Make sure the client uses assistive aids in their possession
Q: A nurse discovers a small paper fire in a trash can in a client’s bathroom. The client has been
taken to safety and the alarm has been activated. Which of the following actions should the nurse
take?
Answer:
A. Open the windows in the client’s room to allow smoke to escape.
B. Obtain a class C fire extinguisher to extinguish the fire.
C. Remove all electrical equipment from the client’s room.
D. Place wet towels along the base of the door to the client’s room.
Q: Fire response follows the RACE sequence, what does each letter stand for?
Answer:
R- Rescue and remove all patients in immediate danger.
A- Activate the alarm.
C- Confine the fire by closing doors and windows and turning off oxygen and electrical
equipment; ventilate patients who are on life support with a bag-valve mask
E- Extinguish the fire using an appropriate extinguisher
Q: To use a fire extinguisher, use the PASS sequence, what does each letter stand for?
Answer:
P – pull the pin
A – aim at the base of the fire
S – squeeze the handle
S – sweep the extinguisher from side to side covering the area of the fire
Q: Name some nursing interventions of PREVENTING FALLS
Answer:
- complete a fall-risk assessment at admission & regular intervals
- ensure patient has and knows how to use the call light
- use fall-risk alerts (color-coded wristbands)
- provide regular toileting and orientation of clients who have cognitive impairment
- provide adequate lighting
- place clients at risk for falls near a nurses station
- provide hourly rounding
- make sure personal items are within reach
- keep bed low, lock the breaks
- side rails up (for unconscious patients, sedated, etc.)
- non-skid footwear
- use gait belts and other assistive equipment when moving patients
- keep floor clean (no clutter, cords, scatter rugs, etc.)
- electronic safety monitors (chair or bed sensors)
Q: What is a nurse’s concern with patients using their call lights?
Answer:
That nurses respond in a timely manner…otherwise the patient may become impatient and
attempt to move themselves
Q: What must be completed before performing first aid?
Answer:
primary survey
Q: Name the nursing interventions for BLEEDING
Answer:
- apply pressure to wound site (home)
- DO NOT remove impaling objects, stabilize the object (home)
- IV volume replacement with blood or volume replacement (hospital)
Q: The acronym RICE is used to manage sprains, what do the letters stand for?
Answer:
R – refrain from weight bearing (also known as “rest”)
I – apply ice to decrease inflammation
C – apply a compression dressing to minimalize swelling
E – elevate the affected limb
Q: Name the nursing interventions for BURNS
Answer: - remove the agent
- smooth any flames present
- cover the client and maintain NPO status
- elevate the extremities
- Stop, Drop, and Roll (home)
- call 911 (home)
- perform H to T assessment (hospital)
- administer fluids and tetanus toxoid (hospital)
Exam 2: NUR 2356/ NUR2356 (Latest 2023/
2024) Multidimensional Care I/ MDC 1
Exam Review | Modules 4-7 Covered|
Complete Guide with Questions and Verified
Answers (100% Correct)- Rasmussen
Q: •A mechanical lift is the safest and best device to use for a client who is
Answer:
immobile
Q: well-rounded fitness program focuses on
Answer:
•flexibility, resistance training, and aerobic conditioning
Q: Stretching before exercise helps
Answer:
•warm up the muscles and prevent injury during exercise
Q: Movement against resistance
Answer:
•increased muscular strength and endurance
Q: Stretching after exercise
Answer:
•cools the muscles and limits post-exercise stiffness
Q: Quadriplegia
Answer:
•paralysis of all four limbs
Q: Hemiplegia
Answer:
•paralysis on one side of the body (E.g., paralysis one arm and one leg on the same side of the
body)
Q: Paraplegia
Answer:
•paralysis of the legs and lower body
Q: •Client with osteoporosis is at risk for
Answer:
bone fracture due to porous bones
Osteoporosis causes bones to become weak and brittle
Q: •The nurse educates a client regarding ways to decrease their risk for osteoporosis:
Answer:
•Reducing caffeine intake
•Smoking cessation
•Decrease alcohol intake
Q: •Nursing interventions for a client with osteoporosis includes:
Answer:
•Encourage the client to perform muscle strengthening exercises
•Encourage the intake of adequate amounts of calcium and vitamin D
•Encourage the client to complete weight-bearing exercises
•Encourage the client to avoid repetitive movements
Q: •The test used to diagnosis osteoporosis is
Answer:
the dual-energy X-ray absorptiometry (DXA) scan
Q: Proper body mechanics include
Answer:
•maintain a wide, stable base with your feet
•keep the client directly in front of you to prevent your spine from rotating
•Hold the object close to the body
•Use legs when lifting
•Place the bed at the correct height (waist level while providing direct care and hip level when
moving patients)
Q: •Plantar Fasciitis –
Answer:
Exam 2: NUR 2356/ NUR2356 (Latest 2023/
2024) Multidimensional Care I/ MDC 1
Exam | Questions and Verified Answers|
Grade A- Rasmussen
Q: When educating a patient about the use of a standard walker, what infor- mation should you
include?
Answer:
Patient should lift the walker and move it forward
6-12 inches in front of them
Q: What is the purpose for sequential compression socks?
Answer:
Promote venous return from legs
Q: Carpal tunnel syndrome is caused by..
Answer:
Pressure On The Median Nerve
(repetitive stress injury)
Q: How does regular exercise benefit you?
Answer:
Improves pulmonary circulation & skeletal development, reduces systemic inflammation, and
improving your mood and energy
Q: Which is an appropriate intervention to maintain the respiratory system of the immobilized
patient?
