MDC1 Final Exam Questions and Answers Guaranteed Pass
1. A patient asks the nurse if they can review their medical records. Which
response by the nurse is appropriate?
A) "Only your healthcare provider can give you access to your medical
records."
B) "You have the right to review your records, but you need to follow the
facility's policy."
C) "You are not allowed to see your records, but I can provide you with a
summary."
D) "Your family member can review them on your behalf.": B) "You have the right
to review your records, but you need to follow the facility's policy."
2. When assisting a patient with oral hygiene, which of the following actions
should the nurse take to prevent aspiration?
A) Use a large amount of water to rinse the mouth.
B) Position the patient in a supine position.
C) Use a toothbrush with firm bristles.
D) Position the patient in a semi-Fowler's position.: D) Position the patient in a
semi-Fowler's position.
3. A patient with peripheral artery disease (PAD) reports pain in their legs when
walking. What is the priority nursing intervention?
A) Elevate the legs above the heart level.
B) Encourage the patient to continue walking until the pain subsides.
C) Recommend the patient sit and rest until the pain goes away.
D) Apply cold compresses to the affected area.: C) Recommend the patient sit
and rest until the pain goes away. Rationale: Claudication pain associated with PAD
is due to poor perfusion. Resting the legs can help alleviate the pain.
4. The nurse is preparing to take a rectal temperature for a patient. Which
action is correct?
A) Insert the thermometer 1 inch into the rectum.
B) Lubricate the thermometer tip before insertion.
C) Position the patient in the supine position.
D) Record the temperature as an oral reading.: B) Lubricate the thermometer tip
before insertion.
5. A nurse is assessing a patient with suspected fluid overload. Which clinical
manifestation supports this condition?
A) Dry, flaky skin
B) Tachycardia
C) Wheezing upon auscultation
D) Decreased urine output: C) Wheezing upon auscultation Rationale: Wheezing
, MDC1 Final Exam Questions and Answers Guaranteed Pass
can indicate fluid in the lungs, a common sign of fluid overload, especially in patients
with heart failure.
6. Which of the following instructions should the nurse provide to a patient
experiencing insomnia?
A) "Take naps during the day to make up for lost sleep."
B) "Drink a cup of coffee before bed to relax."
C) "Establish a regular bedtime routine."
D) "Exercise vigorously right before bedtime.": C) "Establish a regular bedtime
routine." Rationale: A consistent bedtime routine can help signal to the body that it's
time to sleep, promoting better sleep quality.
7. A patient who is homeless presents with malnutrition. According to
Maslow's hierarchy of needs, which of the following should be the nurse's
priority?
A) Providing information about community resources
B) Addressing the patient's nutritional needs
C) Discussing the importance of self-esteem
D) Encouraging the patient to develop social relationships: B) Addressing the
patient's nutritional needs Rationale: According to Maslow's hierarchy, physiological
needs such as food must be met before addressing higher-level needs like self-es-
teem or social relationships.
8. A nurse is assessing pain in a patient who does not speak English. Which
pain assessment tool is most appropriate?
A) Numeric rating scale
B) Visual analog scale
C) FACES pain scale
D) Verbal descriptor scale: C) FACES pain scale Rationale: The FACES scale is
useful for patients with language barriers as it uses facial expressions to convey
different levels of pain.
9. The nurse delegates the task of ambulating a stable patient to a nursing
assistant. Which of the following is an appropriate statement to include in the
delegation?
A) "Let me know if the patient complains of any pain during ambulation."
B) "You can give the patient their morning medications during the walk."
C) "You can evaluate the patient's gait while ambulating."
D) "You are responsible for documenting the patient's ambulation progress."-
: A) "Let me know if the patient complains of any pain during ambulation." Rationale:
The nurse can delegate the task of ambulation but remains responsible for assessing
the patient's response to the activity.
, MDC1 Final Exam Questions and Answers Guaranteed Pass
10. Which of the following is an example of a sentinel event in a healthcare
facility?
A) A patient develops a pressure ulcer after prolonged bedrest.
B) A patient receives the wrong dose of medication but suffers no harm.
C) A patient experiences a fall that results in a head injury.
