NUR 2356 Multidimensional Care I (MDC 1) Exam 160
Question Bank | 2026/2027 Edition | 200 Verified Questions
NUR 2356 Multidimensional Care I (MDC 1) Exam 2 2026-160 QUESTIONS AND ANSWERS ALREADY
GRADED A+. 100% Verified Solutions | Updated Per Latest Guidelines | Graded A+
This comprehensive question bank is meticulously curated for NUR 2356 Multidimensional Care I
(MDC 1) Exam 2, covering all essential concepts in multidimensional patient care. With 200 verified
questions and detailed rationales, this resource ensures thorough preparation for the 2026/2027
academic year. Each question is aligned with the latest NCLEX-RN test plan and evidence-based
practice guidelines, providing a reliable study tool for nursing students. The document includes a
variety of question formats, including multiple-choice, select-all-that-apply, and priority-setting
scenarios, to mirror the actual exam experience. By engaging with this material, students will enhance
their critical thinking and clinical reasoning skills, ultimately leading to success on the exam.
Key Features:
Foundations of Multidimensional Care: holistic assessment, nursing process, and evidence-based practice
Health Promotion and Disease Prevention: risk factors, screening, and patient education
Fluid and Electrolyte Balance: imbalances, replacement therapies, and monitoring
Acid-Base Balance: respiratory and metabolic acidosis/alkalosis, compensatory mechanisms
Perioperative Nursing: preoperative, intraoperative, and postoperative care
Pain Management: pharmacological and non-pharmacological interventions, assessment
Alterations in Oxygenation: respiratory disorders, oxygen therapy, and airway management
Cardiovascular Disorders: hypertension, heart failure, angina, and myocardial infarction
Neurological Disorders: stroke, seizures, increased intracranial pressure, and neuro assessments
Renal and Urinary Disorders: acute kidney injury, chronic kidney disease, and dialysis
Gastrointestinal Disorders: GI bleeding, bowel obstruction, and nutritional support
Endocrine Disorders: diabetes mellitus, thyroid disorders, and adrenal insufficiency
Musculoskeletal Disorders: fractures, osteoporosis, and joint replacement
Integumentary Disorders: burns, wounds, and pressure injuries
Sensory and Perceptual Alterations: vision and hearing impairments
Hematologic Disorders: anemia, clotting disorders, and blood transfusions
Immunologic and Infectious Disorders: sepsis, HIV/AIDS, and infection control
Ethical and Legal Considerations: advance directives, informed consent, and patient advocacy
Updates for 2026:
- Updated to reflect the latest NCLEX-RN test plan and 2026/2027 academic standards
- Incorporated evidence-based practice guidelines from leading nursing organizations
- Enhanced rationales with step-by-step explanations for correct and incorrect options
- Added new priority-setting and delegation questions to mirror current exam trends
- Revised content to include recent updates in pharmacological and treatment protocols
Abstract:
This question bank for NUR 2356 Multidimensional Care I (MDC 1) Exam 2 is an indispensable resource for
nursing students preparing for the 2026/2027 academic year. It contains 200 verified questions that
comprehensively cover the multidimensional aspects of patient care, including physiological, psychosocial, and
spiritual dimensions. The questions are designed to assess higher-order thinking, requiring students to apply,
analyze, and synthesize knowledge in clinical scenarios. Each question is accompanied by a detailed rationale that
Page 1
,explains the correct answer and why the distractors are incorrect, facilitating deep learning and retention. The
content is organized by content areas, allowing students to focus on specific topics and track their progress. This
document not only prepares students for the exam but also reinforces essential nursing competencies that are
critical for safe and effective practice. With its rigorous review and alignment with current guidelines, this
question bank is a proven tool for achieving a high score and passing the exam with confidence.
Keywords:
Multidimensional Care, NUR 2356, Exam 2, Question Bank, NCLEX-RN, Nursing Exam Prep, 2026/2027, Verified
Questions, Rationales, A+ Graded
Answer Format:
Each question is followed by a detailed rationale explaining the correct answer and why the other options are
incorrect. Rationales include key nursing concepts, clinical reasoning, and evidence-based practice guidelines.
