NUR2356 Exam 2: Multidimensional Care I
(MDC1) Verified & Updated Questions and
Answers - Rasmussen University
1. A nurse is preparing a client for surgery. Which of the following is the primary
responsibility of the nurse regarding informed consent?
A. Witnessing the client’s signature on the consent form
B. Providing alternative treatment options
C. Explaining the risks and benefits of the procedure
D. Determining the client’s surgical competence
Answer: A
Explanation: The nurse’s role is to witness the signature and ensure the client is
competent to sign. The surgeon is responsible for explaining the procedure, risks, and
benefits.
2. A patient is diagnosed with hypokalemia. Which of the following clinical
manifestations should the nurse expect to observe?
A. Muscle weakness and leg cramps
B. Peaked T waves on the EKG
C. Positive Chvostek’s sign
D. Hyperactive bowel sounds
Answer: A
Explanation: Hypokalemia causes muscle weakness, fatigue, and leg cramps. Peaked T
waves are seen in hyperkalemia, and Chvostek’s sign is seen in hypocalcemia.
,3. During the intraoperative phase, a client develops a rapid heart rate, muscle
rigidity, and a spike in body temperature. Which medication should the nurse
anticipate administering?
A. Epinephrine
B. Naloxone
C. Dantrolene
D. Atropine
Answer: C
Explanation: These are signs of malignant hyperthermia, a surgical emergency. Dantrolene
sodium is the specific skeletal muscle relaxant used to treat it.
4. An arterial blood gas (ABG) result shows pH 7.30, PaCO2 52 mmHg, and HCO3
24 mEq/L. How should the nurse interpret these results?
A. Metabolic Acidosis
B. Respiratory Alkalosis
C. Respiratory Acidosis
D. Metabolic Alkalosis
Answer: C
Explanation: A pH below 7.35 indicates acidosis. A PaCO2 above 45 indicates a respiratory
cause. Since the bicarbonate is normal, it is respiratory acidosis.
5. A nurse is assessing a pressure injury and notes full-thickness skin loss with
visible subcutaneous fat, but no bone or muscle exposure. What stage is this
injury?
A. Stage 1
B. Stage 2
C. Stage 4
D. Stage 3
Answer: D
, Explanation: Stage 3 involves full-thickness skin loss where adipose (fat) is visible, but
fascia, muscle, or bone are not exposed.
6. Which electrolyte imbalance is most commonly associated with a positive
Trousseau’s sign?
A. Hypocalcemia
B. Hypomagnesemia
C. Hypernatremia
D. Hyperkalemia
Answer: A
Explanation: Trousseau’s sign (carpal spasm induced by inflating a BP cuff) and Chvostek’s
sign are classic indicators of hypocalcemia.
7. A post-operative patient reports sudden sharp chest pain and shortness of
breath. What is the priority nursing action?
A. Administer pain medication
B. Encourage the use of the incentive spirometer
C. Apply oxygen and notify the provider
D. Check the surgical site for bleeding
Answer: C
Explanation: Sudden chest pain and dyspnea post-op suggest a pulmonary embolism.
Applying oxygen and notifying the healthcare provider is the priority.
8. Which of the following describes ‘Primary Intention’ wound healing?
A. The wound is left open to heal by granulation
B. There is a large gap that fills with scar tissue
C. The wound is contaminated and requires debridement
D. The wound edges are well-approximated with sutures or staples
Answer: D
(MDC1) Verified & Updated Questions and
Answers - Rasmussen University
1. A nurse is preparing a client for surgery. Which of the following is the primary
responsibility of the nurse regarding informed consent?
A. Witnessing the client’s signature on the consent form
B. Providing alternative treatment options
C. Explaining the risks and benefits of the procedure
D. Determining the client’s surgical competence
Answer: A
Explanation: The nurse’s role is to witness the signature and ensure the client is
competent to sign. The surgeon is responsible for explaining the procedure, risks, and
benefits.
2. A patient is diagnosed with hypokalemia. Which of the following clinical
manifestations should the nurse expect to observe?
A. Muscle weakness and leg cramps
B. Peaked T waves on the EKG
C. Positive Chvostek’s sign
D. Hyperactive bowel sounds
Answer: A
Explanation: Hypokalemia causes muscle weakness, fatigue, and leg cramps. Peaked T
waves are seen in hyperkalemia, and Chvostek’s sign is seen in hypocalcemia.
,3. During the intraoperative phase, a client develops a rapid heart rate, muscle
rigidity, and a spike in body temperature. Which medication should the nurse
anticipate administering?
A. Epinephrine
B. Naloxone
C. Dantrolene
D. Atropine
Answer: C
Explanation: These are signs of malignant hyperthermia, a surgical emergency. Dantrolene
sodium is the specific skeletal muscle relaxant used to treat it.
4. An arterial blood gas (ABG) result shows pH 7.30, PaCO2 52 mmHg, and HCO3
24 mEq/L. How should the nurse interpret these results?
A. Metabolic Acidosis
B. Respiratory Alkalosis
C. Respiratory Acidosis
D. Metabolic Alkalosis
Answer: C
Explanation: A pH below 7.35 indicates acidosis. A PaCO2 above 45 indicates a respiratory
cause. Since the bicarbonate is normal, it is respiratory acidosis.
5. A nurse is assessing a pressure injury and notes full-thickness skin loss with
visible subcutaneous fat, but no bone or muscle exposure. What stage is this
injury?
A. Stage 1
B. Stage 2
C. Stage 4
D. Stage 3
Answer: D
, Explanation: Stage 3 involves full-thickness skin loss where adipose (fat) is visible, but
fascia, muscle, or bone are not exposed.
6. Which electrolyte imbalance is most commonly associated with a positive
Trousseau’s sign?
A. Hypocalcemia
B. Hypomagnesemia
C. Hypernatremia
D. Hyperkalemia
Answer: A
Explanation: Trousseau’s sign (carpal spasm induced by inflating a BP cuff) and Chvostek’s
sign are classic indicators of hypocalcemia.
7. A post-operative patient reports sudden sharp chest pain and shortness of
breath. What is the priority nursing action?
A. Administer pain medication
B. Encourage the use of the incentive spirometer
C. Apply oxygen and notify the provider
D. Check the surgical site for bleeding
Answer: C
Explanation: Sudden chest pain and dyspnea post-op suggest a pulmonary embolism.
Applying oxygen and notifying the healthcare provider is the priority.
8. Which of the following describes ‘Primary Intention’ wound healing?
A. The wound is left open to heal by granulation
B. There is a large gap that fills with scar tissue
C. The wound is contaminated and requires debridement
D. The wound edges are well-approximated with sutures or staples
Answer: D
