NURSING COURSE · OBJECTIVE ASSESSMENT
Nur 2356 Multidimensional Care I - MDC 1 Exam 2
— Complete
Official Exam
125 Questions Full Rationales Verified Answers
A+ 6 100%
QUESTIONS SECTIONS RATIONALES
Complete coverage Core exam domains Every answer explained
WHAT THIS COVERS
01 Perioperative Nursing Care
02 Fluid, Electrolyte & Acid-Base Balance
03 Cardiovascular & Hematologic Disorders
04 Respiratory & Oxygenation Disorders
05 Neurological & Sensory Disorders
06 Musculoskeletal & Integumentary Disorders
ABOUT THIS ASSESSMENT
Build mastery in multidimensional nursing care — from perioperative nursing and fluid, electrolyte, and acid-base balance to cardiovascular,
hematologic, respiratory, neurological, musculoskeletal, and integumentary disorders. This original study bank targets application and analysis skills for
the Nur 2356 MDC 1 Exam 2, with full rationales for every answer. For review use only; not an institutional proctored assessment.
PASSING SCORE LEVEL FORMAT
75% Intermediate (Nursing Course) Application / Analysis
STUVIA ACTUAL EXAM Page 1
, SECTION 1: PERIOPERATIVE NURSING CARE
Q1. While providing care related to preop NPO violation 3h after meal, the nurse applies clinical judgment. Which action or
conclusion best reflects safe, evidence-based nursing practice in this situation?
A. Proceed because 3h is adequate
B. Give clear liquids until 30 min preop
C. Notify surgeon/anesthesia of aspiration risk and likely delay
D. Document only
Correct Answer: C
Rationale: In the context of preop NPO violation 3h after meal, the correct choice aligns with priority assessment, safety, and evidence-based
standards. The distractors either delay necessary action, increase risk, or misapply pathophysiology or protocol.
Q2. While providing care related to warfarin yesterday preop, the nurse applies clinical judgment. Which action or conclusion best
reflects safe, evidence-based nursing practice in this situation?
A. Give vitamin K without order
B. Verify INR and notify surgical/anesthesia teams
C. Assume no effect after 24h
D. Cancel surgery alone
Correct Answer: B
Rationale: In the context of warfarin yesterday preop, the correct choice aligns with priority assessment, safety, and evidence-based standards.
The distractors either delay necessary action, increase risk, or misapply pathophysiology or protocol.
Q3. While providing care related to incomplete unsigned consent, the nurse applies clinical judgment. Which action or conclusion
best reflects safe, evidence-based nursing practice in this situation?
A. Have patient sign incomplete form
B. Witness circulating nurse signature only
C. Verbal consent sufficient
D. Inform surgeon so informed consent can be obtained
Correct Answer: D
Rationale: In the context of incomplete unsigned consent, the correct choice aligns with priority assessment, safety, and evidence-based
standards. The distractors either delay necessary action, increase risk, or misapply pathophysiology or protocol.
Q4. While providing care related to midazolam RR 8, the nurse applies clinical judgment. Which action or conclusion best reflects
safe, evidence-based nursing practice in this situation?
A. Walk patient to increase alertness
B. Support airway, oxygen, prepare flumazenil if ordered
C. Give more midazolam
D. Leave unattended 10 min
Correct Answer: B
Rationale: In the context of midazolam RR 8, the correct choice aligns with priority assessment, safety, and evidence-based standards. The
distractors either delay necessary action, increase risk, or misapply pathophysiology or protocol.
Q5. While providing care related to break in sterile technique glove, the nurse applies clinical judgment. Which action or
conclusion best reflects safe, evidence-based nursing practice in this situation?
A. Ignore if unnoticed
B. Report at end of case
C. Inform team and change contaminated glove immediately
D. Continue without change
Correct Answer: C
Rationale: In the context of break in sterile technique glove, the correct choice aligns with priority assessment, safety, and evidence-based
standards. The distractors either delay necessary action, increase risk, or misapply pathophysiology or protocol.
STUVIA ACTUAL EXAM · Page 2
, Q6. While providing care related to PACU BP 88/54 HR 118 cool clammy, the nurse applies clinical judgment. Which action or
conclusion best reflects safe, evidence-based nursing practice in this situation?
A. Expected residual anesthesia
B. Assess for hemorrhage/hypovolemia
C. Hypertension from pain
D. Normal recovery
Correct Answer: B
Rationale: In the context of PACU BP 88/54 HR 118 cool clammy, the correct choice aligns with priority assessment, safety, and evidence-based
standards. The distractors either delay necessary action, increase risk, or misapply pathophysiology or protocol.
Q7. While providing care related to no gag reflex post general anesthesia, the nurse applies clinical judgment. Which action or
conclusion best reflects safe, evidence-based nursing practice in this situation?
A. Side-lying to prevent aspiration
B. Flat supine head 90 deg
C. Prone
D. High Fowler immediately
Correct Answer: A
Rationale: In the context of no gag reflex post general anesthesia, the correct choice aligns with priority assessment, safety, and evidence-based
standards. The distractors either delay necessary action, increase risk, or misapply pathophysiology or protocol.
Q8. While providing care related to incentive spirometry purpose, the nurse applies clinical judgment. Which action or conclusion
best reflects safe, evidence-based nursing practice in this situation?
A. Strengthen arms
B. Promote lung expansion prevent atelectasis
C. Reduce pain med need
D. Speed wound healing
Correct Answer: B
Rationale: In the context of incentive spirometry purpose, the correct choice aligns with priority assessment, safety, and evidence-based
standards. The distractors either delay necessary action, increase risk, or misapply pathophysiology or protocol.
Q9. While providing care related to rigid abdomen severe pain absent BS, the nurse applies clinical judgment. Which action or
conclusion best reflects safe, evidence-based nursing practice in this situation?
A. Normal gas pain
B. Expected ileus 7-10 days
C. Possible leak/peritonitis notify provider
D. Anxiety only
Correct Answer: C
Rationale: In the context of rigid abdomen severe pain absent BS, the correct choice aligns with priority assessment, safety, and evidence-based
standards. The distractors either delay necessary action, increase risk, or misapply pathophysiology or protocol.
Q10. While providing care related to PCA inadequate pain, the nurse applies clinical judgment. Which action or conclusion best
reflects safe, evidence-based nursing practice in this situation?
A. Increase demand dose without assess
B. DC PCA to oral only
C. Pain expected no change
D. Assess pain, usage, pump before calling provider
Correct Answer: D
Rationale: In the context of PCA inadequate pain, the correct choice aligns with priority assessment, safety, and evidence-based standards. The
distractors either delay necessary action, increase risk, or misapply pathophysiology or protocol.
STUVIA ACTUAL EXAM · Page 3