Distractor explanations are provided to clarify common misconceptions and reinforce learning.
Compliance Checklist:
Aligned with the latest NCLEX-RN test plan and 2026/2027 curriculum standards
100% verified questions with accurate and up-to-date content
Detailed rationales for every question, including distractors
Comprehensive coverage of all major content areas in Multidimensional Care I
Designed to promote critical thinking and clinical judgment
Suitable for self-assessment and exam preparation
Content Area Overview:
Content Area Questions Key Topics Weight
Foundations of 1-20 Holistic assessment, Nursing process, 10%
Multidimensional Care Evidence-based practice
Health Promotion and Disease 21-40 Risk factors, Screening, Patient education 10%
Prevention
Fluid, Electrolyte, and 41-60 Imbalances, Replacement therapies, 10%
Acid-Base Balance Acid-base disorders
Perioperative Nursing 61-80 Preoperative care, Intraoperative care, 10%
Postoperative care
Pain Management 81-100 Assessment, Pharmacological interventions, 10%
Non-pharmacological interventions
Alterations in Oxygenation and 101-120 Respiratory disorders, Oxygen therapy, 10%
Cardiovascular Disorders Cardiac disorders
Neurological Disorders 121-140 Stroke, Seizures, Increased intracranial 10%
pressure
Renal, Gastrointestinal, and 141-160 Acute kidney injury, GI bleeding, Diabetes 10%
Endocrine Disorders mellitus
Musculoskeletal, Integumentary, 161-180 Fractures, Burns, Vision/hearing 10%
and Sensory Disorders impairments
Hematologic, Immunologic, and 181-200 Anemia, Sepsis, Advance directives 10%
Ethical/Legal Considerations
Page 2
,Q1. A patient with chronic kidney disease (CKD) presents with muscle weakness,
areflexia, and an ECG showing peaked T waves. Which intervention should the nurse
implement first?
A. Administer sodium polystyrene sulfonate (Kayexalate) orally.
B. Prepare for emergency hemodialysis.
C. Administer intravenous calcium gluconate.
D. Restrict dietary potassium to 2 g/day.
Correct Answer: C. Administer intravenous calcium gluconate.
Rationale: In hyperkalemia with ECG changes, IV calcium gluconate is given immediately
to stabilize the cardiac membrane and prevent lethal arrhythmias. Definitive treatments
like dialysis or potassium-binding resins are important but do not reverse the immediate
cardiac risk.
Why Wrong:
A - Kayexalate takes hours to act and does not address acute cardiac instability.
B - Dialysis is definitive but not the immediate priority when ECG changes are
present.
D - Dietary restriction is a long-term measure, not an emergency intervention.
Reference: Lehne, R.A. (2026). Pharmacology for Nursing Care, 12th Ed., Ch. 52; Lewis
et al., Medical-Surgical Nursing, 11th Ed., Ch. 16.
Q2. A nurse is preparing a patient for surgery. Which finding is most important to
report to the anesthesia provider before the procedure?
A. Patient reports taking ginkgo biloba daily.
B. Blood pressure is 150/90 mm Hg.
C. Serum potassium is 3.5 mEq/L.
D. Patient has a history of smoking 1 pack per day for 10 years.
Correct Answer: A. Patient reports taking ginkgo biloba daily.
Rationale: Ginkgo biloba inhibits platelet aggregation and increases bleeding risk; it
should be discontinued before surgery. The other findings are common and may be
managed, but active bleeding risk is a critical anesthesia concern.
Why Wrong:
B - Mild hypertension is not an absolute contraindication and can be managed.
C - Potassium of 3.5 mEq/L is within normal range.
D - Smoking history is relevant but not an immediate reportable risk compared to
ginkgo.
Reference: Lewis et al., Medical-Surgical Nursing, 11th Ed., Ch. 17; Ignatavicius,
Medical-Surgical Nursing, 10th Ed., Ch. 14.
Page 3
, Q3. A patient in the post-anesthesia care unit (PACU) has a respiratory rate of 8
breaths/min and is difficult to arouse. Which medication should the nurse anticipate
administering?
