Final Exam: NUR 2356/ NUR2356 Multidimensional Care I 2026/2027 | Page 1 | Passing Score: 80%
RASMUSSEN UNIVERSITY
Final Exam: NUR 2356/ NUR2356
Multidimensional Care I / MDC 1 Exam
ltidimensional Care I/ MDC 1 Exam | Questions and Verified Answers| Grade A- Rasmussen **2026
100 80% One-Time Cert
QUESTIONS PASSING SCORE RECERTIFICATION
INCLUDES DETAILED ANSWERS WITH RATIONALE FOR EVERY QUESTION
TABLE OF CONTENTS
Section 1 Foundations of Multidimensional Care Q1-Q20
Section 2 Respiratory and Cardiovascular Care Q21-Q40
Section 3 Neurological and Musculoskeletal Care Q41-Q60
Section 4 Gastrointestinal and Renal Care Q61-Q80
Section 5 Endocrine, Integumentary, and Emergency Care Q81-Q100
Instructions: Select the single best answer for each question. This exam includes detailed answers with full rationale after every
question. Passing score: 80% (80 questions correct).
Final Exam: NUR 2356/ NUR2356 Multidimensional Care I - 2026/2027 | Official Exam with Detailed Answers | Passing Score: 80% | Page 1 of 52
, SECTION 1 | Foundations of Multidimensional Care | Q1-Q20 | NUR 2356 Multidimensional Care I 2026/2027
Q1 Question 1 of 100
A 68-year-old female patient is admitted to the medical-surgical unit with complaints of
increasing fatigue, unexplained weight loss, and a persistent low-grade fever over the past
three weeks. The nurse recognizes these findings are most consistent with which overarching
concept in multidimensional care?
A. Acute infection requiring immediate antibiotic therapy
B. Chronic inflammation leading to systemic manifestations
C. Normal aging changes without clinical significance
D. Psychosocial stress response mimicking physical illness
Correct Answer: B
Detailed
PersistentAnswer:
low-grade fever, unexplained weight loss, and fatigue over weeks are classic systemic signs of
chronic inflammation, which is a foundational concept in multidimensional care. Acute infection typically
presents with a high fever and rapid onset rather than a prolonged low-grade course, and these findings are
not normal aging changes.
Q2 Question 2 of 100
A nursing student is learning about the cellular response to injury and asks the nurse educator
why some cells regenerate while others do not. The educator explains that labile cells, such
as epithelial cells of the skin, differ from permanent cells in which key way?
A. Labile cells are more susceptible to malignant transformation than permanent cells
B. Labile cells continuously divide throughout life while permanent cells have left the cell cycle
C. Permanent cells regenerate faster than labile cells after injury
D. Labile cells require oxygen for division while permanent cells do not
Correct Answer: B
Detailed Answer:
Labile cells, such as skin epithelial cells and gastrointestinal mucosa, continuously divide throughout life and
can regenerate after injury. Permanent cells, such as neurons and cardiac myocytes, have left the cell cycle
and cannot divide, making their injury irreversible. This is a foundational concept in understanding tissue
healing.
Final Exam: NUR 2356/ NUR2356 Multidimensional Care I - 2026/2027 | Official Exam with Detailed Answers | Passing Score: 80% | Page 2 of 52
, SECTION 1 | Foundations of Multidimensional Care | Q1-Q20 | NUR 2356 Multidimensional Care I 2026/2027
Q3 Question 3 of 100
A 55-year-old male presents with peripheral edema, ascites, and jugular venous distension.
The nurse understands that these manifestations result from increased hydrostatic pressure
and are most closely associated with which pathophysiological process?
A. Decreased oncotic pressure pulling fluid into vessels
B. Fluid shift from the intravascular to interstitial compartment
C. Increased lymphatic drainage reducing tissue fluid
D. Enhanced renal perfusion promoting sodium excretion
Correct Answer: B
Detailed
IncreasedAnswer:
hydrostatic pressure within the vascular system forces fluid out of the capillaries and into the
interstitial spaces, causing edema, ascites, and jugular venous distension. Decreased oncotic pressure
would also contribute to edema but by a different mechanism, and the other options describe opposite or
incorrect physiological effects.
Q4 Question 4 of 100
A 42-year-old patient with a history of severe burns develops hypovolemic shock. The nurse
monitors the patient closely and understands that compensatory mechanisms during the early
stage of shock primarily involve which system?