D) A nurse is pricked by a needle after administering an injection.: C) A
patient experiences a fall that results in a head injury. Rationale: Sentinel events are
unexpected occurrences involving death or serious physical or psychological injury.
A fall with a head injury qualifies as a sentinel event.
11. A nurse is teaching a group of older adults about health promotion strate-
gies. Which of the following should be included in the teaching?
A) "You should avoid all forms of exercise to prevent injury."
B) "Take vitamin supplements without consulting your healthcare provider."
C) "Stay hydrated and eat a balanced diet to maintain health."
D) "Use tobacco products in moderation.": C) "Stay hydrated and eat a balanced
diet to maintain health." Rationale: Adequate hydration and a balanced diet are key
components of health promotion, especially in older adults.
12. When performing morning care for a patient, which of the following should
the nurse prioritize?
A) Washing the patient's face last
B) Offering the patient a choice of activities
C) Assisting the patient to the bathroom first
D) Making the bed before helping the patient bathe: C) Assisting the patient to
the bathroom first Rationale: Assisting the patient to the bathroom first is important
to promote comfort and dignity, as well as to prevent accidents.
13. A patient with difficulty swallowing (dysphagia) is at risk for aspiration.
What is the most appropriate nursing intervention?
A) Encourage the patient to eat quickly.
B) Offer thin liquids with each meal.
C) Position the patient upright during meals.
D) Avoid talking to the patient during meals.: C) Position the patient upright
during meals. Rationale: An upright position helps prevent aspiration by allowing
gravity to assist with swallowing.
14. A nurse is caring for a patient with a urinary catheter. Which of the following
practices should the nurse implement to prevent catheter-associated urinary
tract infections (CAUTI)?
A) Change the catheter every 24 hours.
B) Keep the drainage bag above the level of the bladder.
C) Maintain a closed drainage system.
, MDC1 Final Exam Questions and Answers Guaranteed Pass
D) Irrigate the catheter daily.: C) Maintain a closed drainage system. Rationale:
A closed drainage system reduces the risk of introducing bacteria into the urinary
tract, thereby preventing infection.
15. A nurse is teaching a patient about guided imagery for pain management.
Which of the following statements should the nurse include?
A) "Guided imagery involves taking pain medication at regular intervals."
B) "You should visualize a peaceful scene to help reduce your pain."
C) "Guided imagery is only effective for chronic pain."
D) "This technique should be avoided if you are feeling anxious.": B) "You
should visualize a peaceful scene to help reduce your pain." Rationale: Guided im-
agery involves using mental images to promote relaxation and reduce the perception
of pain.
16. A patient taking warfarin asks the nurse if they can take ginkgo biloba for
memory improvement. What is the nurse's best response?
A) "Yes, ginkgo biloba is safe to take with warfarin."
B) "Ginkgo biloba can increase your risk of bleeding while on warfarin."
C) "It is best to take ginkgo biloba at a lower dose."
D) "You should increase your intake of green leafy vegetables instead.": B)
"Ginkgo biloba can increase your risk of bleeding while on warfarin." Rationale:
Ginkgo biloba can potentiate the effects of anticoagulants like warfarin, increasing
the risk of bleeding.
17. A nurse is caring for a patient who has an impaired gag reflex. Which of the
following actions should the nurse take to prevent aspiration?
A) Offer the patient thin liquids.
B) Elevate the head of the bed to 30 degrees during feeding.
C) Provide oral care after meals.
D) Place the patient in a side-lying position.: D) Place the patient in a side-lying
position. Rationale: Positioning the patient on their side can help prevent aspiration
if they vomit or have difficulty swallowing.
18. Which of the following is a primary role of the World Health Organization
(WHO)?
A) Providing direct patient care in developing countries
B) Setting international health standards and guidelines
C) Regulating healthcare workers' licenses globally
D) Funding healthcare facilities worldwide: B) Setting international health stan-
dards and guidelines Rationale: The WHO is responsible for setting global health
standards and guidelines to improve public health outcomes.
19. The National Patient Safety Goals (NPSGs) were established to address
specific areas of patient safety. Which of the following is one of the NPSGs?
