This comprehensive test bank is designed for nursing students preparing for the MDC1 (NUR 2356) Final Exam 2 at Rasmussen University. Updated for the 2025/2026 academic year, this complete exam prep resource features 150+ exam-style questions covering key concepts in Medical-Surgical Nursing I, including Patient Safety, Infection Control, Fluid & Electrolyte Balance, Wound Care, Mobility, Pain Management, Immunological Disorders, and Pharmacology .
The final exam blueprint indicates questions covering modules 1-10 with a focus on application of the nursing process, priority setting (Maslow's Hierarchy), and clinical judgment . This resource aligns with Davis Advantage for Fundamentals of Nursing and Medical-Surgical Nursing: Patient-Centered Collaborative Care textbooks .
Each question is paired with a verified correct answer and a detailed rationale, explaining the underlying nursing principle or clinical reasoning to reinforce learning and improve test-taking confidence .
Key topics covered include:
Hematological Disorders: Red blood cell production stimulated by hypoxia; anemia types (iron deficiency, lead poisoning, sickle cell, β-thalassemia); bone marrow aspiration sites (infants: tibia; children over 5: iliac crest; adults: ribs, sternum, vertebra, pelvis)
Immunological & Connective Tissue Disorders: HIV/AIDS (antiretroviral drugs inhibit viral replication), Rheumatoid Arthritis (bilateral joint pain, RF positive, Sjogren's syndrome), Osteoarthritis (crepitus, management), Gout (low-purine diet, avoid organ meats), Systemic Lupus Erythematosus (butterfly rash, Raynaud's phenomenon), Scleroderma (Raynaud's as first symptom), Psoriasis (thick red skin with silvery scales)
Wound Care & Skin Integrity: Pressure injury staging (Stage 1: nonblanchable erythema; Stage 4: bone/tendon visible), wound exudate types (purulent: creamy thick yellow drainage), Braden Scale components (moisture, friction/shear, mobility, nutrition), interventions to reduce pressure injuries (padding, pillows between bony surfaces, HOB ≤30 degrees)
Fluid & Electrolyte Balance: Fluid overload signs (crackles, increased respiratory rate, hypoxia), 3rd spacing leading to hypovolemia, ascites management (daily weights, abdominal girth, low salt diet, diuretics)
Pain Management & Pharmacology: NSAID adverse effects (GI bleeding, constipation), opioid safety, non-pharmacological interventions (guided imagery, ice packs for 20 minutes), warfarin and Ginkgo biloba interaction (increased bleeding risk), acetaminophen max 4000 mg/day
Patient Safety & Infection Control: National Patient Safety Goals (The Joint Commission), transmission-based precautions, MRSA prevention, reduced immunity interventions (hand washing, no fresh flowers), sterile field preparation
Musculoskeletal Disorders: Osteomyelitis (priority: antibiotics), neurovascular assessment (color, temperature, sensation, capillary refill), compartment syndrome signs, carpal tunnel syndrome (assembly line workers at risk), fracture management
Oxygenation & Perfusion: Chest tube to water-seal drainage (tidaling indicates proper function), EKG changes (ST elevation: myocardial injury; Q wave with ST elevation: acute injury)
Priority Assessment & Nursing Process: ADPIE framework, Maslow's Hierarchy (physiological needs first), therapeutic communication techniques, empathy statements ("This must be hard news to hear"), medical interpreter for non-English speaking patients
Medication Administration & Calculation: Intramuscular injection needle length (underweight patient: 1-inch in vastus lateralis with skin pinched), dosage conversions (5000 mcg = 5 mg), fluid intake calculation (8 oz milk = 240 mL)
Legal & Ethical Issues: HIPAA compliance, patient rights to medical records, facility policy for record access
Sample Questions (from the exam):
1. Red blood cell production is stimulated by:
a. Tachycardia
b. Tachypnea
c. Renin angiotensin
d. Hypoxia
Answer: d – Hypoxia stimulates erythropoietin release, which triggers red blood cell production .
Content preview
Rasmussen College MDC 1 Final Exam
Questions with Verified Answers
Guarantee passing score of 90% or higher
Consist of 100 multiple choice Questions with Answers
1. The nurse is teaching a client with debilitating rheumatoid
arthritis about home safety. Which statement should the nurse
include?
A. "My grandfather always had problems with his arthritis, and he would tell
me that it is better to be more stoic and not let pain interrupt your life"
B. "There are many adaptive devices such as grab bars, reacting tools, grasping
devices and adaptive silverware available that may help you."
C. "Place throw rugs throughout your home. You will enjoy how pretty they are,
and you can use them to cover up power cords, so you do not trip on them."
D. "Lack of home safety may be an issue of compliance. Are you being compliant
with your medication?"
Answer
B. "There are many adaptive devices such as
grab bars, reacting tools, grasping devices and adaptive silverware available that
,may help you."
2. A client is in the emergency room in critical condition and hypotensive. her
spouse is distraught. What is the priority nursing action?
A. Maintain the client's blood pressure
B. Call a chaplain
C. Provide the spouse a chair
D. Ask the client's spouse to explain what happened
Answer
A. Maintain the client's blood pressure
3. What level of Maslow's hierarchy of needs does shelter belong to?
A. Love and belonging
B. Physiological
C. Safety and security
D. Esteem
Answer
B. Physiological
4. A nurse is teaching a client how to follow a low-purine diet as prescribed by
the provider for the management of gout. What statement by the client indicates
,a correct understanding of the teaching?
A. "I should choose red meat instead of poultry."
B. "I should avoid eating liver and other organ meats."
C. "I can drink only white wine."
D. "I will need to limit the number of fruit servings each day."
Answer
B. "I should avoid eating liver and other organ meats."
5. The nurse is providing medication for a client with osteomyelitis. What
teaching should the nurse indicate in the education?
A. The most common adverse effect for nonsteroidal anti-inflammatory drugs
(NSAIDS)are liver failure and tinnitus
B. The main side effect of acetaminophen is gastrointestinal GI bleeding
C. You should not take more than 4000 mg of acetaminophen a day
D. Nonsteroidal anti-inflammatory drugs (NSAIDS) are very safe and are known
to have no side effects
Answer
C. You should not take more than 4000 mg of acetaminophen a day
6. . The nurse is caring for a client with rheumatoid arthritis one day after the
shoulder surgery. What would prompt the nurse to call the provider immedi-
, ately?
A. The client refused her pain medication this morning and is doing physical
therapy
B. The client reports a minor headache and states she takes an
over-the-counter pain pill at home
C. The client reports intermittent flatus and minor abdominal discomfort.
D. The client has paresthesia in her fingers and intense increasing pain in her
shoulder
Answer
D. The client has paresthesia in her fingers and intense increasing pain in her shoulder
7. A client with systemic lupus erythematous complains of flank pain. Which
laboratory test does the nurse anticipate will be ordered?
A. Platelets
B. Skin biopsy
C. Creatinine
D. hemoglobin
Answer
C. Creatinine