NUR2356: Multidimensional Care I MDC 1 Exam 2 Actual
Exam 2026/2027 – Complete Exam-Style Questions with
Detailed Rationales | 100% Verified | Pass Guaranteed – A+
Graded
SECTION 1: Safety & Infection Control (Q1-Q15)
Q1: A patient with confirmed Clostridioides difficile infection is admitted to the
medical-surgical unit. Which PPE should the nurse don before entering the room?
A. N95 respirator, eye protection, gown, and gloves
B. Gown and gloves only
C. Surgical mask, eye protection, and gloves only
D. Standard precautions with no additional PPE required
Correct Answer: B
Rationale: C. difficile requires contact precautions: gown and gloves. Hand hygiene
must be performed with soap and water (not alcohol-based sanitizer) because C. diff
spores are not killed by alcohol. N95 respirators are for airborne precautions. Surgical
masks and eye protection are for droplet precautions. Standard precautions alone are
insufficient for C. diff. [100% VERIFIED – Rasmussen NUR2356 MDC1]
Q2: A nurse is caring for a patient with active tuberculosis. Which isolation precaution is
required?
A. Droplet precautions with a surgical mask within 3 feet of the patient
B. Airborne precautions with an N95 respirator and negative pressure room
C. Contact precautions with gown and gloves only
D. Protective isolation with positive pressure room
Correct Answer: B
,Rationale: Active tuberculosis requires airborne precautions: N95 respirator (or PAPR),
negative pressure room, and door closed. Droplet precautions are for influenza and
meningitis. Contact precautions are for MRSA and C. diff. Protective isolation (reverse
isolation) is for immunocompromised patients, not TB. [100% VERIFIED – Rasmussen
NUR2356 MDC1]
Q3: A nurse is preparing to insert a Foley catheter. Which action demonstrates proper
sterile technique?
A. Opening the sterile package and placing it on the patient's bed
B. Keeping both hands above waist level and within the sterile field at all times
C. Touching the sterile catheter with a clean gloved hand to guide insertion
D. Setting up the sterile field before performing hand hygiene
Correct Answer: B
Rationale: Proper sterile technique requires maintaining sterility by keeping hands above
waist level and within the sterile field. Sterile packages should be opened onto a clean,
dry surface (not the bed). Sterile items must only be touched with sterile gloves. Hand
hygiene must precede sterile field setup. [100% VERIFIED – Rasmussen NUR2356
MDC1]
Q4: A patient with influenza is placed on droplet precautions. Which statement by the
nurse is correct?
A. "I will wear an N95 respirator when entering the room."
B. "I will wear a surgical mask, eye protection, gown, and gloves when within 3 feet of
the patient."
C. "I only need gloves because influenza is not highly contagious."
D. "The patient must remain in a negative pressure room at all times."
Correct Answer: B
Rationale: Droplet precautions require a surgical mask, eye protection, gown, and gloves
when within 3 feet of the patient. N95 respirators are for airborne precautions. Gloves
alone are insufficient. Negative pressure rooms are for airborne precautions (TB,
measles, varicella), not droplet. [100% VERIFIED – Rasmussen NUR2356 MDC1]
,Q5: A nurse is performing hand hygiene after caring for a patient with C. difficile. Which
method is appropriate?
A. Apply alcohol-based hand rub (ABHR) and rub until dry
B. Wash hands with soap and water for at least 20 seconds
C. Use an antibacterial wipe on the hands
D. Apply hand lotion after ABHR to maintain skin integrity
Correct Answer: B
Rationale: Soap and water must be used for hand hygiene after caring for patients with
C. difficile because alcohol-based hand rub does not kill C. diff spores. ABHR is
appropriate for most other pathogens. Antibacterial wipes are not an acceptable
substitute for hand washing. Lotion should be applied after hand washing, not after
ABHR. [100% VERIFIED – Rasmussen NUR2356 MDC1]
Q6: A patient with neutropenia (ANC <500) is admitted. Which precaution should the
nurse implement?
A. Contact precautions with gown and gloves for all visitors
B. Protective isolation (reverse isolation) to protect the patient from environmental
pathogens
C. Droplet precautions with masks for all staff entering the room
D. Airborne precautions with N95 respirators for all contact
Correct Answer: B
Rationale: Protective isolation (reverse isolation) is implemented for severely
immunocompromised patients (neutropenia, transplant recipients) to protect them from
environmental pathogens. Contact precautions protect others from the patient. Droplet
and airborne precautions are for specific infectious diseases, not immunocompromised
status. [100% VERIFIED – Rasmussen NUR2356 MDC1]
Q7: A nurse discovers a small fire in a patient's room. Using the RACE acronym, which
action should the nurse perform first?
