NUR 2356 / NUR2356: Multidimensional Care I /
MDC 1 Final Exam – Rasmussen Actual Exam
Complete Questions & Rationales | Foundational
Care | Pass Guaranteed - A+ Graded
Foundations of Multidimensional Care & Safety
Q1: Which of the following is the best example of a nurse applying the critical thinking
skill of inference during a clinical shift?
A. Checking the patient's identification band before administering a pill
B. Noticing a patient's skin is cool and clammy and concluding they might be going into
shock [CORRECT]
C. Measuring a patient's intake and output accurately for the shift
D. Following the provider's exact orders to draw a set of morning labs
Correct Answer: B
Rationale: The best answer is B because inference is when you take a set of
assessment clues—like cool, clammy skin—and put them together to reach a clinical
conclusion. Simply checking an ID band or following lab orders is a basic compliance
task, not a higher-level thinking skill.
Q2: What is the primary legal purpose of obtaining a patient's signature on an informed
consent form before a surgical procedure?
A. It guarantees the hospital will not be sued if a complication occurs
B. It protects the patient's right to autonomy by verifying they understand the risks,
benefits, and alternatives [CORRECT]
C. It transfers the responsibility of the procedure's outcome from the surgeon to the
patient
D. It fulfills the requirement for the hospital's billing department to process the insurance
claim
Correct Answer: B
Rationale: That aligns with the nursing process because informed consent is
fundamentally about patient autonomy and making sure they have all the information to
make an educated choice about their body. It doesn't legally prevent lawsuits or shift
blame, but it does prove the patient agreed to the procedure with full knowledge of what
could go wrong.
,Q3: You are preparing to administer a high-alert medication, such as IV insulin, to a
patient. Which of the "rights" of medication administration is the most critical to
double-check with a second licensed nurse to prevent a fatal error?
A. Right route
B. Right time
C. Right dose [CORRECT]
D. Right documentation
Correct Answer: C
Rationale: In Multidimensional Care I, we emphasize safety first with high-alert
medications because getting the dose wrong on a drug like insulin can cause
immediate, life-threatening harm to the patient. While route and time are obviously
important, independent double-checks are specifically designed to catch math errors or
syringe selection mistakes with the dose.
Q4: A patient has a round, intact area of deep red skin on their sacrum that does not
blanch when you press your finger on it. How should you stage this pressure injury in
your documentation?
A. Stage 1 [CORRECT]
B. Stage 2
C. Stage 3
D. Unstageable
Correct Answer: A
Rationale: The best answer is A because the defining feature of a Stage 1 pressure
injury is intact skin with non-blanchable redness, meaning the blood isn't returning to the
tissue like it should. You only move to Stage 2 when the skin actually breaks open, and
you call it unstageable if there is slough or eschar covering the wound so you can't see
the true depth.
Q5: A patient is ordered to be on contact precautions due to a Clostridioides difficile (C.
diff) infection. Which infection control intervention is the absolute most important to
prevent the spread of this bacteria to other patients?
A. Placing the patient in a negative pressure airflow room
B. Wearing a fitted N95 mask when entering the room
C. Performing strict hand hygiene with soap and water after removing gloves
[CORRECT]
D. Making sure the patient wears a surgical mask when being transported
Correct Answer: C
Rationale: The pathophysiology of this condition explains the finding because C. diff
forms spores that alcohol-based hand sanitizers cannot kill, so washing with soap and
water is the only way to physically scrub those spores down the drain. Negative
, pressure rooms and N95 masks are for airborne pathogens like tuberculosis, which is a
totally different precaution.
Q6: You are getting a post-operative patient out of bed for the first time. They become
dizzy and lightheaded as soon as they stand up. What is the best immediate nursing
action?
A. Push them back down onto the bed immediately and elevate their legs [CORRECT]
B. Tell them to take a few deep breaths and keep walking to get their blood flowing
C. Leave them standing while you go get a blood pressure cuff to check their
orthostatics
D. Have them sit in the chair next to the bed so you can finish your morning
assessments
Correct Answer: A
Rationale: Remember the priority frameworks like safety first, so if a patient is dizzy,
your immediate job is to prevent a catastrophic fall by getting them back to a safe
horizontal position. Making them keep walking or leaving them standing unattended
completely ignores that immediate safety risk just to stick to a mobility schedule.
Q7: Which of the following tasks is strictly outside the legal scope of practice for a
nursing assistant (UAP) working on a medical-surgical floor?
A. Emptying a patient's urinary drainage bag
B. Feeding a patient who had a stroke and has swallowing precautions [CORRECT]
C. Assisting a patient with a bedpan
D. Providing passive range of motion to an unconscious patient's arms
Correct Answer: B
Rationale: The best answer is B because swallowing precautions require continuous
clinical judgment and assessment of the patient's ability to swallow without aspirating,
which falls squarely on the nurse's license. Emptying a Foley, helping with a bedpan,
and doing basic range of motion are all standard, safe tasks that we routinely delegate
to the UAP.
Q8: You walk into a patient's room to administer their 0900 oral medications and find
them sitting on the edge of the bed crying. They just found out they have cancer. What
is your most appropriate initial action?
