NUR 2356 / NUR2356: Multidimensional Care I /
MDC 1 Exam 1 – Rasmussen Actual Exam
Complete Questions & Rationales | 100% Verified |
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Foundations of Multidimensional Care
Q1: During a patient admission interview, the nurse asks open-ended questions to
encourage the patient to describe their symptoms in their own words. Which phase of
the nursing process is the nurse primarily demonstrating?
A. Diagnosis
B. Planning
C. Assessment
D. Evaluation
Correct Answer: C
Rationale: The best answer is Assessment because collecting data through history
taking and physical examination is the very first step of the nursing process before any
diagnosis or planning can occur.
Q2: A nurse is caring for a patient who speaks a different language. The patient's
daughter is available to translate. What is the most appropriate action for the nurse to
take to ensure accurate communication?
A. Use the daughter to translate to save time.
B. Ask a housekeeping staff member who speaks the language to interpret.
C. Request a professional medical interpreter from the facility.
D. Use hand gestures and written notes only.
Correct Answer: C
Rationale: Remember from MDC 1 that professional interpreters are the standard to
avoid errors; family members might filter information for cultural reasons or lack the
medical vocabulary to translate accurately.
Q3: The nurse is documenting the care provided to a patient. Which entry best reflects
the principle of objective documentation?
A. "Patient seems in a lot of pain and looks uncomfortable."
B. "Patient stated pain level is an 8 out of 10."
C. "Patient is probably anxious about the surgery tomorrow."
D. "Incision appears to be healing nicely."
,Correct Answer: B
Rationale: This choice is correct because it quotes the patient directly and uses a
numeric scale; subjective terms like "seems," "probably," or "nicely" are vague and open
to interpretation.
Q4: When teaching a patient about a new medication, the nurse uses the "teach-back"
method. Which statement by the nurse best utilizes this method?
A. "Do you understand what I just explained to you?"
B. "Please repeat back to me the main side effects you need to watch for."
C. "I’m going to give you this pamphlet to read at home."
D. "Make sure you take this pill every morning with food."
Correct Answer: B
Rationale: The teach-back method requires the patient to demonstrate understanding in
their own words; simply asking "do you understand" usually results in a "yes" even if the
patient is confused.
Q5: A patient is refusing to take their scheduled blood pressure medication because
they "feel fine." What is the nurse's best initial response using therapeutic
communication?
A. "You have to take it; the doctor ordered it."
B. "Why are you being so difficult about your health?"
C. "Tell me more about your concerns regarding taking this medication."
D. "If you don't take it, you could have a stroke."
Correct Answer: C
Rationale: This aligns with the nursing process step we covered in week 2; exploring the
patient's feelings and concerns helps build rapport and addresses the root cause of the
refusal before moving to education.
Q6: Scenario: The nurse enters the room and finds the patient短促 of breath (dyspneic)
with an oxygen saturation of 88% on room air. The nurse administers oxygen and
elevates the head of the bed. After 10 minutes, the saturation is 94% and the patient
reports breathing easier. The nurse documents this as the "Implementation" phase.
Which statement accurately describes the "Evaluation" phase in this context?
A. Determining that the patient has a lung disorder.
B. Deciding to give oxygen based on the low saturation.
C. Comparing the patient's current status (94% saturation) to the expected outcome to
see if the intervention worked.
D. Assessing the lung sounds initially.
Correct Answer: C
, Rationale: The best answer is C because Evaluation is specifically about judging
whether the nursing interventions successfully resolved the patient's problem or met the
established goal.
Q7: Maslow's Hierarchy of Needs is often used to prioritize patient care. According to
this framework, which need must be addressed first?
A. Self-esteem
B. Safety
C. Physiological needs
D. Love and belonging
Correct Answer: C
Rationale: Think about the base of the pyramid; physiological needs like air, water, and
food are the foundation of survival and must be met before higher-level needs like
safety or self-esteem can be addressed.
Q8: A nurse is performing a cultural assessment. Which question is most appropriate to
ask to determine the patient's health practices?
A. "Why does your culture do things that way?"
B. "How do you usually treat illness at home before seeking medical care?"
C. "Do you know that our medicine is better than your herbs?"
D. "Are you going to be difficult to care for?"
Correct Answer: B
Rationale: This choice is correct because it is non-judgmental and explores the patient's
personal health beliefs and home remedies, which is essential for providing culturally
competent care.
Q9: Critical thinking in nursing involves avoiding assumptions. Which example
demonstrates a nurse using critical thinking?
A. Assuming the patient is in pain because they are grimacing.
B. Checking the patient's blood pressure because it was high two hours ago, without
being asked.
C. Asking the patient to rate their pain because they are resting quietly with their eyes
closed.
D. Giving a sleeping pill because it is 9:00 PM.
Correct Answer: C
Rationale: The best answer is C because the nurse is validating an assumption (that the
patient might be in pain or sleeping) rather than just guessing; sometimes patients close
their eyes due to anxiety, not sleep.
Q10: The nurse is preparing to insert a Foley catheter. Which action demonstrates
proper surgical asepsis?