A. Naloxone (Narcan)
B. Flumazenil (Romazicon)
C. Neostigmine
D. Doxapram
Correct Answer: A. Naloxone (Narcan)
Rationale: Respiratory depression and sedation after anesthesia are commonly due to
opioids; naloxone is the reversal agent. Flumazenil reverses benzodiazepines, neostigmine
reverses neuromuscular blockers, and doxapram is a respiratory stimulant not first-line.
Why Wrong:
B - Flumazenil is for benzodiazepine overdose, not opioid-induced depression.
C - Neostigmine is used to reverse muscle relaxants, not opioid effects.
D - Doxapram is rarely used and not specific for opioid toxicity.
Reference: Lehne, R.A. (2026). Pharmacology for Nursing Care, 12th Ed., Ch. 22; Lewis
et al., Medical-Surgical Nursing, 11th Ed., Ch. 18.
Q4. Which patient is at highest risk for developing hypermagnesemia?
A. A patient with chronic alcoholism and poor nutrition
B. A patient with end-stage renal disease taking magnesium-containing antacids
C. A patient with diarrhea and malabsorption syndrome
D. A patient with hyperparathyroidism and elevated calcium
Correct Answer: B. A patient with end-stage renal disease taking
magnesium-containing antacids
Rationale: Renal failure impairs magnesium excretion, and magnesium-containing
antacids increase intake, leading to hypermagnesemia. The other conditions predispose to
hypomagnesemia.
Why Wrong:
A - Alcoholism and poor nutrition cause hypomagnesemia.
C - Diarrhea causes magnesium loss, leading to hypomagnesemia.
D - Hyperparathyroidism is associated with hypercalcemia, not directly with
hypermagnesemia.
Reference: Lewis et al., Medical-Surgical Nursing, 11th Ed., Ch. 16; Ignatavicius,
Medical-Surgical Nursing, 10th Ed., Ch. 11.
Q5. A postoperative patient has a nasogastric tube to low intermittent suction. Which
arterial blood gas finding indicates metabolic alkalosis?
A. pH 7.30, PaCO2 50 mm Hg, HCO3 26 mEq/L
Page 4
Question Bank | 2026/2027 Edition | 200 Verified Questions
NUR 2356 Multidimensional Care I (MDC 1) Exam 2 2026-160 QUESTIONS AND ANSWERS ALREADY
GRADED A+. 100% Verified Solutions | Updated Per Latest Guidelines | Graded A+
This comprehensive question bank is meticulously curated for NUR 2356 Multidimensional Care I
(MDC 1) Exam 2, covering all essential concepts in multidimensional patient care. With 200 verified
questions and detailed rationales, this resource ensures thorough preparation for the 2026/2027
academic year. Each question is aligned with the latest NCLEX-RN test plan and evidence-based
practice guidelines, providing a reliable study tool for nursing students. The document includes a
variety of question formats, including multiple-choice, select-all-that-apply, and priority-setting
scenarios, to mirror the actual exam experience. By engaging with this material, students will enhance
their critical thinking and clinical reasoning skills, ultimately leading to success on the exam.
