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NUR 2356 Final Exam | 2 Latest Versions
Multidimensional Care 1 (MDC 1) Final
Questions & Verified Answers | Nursing
Fundamentals & NCLEX-RN®
Exam Structure:
Subject: Multidimensional Care (NUR 2356)
Source: NUR 2356 Final Exam 2 (Latest Versions)
Format: Questions and Verified Answers with Rationales
1. A client does not understand why vision loss due to glaucoma is
irreversible. What is the nurse's best explanation?
A. Once retinal detachment occurs, it does not return to its normal state
B. Once the tissue has necrosed from high pressure, it does not regenerate
C. Glaucoma always leads to permanent blindness
D. Once bacterial infection has caused damage, the tissue does not
regenerate
Answer: B. Once the tissue has necrosed from high pressure, it does not
regenerate
Rationale:
1. Glaucoma causes increased intraocular pressure that damages the
optic nerve.
2. Optic nerve tissue, once necrosed (died), cannot regenerate because
nerve tissue is considered permanent tissue.
3. This explains why vision loss from glaucoma is irreversible.
2. The nurse is teaching a client with debilitating rheumatoid arthritis
about home safety. Which statement should the nurse include?
A. "My grandfather always had problems with his arthritis, and he would
tell me that it is better to be more stoic and not let pain interrupt your life"
, 2|Page
B. "There are many adaptive devices out there that are great for your
health, and they can help you live a long and healthy life."
Answer: B. "There are many adaptive devices out there that are great for
your health, and they can help you live a long and healthy life."
Rationale:
1. Adaptive devices (e.g., grab bars, reachers, sock aids) promote
independence and reduce fall risk.
2. Encouraging stoicism ignores pain management and safety needs.
3. Home safety education should focus on practical adaptations, not
minimizing pain.
3. A client is in the emergency room in critical condition and
hypotensive. Her spouse is distraught. What is the priority nursing
action?
A. Maintain the client's blood pressure.
B. Call a chaplain
C. Provide the spouse a chair
D. Ask the client's spouse to explain what happened
Answer: A. Maintain the client's blood pressure.
Rationale:
1. In a critical, hypotensive client, physiological stability is the priority.
2. Maslow's hierarchy places physiological needs (blood pressure,
perfusion) above psychosocial needs.
3. After stabilizing the client, the nurse can address the spouse's
emotional needs.
4. What level of Maslow's Hierarchy of needs does shelter belong to?
A. Love and belonging
B. Physiological
Answer: B. Physiological
Rationale:
1. Maslow's most basic level includes survival needs: air, water, food,
shelter, sleep, and clothing.
2. Shelter provides protection from environmental threats and is
essential for physical survival.
3. Love and belonging are higher-level needs addressed after
physiological and safety needs.
, 3|Page
5. A nurse is teaching a client how to follow a low-purine diet as
prescribed by the provider for the management of gout. What
statement by the client indicates a correct understanding of the
teaching?
A. "I should choose red meat instead of poultry."
B. "I should avoid eating liver and other organ foods."
C. "I can drink only white wine."
D. "I will need to limit the number of fruit servings each day."
Answer: B. "I should avoid eating liver and other organ foods."
Rationale:
1. Organ meats (liver, kidney, sweetbreads) are非常高 in purines and
should be avoided in gout.
2. Red meat and poultry are also高 in purines and should be limited.
3. Alcohol, especially beer and spirits, increases uric acid; wine is less
harmful but still should be limited.
4. Fruits are generally low in purines.
6. The nurse is providing medication education for a client with
osteomyelitis. What teaching should the nurse include?
A. The most common adverse effect for nonsteroidal anti-inflammatory
drugs (NSAIDs) are liver failure and tinnitus
B. The main side effect of acetaminophen is gastrointestinal (GI) bleeding
C. You should not take more than 4000 mg of acetaminophen a day
D. Nonsteroidal anti-inflammatory drugs (NSAIDs) are very safe and are
known to have no side effects
Answer: C. You should not take more than 4000 mg of acetaminophen a
day
Rationale:
1. The maximum daily dose of acetaminophen for healthy adults is 4000
mg to prevent hepatotoxicity.
2. NSAIDs commonly cause GI bleeding and renal issues, not liver
failure/tinnitus (which is more associated with aspirin).
3. Acetaminophen does not cause GI bleeding; that is an NSAID side
effect.
, 4|Page
4. NSAIDs have significant side effects and are not "very safe with no
side effects."
7. The nurse is caring for a client with rheumatoid arthritis one day
after shoulder surgery. What would prompt the nurse to call the
provider immediately?
A. The client refused her pain medication this morning and is doing
physical therapy
B. The client reports a minor headache and states she takes an over-the-
counter pain pill at home
C. The client reports intermittent flatus and minor abdominal discomfort
D. The client has paresthesia in her finger and intense increasing pain in
her shoulder
Answer: D. The client has paresthesia in her finger and intense increasing
pain in her shoulder
Rationale:
1. Paresthesia (numbness/tingling) and intense increasing pain distal to
a surgical site are signs of compartment syndrome or nerve damage.
2. These are emergent conditions requiring immediate provider
notification.
3. Refusing medication, minor headache, and mild GI symptoms are not
emergent.
8. A client with systemic lupus erythematosus complains of flank pain.
Which laboratory test does the nurse anticipate will be ordered?
A. Platelets
B. Skin biopsy
C. Eosinophil
D. Hemoglobin
Answer: (Not clearly indicated in original; based on clinical reasoning) –
Urinalysis or renal function tests would be most relevant, but among
options, none directly target flank pain. Flank pain in SLE suggests possible
nephritis.