A. Parasympathetic nervous system activation decreasing metabolic demand
B. Sympathetic nervous system activation increasing heart rate and vasoconstriction
C. Renin-angiotensin system suppression reducing blood pressure further
D. Baroreceptor-mediated vasodilation improving tissue perfusion
Correct Answer: B
Detailed
During theAnswer:
early compensatory stage of hypovolemic shock, the sympathetic nervous system is activated,
releasing catecholamines that increase heart rate and cause peripheral vasoconstriction to maintain blood
pressure and cardiac output. The parasympathetic system opposes this, and vasodilation would worsen the
shock state.
Final Exam: NUR 2356/ NUR2356 Multidimensional Care I - 2026/2027 | Official Exam with Detailed Answers | Passing Score: 80% | Page 3 of 52
, SECTION 1 | Foundations of Multidimensional Care | Q1-Q20 | NUR 2356 Multidimensional Care I 2026/2027
Q5 Question 5 of 100
A nurse is assessing a 73-year-old patient who has been taking multiple medications for
chronic conditions. The patient reports dizziness when standing up quickly. The nurse
identifies this as orthostatic hypotension and recognizes it is most likely caused by which
age-related change?
A. Enhanced autonomic reflexes causing rapid heart rate changes
B. Increased blood volume causing excessive venous return
C. Decreased baroreceptor sensitivity reducing compensatory vasoconstriction
D. Improved vascular elasticity maintaining constant blood pressure
Correct Answer: C
Detailed Answer:
Aging reduces baroreceptor sensitivity, which impairs the normal compensatory vasoconstriction and heart
rate increase that should occur upon standing. This leads to orthostatic hypotension. The other options
describe opposite or incorrect physiological changes associated with aging.
Q6 Question 6 of 100
A 60-year-old patient with type 2 diabetes has a glycosylated hemoglobin (HbA1c) of 9.2%.
The nurse explains to the patient that this value indicates which condition regarding their
blood glucose control?
A. A temporary spike in blood glucose from a single recent meal
B. Excellent glucose control with minimal risk of complications
C. Chronically elevated blood glucose levels over the past two to three months
D. Normal glucose metabolism consistent with nondiabetic values
Correct Answer: C
Detailed Answer:
HbA1c reflects average blood glucose levels over the lifespan of red blood cells, approximately two to three
months. A value of 9.2% is significantly above the target of less than 7% for diabetic patients, indicating
chronically poor glucose control. It is not affected by a single meal and is far from normal.
Final Exam: NUR 2356/ NUR2356 Multidimensional Care I - 2026/2027 | Official Exam with Detailed Answers | Passing Score: 80% | Page 4 of 52
RASMUSSEN UNIVERSITY
Final Exam: NUR 2356/ NUR2356
Multidimensional Care I / MDC 1 Exam
ltidimensional Care I/ MDC 1 Exam | Questions and Verified Answers| Grade A- Rasmussen **2026
100 80% One-Time Cert
QUESTIONS PASSING SCORE RECERTIFICATION
INCLUDES DETAILED ANSWERS WITH RATIONALE FOR EVERY QUESTION
TABLE OF CONTENTS
Section 1 Foundations of Multidimensional Care Q1-Q20
Section 2 Respiratory and Cardiovascular Care Q21-Q40
Section 3 Neurological and Musculoskeletal Care Q41-Q60
Section 4 Gastrointestinal and Renal Care Q61-Q80
Section 5 Endocrine, Integumentary, and Emergency Care Q81-Q100
Instructions: Select the single best answer for each question. This exam includes detailed answers with full rationale after every
question. Passing score: 80% (80 questions correct).
Final Exam: NUR 2356/ NUR2356 Multidimensional Care I - 2026/2027 | Official Exam with Detailed Answers | Passing Score: 80% | Page 1 of 52
, SECTION 1 | Foundations of Multidimensional Care | Q1-Q20 | NUR 2356 Multidimensional Care I 2026/2027
Q1 Question 1 of 100
A 68-year-old female patient is admitted to the medical-surgical unit with complaints of
increasing fatigue, unexplained weight loss, and a persistent low-grade fever over the past
three weeks. The nurse recognizes these findings are most consistent with which overarching
concept in multidimensional care?
A. Acute infection requiring immediate antibiotic therapy
B. Chronic inflammation leading to systemic manifestations
C. Normal aging changes without clinical significance
D. Psychosocial stress response mimicking physical illness
Correct Answer: B
Detailed
PersistentAnswer:
low-grade fever, unexplained weight loss, and fatigue over weeks are classic systemic signs of
chronic inflammation, which is a foundational concept in multidimensional care. Acute infection typically
presents with a high fever and rapid onset rather than a prolonged low-grade course, and these findings are
not normal aging changes.
Q2 Question 2 of 100
A nursing student is learning about the cellular response to injury and asks the nurse educator
why some cells regenerate while others do not. The educator explains that labile cells, such
as epithelial cells of the skin, differ from permanent cells in which key way?
