NUR2356 Final Exam: Multidimensional Care I
(MDC1) Verified & Updated Questions and
Answers - Rasmussen University
1. A nurse is caring for a patient who is at high risk for falls. Which intervention
is the highest priority?
A. Keep all four side rails up at all times.
B. Administer a sedative to keep the patient in bed.
C. Apply a vest restraint while the patient is in bed.
D. Place the call light within the patient’s reach.
Answer: D
Explanation: Safety interventions should be the least restrictive. Placing the call light
within reach is a standard safety measure. Using four side rails or vest restraints is
considered a restraint and requires specific orders and monitoring.
2. Which phase of the nursing process involves the nurse collecting subjective
and objective data?
A. Planning
B. Assessment
C. Implementation
D. Evaluation
Answer: B
Explanation: Assessment is the first step of the nursing process, where the nurse gathers
information about the patient’s health status through interview, physical exam, and chart
review.
,3. A patient is diagnosed with Clostridium difficile (C. diff). Which precaution
should the nurse implement?
A. Airborne precautions
B. Droplet precautions
C. Standard precautions only
D. Contact precautions
Answer: D
Explanation: C. diff is transmitted via direct or indirect contact with contaminated
surfaces or stool. Contact precautions (gown and gloves) are required, and handwashing
with soap and water is mandatory because alcohol-based rubs do not kill spores.
4. Which ethical principle refers to the nurse’s obligation to ‘do no harm’?
A. Beneficence
B. Fidelity
C. Justice
D. Nonmaleficence
Answer: D
Explanation: Nonmaleficence means to do no harm. Beneficence is doing good; Justice is
fairness; Fidelity is keeping promises.
5. The nurse is using the SBAR tool to communicate with a physician. What does
the ‘R’ stand for?
A. Recommendation
B. Review
C. Response
D. Reason
Answer: A
Explanation: SBAR stands for Situation, Background, Assessment, and Recommendation. It
is a structured communication tool used to improve patient safety.
, 6. A nurse finds a fire in a patient’s room. Using the RACE acronym, what should
the nurse do first?
A. Activate the fire alarm.
B. Rescue and remove the patient from immediate danger.
C. Confine the fire by closing doors.
D. Extinguish the fire using a portable extinguisher.
Answer: B
Explanation: RACE stands for Rescue, Alarm, Confine, Extinguish. The immediate priority
is the safety of the individual in danger.
7. What is the primary purpose of the ‘Planning’ phase in the nursing process?
A. To perform nursing actions.
B. To identify patient strengths and problems.
C. To determine if patient outcomes were met.
D. To set measurable goals and select nursing interventions.
Answer: D
Explanation: During Planning, the nurse prioritizes diagnoses, sets patient-centered goals
(SMART), and chooses interventions to achieve those goals.
8. Which vital sign should the nurse prioritize checking before administering a
blood pressure medication like Metoprolol?
A. Respiratory rate
B. Temperature
C. Heart rate and Blood Pressure
D. Oxygen saturation
Answer: C
Explanation: Metoprolol is a beta-blocker that lowers both blood pressure and heart rate.
Both must be assessed before administration to prevent bradycardia or hypotension.
(MDC1) Verified & Updated Questions and
Answers - Rasmussen University
1. A nurse is caring for a patient who is at high risk for falls. Which intervention
is the highest priority?
A. Keep all four side rails up at all times.
B. Administer a sedative to keep the patient in bed.
C. Apply a vest restraint while the patient is in bed.
D. Place the call light within the patient’s reach.
Answer: D
Explanation: Safety interventions should be the least restrictive. Placing the call light
within reach is a standard safety measure. Using four side rails or vest restraints is
considered a restraint and requires specific orders and monitoring.
2. Which phase of the nursing process involves the nurse collecting subjective
and objective data?
A. Planning
B. Assessment
C. Implementation
D. Evaluation
Answer: B
Explanation: Assessment is the first step of the nursing process, where the nurse gathers
information about the patient’s health status through interview, physical exam, and chart
review.
,3. A patient is diagnosed with Clostridium difficile (C. diff). Which precaution
should the nurse implement?
A. Airborne precautions
B. Droplet precautions
C. Standard precautions only
D. Contact precautions
Answer: D
Explanation: C. diff is transmitted via direct or indirect contact with contaminated
surfaces or stool. Contact precautions (gown and gloves) are required, and handwashing
with soap and water is mandatory because alcohol-based rubs do not kill spores.
4. Which ethical principle refers to the nurse’s obligation to ‘do no harm’?
A. Beneficence
B. Fidelity
C. Justice
D. Nonmaleficence
Answer: D
Explanation: Nonmaleficence means to do no harm. Beneficence is doing good; Justice is
fairness; Fidelity is keeping promises.
5. The nurse is using the SBAR tool to communicate with a physician. What does
the ‘R’ stand for?
A. Recommendation
B. Review
C. Response
D. Reason
Answer: A
Explanation: SBAR stands for Situation, Background, Assessment, and Recommendation. It
is a structured communication tool used to improve patient safety.
, 6. A nurse finds a fire in a patient’s room. Using the RACE acronym, what should
the nurse do first?
A. Activate the fire alarm.
B. Rescue and remove the patient from immediate danger.
C. Confine the fire by closing doors.
D. Extinguish the fire using a portable extinguisher.
Answer: B
Explanation: RACE stands for Rescue, Alarm, Confine, Extinguish. The immediate priority
is the safety of the individual in danger.
7. What is the primary purpose of the ‘Planning’ phase in the nursing process?
A. To perform nursing actions.
B. To identify patient strengths and problems.
C. To determine if patient outcomes were met.
D. To set measurable goals and select nursing interventions.
Answer: D
Explanation: During Planning, the nurse prioritizes diagnoses, sets patient-centered goals
(SMART), and chooses interventions to achieve those goals.
8. Which vital sign should the nurse prioritize checking before administering a
blood pressure medication like Metoprolol?
A. Respiratory rate
B. Temperature
C. Heart rate and Blood Pressure
D. Oxygen saturation
Answer: C
Explanation: Metoprolol is a beta-blocker that lowers both blood pressure and heart rate.
Both must be assessed before administration to prevent bradycardia or hypotension.
