NUR 2356 / NUR2356 Multidimensional Care
i,- i,- i,- i,- i,- i,-
I Final Exam Study Guide with Complete
i,- i,- i,- i,- i,- i,- i,-
Solutions | Latest 2025/2026 Update. i,- i,- i,- i,-
The nurse is preparing communication for a provider. The client is
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
experiencing acute pain greater than the severity of the fracture. i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
Distal to the injury, he is experiencing a "pins and needles"
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
sensation. The pulse is weak and thready but is bounding on all
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
unaffected extremities. What emergent condition does the nurse i,- i,- i,- i,- i,- i,- i,- i,-
suspect? Compartment syndrome i,-i,- i,- i,-
A client is bedridden and appears to be frail and malnourished.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
Which nursing interventions will decrease the risk of pressure
i,- i,- i,- i,- i,- i,- i,- i,- i,-
injury? (Select all that apply.) Cleansing the skin routinely
i,- i,- i,- i,- i,-i,- i,- i,- i,- i,- i,-
after soiling occurs.
i,- i,-
i,- Applying moisturizer to dry areas of skin. i,- i,- i,- i,- i,- i,-
i,- Using a Hoyer lift for all transfers.
i,- i,- i,- i,- i,- i,-
What is a sign of inadequate perfusion?
i,- i,- i,- i,- i,- i,- i,-i,- i,- Pallor in toes i,- i,-
The nurse will be using the Braden Scale with each admit to the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
long-term care center. Which of these will be utilized in a Braden
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
Scale Assessment? (Select all that apply.)
i,- Sensory perception i,- i,- i,- i,- i,-i,- i,- i,-
,Friction and shear i,- i,-
Nutrition
Mental State i,-
The nurse is caring for a client who develops compartment
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
syndrome from a severely fractured arm. The client asks the nurse
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
how this can happen. What is the best response by the nurse?
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-i,-
"The fascia expands with injury, causing pressure on
i,- i,- i,- i,- i,- i,- i,- i,- i,-
underlying nerves and muscles." i,- i,- i,-
A post-operative client with a sutured abdominal incision felt a
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
sharp abdominal pain after having bowel movement. Upon
i,- i,- i,- i,- i,- i,- i,- i,-
inspection, the nurse notices bowel protruding from the incision
i,- i,- i,- i,- i,- i,- i,- i,- i,-
site. What does the nurse the physician about the event?
i,- i,- The i,- i,- i,- i,- i,- i,- i,- i,-i,- i,- i,-
client's incisional site has eviscerated.
i,- i,- i,- i,-
The nurse is caring for a client who is develops compartment
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
syndrome from a severely fractured arm. The client asks the client
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
asks the nurse how this can happen. What is the best response by
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
the nurse? i,-"The fascia expands with injury, causing pressure
i,-i,- i,- i,- i,- i,- i,- i,- i,- i,-
on underlying nerves and muscles."
i,- i,- i,- i,-
,What is the best goal for pain control in a client with Rheumatoid
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
arthritis? The client will have pain less than 3/10 for most of
i,-i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
the day.i,-
A client is in skeletal traction. With the nurse's assessment, it is
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
noticed that the pins appear red, swollen, and there is purulent
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
drainage. What action does the nurse take first?
i,- Collect a i,- i,- i,- i,- i,- i,- i,-i,- i,- i,- i,-
culture of the purulent fluid.i,- i,- i,- i,-
What nursing intervention is best to improve communication with
i,- i,- i,- i,- i,- i,- i,- i,- i,-
a hearing impaired client?
i,- Speak slowly and clearly while
i,- i,- i,-i,- i,- i,- i,- i,- i,- i,-
facing the patient. i,- i,-
A client just received a diagnosis of cancer. Which statement by
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
the nurse demonstrates empathy?
i,- This must be hard news to
i,- i,- i,-i,- i,- i,- i,- i,- i,- i,- i,-
hear. Tell me about it.
i,- i,- i,- i,-
The nurse notices a new area of skin breakdown near the site of a
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
dressing. This would be an example of which phase of the nursing
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
process? Assessment i,-i,- i,-
A client is in the emergency room in critical condition and
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
hypotensive. Her spouse is distraught. What is the priority nursing
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
action? Maintain the clients blood pressure
i,-i,- i,- i,- i,- i,- i,-
, During a skin inspection at the outpatient clinic the nurse notices
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
patches of thick, red skin with silvery scales on the clients elbows
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
and knees. What skin abnormality does the nurse suspect?
i,- i,- i,- i,- i,- i,- i,- i,- i,-i,- i,-
Psoriasis
A client with lupus may experience Raynaud's phenomenon.
i,- i,- i,- i,- i,- i,- i,- i,-
What should the nurse include when providing client education
i,- i,- i,- i,- i,- i,- i,- i,- i,-
about this? "In order to avoid flare ups of Raynaud's ensure
i,- i,-i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
you wear gloves in the winter"
i,- i,- i,- i,- i,-
A nurse is caring for an intubated and sedated geriatric client.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
What intervention is most appropriate for reducing the risk for a
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
friction shear injury? Use a mechanical lift to reposition the
i,- i,- i,-i,- i,- i,- i,- i,- i,- i,- i,- i,-
client every 2 hours i,- i,- i,-
The 65 year-old male client who is complaining of blurred vision
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
reports he thinks his glasses need to be cleaned all the time, and
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
he denies any type of eye pain. Which eye disorder should the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
nurse suspect the client has?
i,- Cataracts i,- i,- i,- i,-i,- i,-
The client with Rheumatoid arthritis complains of intently dry
i,- i,- i,- i,- i,- i,- i,- i,- i,-
eyes. What does the nurse suspect.
