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)