NUR 2356 / NUR2356 Multidimensional Care I (MDC 1) Exam 2 V2 (Latest 2026/2027 Update) | Rasmussen | Complete Study Guide | Verified Questions & Answers | 100% Correct Solutions | Grade A

NUR 2356 / NUR2356 Multidimensional Care I (MDC 1) Exam 2 V2 (Latest 2026/2027 Update) | Rasmussen | Complete Study Guide | Verified Questions & Answers | 100% Correct Solutions | Grade A Q: A nurse is caring for a client whose cancer metastasis has resulted in bone pain. What should the nurse expect the client to describe? Answer A dull, deep ache that is "boring" in nature Q: A nurse is assessing a client who is experiencing peripheral neurovascular dysfunction. Which assessment findings are most consistent with this diagnosis? Answer Absence of feeling, capillary refill of 4-5 seconds, and cool skin Q: A client has symptoms of osteoporosis and is being assessed during an annual physical exam. The nurse should anticipate which diagnostic test to confirm an exacerbation of osteoporosis? Answer Bone densitometry Q: A client has just had an arthroscopy performed to assess a knee injury. What nursing intervention should the nurse perform following this procedure? Answer Wrap the joint in a compression dressing Q: A nurse is caring for an older adult with geriatric failure to thrive. The nurse should perform interventions to prevent which complication? Answer Muscle atrophy Q: The nurse's comprehensive assessment of an older adult involves gait evaluation. How should the nurse best assess gait? Answer Instruct the client to walk away from and then back toward the nurse Q: A nurse is performing a musculoskeletal assessment of a client with arthritis. During passive ROM exercises, the nurse hears an audible grating sound. The nurse should document which finding? Answer Crepitus Q: A nurse is caring for a client scheduled for an MRI. What is the priority safety action before the procedure? Answer Ensure there are no metal objects on or in the client Q: A nurse is taking a health history on a client with musculoskeletal dysfunction. What should the nurse prioritize during this phase of the assessment? Answer Evaluating the effects of the musculoskeletal disorder on the client's function Q: Nursing intervention to complete first with a client's immobility? Answer Assess the musculoskeletal system Q: Diagnostic tests show that a client's bone density has decreased over the past several years. The client asks the nurse which factors contribute to bone density decreasing. Which response by the nurse would be best? Answer "For many people, a lack of proper nutrition can cause a loss of bone density." Q: A client presents at a clinic reports heel pain that impairs walking ability. The client is subsequently diagnosed with plantar fasciitis. This client's plan of care should include what intervention? Answer Gently stretching the foot and the Achilles tendon Q: A nurse is teaching an educational class to a group of older adults at a community center. In an effort to prevent osteoporosis, the nurse should encourage participants to ensure that they consume the recommended intake of what nutrients? Select all that apply Answer Calcium, Vitamin D Q: A nurse is providing a class on osteoporosis at the local center for older adults. Which statement related to osteoporosis is most accurate? Answer The use of corticosteroids increases the risk of osteoporosis Q: Which of the following clients should the nurse recognize as being at the highest risk for the development of osteomyelitis? (bone infection) Answer An older adult client with an infected pressure ulcer in the sacral area Q: A client presents at a clinic reporting back pain that goes all the way down the back of the leg to the foot. The nurse should document the presence of what type of pain? Answer Sciatica Q: A client presents at the clinic with a report of morning numbness, cramping, and stiffness in the fourth and fifth fingers of the right hand. What disease process should the nurse suspect? Answer Dupuytren disease Q: A client's electronic health record notes that the client has hallux valgus. What signs and symptoms should the nurse expect this client to manifest? Answer Deviation of a great toe laterally Q: An older adult woman's current medication regimen includes alendronate. What outcome would indicate successful therapy? Answer Increased bone mass Q: A nurse is caring for a client who is postoperative day 1 following a total arthroplasty of the right hip. How should the nurse position the client? Answer Place a pillow between the legs Q: A client who had a total hip replacement two days ago reports new onset calf tenderness to the nurse. Which action should the nurse take? Answer Notify the health care provider Q: A client with a total hip replacement has developed decreased breath sounds. What is the nurse's best action? Answer Encourage use of the incentive spirometer Q: A nurse is caring for a client who has a leg cast. The nurse observes the client using a pencil to scratch the skin under the edge of the cast. How should the nurse respond? Answer Answer Provide a fan to blow cool air into the cast The nursing care plan for a client in traction specifies regular assessments for venous thromboembolism (VTE). When assessing the client's lower limbs, what sign is suggestive of deep vein thrombosis (DVT)? Answer Increased warmth of the calf A nurse is caring for a client who has had a total hip replacement. The nurse is reviewing health education prior to discharge. Which statement indicates a need for further teaching? Answer "I will need my husband to assist me in getting off the low toilet seat at home." A nurse is assessing the neurovascular status of a client who has had a leg cast recently applied. The nurse is unable to palpate the client's dorsalis pedis or posterior tibial pulse, and the client's foot is pale. What is the nurse's most appropriate action? Promptly inform the primary care provider A client has recently been admitted to the orthopedic unit following total hip arthroplasty. The nurse notes that the urinary catheter was removed one hour ago and the client has not voided. Which action should the nurse take? Ask if the client needs to void An older adult client is brought to the ED with a suspected fractured hip. X-rays confirm a femoral neck fracture. The nurse should be aware of the client's heightened risk for what complication? Avascular necrosis A client who has had an amputation is being cared for by a multidisciplinary rehabilitation team. What is the primary goal of this team? Promote the client's highest possible level of function A client was fitted with an arm cast after fracturing the humerus. Twelve hours later, the client reports severe pain not relieved by analgesics. What is the most appropriate nursing action? Prepare the client for opening or bivalving of the cast The registered nurse taking shift report learns that an assigned client is blind. How should the nurse best communicate with this client? State name and role immediately after entering the room A client is exploring treatment options after being diagnosed with age-related cataracts that affect vision. What treatment is most likely to be used in the client's care? Surgical intervention A client presents to the ED after receiving a chemical burn to the eye. What should be the nurse's initial intervention? Generously flush the eye with normal saline or water The nurse is administering eye drops to a client with glaucoma. After instilling the first medication, how long should the nurse wait before instilling the second medication in the same eye? 5 minutes A nurse is teaching a client with glaucoma how to administer eye drops for maximum absorption. Which action should the nurse teach? Instill the medication in the conjunctival sac The nurse is admitting a 55-year-old client with a left eye retinal detachment. Which symptom is characteristic of this condition? Flashing lights in the visual field A client reports noticing distortions when viewing the Amsler grid. What is the nurse's most appropriate action? Arrange an assessment for macular degeneration A client diagnosed with glaucoma is eager to "beat this disease" and asks how long medications will be needed. How should the nurse respond? "In fact, glaucoma usually requires lifelong treatment with medications" A public health nurse is teaching a vision workshop. Which are the most common causes of blindness and visual impairment in adults over age 40? Select all that apply. Diabetic retinopathy, macular degeneration, glaucoma During a vision health education event, a participant makes the following statement. Which best demonstrates understanding? "I'm certainly going to keep a close eye on my blood pressure from now on." Following a motorcycle accident, an adolescent is brought to the ED. Which ear finding should be reported immediately? Clear, watery fluid draining from the ear A client has hearing loss related to cochlear damage. What is this called? Sensorineural hearing loss A client is postoperative day 6 after tympanoplasty and mastoidectomy and reports occasional sharp ear pains. How should the nurse interpret this? This is expected during the first few weeks of recovery An advanced practice nurse irrigates a client's ear to remove cerumen. What intervention minimizes nausea and vertigo during the procedure? Keep the irrigation fluid warm The nurse is planning care for a client with vertigo. Which nursing diagnosis risk should be prioritized? Risk for falls A child reports being unable to hear the teacher. Which test can the school nurse perform? Whisper test A 6-month-old infant is brought in with inconsolable crying and ear pulling. In a healthy ear what should the tympanic membrane look like? Gray A child has recurrent acute otitis media. What intervention is likely? Intervention of a ventilation tube A client with a right tibial fracture is being discharged home after having a cast applied. What instruction should the nurse provide regarding cast care? "Keep your right leg elevated above heart level" What are anti-embolic stockings used for? To promote venous return A nurse is preparing to administer 2 grams of ceftriaxone in 100 ml to be infused over 30 minutes. What rate should the nurse set on the IV pump? 200 ml/hr A nurse is preparing to administer 7.5 mg of prednisone to a patient. The tablet below is available. How many tablets should the nurse administer? 3 tablets