1
NUR2356 – Multidimensional Care I
(MDC 1) Final Exam Review | Highly
Rated Quiz Bank with Verified Questions
and Answers | Rasmussen College
2025/2026 Update
1. A nurse is preparing to administer medications to a patient with a
history of latex allergy. Which precaution should the nurse take?
o A. Use non-latex gloves only for this patient
o B. Administer medications in a private room
o C. Double-check the medication expiration date
o D. Verify the patient's blood pressure first
A Rationale: Patients with latex allergies are at risk for anaphylaxis
from latex exposure in gloves or equipment; using non-latex gloves
prevents contact dermatitis or systemic reactions, aligning with OSHA
and CDC guidelines for allergy management in healthcare settings.
2. What is the primary purpose of performing hand hygiene before
and after patient contact?
o A. To prevent the spread of healthcare-associated infections
o B. To maintain personal grooming standards
o C. To reduce patient anxiety during procedures
o D. To comply with hospital dress code policies
A Rationale: Hand hygiene is the most effective measure to break the
chain of infection transmission, reducing HAIs like MRSA by up to
50%, as evidenced by WHO and CDC core infection prevention
strategies.
, 2
3. A nurse identifies a wet floor in the hallway. What is the first
action?
o A. Place a "wet floor" sign and notify housekeeping
o B. Mop the floor immediately
o C. Ignore it if no patients are nearby
o D. Walk around it to continue tasks
A Rationale: Immediate hazard identification and mitigation prevent
slips and falls, a leading cause of sentinel events; signage and reporting
follow Joint Commission safety standards for environmental risk
reduction.
4. When using the SBAR communication tool, what does "R" stand
for?
o A. Recommendation
o B. Response
o C. Review
o D. Report
A Rationale: SBAR (Situation, Background, Assessment,
Recommendation) facilitates concise handoffs; the "Recommendation"
component ensures actionable steps, improving interdisciplinary
communication per QSEN competencies.
5. A patient reports sharp chest pain after ambulation. What is the
nurse's priority action?
o A. Assess oxygen saturation and vital signs
o B. Encourage deep breathing exercises
o C. Administer PRN analgesic
o D. Document the complaint for the next shift
A Rationale: Acute chest pain may indicate cardiac or pulmonary
compromise; rapid ABC assessment (airway, breathing, circulation)
prioritizes life-threatening conditions per ACLS and basic nursing triage
principles.
, 3
6. Which fall risk assessment tool is commonly used in acute care
settings?
o A. Morse Fall Scale
o B. Braden Scale
o C. Glasgow Coma Scale
o D. APGAR Score
A Rationale: The Morse Fall Scale evaluates gait, mental status, and
history to score fall risk (0-125), guiding interventions like bed alarms;
it's validated for hospital use by the Agency for Healthcare Research and
Quality.
7. A nurse is teaching a patient about fire safety. What is the correct
sequence for RACE?
o A. Rescue, Alarm, Confine, Extinguish
o B. Alarm, Rescue, Confine, Extinguish
o C. Extinguish, Alarm, Rescue, Confine
o D. Confine, Rescue, Alarm, Extinguish
A Rationale: RACE provides a structured response to fires: Rescue
those in immediate danger first, then Alarm, Confine smoke, and
Extinguish if safe, per NFPA and hospital emergency protocols to
minimize harm.
8. What is the minimum Personal Protective Equipment (PPE) for
contact precautions?
o A. Gloves and gown
o B. Mask and goggles
o C. N95 respirator
o D. Face shield only
A Rationale: Contact precautions for infections like C. diff require
gloves to prevent hand contamination and gowns to protect clothing, as
outlined in CDC isolation guidelines to interrupt fomite transmission.
NUR2356 – Multidimensional Care I
(MDC 1) Final Exam Review | Highly
Rated Quiz Bank with Verified Questions
and Answers | Rasmussen College
2025/2026 Update
1. A nurse is preparing to administer medications to a patient with a
history of latex allergy. Which precaution should the nurse take?
o A. Use non-latex gloves only for this patient
o B. Administer medications in a private room
o C. Double-check the medication expiration date
o D. Verify the patient's blood pressure first
A Rationale: Patients with latex allergies are at risk for anaphylaxis
from latex exposure in gloves or equipment; using non-latex gloves
prevents contact dermatitis or systemic reactions, aligning with OSHA
and CDC guidelines for allergy management in healthcare settings.
2. What is the primary purpose of performing hand hygiene before
and after patient contact?
o A. To prevent the spread of healthcare-associated infections
o B. To maintain personal grooming standards
o C. To reduce patient anxiety during procedures
o D. To comply with hospital dress code policies
A Rationale: Hand hygiene is the most effective measure to break the
chain of infection transmission, reducing HAIs like MRSA by up to
50%, as evidenced by WHO and CDC core infection prevention
strategies.
, 2
3. A nurse identifies a wet floor in the hallway. What is the first
action?
o A. Place a "wet floor" sign and notify housekeeping
o B. Mop the floor immediately
o C. Ignore it if no patients are nearby
o D. Walk around it to continue tasks
A Rationale: Immediate hazard identification and mitigation prevent
slips and falls, a leading cause of sentinel events; signage and reporting
follow Joint Commission safety standards for environmental risk
reduction.
4. When using the SBAR communication tool, what does "R" stand
for?
o A. Recommendation
o B. Response
o C. Review
o D. Report
A Rationale: SBAR (Situation, Background, Assessment,
Recommendation) facilitates concise handoffs; the "Recommendation"
component ensures actionable steps, improving interdisciplinary
communication per QSEN competencies.
5. A patient reports sharp chest pain after ambulation. What is the
nurse's priority action?
o A. Assess oxygen saturation and vital signs
o B. Encourage deep breathing exercises
o C. Administer PRN analgesic
o D. Document the complaint for the next shift
A Rationale: Acute chest pain may indicate cardiac or pulmonary
compromise; rapid ABC assessment (airway, breathing, circulation)
prioritizes life-threatening conditions per ACLS and basic nursing triage
principles.
, 3
6. Which fall risk assessment tool is commonly used in acute care
settings?
o A. Morse Fall Scale
o B. Braden Scale
o C. Glasgow Coma Scale
o D. APGAR Score
A Rationale: The Morse Fall Scale evaluates gait, mental status, and
history to score fall risk (0-125), guiding interventions like bed alarms;
it's validated for hospital use by the Agency for Healthcare Research and
Quality.
7. A nurse is teaching a patient about fire safety. What is the correct
sequence for RACE?
o A. Rescue, Alarm, Confine, Extinguish
o B. Alarm, Rescue, Confine, Extinguish
o C. Extinguish, Alarm, Rescue, Confine
o D. Confine, Rescue, Alarm, Extinguish
A Rationale: RACE provides a structured response to fires: Rescue
those in immediate danger first, then Alarm, Confine smoke, and
Extinguish if safe, per NFPA and hospital emergency protocols to
minimize harm.
8. What is the minimum Personal Protective Equipment (PPE) for
contact precautions?
o A. Gloves and gown
o B. Mask and goggles
o C. N95 respirator
o D. Face shield only
A Rationale: Contact precautions for infections like C. diff require
gloves to prevent hand contamination and gowns to protect clothing, as
outlined in CDC isolation guidelines to interrupt fomite transmission.