Key Features:
Foundations of Multidimensional Care: holistic assessment, nursing process, and evidence-based practice
Health Promotion and Disease Prevention: risk factors, screening, and patient education
Fluid and Electrolyte Balance: imbalances, replacement therapies, and monitoring
Acid-Base Balance: respiratory and metabolic acidosis/alkalosis, compensatory mechanisms
Perioperative Nursing: preoperative, intraoperative, and postoperative care
Pain Management: pharmacological and non-pharmacological interventions, assessment
Alterations in Oxygenation: respiratory disorders, oxygen therapy, and airway management
Cardiovascular Disorders: hypertension, heart failure, angina, and myocardial infarction
Neurological Disorders: stroke, seizures, increased intracranial pressure, and neuro assessments
Renal and Urinary Disorders: acute kidney injury, chronic kidney disease, and dialysis
Gastrointestinal Disorders: GI bleeding, bowel obstruction, and nutritional support
Endocrine Disorders: diabetes mellitus, thyroid disorders, and adrenal insufficiency
Musculoskeletal Disorders: fractures, osteoporosis, and joint replacement
Integumentary Disorders: burns, wounds, and pressure injuries
Sensory and Perceptual Alterations: vision and hearing impairments
Hematologic Disorders: anemia, clotting disorders, and blood transfusions
Immunologic and Infectious Disorders: sepsis, HIV/AIDS, and infection control
Ethical and Legal Considerations: advance directives, informed consent, and patient advocacy
Updates for 2026:
- Updated to reflect the latest NCLEX-RN test plan and 2026/2027 academic standards
- Incorporated evidence-based practice guidelines from leading nursing organizations
- Enhanced rationales with step-by-step explanations for correct and incorrect options
- Added new priority-setting and delegation questions to mirror current exam trends
- Revised content to include recent updates in pharmacological and treatment protocols
Abstract:
This question bank for NUR 2356 Multidimensional Care I (MDC 1) Exam 2 is an indispensable resource for
nursing students preparing for the 2026/2027 academic year. It contains 200 verified questions that
comprehensively cover the multidimensional aspects of patient care, including physiological, psychosocial, and
spiritual dimensions. The questions are designed to assess higher-order thinking, requiring students to apply,
analyze, and synthesize knowledge in clinical scenarios. Each question is accompanied by a detailed rationale that
Page 1
,explains the correct answer and why the distractors are incorrect, facilitating deep learning and retention. The
content is organized by content areas, allowing students to focus on specific topics and track their progress. This
document not only prepares students for the exam but also reinforces essential nursing competencies that are
critical for safe and effective practice. With its rigorous review and alignment with current guidelines, this
question bank is a proven tool for achieving a high score and passing the exam with confidence.
Keywords:
Multidimensional Care, NUR 2356, Exam 2, Question Bank, NCLEX-RN, Nursing Exam Prep, 2026/2027, Verified
Questions, Rationales, A+ Graded
Answer Format:
Each question is followed by a detailed rationale explaining the correct answer and why the other options are
incorrect. Rationales include key nursing concepts, clinical reasoning, and evidence-based practice guidelines.
Distractor explanations are provided to clarify common misconceptions and reinforce learning.
Compliance Checklist:
Aligned with the latest NCLEX-RN test plan and 2026/2027 curriculum standards
100% verified questions with accurate and up-to-date content
Detailed rationales for every question, including distractors
Comprehensive coverage of all major content areas in Multidimensional Care I
Designed to promote critical thinking and clinical judgment
Suitable for self-assessment and exam preparation
Content Area Overview:
Content Area Questions Key Topics Weight
Foundations of 1-20 Holistic assessment, Nursing process, 10%
Multidimensional Care Evidence-based practice
Health Promotion and Disease 21-40 Risk factors, Screening, Patient education 10%
Prevention
Fluid, Electrolyte, and 41-60 Imbalances, Replacement therapies, 10%
Acid-Base Balance Acid-base disorders
Perioperative Nursing 61-80 Preoperative care, Intraoperative care, 10%
Postoperative care
Pain Management 81-100 Assessment, Pharmacological interventions, 10%
Non-pharmacological interventions
Alterations in Oxygenation and 101-120 Respiratory disorders, Oxygen therapy, 10%
Cardiovascular Disorders Cardiac disorders
Neurological Disorders 121-140 Stroke, Seizures, Increased intracranial 10%
pressure
Renal, Gastrointestinal, and 141-160 Acute kidney injury, GI bleeding, Diabetes 10%
Endocrine Disorders mellitus
Musculoskeletal, Integumentary, 161-180 Fractures, Burns, Vision/hearing 10%
and Sensory Disorders impairments
Hematologic, Immunologic, and 181-200 Anemia, Sepsis, Advance directives 10%
Ethical/Legal Considerations
Page 2
,Q1. A patient with chronic kidney disease (CKD) presents with muscle weakness,
areflexia, and an ECG showing peaked T waves. Which intervention should the nurse
implement first?
A. Administer sodium polystyrene sulfonate (Kayexalate) orally.
B. Prepare for emergency hemodialysis.
C. Administer intravenous calcium gluconate.
D. Restrict dietary potassium to 2 g/day.
Correct Answer: C. Administer intravenous calcium gluconate.