i,- Sjogrens's syndrome i,- i,- i,- i,- i,-i,- i,- i,-
i,- i,- i,- i,- i,- i,-
I Final Exam Study Guide with Complete
i,- i,- i,- i,- i,- i,- i,-
Solutions | Latest 2025/2026 Update. i,- i,- i,- i,-
The nurse is preparing communication for a provider. The client is
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
experiencing acute pain greater than the severity of the fracture. i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
Distal to the injury, he is experiencing a "pins and needles"
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
sensation. The pulse is weak and thready but is bounding on all
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
unaffected extremities. What emergent condition does the nurse i,- i,- i,- i,- i,- i,- i,- i,-
suspect? Compartment syndrome i,-i,- i,- i,-
A client is bedridden and appears to be frail and malnourished.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
Which nursing interventions will decrease the risk of pressure
i,- i,- i,- i,- i,- i,- i,- i,- i,-
injury? (Select all that apply.) Cleansing the skin routinely
i,- i,- i,- i,- i,-i,- i,- i,- i,- i,- i,-
after soiling occurs.
i,- i,-
i,- Applying moisturizer to dry areas of skin. i,- i,- i,- i,- i,- i,-
i,- Using a Hoyer lift for all transfers.
i,- i,- i,- i,- i,- i,-
What is a sign of inadequate perfusion?
i,- i,- i,- i,- i,- i,- i,-i,- i,- Pallor in toes i,- i,-
The nurse will be using the Braden Scale with each admit to the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
long-term care center. Which of these will be utilized in a Braden
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
Scale Assessment? (Select all that apply.)
i,- Sensory perception i,- i,- i,- i,- i,-i,- i,- i,-
,Friction and shear i,- i,-
Nutrition
Mental State i,-
The nurse is caring for a client who develops compartment
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
syndrome from a severely fractured arm. The client asks the nurse
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
how this can happen. What is the best response by the nurse?
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-i,-
"The fascia expands with injury, causing pressure on
i,- i,- i,- i,- i,- i,- i,- i,- i,-
underlying nerves and muscles." i,- i,- i,-
A post-operative client with a sutured abdominal incision felt a
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
sharp abdominal pain after having bowel movement. Upon
i,- i,- i,- i,- i,- i,- i,- i,-
inspection, the nurse notices bowel protruding from the incision
i,- i,- i,- i,- i,- i,- i,- i,- i,-
site. What does the nurse the physician about the event?
i,- i,- The i,- i,- i,- i,- i,- i,- i,- i,-i,- i,- i,-
client's incisional site has eviscerated.
i,- i,- i,- i,-
The nurse is caring for a client who is develops compartment
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
syndrome from a severely fractured arm. The client asks the client
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
asks the nurse how this can happen. What is the best response by
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
the nurse? i,-"The fascia expands with injury, causing pressure
i,-i,- i,- i,- i,- i,- i,- i,- i,- i,-
on underlying nerves and muscles."
i,- i,- i,- i,-
,What is the best goal for pain control in a client with Rheumatoid
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
arthritis? The client will have pain less than 3/10 for most of
i,-i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
the day.i,-
A client is in skeletal traction. With the nurse's assessment, it is
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
noticed that the pins appear red, swollen, and there is purulent
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
drainage. What action does the nurse take first?
i,- Collect a i,- i,- i,- i,- i,- i,- i,-i,- i,- i,- i,-
culture of the purulent fluid.i,- i,- i,- i,-
What nursing intervention is best to improve communication with
i,- i,- i,- i,- i,- i,- i,- i,- i,-
a hearing impaired client?
i,- Speak slowly and clearly while
i,- i,- i,-i,- i,- i,- i,- i,- i,- i,-
facing the patient. i,- i,-
A client just received a diagnosis of cancer. Which statement by
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
the nurse demonstrates empathy?
i,- This must be hard news to
i,- i,- i,-i,- i,- i,- i,- i,- i,- i,- i,-
hear. Tell me about it.
i,- i,- i,- i,-
The nurse notices a new area of skin breakdown near the site of a
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
dressing. This would be an example of which phase of the nursing
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
process? Assessment i,-i,- i,-
A client is in the emergency room in critical condition and
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
hypotensive. Her spouse is distraught. What is the priority nursing
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
action? Maintain the clients blood pressure
i,-i,- i,- i,- i,- i,- i,-
, During a skin inspection at the outpatient clinic the nurse notices
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
patches of thick, red skin with silvery scales on the clients elbows
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
and knees. What skin abnormality does the nurse suspect?
i,- i,- i,- i,- i,- i,- i,- i,- i,-i,- i,-
Psoriasis
A client with lupus may experience Raynaud's phenomenon.
i,- i,- i,- i,- i,- i,- i,- i,-
What should the nurse include when providing client education
i,- i,- i,- i,- i,- i,- i,- i,- i,-
about this? "In order to avoid flare ups of Raynaud's ensure
i,- i,-i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
you wear gloves in the winter"
i,- i,- i,- i,- i,-
A nurse is caring for an intubated and sedated geriatric client.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
What intervention is most appropriate for reducing the risk for a
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
friction shear injury? Use a mechanical lift to reposition the
i,- i,- i,-i,- i,- i,- i,- i,- i,- i,- i,- i,-
client every 2 hours i,- i,- i,-
The 65 year-old male client who is complaining of blurred vision
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
reports he thinks his glasses need to be cleaned all the time, and
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
he denies any type of eye pain. Which eye disorder should the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
nurse suspect the client has?
i,- Cataracts i,- i,- i,- i,-i,- i,-
The client with Rheumatoid arthritis complains of intently dry
i,- i,- i,- i,- i,- i,- i,- i,- i,-
eyes. What does the nurse suspect.
i,- Sjogrens's syndrome i,- i,- i,- i,- i,-i,- i,- i,-