1. A patient asks the nurse if they can review their medical records. Which
response by the nurse is appropriate?
A) "Only your healthcare provider can give you access to your medical
records."
B) "You have the right to review your records, but you need to follow the
facility's policy."
C) "You are not allowed to see your records, but I can provide you with a
summary."
D) "Your family member can review them on your behalf.": B) "You have the right
to review your records, but you need to follow the facility's policy."
2. When assisting a patient with oral hygiene, which of the following actions
should the nurse take to prevent aspiration?
A) Use a large amount of water to rinse the mouth.
B) Position the patient in a supine position.
C) Use a toothbrush with firm bristles.
D) Position the patient in a semi-Fowler's position.: D) Position the patient in a
semi-Fowler's position.
3. A patient with peripheral artery disease (PAD) reports pain in their legs when
walking. What is the priority nursing intervention?
A) Elevate the legs above the heart level.
B) Encourage the patient to continue walking until the pain subsides.
C) Recommend the patient sit and rest until the pain goes away.
D) Apply cold compresses to the affected area.: C) Recommend the patient sit
and rest until the pain goes away. Rationale: Claudication pain associated with PAD
is due to poor perfusion. Resting the legs can help alleviate the pain.
4. The nurse is preparing to take a rectal temperature for a patient. Which
action is correct?
A) Insert the thermometer 1 inch into the rectum.
B) Lubricate the thermometer tip before insertion.
C) Position the patient in the supine position.
D) Record the temperature as an oral reading.: B) Lubricate the thermometer tip
before insertion.
5. A nurse is assessing a patient with suspected fluid overload. Which clinical
manifestation supports this condition?
A) Dry, flaky skin
B) Tachycardia
C) Wheezing upon auscultation
D) Decreased urine output: C) Wheezing upon auscultation Rationale: Wheezing
, MDC1 Final Exam Questions and Answers Guaranteed Pass
can indicate fluid in the lungs, a common sign of fluid overload, especially in patients
with heart failure.
6. Which of the following instructions should the nurse provide to a patient
experiencing insomnia?
A) "Take naps during the day to make up for lost sleep."
B) "Drink a cup of coffee before bed to relax."
C) "Establish a regular bedtime routine."
D) "Exercise vigorously right before bedtime.": C) "Establish a regular bedtime
routine." Rationale: A consistent bedtime routine can help signal to the body that it's
time to sleep, promoting better sleep quality.
7. A patient who is homeless presents with malnutrition. According to
Maslow's hierarchy of needs, which of the following should be the nurse's
priority?
A) Providing information about community resources
B) Addressing the patient's nutritional needs
C) Discussing the importance of self-esteem
D) Encouraging the patient to develop social relationships: B) Addressing the
patient's nutritional needs Rationale: According to Maslow's hierarchy, physiological
needs such as food must be met before addressing higher-level needs like self-es-
teem or social relationships.
8. A nurse is assessing pain in a patient who does not speak English. Which
pain assessment tool is most appropriate?
A) Numeric rating scale
B) Visual analog scale
C) FACES pain scale
D) Verbal descriptor scale: C) FACES pain scale Rationale: The FACES scale is
useful for patients with language barriers as it uses facial expressions to convey
different levels of pain.
9. The nurse delegates the task of ambulating a stable patient to a nursing
assistant. Which of the following is an appropriate statement to include in the
delegation?
A) "Let me know if the patient complains of any pain during ambulation."
B) "You can give the patient their morning medications during the walk."
C) "You can evaluate the patient's gait while ambulating."
D) "You are responsible for documenting the patient's ambulation progress."-
: A) "Let me know if the patient complains of any pain during ambulation." Rationale:
The nurse can delegate the task of ambulation but remains responsible for assessing
the patient's response to the activity.
, MDC1 Final Exam Questions and Answers Guaranteed Pass
10. Which of the following is an example of a sentinel event in a healthcare
facility?
A) A patient develops a pressure ulcer after prolonged bedrest.
B) A patient receives the wrong dose of medication but suffers no harm.
C) A patient experiences a fall that results in a head injury.
