{"id":112134,"date":"2023-08-15T10:51:20","date_gmt":"2023-08-15T10:51:20","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=112134"},"modified":"2023-08-15T10:51:22","modified_gmt":"2023-08-15T10:51:22","slug":"nur-2392-exam-1-latest-2023-2024-nur2392-multidimensional-care-2-exam-1-mdc2-exam-1-actual-exam-75-questions-and-correct-detailed-answersagrade-rasmussen-college","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/15\/nur-2392-exam-1-latest-2023-2024-nur2392-multidimensional-care-2-exam-1-mdc2-exam-1-actual-exam-75-questions-and-correct-detailed-answersagrade-rasmussen-college\/","title":{"rendered":"NUR 2392 EXAM 1 LATEST 2023-2024 \/NUR2392 MULTIDIMENSIONAL CARE 2 EXAM 1\/MDC2 EXAM 1 ACTUAL EXAM 75 QUESTIONS AND CORRECT DETAILED ANSWERS|AGRADE (RASMUSSEN COLLEGE)"},"content":{"rendered":"\n<p>lOMoAR cPSD|19500986<br>NUR 2392 EXAM 1 LATEST 2023-2024 \/NUR2392<br>MULTIDIMENSIONAL CARE 2 EXAM 1\/MDC2 EXAM 1<br>ACTUAL EXAM 75 QUESTIONS AND CORRECT DETAILED<br>ANSWERS|AGRADE (RASMUSSEN COLLEGE)<br>The nurse is educating a group of older adults about screening for colorectal cancer. Which<br>statement by a group member indicates the need for further clarification about these<br>guidelines?<br>Correct<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u201cI will need to have a routine colonoscopy every 5 years.\u201d<br>The 2015 guidelines indicate that routine screening with colonoscopy is performed every<br>10 years, not every 5 years.Other options are performed at 5-year intervals. A barium<br>enema every 5 years is a screening option. A flexible sigmoidoscopy and a \u201cvirtual\u201d<br>colonoscopy every 5 years are also acceptable for screening. A \u201cvirtual\u201d colonoscopy or<br>CT colonography is a noninvasive imaging procedure that takes multidimensional views<br>of the entire colon.<br>The nurse is assessing an alert client who had abdominal surgery yesterday. What method<br>provides the most accurate data about resumption of peristalsis in the client?<br>Correct<\/li>\n\n\n\n<li>Asking the client whether he or she has passed flatus (gas) within the previous 12 to 24<br>hours. (p. 17)<br>The best and most reliable method for assessing the return of peristalsis following<br>abdominal surgery is the client\u2019s report of passing flatus within the past 8 hours or stool<br>within the past 12 hours.Although auscultation and counting the number of sounds was<br>once a method of assessing for bowel activity, it is no longer considered the most<br>effective method. Observing the abdomen is one method of examining a client\u2019s<br>abdomen, but it is not a reliable way to assess for resumption of activity after surgery.<br>The nurse is assessing a client who comes to the emergency department with acute<br>abdominal pain. The nurse notes a bulging, pulsating mass when inspecting the abdomen.<br>Which action by the nurse is correct?<br>Correct<\/li>\n\n\n\n<li>Notify the provider about this finding immediately.<br>The nurse needs to immediately notify the health care provider because a bulging,<br>pulsating mass may indicate an abdominal aortic aneurysm requiring emergency<br>actions.Palpating the abdomen or even touching the abdomen with a stethoscope may<br>cause this to rupture, which would be a life-threatening emergency. Because this is a<br>potential life-threatening situation, questioning the client about stool habits is not<\/li>\n<\/ul>\n\n\n\n<p>lOMoAR cPSD|19500986<br>appropriate.<\/p>\n\n\n\n<p>lOMoAR cPSD|19500986<br>The nurse is assessing a client who has come to the emergency department with acute<br>abdominal pain. The client is very thin and the nurse observes visible peristaltic<br>movements when inspecting the abdomen. What does the nurse suspect?<br>Correct<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Intestinal obstruction<br>The nurse would suspect an intestinal obstruction related to peristaltic movements.<br>Peristaltic movements are rarely seen except in thin clients. This needs to be reported to<br>the HCP.Acute diarrhea does not cause visible peristaltic movements. Aortic aneurysm<br>may cause a bulging, pulsatile mass. Pancreatitis is characterized by severe pain.<br>.<br>A client is admitted to the hospital with severe right upper quadrant (RUQ) abdominal<br>pain. Which assessment technique does the nurse use for this client?<br>Correct<\/li>\n\n\n\n<li>Examines the RUQ of the abdomen last following all other assessment techniques.