Answer:
Encourage patient to deep breath and cough every 1-2 hours & sit up
Q: What are positive affects of mobility on the Cardiovascular?
Answer:
Improved blood supply to the muscles, improved cardiac output, prolonged prothrombin time
(PT)
Q: Choose one effect immobility has on musculoskeletal system
Answer:
Contrac- tures
Q: What are interventions incorporated into the plan of care for osteoporo- sis?
Answer:
Calcium supplements w/ vitamin D
Weight-bearing exercise
Smoking cessation
Avoid repetitive movements
Q: What effect can immobility have on the respiratory system?
Answer:
Increased risk of pneumonia & atelectasis
Q: how do you treat a sprained ankle?
Answer:
RICE
Q: the education for a patient losing their auditory function should include using a hearing aid
Answer:
true
Q: What intervention would require immediate action?
Answer:
traction weight resting on the ground
Q: some recommendations to protect the hearing include?
Answer:
add closed cap- tion, protective devices, avoid loud noises
Q: term used for tissue death because of no blood supply
Answer:
avascular necrosis
Q: What exercise helps with flexibility?
Answer:
stretching
Q: What is orthopneic position used for?
Answer:
Final Exam: NUR 2356/ NUR2356 (Latest
2023/ 2024) Multidimensional Care I/ MDC 1
Exam Review | Modules 8-10 Covered|
Complete Guide with Questions and Verified
Answers (100% Correct)- Rasmussen
Q: Wounds may heal by
Answer:
•regeneration or by primary, secondary, or tertiary intention
Q: •Regenerative/Epithelial Healing
Answer:
•occurs when a wound affects only the epidermis and dermis
Q: Primary Intention Healing
Answer:
•occurs when a wound involves minimal or no tissue loss and has edges that are well
approximated (closed); little scarring is expected
Q: a clean surgical incision heals by what method
Answer:
Primary Intention Healing
client with a surgical abdominal incision that is closed with sutures
Q: Inflammatory Phase of wound healing occurs
Answer:
•at the time of injury and last about 3 – 5 days
Q: Proliferative Phase
Answer:
•granulation (also called regeneration or healing)
•occurs from days 5 to 21
Q: •Nursing interventions that decrease the risk of pressure injuries:
Answer:
•Padding hard surfaces
•Keep head of bed (HOB) at or less than 30 degrees
•Place pillows between bony surfaces
Q: •Secondary Intention Healing
Answer:
•occurs when a wound involves extensive tissue loss, which prevents wound edges from
approximating (coming together), or should not be closed (e.g., because it is infected)
Q: •Tertiary intention healing (also called delayed primary closure)
Answer:
•Such wounds require strict aseptic technique during all dressing changes because they are prone
to infection
Q: •Key concepts when preparing a sterile field includes:
Answer:
•Prepare the client before setting up the sterile field
•Do not turn away from the sterile field
•Add items to the sterile field by dropping them gently
Q: Nurse’s priority action for a client experiencing oozing from the wound is to
Answer:
inspect the wound and assess the drainage
Q: exudate
Answer:
Drainage that oozes from a wound or cavity
•When documenting exudate include color, odor, consistency, and amount
Q: Serous exudate
Answer:
•straw colored/ pale yellow
Q: Sanguineous exudate
Answer:
•- bloody drainage
Final Exam: NUR 2356/ NUR2356 (Latest
2023/ 2024) Multidimensional Care I/ MDC 1
Exam | Questions and Verified Answers|
Grade A- Rasmussen
Q: What is a primary defense to infection?
Inflammation
Fever
Phagocytosis
Intact skin
Answer:
Intact skin
Q: If contact precautions are in place, what link in the chain of infection is broken?
Answer:
Mode of transmission
Q: If a patient recently traveled and developed a fever and cough, what type of isolation should
the patient be placed in?
Answer:
Airborne precautions
Q: It is ok for a patient who is immunocompromised to have fresh flowers in his/her room
(true/false)
Answer:
false
Q: Antiretroviral drugs are used to treat HIV and work by inhibiting viral replication
(true/false)
Answer:
true
Q: A patient with systemic sclerosis (scleroderma) is likely to have what symptoms first?
Joint pain
Wrinkles
Raynaud’s phenomenon
Hypertension
Answer:
Raynaud’s phenomenon
Q: An intervention to avoid a Raynaud’s flare up is to wear gloves in the winter (true/false)
Answer:
true
Q: What patient education is expected for a patient with fibromyalgia to help reduce
symptoms?
Establish a regular sleep pattern
Do not exercise during a flare up
High intensity interval training (HIIT)
Increase calcium and caffeine intake
Answer:
Establish a regular sleep pattern
Q: A nurse is teaching a patient with debilitating rheumatoid arthritis about home safety. The
following statement is appropriate: “There are many adaptive devices such as grab bars, reaching
tools, grasping devices, and adaptive silverware available that may help you.”(true/false)
Answer:
true
Q: What do you expect to see with the rheumatoid factor (lab) for a patient experiencing a flare
up of her rheumatoid arthritis?
Positive RF
Negative RF
Answer:
Positive RF
Q: What assessment findings do you expect to see in a patient experiencing Raynaud’s
phenomenon?
Answer:
Cold and purple nailbeds
Skin of hands may look white
Q: A patient just had shoulder surgery and has rheumatoid arthritis. What symptoms might
prompt the nurse to call the provider immediately?
Patient has gas and mild abdominal discomfort
Patient has a minor headache
Patient is completing physical therapy without her pain medication
Patient has numbness and tingling in her fingers and intense pain that is worsening in her
shoulder
Answer:
Patient has numbness and tingling in her fingers and intense pain that is worsening in her
shoulder