NUR 2356 / NUR2356 Multidimensional
Care I MDC 1 Final Exam Actual Exam
2026/2027 – Complete Exam-Style
Questions | Detailed Rationales – Pass
Guaranteed – A+ Graded
Question 1
A nurse is caring for a client with Clostridium difficile infection. Which
infection control precaution should the nurse implement?
A. Standard precautions only
B. Droplet precautions
C. Contact precautions
D. Airborne precautions
Correct ,,,answer,,,: C. Contact precautions
Rationale: C. difficile is transmitted via spores in feces, requiring
contact precautions. This includes using gloves and a gown and washing
hands with soap and water (alcohol-based hand sanitizers are ineffective
against C. diff spores).
Question 2
A client is on airborne precautions for active pulmonary tuberculosis.
Which type of mask must the nurse wear when entering the room?
A. Surgical mask
,B. N95 respirator
C. Procedure mask
D. Cloth mask
Correct ,,,answer,,,: B. N95 respirator
Rationale: Airborne precautions require an N95 (or higher) respirator,
which filters airborne particles (1–5 microns). Surgical and procedure
masks protect only against droplets.
Question 3
A client asks the nurse what nonpharmacological intervention can be
used to reduce pain and swelling in her joints affected by rheumatoid
arthritis. What is the most appropriate response by the nurse?
A. “An ice pack can be used to reduce swelling but should be removed
after 20 minutes.”
B. “A heating pad should be applied for at least one hour to reduce
stiffness.”
C. “You should alternate heat and ice every 10 minutes throughout the
day.”
D. “Ice packs are not recommended for rheumatoid arthritis pain.”
Correct ,,,answer,,,: A. “An ice pack can be used to reduce swelling
but should be removed after 20 minutes.”
Rationale: Ice application causes vasoconstriction, reducing swelling
and inflammation. Ice should be applied for 15–20 minutes at a time to
prevent tissue damage.
,Question 4
A nurse is caring for a client who has acute osteomyelitis. Which
intervention is the nurse’s priority?
A. Obtain a wound culture
B. Administer antibiotics to the client
C. Apply warm compresses to the affected area
D. Elevate the affected extremity
Correct ,,,answer,,,: B. Administer antibiotics to the client
Rationale: Osteomyelitis is a bone infection requiring prompt antibiotic
therapy to prevent bone necrosis and systemic spread. The priority
intervention is antibiotic administration.
Question 5
A homeless client arrives in the emergency room. The client verbalizes
an inability to bathe for at least one month. What is the nurse’s priority?
A. Inspect the client’s skin
B. Provide a basin with warm water and soap
C. Refer the client to social services
D. Ask the client about last full bath
Correct ,,,answer,,,: A. Inspect the client’s skin
Rationale: Prolonged inability to bathe increases risk for skin
breakdown, pressure injuries, and infections. The priority is to assess
skin integrity to identify existing problems.
, Question 6
An area of erythema on a child’s skin is being assessed by the nurse. The
nurse presses down on the area, and the area becomes white. What term
does the nurse document for this finding?
A. Blanching
B. Ecchymosis
C. Petechiae
D. Urticaria
Correct ,,,answer,,,: A. Blanching
Rationale: Blanching describes the transient whitening of skin when
pressure is applied, indicating the area is not ischemic (blood flow is
present). Non-blanching erythema is more concerning for pressure
injury.
Question 7
What are the early signs and symptoms of rheumatoid arthritis? (Select
all that apply—provided as A, B, C options in this consolidated format)
A. Inflammation in the joints
B. Fever
C. Bilateral symmetric symptoms
D. Weight gain
Correct ,,,answer,,,: A, B, C (Inflammation in the joints, Fever,
Bilateral symmetric symptoms)
Rationale: Early RA signs include joint inflammation, low-grade fever,
fatigue, weakness, and bilateral symmetric joint involvement. Weight
gain is not an early sign.
Care I MDC 1 Final Exam Actual Exam
2026/2027 – Complete Exam-Style
Questions | Detailed Rationales – Pass
Guaranteed – A+ Graded
Question 1
A nurse is caring for a client with Clostridium difficile infection. Which
infection control precaution should the nurse implement?
A. Standard precautions only
B. Droplet precautions
C. Contact precautions
D. Airborne precautions
Correct ,,,answer,,,: C. Contact precautions
Rationale: C. difficile is transmitted via spores in feces, requiring
contact precautions. This includes using gloves and a gown and washing
hands with soap and water (alcohol-based hand sanitizers are ineffective
against C. diff spores).
Question 2
A client is on airborne precautions for active pulmonary tuberculosis.
Which type of mask must the nurse wear when entering the room?
A. Surgical mask
,B. N95 respirator
C. Procedure mask
D. Cloth mask
Correct ,,,answer,,,: B. N95 respirator
Rationale: Airborne precautions require an N95 (or higher) respirator,
which filters airborne particles (1–5 microns). Surgical and procedure
masks protect only against droplets.
Question 3
A client asks the nurse what nonpharmacological intervention can be
used to reduce pain and swelling in her joints affected by rheumatoid
arthritis. What is the most appropriate response by the nurse?
A. “An ice pack can be used to reduce swelling but should be removed
after 20 minutes.”
B. “A heating pad should be applied for at least one hour to reduce
stiffness.”
C. “You should alternate heat and ice every 10 minutes throughout the
day.”
D. “Ice packs are not recommended for rheumatoid arthritis pain.”
Correct ,,,answer,,,: A. “An ice pack can be used to reduce swelling
but should be removed after 20 minutes.”
Rationale: Ice application causes vasoconstriction, reducing swelling
and inflammation. Ice should be applied for 15–20 minutes at a time to
prevent tissue damage.
,Question 4
A nurse is caring for a client who has acute osteomyelitis. Which
intervention is the nurse’s priority?
A. Obtain a wound culture
B. Administer antibiotics to the client
C. Apply warm compresses to the affected area
D. Elevate the affected extremity
Correct ,,,answer,,,: B. Administer antibiotics to the client
Rationale: Osteomyelitis is a bone infection requiring prompt antibiotic
therapy to prevent bone necrosis and systemic spread. The priority
intervention is antibiotic administration.
Question 5
A homeless client arrives in the emergency room. The client verbalizes
an inability to bathe for at least one month. What is the nurse’s priority?
A. Inspect the client’s skin
B. Provide a basin with warm water and soap
C. Refer the client to social services
D. Ask the client about last full bath
Correct ,,,answer,,,: A. Inspect the client’s skin
Rationale: Prolonged inability to bathe increases risk for skin
breakdown, pressure injuries, and infections. The priority is to assess
skin integrity to identify existing problems.
, Question 6
An area of erythema on a child’s skin is being assessed by the nurse. The
nurse presses down on the area, and the area becomes white. What term
does the nurse document for this finding?
A. Blanching
B. Ecchymosis
C. Petechiae
D. Urticaria
Correct ,,,answer,,,: A. Blanching
Rationale: Blanching describes the transient whitening of skin when
pressure is applied, indicating the area is not ischemic (blood flow is
present). Non-blanching erythema is more concerning for pressure
injury.
Question 7
What are the early signs and symptoms of rheumatoid arthritis? (Select
all that apply—provided as A, B, C options in this consolidated format)
A. Inflammation in the joints
B. Fever
C. Bilateral symmetric symptoms
D. Weight gain
Correct ,,,answer,,,: A, B, C (Inflammation in the joints, Fever,
Bilateral symmetric symptoms)
Rationale: Early RA signs include joint inflammation, low-grade fever,
fatigue, weakness, and bilateral symmetric joint involvement. Weight
gain is not an early sign.