MDC 1 Exam 1 – Rasmussen Actual Exam
Complete Questions & Rationales | 100% Verified |
Pass Guaranteed - A+ Graded
Foundations of Multidimensional Care
Q1: During a patient admission interview, the nurse asks open-ended questions to
encourage the patient to describe their symptoms in their own words. Which phase of
the nursing process is the nurse primarily demonstrating?
A. Diagnosis
B. Planning
C. Assessment
D. Evaluation
Correct Answer: C
Rationale: The best answer is Assessment because collecting data through history
taking and physical examination is the very first step of the nursing process before any
diagnosis or planning can occur.
Q2: A nurse is caring for a patient who speaks a different language. The patient's
daughter is available to translate. What is the most appropriate action for the nurse to
take to ensure accurate communication?
A. Use the daughter to translate to save time.
B. Ask a housekeeping staff member who speaks the language to interpret.
C. Request a professional medical interpreter from the facility.
D. Use hand gestures and written notes only.
Correct Answer: C
Rationale: Remember from MDC 1 that professional interpreters are the standard to
avoid errors; family members might filter information for cultural reasons or lack the
medical vocabulary to translate accurately.
Q3: The nurse is documenting the care provided to a patient. Which entry best reflects
the principle of objective documentation?
A. "Patient seems in a lot of pain and looks uncomfortable."
B. "Patient stated pain level is an 8 out of 10."
C. "Patient is probably anxious about the surgery tomorrow."
D. "Incision appears to be healing nicely."
,Correct Answer: B
Rationale: This choice is correct because it quotes the patient directly and uses a
numeric scale; subjective terms like "seems," "probably," or "nicely" are vague and open
to interpretation.
Q4: When teaching a patient about a new medication, the nurse uses the "teach-back"
method. Which statement by the nurse best utilizes this method?
A. "Do you understand what I just explained to you?"
B. "Please repeat back to me the main side effects you need to watch for."
C. "I’m going to give you this pamphlet to read at home."
D. "Make sure you take this pill every morning with food."
Correct Answer: B
Rationale: The teach-back method requires the patient to demonstrate understanding in
their own words; simply asking "do you understand" usually results in a "yes" even if the
patient is confused.
Q5: A patient is refusing to take their scheduled blood pressure medication because
they "feel fine." What is the nurse's best initial response using therapeutic
communication?
A. "You have to take it; the doctor ordered it."
B. "Why are you being so difficult about your health?"
C. "Tell me more about your concerns regarding taking this medication."
D. "If you don't take it, you could have a stroke."
Correct Answer: C
Rationale: This aligns with the nursing process step we covered in week 2; exploring the
patient's feelings and concerns helps build rapport and addresses the root cause of the
refusal before moving to education.
Q6: Scenario: The nurse enters the room and finds the patient短促 of breath (dyspneic)
with an oxygen saturation of 88% on room air. The nurse administers oxygen and
elevates the head of the bed. After 10 minutes, the saturation is 94% and the patient
reports breathing easier. The nurse documents this as the "Implementation" phase.
Which statement accurately describes the "Evaluation" phase in this context?
A. Determining that the patient has a lung disorder.
B. Deciding to give oxygen based on the low saturation.
C. Comparing the patient's current status (94% saturation) to the expected outcome to
see if the intervention worked.
D. Assessing the lung sounds initially.
Correct Answer: C
, Rationale: The best answer is C because Evaluation is specifically about judging
whether the nursing interventions successfully resolved the patient's problem or met the
established goal.
Q7: Maslow's Hierarchy of Needs is often used to prioritize patient care. According to
this framework, which need must be addressed first?
A. Self-esteem
B. Safety
C. Physiological needs
D. Love and belonging
Correct Answer: C
Rationale: Think about the base of the pyramid; physiological needs like air, water, and
food are the foundation of survival and must be met before higher-level needs like
safety or self-esteem can be addressed.
Q8: A nurse is performing a cultural assessment. Which question is most appropriate to
ask to determine the patient's health practices?
A. "Why does your culture do things that way?"
B. "How do you usually treat illness at home before seeking medical care?"
C. "Do you know that our medicine is better than your herbs?"
D. "Are you going to be difficult to care for?"
Correct Answer: B
Rationale: This choice is correct because it is non-judgmental and explores the patient's
personal health beliefs and home remedies, which is essential for providing culturally
competent care.
Q9: Critical thinking in nursing involves avoiding assumptions. Which example
demonstrates a nurse using critical thinking?
A. Assuming the patient is in pain because they are grimacing.
B. Checking the patient's blood pressure because it was high two hours ago, without
being asked.
C. Asking the patient to rate their pain because they are resting quietly with their eyes
closed.
D. Giving a sleeping pill because it is 9:00 PM.
Correct Answer: C
Rationale: The best answer is C because the nurse is validating an assumption (that the
patient might be in pain or sleeping) rather than just guessing; sometimes patients close
their eyes due to anxiety, not sleep.
Q10: The nurse is preparing to insert a Foley catheter. Which action demonstrates
proper surgical asepsis?