A. Labile cells are more susceptible to malignant transformation than permanent cells
B. Labile cells continuously divide throughout life while permanent cells have left the cell cycle
C. Permanent cells regenerate faster than labile cells after injury
D. Labile cells require oxygen for division while permanent cells do not
Correct Answer: B
Detailed Answer:
Labile cells, such as skin epithelial cells and gastrointestinal mucosa, continuously divide throughout life and
can regenerate after injury. Permanent cells, such as neurons and cardiac myocytes, have left the cell cycle
and cannot divide, making their injury irreversible. This is a foundational concept in understanding tissue
healing.
Final Exam: NUR 2356/ NUR2356 Multidimensional Care I - 2026/2027 | Official Exam with Detailed Answers | Passing Score: 80% | Page 2 of 52
, SECTION 1 | Foundations of Multidimensional Care | Q1-Q20 | NUR 2356 Multidimensional Care I 2026/2027
Q3 Question 3 of 100
A 55-year-old male presents with peripheral edema, ascites, and jugular venous distension.
The nurse understands that these manifestations result from increased hydrostatic pressure
and are most closely associated with which pathophysiological process?
A. Decreased oncotic pressure pulling fluid into vessels
B. Fluid shift from the intravascular to interstitial compartment
C. Increased lymphatic drainage reducing tissue fluid
D. Enhanced renal perfusion promoting sodium excretion
Correct Answer: B
Detailed
IncreasedAnswer:
hydrostatic pressure within the vascular system forces fluid out of the capillaries and into the
interstitial spaces, causing edema, ascites, and jugular venous distension. Decreased oncotic pressure
would also contribute to edema but by a different mechanism, and the other options describe opposite or
incorrect physiological effects.
Q4 Question 4 of 100
A 42-year-old patient with a history of severe burns develops hypovolemic shock. The nurse
monitors the patient closely and understands that compensatory mechanisms during the early
stage of shock primarily involve which system?
A. Parasympathetic nervous system activation decreasing metabolic demand
B. Sympathetic nervous system activation increasing heart rate and vasoconstriction
C. Renin-angiotensin system suppression reducing blood pressure further
D. Baroreceptor-mediated vasodilation improving tissue perfusion
Correct Answer: B
Detailed
During theAnswer:
early compensatory stage of hypovolemic shock, the sympathetic nervous system is activated,
releasing catecholamines that increase heart rate and cause peripheral vasoconstriction to maintain blood
pressure and cardiac output. The parasympathetic system opposes this, and vasodilation would worsen the
shock state.
Final Exam: NUR 2356/ NUR2356 Multidimensional Care I - 2026/2027 | Official Exam with Detailed Answers | Passing Score: 80% | Page 3 of 52
, SECTION 1 | Foundations of Multidimensional Care | Q1-Q20 | NUR 2356 Multidimensional Care I 2026/2027
Q5 Question 5 of 100
A nurse is assessing a 73-year-old patient who has been taking multiple medications for
chronic conditions. The patient reports dizziness when standing up quickly. The nurse
identifies this as orthostatic hypotension and recognizes it is most likely caused by which
age-related change?
A. Enhanced autonomic reflexes causing rapid heart rate changes
B. Increased blood volume causing excessive venous return
C. Decreased baroreceptor sensitivity reducing compensatory vasoconstriction
D. Improved vascular elasticity maintaining constant blood pressure
Correct Answer: C
Detailed Answer:
Aging reduces baroreceptor sensitivity, which impairs the normal compensatory vasoconstriction and heart
rate increase that should occur upon standing. This leads to orthostatic hypotension. The other options
describe opposite or incorrect physiological changes associated with aging.
Q6 Question 6 of 100
A 60-year-old patient with type 2 diabetes has a glycosylated hemoglobin (HbA1c) of 9.2%.
The nurse explains to the patient that this value indicates which condition regarding their
blood glucose control?
A. A temporary spike in blood glucose from a single recent meal
B. Excellent glucose control with minimal risk of complications
C. Chronically elevated blood glucose levels over the past two to three months
D. Normal glucose metabolism consistent with nondiabetic values
Correct Answer: C
Detailed Answer:
HbA1c reflects average blood glucose levels over the lifespan of red blood cells, approximately two to three
months. A value of 9.2% is significantly above the target of less than 7% for diabetic patients, indicating
chronically poor glucose control. It is not affected by a single meal and is far from normal.
Final Exam: NUR 2356/ NUR2356 Multidimensional Care I - 2026/2027 | Official Exam with Detailed Answers | Passing Score: 80% | Page 4 of 52