Rationale: In hyperkalemia with ECG changes, IV calcium gluconate is given immediately
to stabilize the cardiac membrane and prevent lethal arrhythmias. Definitive treatments
like dialysis or potassium-binding resins are important but do not reverse the immediate
cardiac risk.
Why Wrong:
A - Kayexalate takes hours to act and does not address acute cardiac instability.
B - Dialysis is definitive but not the immediate priority when ECG changes are
present.
D - Dietary restriction is a long-term measure, not an emergency intervention.
Reference: Lehne, R.A. (2026). Pharmacology for Nursing Care, 12th Ed., Ch. 52; Lewis
et al., Medical-Surgical Nursing, 11th Ed., Ch. 16.
Q2. A nurse is preparing a patient for surgery. Which finding is most important to
report to the anesthesia provider before the procedure?
A. Patient reports taking ginkgo biloba daily.
B. Blood pressure is 150/90 mm Hg.
C. Serum potassium is 3.5 mEq/L.
D. Patient has a history of smoking 1 pack per day for 10 years.
Correct Answer: A. Patient reports taking ginkgo biloba daily.
Rationale: Ginkgo biloba inhibits platelet aggregation and increases bleeding risk; it
should be discontinued before surgery. The other findings are common and may be
managed, but active bleeding risk is a critical anesthesia concern.
Why Wrong:
B - Mild hypertension is not an absolute contraindication and can be managed.
C - Potassium of 3.5 mEq/L is within normal range.
D - Smoking history is relevant but not an immediate reportable risk compared to
ginkgo.
Reference: Lewis et al., Medical-Surgical Nursing, 11th Ed., Ch. 17; Ignatavicius,
Medical-Surgical Nursing, 10th Ed., Ch. 14.
Page 3
, Q3. A patient in the post-anesthesia care unit (PACU) has a respiratory rate of 8
breaths/min and is difficult to arouse. Which medication should the nurse anticipate
administering?
A. Naloxone (Narcan)
B. Flumazenil (Romazicon)
C. Neostigmine
D. Doxapram
Correct Answer: A. Naloxone (Narcan)
Rationale: Respiratory depression and sedation after anesthesia are commonly due to
opioids; naloxone is the reversal agent. Flumazenil reverses benzodiazepines, neostigmine
reverses neuromuscular blockers, and doxapram is a respiratory stimulant not first-line.
Why Wrong:
B - Flumazenil is for benzodiazepine overdose, not opioid-induced depression.
C - Neostigmine is used to reverse muscle relaxants, not opioid effects.
D - Doxapram is rarely used and not specific for opioid toxicity.
Reference: Lehne, R.A. (2026). Pharmacology for Nursing Care, 12th Ed., Ch. 22; Lewis
et al., Medical-Surgical Nursing, 11th Ed., Ch. 18.
Q4. Which patient is at highest risk for developing hypermagnesemia?
A. A patient with chronic alcoholism and poor nutrition
B. A patient with end-stage renal disease taking magnesium-containing antacids
C. A patient with diarrhea and malabsorption syndrome
D. A patient with hyperparathyroidism and elevated calcium
Correct Answer: B. A patient with end-stage renal disease taking
magnesium-containing antacids
Rationale: Renal failure impairs magnesium excretion, and magnesium-containing
antacids increase intake, leading to hypermagnesemia. The other conditions predispose to
hypomagnesemia.
Why Wrong:
A - Alcoholism and poor nutrition cause hypomagnesemia.
C - Diarrhea causes magnesium loss, leading to hypomagnesemia.
D - Hyperparathyroidism is associated with hypercalcemia, not directly with
hypermagnesemia.
Reference: Lewis et al., Medical-Surgical Nursing, 11th Ed., Ch. 16; Ignatavicius,
Medical-Surgical Nursing, 10th Ed., Ch. 11.
Q5. A postoperative patient has a nasogastric tube to low intermittent suction. Which
arterial blood gas finding indicates metabolic alkalosis?
A. pH 7.30, PaCO2 50 mm Hg, HCO3 26 mEq/L
Page 4