A. Explain that you need to give them their pills right now so they don't miss the dose
window
B. Set the medication cup down, sit in the chair next to them, and ask what is on their
mind [CORRECT]
C. Tell them that crying won't help and that they need to stay positive for their treatment
D. Call the chaplain to come to the room immediately before you give the medications
Correct Answer: B
MDC 1 Final Exam – Rasmussen Actual Exam
Complete Questions & Rationales | Foundational
Care | Pass Guaranteed - A+ Graded
Foundations of Multidimensional Care & Safety
Q1: Which of the following is the best example of a nurse applying the critical thinking
skill of inference during a clinical shift?
A. Checking the patient's identification band before administering a pill
B. Noticing a patient's skin is cool and clammy and concluding they might be going into
shock [CORRECT]
C. Measuring a patient's intake and output accurately for the shift
D. Following the provider's exact orders to draw a set of morning labs
Correct Answer: B
Rationale: The best answer is B because inference is when you take a set of
assessment clues—like cool, clammy skin—and put them together to reach a clinical
conclusion. Simply checking an ID band or following lab orders is a basic compliance
task, not a higher-level thinking skill.
Q2: What is the primary legal purpose of obtaining a patient's signature on an informed
consent form before a surgical procedure?
A. It guarantees the hospital will not be sued if a complication occurs
B. It protects the patient's right to autonomy by verifying they understand the risks,
benefits, and alternatives [CORRECT]
C. It transfers the responsibility of the procedure's outcome from the surgeon to the
patient
D. It fulfills the requirement for the hospital's billing department to process the insurance
claim
Correct Answer: B
Rationale: That aligns with the nursing process because informed consent is
fundamentally about patient autonomy and making sure they have all the information to
make an educated choice about their body. It doesn't legally prevent lawsuits or shift
blame, but it does prove the patient agreed to the procedure with full knowledge of what
could go wrong.
,Q3: You are preparing to administer a high-alert medication, such as IV insulin, to a
patient. Which of the "rights" of medication administration is the most critical to
double-check with a second licensed nurse to prevent a fatal error?
A. Right route
B. Right time
C. Right dose [CORRECT]
D. Right documentation
Correct Answer: C
Rationale: In Multidimensional Care I, we emphasize safety first with high-alert
medications because getting the dose wrong on a drug like insulin can cause
immediate, life-threatening harm to the patient. While route and time are obviously
important, independent double-checks are specifically designed to catch math errors or
syringe selection mistakes with the dose.
Q4: A patient has a round, intact area of deep red skin on their sacrum that does not
blanch when you press your finger on it. How should you stage this pressure injury in
your documentation?
A. Stage 1 [CORRECT]
B. Stage 2
C. Stage 3
D. Unstageable
Correct Answer: A
Rationale: The best answer is A because the defining feature of a Stage 1 pressure
injury is intact skin with non-blanchable redness, meaning the blood isn't returning to the
tissue like it should. You only move to Stage 2 when the skin actually breaks open, and
you call it unstageable if there is slough or eschar covering the wound so you can't see
the true depth.
Q5: A patient is ordered to be on contact precautions due to a Clostridioides difficile (C.
diff) infection. Which infection control intervention is the absolute most important to
prevent the spread of this bacteria to other patients?
A. Placing the patient in a negative pressure airflow room
B. Wearing a fitted N95 mask when entering the room
C. Performing strict hand hygiene with soap and water after removing gloves
[CORRECT]
D. Making sure the patient wears a surgical mask when being transported
Correct Answer: C
Rationale: The pathophysiology of this condition explains the finding because C. diff
forms spores that alcohol-based hand sanitizers cannot kill, so washing with soap and
water is the only way to physically scrub those spores down the drain. Negative
, pressure rooms and N95 masks are for airborne pathogens like tuberculosis, which is a
totally different precaution.
Q6: You are getting a post-operative patient out of bed for the first time. They become
dizzy and lightheaded as soon as they stand up. What is the best immediate nursing
action?
A. Push them back down onto the bed immediately and elevate their legs [CORRECT]
B. Tell them to take a few deep breaths and keep walking to get their blood flowing
C. Leave them standing while you go get a blood pressure cuff to check their
orthostatics
D. Have them sit in the chair next to the bed so you can finish your morning
assessments
Correct Answer: A
Rationale: Remember the priority frameworks like safety first, so if a patient is dizzy,
your immediate job is to prevent a catastrophic fall by getting them back to a safe
horizontal position. Making them keep walking or leaving them standing unattended
completely ignores that immediate safety risk just to stick to a mobility schedule.
Q7: Which of the following tasks is strictly outside the legal scope of practice for a
nursing assistant (UAP) working on a medical-surgical floor?
A. Emptying a patient's urinary drainage bag
B. Feeding a patient who had a stroke and has swallowing precautions [CORRECT]
C. Assisting a patient with a bedpan
D. Providing passive range of motion to an unconscious patient's arms
Correct Answer: B
Rationale: The best answer is B because swallowing precautions require continuous
clinical judgment and assessment of the patient's ability to swallow without aspirating,
which falls squarely on the nurse's license. Emptying a Foley, helping with a bedpan,
and doing basic range of motion are all standard, safe tasks that we routinely delegate
to the UAP.
Q8: You walk into a patient's room to administer their 0900 oral medications and find
them sitting on the edge of the bed crying. They just found out they have cancer. What
is your most appropriate initial action?
A. Explain that you need to give them their pills right now so they don't miss the dose
window
B. Set the medication cup down, sit in the chair next to them, and ask what is on their
mind [CORRECT]
C. Tell them that crying won't help and that they need to stay positive for their treatment
D. Call the chaplain to come to the room immediately before you give the medications
Correct Answer: B