A. Activate the fire alarm and call for help
B. Rescue the patient and remove them from immediate danger
, C. Confain the fire by closing doors and windows
D. Extinguish the fire using the nearest fire extinguisher
Correct Answer: B
Rationale: RACE stands for Rescue, Alarm, Contain, Extinguish. The first priority is
rescuing patients and removing them from immediate danger. Activating the alarm,
containing the fire, and extinguishing come after ensuring patient safety. [100%
VERIFIED – Rasmussen NUR2356 MDC1]
Q8: A nurse is using a fire extinguisher. Using the PASS acronym, which sequence is
correct?
A. Pull the pin, Aim at the base of the fire, Squeeze the handle, Sweep from side to side
B. Point the extinguisher, Aim at the flames, Spray continuously, Stand back
C. Press the trigger, Aim at the top of the fire, Spray in a circular motion, Stop when
empty
D. Pull the safety tab, Aim at the ceiling, Squeeze slowly, Sweep downward
Correct Answer: A
Rationale: PASS stands for Pull the pin, Aim at the base of the fire, Squeeze the handle,
and Sweep from side to side. Aiming at the base (not flames or ceiling) is essential for
extinguishing the fuel source. [100% VERIFIED – Rasmussen NUR2356 MDC1]
Q9: A patient with dementia is at high risk for falls. Which intervention should the nurse
prioritize?
A. Apply wrist restraints to prevent the patient from getting out of bed
B. Implement non-restraint alternatives: bed alarm, low bed position, frequent rounding,
and call light within reach
C. Place the patient in a room far from the nurses' station to minimize stimulation
D. Raise all four side rails to keep the patient confined to bed
Correct Answer: B
Rationale: Non-restraint alternatives (bed alarms, low bed, frequent rounding, call light
access, non-slip socks, clutter-free environment) are the first-line interventions for fall
prevention. Restraints are a last resort and require a provider order, frequent
Exam 2026/2027 – Complete Exam-Style Questions with
Detailed Rationales | 100% Verified | Pass Guaranteed – A+
Graded
SECTION 1: Safety & Infection Control (Q1-Q15)
Q1: A patient with confirmed Clostridioides difficile infection is admitted to the
medical-surgical unit. Which PPE should the nurse don before entering the room?
A. N95 respirator, eye protection, gown, and gloves
B. Gown and gloves only
C. Surgical mask, eye protection, and gloves only
D. Standard precautions with no additional PPE required
Correct Answer: B
Rationale: C. difficile requires contact precautions: gown and gloves. Hand hygiene
must be performed with soap and water (not alcohol-based sanitizer) because C. diff
spores are not killed by alcohol. N95 respirators are for airborne precautions. Surgical
masks and eye protection are for droplet precautions. Standard precautions alone are
insufficient for C. diff. [100% VERIFIED – Rasmussen NUR2356 MDC1]
Q2: A nurse is caring for a patient with active tuberculosis. Which isolation precaution is
required?
A. Droplet precautions with a surgical mask within 3 feet of the patient
B. Airborne precautions with an N95 respirator and negative pressure room
C. Contact precautions with gown and gloves only
D. Protective isolation with positive pressure room
Correct Answer: B
,Rationale: Active tuberculosis requires airborne precautions: N95 respirator (or PAPR),
negative pressure room, and door closed. Droplet precautions are for influenza and
meningitis. Contact precautions are for MRSA and C. diff. Protective isolation (reverse
isolation) is for immunocompromised patients, not TB. [100% VERIFIED – Rasmussen
NUR2356 MDC1]
Q3: A nurse is preparing to insert a Foley catheter. Which action demonstrates proper
sterile technique?
A. Opening the sterile package and placing it on the patient's bed
B. Keeping both hands above waist level and within the sterile field at all times
C. Touching the sterile catheter with a clean gloved hand to guide insertion
D. Setting up the sterile field before performing hand hygiene
Correct Answer: B
Rationale: Proper sterile technique requires maintaining sterility by keeping hands above
waist level and within the sterile field. Sterile packages should be opened onto a clean,
dry surface (not the bed). Sterile items must only be touched with sterile gloves. Hand
hygiene must precede sterile field setup. [100% VERIFIED – Rasmussen NUR2356
MDC1]
Q4: A patient with influenza is placed on droplet precautions. Which statement by the
nurse is correct?