<br>If the client reports pain in the RUQ, the nurse would examine this area last in the<br>examination sequence. This sequence prevents the client from tensing abdominal muscles<br>because of the pain, which would make the examination difficult.The sequence for<br>examining the abdomen is inspection, auscultation, percussion, and then palpation. This<br>sequence prevents the increase in intestinal activity and bowel sounds caused by<br>palpation and percussion. The client would be positioned supine with the knees bent,<br>while keeping the arms at the sides to prevent tensing of the abdominal muscles. If a<br>bulging, pulsating mass is present during assessment of the abdomen, do not touch the<br>area because the client may have an abdominal aortic aneurysm, a life-threatening<br>problem. Notify the health care provider of this finding immediately!<br>Which substance, produced in the stomach, facilitates the absorption of vitamin B12?<br>Correct<\/li>\n\n\n\n<li>Intrinsic factor<br>Intrinsic cells are produced by the parietal cells in the stomach. This substance facilitates<br>the absorption of vitamin B12. Absence of intrinsic factor causes pernicious<br>anemia.Glucagon, which is produced by the alpha cells in the pancreas, is essential for<br>the regulation of metabolism. Parietal cells secrete hydrochloric acid, but this does not<br>facilitate the absorption of vitamin B12. Pepsinogen is secreted by the chief cells;<br>pepsinogen is a precursor to pepsin, a digestive enzyme.<\/li>\n<\/ul>\n\n\n\n<p>lOMoAR cPSD|19500986<br>Which client does the charge nurse assign to an experienced LPN\/LVN working on the<br>adult medical unit?<br>Correct<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>A 32-year-old who needs a nasogastric tube inserted for gastric acid analysis<br>Nasogastric tube insertion is included in LPN\/LVN education and is an appropriate task<br>for an experienced LPN\/LVN.Assessment and client teaching would be done by an RN.<br>IV hypnotic medications would be administered by an RN.<br>The outpatient clinic nurse is caring for a recovering client who had a colonoscopy. The<br>client asks for a drink. How does the nurse respond to this request?<br>Correct<\/li>\n\n\n\n<li>\u201cWhen you are able to pass flatus (gas), you can have a drink.\u201d<br>Fluids are permitted after the client\u2019s peristalsis has returned, which is validated by the<br>client\u2019s passing flatus (p. 34).Ability to pass flatus (gas) is more reliable than auscultation<br>of bowel sounds when assessing a client\u2019s status to drink after a colonoscopy. There is no<br>set time period after the procedure that is considered safe for the client to have something<br>to drink. The client will not be discharged home without the nurse determining that<br>peristalsis has returned. The client must report that he or she is passing flatus to go home;<br>therefore, the client should be given a drink before being sent home.<br>Which factors place a client at risk for gastrointestinal (GI) problems?<br>Correct<\/li>\n\n\n\n<li>Smoking a half-pack of cigarettes per day<br>Smoking or any tobacco use places a client in a higher-risk category for GI problems.<br>Socioeconomic status can also influence the risk for GI problems; clients may not be able<br>to afford to seek care or treatment and may put off seeking help. Some herbal<br>preparations contribute to GI problems, such as Ayurvedic herbs, which can affect<br>appetite, absorption, and elimination. NSAIDs can predispose clients to peptic ulcer<br>disease or GI bleeding.High-fiber diets are generally believed to be healthy for most<br>clients.<br>Correct<\/li>\n\n\n\n<li>Socioeconomic status<br>Smoking or any tobacco use places a client in a higher-risk category for GI problems.<br>Socioeconomic status can also influence the risk for GI problems; clients may not be able<br><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>lOMoAR cPSD|19500986NUR 2392 EXAM 1 LATEST 2023-2024 \/NUR2392MULTIDIMENSIONAL CARE 2 EXAM 1\/MDC2 EXAM 1ACTUAL EXAM 75 QUESTIONS AND CORRECT DETAILEDANSWERS|AGRADE (RASMUSSEN COLLEGE)The nurse is educating a group of older adults about screening for colorectal cancer. Whichstatement by a group member indicates the need for further clarification about theseguidelines?Correct lOMoAR cPSD|19500986appropriate. lOMoAR cPSD|19500986The nurse is assessing [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-112134","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/112134","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=112134"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/112134\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=112134"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=112134"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=112134"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}