Rationale:
1. Lupus nephritis is a common complication of SLE.
2. Flank pain may indicate renal involvement.
NUR 2356 Final Exam | 2 Latest Versions
Multidimensional Care 1 (MDC 1) Final
Questions & Verified Answers | Nursing
Fundamentals & NCLEX-RN®
Exam Structure:
Subject: Multidimensional Care (NUR 2356)
Source: NUR 2356 Final Exam 2 (Latest Versions)
Format: Questions and Verified Answers with Rationales
1. A client does not understand why vision loss due to glaucoma is
irreversible. What is the nurse's best explanation?
A. Once retinal detachment occurs, it does not return to its normal state
B. Once the tissue has necrosed from high pressure, it does not regenerate
C. Glaucoma always leads to permanent blindness
D. Once bacterial infection has caused damage, the tissue does not
regenerate
Answer: B. Once the tissue has necrosed from high pressure, it does not
regenerate
Rationale:
1. Glaucoma causes increased intraocular pressure that damages the
optic nerve.
2. Optic nerve tissue, once necrosed (died), cannot regenerate because
nerve tissue is considered permanent tissue.
3. This explains why vision loss from glaucoma is irreversible.
2. The nurse is teaching a client with debilitating rheumatoid arthritis
about home safety. Which statement should the nurse include?
A. "My grandfather always had problems with his arthritis, and he would
tell me that it is better to be more stoic and not let pain interrupt your life"
, 2|Page
B. "There are many adaptive devices out there that are great for your
health, and they can help you live a long and healthy life."
Answer: B. "There are many adaptive devices out there that are great for
your health, and they can help you live a long and healthy life."
Rationale:
1. Adaptive devices (e.g., grab bars, reachers, sock aids) promote
independence and reduce fall risk.
2. Encouraging stoicism ignores pain management and safety needs.
3. Home safety education should focus on practical adaptations, not
minimizing pain.
3. A client is in the emergency room in critical condition and
hypotensive. Her spouse is distraught. What is the priority nursing
action?
A. Maintain the client's blood pressure.
B. Call a chaplain
C. Provide the spouse a chair
D. Ask the client's spouse to explain what happened
Answer: A. Maintain the client's blood pressure.
Rationale:
1. In a critical, hypotensive client, physiological stability is the priority.
2. Maslow's hierarchy places physiological needs (blood pressure,
perfusion) above psychosocial needs.
3. After stabilizing the client, the nurse can address the spouse's
emotional needs.
4. What level of Maslow's Hierarchy of needs does shelter belong to?
A. Love and belonging
B. Physiological
Answer: B. Physiological
Rationale:
1. Maslow's most basic level includes survival needs: air, water, food,
shelter, sleep, and clothing.
2. Shelter provides protection from environmental threats and is
essential for physical survival.
3. Love and belonging are higher-level needs addressed after
physiological and safety needs.
, 3|Page
5. A nurse is teaching a client how to follow a low-purine diet as
prescribed by the provider for the management of gout. What
statement by the client indicates a correct understanding of the
teaching?
A. "I should choose red meat instead of poultry."
B. "I should avoid eating liver and other organ foods."
C. "I can drink only white wine."
D. "I will need to limit the number of fruit servings each day."
Answer: B. "I should avoid eating liver and other organ foods."
Rationale:
1. Organ meats (liver, kidney, sweetbreads) are非常高 in purines and
should be avoided in gout.
2. Red meat and poultry are also高 in purines and should be limited.
3. Alcohol, especially beer and spirits, increases uric acid; wine is less
harmful but still should be limited.
4. Fruits are generally low in purines.
6. The nurse is providing medication education for a client with
osteomyelitis. What teaching should the nurse include?
A. The most common adverse effect for nonsteroidal anti-inflammatory
drugs (NSAIDs) are liver failure and tinnitus
B. The main side effect of acetaminophen is gastrointestinal (GI) bleeding
C. You should not take more than 4000 mg of acetaminophen a day
D. Nonsteroidal anti-inflammatory drugs (NSAIDs) are very safe and are
known to have no side effects
Answer: C. You should not take more than 4000 mg of acetaminophen a
day
Rationale:
1. The maximum daily dose of acetaminophen for healthy adults is 4000
mg to prevent hepatotoxicity.
2. NSAIDs commonly cause GI bleeding and renal issues, not liver
failure/tinnitus (which is more associated with aspirin).
3. Acetaminophen does not cause GI bleeding; that is an NSAID side
effect.
, 4|Page
4. NSAIDs have significant side effects and are not "very safe with no
side effects."
7. The nurse is caring for a client with rheumatoid arthritis one day
after shoulder surgery. What would prompt the nurse to call the
provider immediately?
A. The client refused her pain medication this morning and is doing
physical therapy
B. The client reports a minor headache and states she takes an over-the-
counter pain pill at home
C. The client reports intermittent flatus and minor abdominal discomfort
D. The client has paresthesia in her finger and intense increasing pain in
her shoulder
Answer: D. The client has paresthesia in her finger and intense increasing
pain in her shoulder
Rationale:
1. Paresthesia (numbness/tingling) and intense increasing pain distal to
a surgical site are signs of compartment syndrome or nerve damage.
2. These are emergent conditions requiring immediate provider
notification.
3. Refusing medication, minor headache, and mild GI symptoms are not
emergent.
8. A client with systemic lupus erythematosus complains of flank pain.
Which laboratory test does the nurse anticipate will be ordered?
A. Platelets
B. Skin biopsy
C. Eosinophil
D. Hemoglobin
Answer: (Not clearly indicated in original; based on clinical reasoning) –
Urinalysis or renal function tests would be most relevant, but among
options, none directly target flank pain. Flank pain in SLE suggests possible
nephritis.
Rationale:
1. Lupus nephritis is a common complication of SLE.
2. Flank pain may indicate renal involvement.