A. "I will wear an N95 respirator when entering the room."
B. "I will wear a surgical mask, eye protection, gown, and gloves when within 3 feet of
the patient."
C. "I only need gloves because influenza is not highly contagious."
D. "The patient must remain in a negative pressure room at all times."
Correct Answer: B
Rationale: Droplet precautions require a surgical mask, eye protection, gown, and gloves
when within 3 feet of the patient. N95 respirators are for airborne precautions. Gloves
alone are insufficient. Negative pressure rooms are for airborne precautions (TB,
measles, varicella), not droplet. [100% VERIFIED – Rasmussen NUR2356 MDC1]
,Q5: A nurse is performing hand hygiene after caring for a patient with C. difficile. Which
method is appropriate?
A. Apply alcohol-based hand rub (ABHR) and rub until dry
B. Wash hands with soap and water for at least 20 seconds
C. Use an antibacterial wipe on the hands
D. Apply hand lotion after ABHR to maintain skin integrity
Correct Answer: B
Rationale: Soap and water must be used for hand hygiene after caring for patients with
C. difficile because alcohol-based hand rub does not kill C. diff spores. ABHR is
appropriate for most other pathogens. Antibacterial wipes are not an acceptable
substitute for hand washing. Lotion should be applied after hand washing, not after
ABHR. [100% VERIFIED – Rasmussen NUR2356 MDC1]
Q6: A patient with neutropenia (ANC <500) is admitted. Which precaution should the
nurse implement?
A. Contact precautions with gown and gloves for all visitors
B. Protective isolation (reverse isolation) to protect the patient from environmental
pathogens
C. Droplet precautions with masks for all staff entering the room
D. Airborne precautions with N95 respirators for all contact
Correct Answer: B
Rationale: Protective isolation (reverse isolation) is implemented for severely
immunocompromised patients (neutropenia, transplant recipients) to protect them from
environmental pathogens. Contact precautions protect others from the patient. Droplet
and airborne precautions are for specific infectious diseases, not immunocompromised
status. [100% VERIFIED – Rasmussen NUR2356 MDC1]
Q7: A nurse discovers a small fire in a patient's room. Using the RACE acronym, which
action should the nurse perform first?
A. Activate the fire alarm and call for help
B. Rescue the patient and remove them from immediate danger
, C. Confain the fire by closing doors and windows
D. Extinguish the fire using the nearest fire extinguisher
Correct Answer: B
Rationale: RACE stands for Rescue, Alarm, Contain, Extinguish. The first priority is
rescuing patients and removing them from immediate danger. Activating the alarm,
containing the fire, and extinguishing come after ensuring patient safety. [100%
VERIFIED – Rasmussen NUR2356 MDC1]
Q8: A nurse is using a fire extinguisher. Using the PASS acronym, which sequence is
correct?
A. Pull the pin, Aim at the base of the fire, Squeeze the handle, Sweep from side to side
B. Point the extinguisher, Aim at the flames, Spray continuously, Stand back
C. Press the trigger, Aim at the top of the fire, Spray in a circular motion, Stop when
empty
D. Pull the safety tab, Aim at the ceiling, Squeeze slowly, Sweep downward
Correct Answer: A
Rationale: PASS stands for Pull the pin, Aim at the base of the fire, Squeeze the handle,
and Sweep from side to side. Aiming at the base (not flames or ceiling) is essential for
extinguishing the fuel source. [100% VERIFIED – Rasmussen NUR2356 MDC1]
Q9: A patient with dementia is at high risk for falls. Which intervention should the nurse
prioritize?
A. Apply wrist restraints to prevent the patient from getting out of bed
B. Implement non-restraint alternatives: bed alarm, low bed position, frequent rounding,
and call light within reach
C. Place the patient in a room far from the nurses' station to minimize stimulation
D. Raise all four side rails to keep the patient confined to bed
Correct Answer: B
Rationale: Non-restraint alternatives (bed alarms, low bed, frequent rounding, call light
access, non-slip socks, clutter-free environment) are the first-line interventions for fall
prevention. Restraints are a last resort and require a provider order, frequent