D) A nurse is pricked by a needle after administering an injection.: C) A
patient experiences a fall that results in a head injury. Rationale: Sentinel events are
unexpected occurrences involving death or serious physical or psychological injury.
A fall with a head injury qualifies as a sentinel event.
11. A nurse is teaching a group of older adults about health promotion strate-
gies. Which of the following should be included in the teaching?
A) "You should avoid all forms of exercise to prevent injury."
B) "Take vitamin supplements without consulting your healthcare provider."
C) "Stay hydrated and eat a balanced diet to maintain health."
D) "Use tobacco products in moderation.": C) "Stay hydrated and eat a balanced
diet to maintain health." Rationale: Adequate hydration and a balanced diet are key
components of health promotion, especially in older adults.
12. When performing morning care for a patient, which of the following should
the nurse prioritize?
A) Washing the patient's face last
B) Offering the patient a choice of activities
C) Assisting the patient to the bathroom first
D) Making the bed before helping the patient bathe: C) Assisting the patient to
the bathroom first Rationale: Assisting the patient to the bathroom first is important
to promote comfort and dignity, as well as to prevent accidents.
13. A patient with difficulty swallowing (dysphagia) is at risk for aspiration.
What is the most appropriate nursing intervention?
A) Encourage the patient to eat quickly.
B) Offer thin liquids with each meal.
C) Position the patient upright during meals.
D) Avoid talking to the patient during meals.: C) Position the patient upright
during meals. Rationale: An upright position helps prevent aspiration by allowing
gravity to assist with swallowing.
14. A nurse is caring for a patient with a urinary catheter. Which of the following
practices should the nurse implement to prevent catheter-associated urinary
tract infections (CAUTI)?
A) Change the catheter every 24 hours.
B) Keep the drainage bag above the level of the bladder.
C) Maintain a closed drainage system.
, MDC1 Final Exam Questions and Answers Guaranteed Pass
D) Irrigate the catheter daily.: C) Maintain a closed drainage system. Rationale:
A closed drainage system reduces the risk of introducing bacteria into the urinary
tract, thereby preventing infection.
15. A nurse is teaching a patient about guided imagery for pain management.
Which of the following statements should the nurse include?
A) "Guided imagery involves taking pain medication at regular intervals."
B) "You should visualize a peaceful scene to help reduce your pain."
C) "Guided imagery is only effective for chronic pain."
D) "This technique should be avoided if you are feeling anxious.": B) "You
should visualize a peaceful scene to help reduce your pain." Rationale: Guided im-
agery involves using mental images to promote relaxation and reduce the perception
of pain.
16. A patient taking warfarin asks the nurse if they can take ginkgo biloba for
memory improvement. What is the nurse's best response?
A) "Yes, ginkgo biloba is safe to take with warfarin."
B) "Ginkgo biloba can increase your risk of bleeding while on warfarin."
C) "It is best to take ginkgo biloba at a lower dose."
D) "You should increase your intake of green leafy vegetables instead.": B)
"Ginkgo biloba can increase your risk of bleeding while on warfarin." Rationale:
Ginkgo biloba can potentiate the effects of anticoagulants like warfarin, increasing
the risk of bleeding.
17. A nurse is caring for a patient who has an impaired gag reflex. Which of the
following actions should the nurse take to prevent aspiration?
A) Offer the patient thin liquids.
B) Elevate the head of the bed to 30 degrees during feeding.
C) Provide oral care after meals.
D) Place the patient in a side-lying position.: D) Place the patient in a side-lying
position. Rationale: Positioning the patient on their side can help prevent aspiration
if they vomit or have difficulty swallowing.
18. Which of the following is a primary role of the World Health Organization
(WHO)?
A) Providing direct patient care in developing countries
B) Setting international health standards and guidelines
C) Regulating healthcare workers' licenses globally
D) Funding healthcare facilities worldwide: B) Setting international health stan-
dards and guidelines Rationale: The WHO is responsible for setting global health
standards and guidelines to improve public health outcomes.
19. The National Patient Safety Goals (NPSGs) were established to address
specific areas of patient safety. Which of the following is one of the NPSGs?
