Rasmussen University
LANIF · 1CDM
★ ★
R School of Nursing
EST. 1900
EMPOWERED LEARNING. INSPIRED FUTURES.
MDC 1 — Final Examination
S E N S O RY · W O U N D S · I M M U N I TY · M US CU LO S K E L E TA L · F U N DA M E N TA LS
INSTITUTION Rasmussen University COURSE CODE MDC1
PROGRAM Associate of Science in Nursing — ACADEMIC YEAR
ADN
EXAM TITLE MDC 1 Final Examination — COURSE TITLE Multidimensional Care I
Comprehensive
TOTAL QUESTIONS 110 Questions FORMAT Multiple Choice — Select the
Single Best Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each multiple-choice question.
▸ Content covers sensory impairments, wound care, immunity, musculoskeletal disorders, and nursing
fundamentals.
▸ Normal vital signs, positioning, and nursing interventions are integrated throughout rationales.
▸ Correct answers and clinical rationales appear below each question for board review purposes.
, COMPREHENSIVE FINAL EXAMINATION Questions 1 – 110
1. What are the signs and symptoms of visual impairment?
A. Ringing in ears, vertigo, and hearing loss
B. Blurry vision, squinting, closing one eye, and leaning close to screens
C. Fever, redness, and swelling
D. Numbness, tingling, and burning
CORRECT ANSWER B — Blurry vision, squinting, closing one eye, and leaning close to screens.
RATIONALE Visual impairment signs include compensatory behaviors: blurry vision (the
primary symptom), squinting (attempting to focus light through a smaller
aperture), closing one eye (correcting for double vision or different refractive
errors), and leaning close to screens/objects (magnifying the image). The nurse
must recognize these behavioral cues, especially in patients who may not
verbalize vision problems. Nursing interventions: knock and announce
entrance/exit, communicate visual impairment status to floor staff, orient to
environment, count steps to bathroom, do NOT change the environment,
describe food placement on the plate using clock-face orientation, and assess if
assistance to the bathroom is needed.
, 2. What are appropriate nursing interventions for a patient with visual impairment?
A. Speak loudly, rearrange the room frequently, avoid orienting the patient
B. Knock and announce entrance/exit, communicate to floor staff that they are visually
impaired, orient to environment, count steps to bathroom, do NOT change the
environment, describe food placement in terms of a clock face, assess if they need
assistance to the bathroom
C. Keep the room dark and avoid verbal communication
D. Move objects frequently to keep the patient alert
CORRECT ANSWER B — Knock/announce, communicate status, orient, count steps, don't
change environment, clock-face food description, assess bathroom
assistance need.
RATIONALE Patients with visual impairment rely on consistency, memory, and other senses.
The nurse must: (1) Knock and announce entrance and exit — prevents startling.
(2) Communicate to all floor staff that the patient is visually impaired — ensures
consistent approach. (3) Orient to the environment — count steps to bathroom.
(4) Do NOT change the environment — consistency is critical for safety. (5)
Describe food placement using a clock face (e.g., "Your meat is at 6 o'clock,
vegetables at 3 o'clock"). (6) Assess if assistance is needed to the bathroom. Using
a normal tone of voice is essential — visual impairment does not affect hearing.
LANIF · 1CDM
★ ★
R School of Nursing
EST. 1900
EMPOWERED LEARNING. INSPIRED FUTURES.
MDC 1 — Final Examination
S E N S O RY · W O U N D S · I M M U N I TY · M US CU LO S K E L E TA L · F U N DA M E N TA LS
INSTITUTION Rasmussen University COURSE CODE MDC1
PROGRAM Associate of Science in Nursing — ACADEMIC YEAR
ADN
EXAM TITLE MDC 1 Final Examination — COURSE TITLE Multidimensional Care I
Comprehensive
TOTAL QUESTIONS 110 Questions FORMAT Multiple Choice — Select the
Single Best Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each multiple-choice question.
▸ Content covers sensory impairments, wound care, immunity, musculoskeletal disorders, and nursing
fundamentals.
▸ Normal vital signs, positioning, and nursing interventions are integrated throughout rationales.
▸ Correct answers and clinical rationales appear below each question for board review purposes.
, COMPREHENSIVE FINAL EXAMINATION Questions 1 – 110
1. What are the signs and symptoms of visual impairment?
A. Ringing in ears, vertigo, and hearing loss
B. Blurry vision, squinting, closing one eye, and leaning close to screens
C. Fever, redness, and swelling
D. Numbness, tingling, and burning
CORRECT ANSWER B — Blurry vision, squinting, closing one eye, and leaning close to screens.
RATIONALE Visual impairment signs include compensatory behaviors: blurry vision (the
primary symptom), squinting (attempting to focus light through a smaller
aperture), closing one eye (correcting for double vision or different refractive
errors), and leaning close to screens/objects (magnifying the image). The nurse
must recognize these behavioral cues, especially in patients who may not
verbalize vision problems. Nursing interventions: knock and announce
entrance/exit, communicate visual impairment status to floor staff, orient to
environment, count steps to bathroom, do NOT change the environment,
describe food placement on the plate using clock-face orientation, and assess if
assistance to the bathroom is needed.
, 2. What are appropriate nursing interventions for a patient with visual impairment?
A. Speak loudly, rearrange the room frequently, avoid orienting the patient
B. Knock and announce entrance/exit, communicate to floor staff that they are visually
impaired, orient to environment, count steps to bathroom, do NOT change the
environment, describe food placement in terms of a clock face, assess if they need
assistance to the bathroom
C. Keep the room dark and avoid verbal communication
D. Move objects frequently to keep the patient alert
CORRECT ANSWER B — Knock/announce, communicate status, orient, count steps, don't
change environment, clock-face food description, assess bathroom
assistance need.
RATIONALE Patients with visual impairment rely on consistency, memory, and other senses.
The nurse must: (1) Knock and announce entrance and exit — prevents startling.
(2) Communicate to all floor staff that the patient is visually impaired — ensures
consistent approach. (3) Orient to the environment — count steps to bathroom.
(4) Do NOT change the environment — consistency is critical for safety. (5)
Describe food placement using a clock face (e.g., "Your meat is at 6 o'clock,
vegetables at 3 o'clock"). (6) Assess if assistance is needed to the bathroom. Using
a normal tone of voice is essential — visual impairment does not affect hearing.
