NUR 2356 MULTIDIMENSIONAL CARE I EXAM
PREPARATION PACK 2026 KEY CONCEPTS
AND REVISION NOTES
◉ The nurse instructs a patient for whom a transdermal patch has
been prescribed to rotate sites of application. For which hypothesis
is this instruction an intervention?
A- Risk for Cross-infection
B- Risk for allergic reaction
C- Risk for impaired tissue integrity
D- Risk for adverse medication interaction
Answer: Risk for impaired tissue integrity
◉ In response to a hypothesis of Lack of Knowledge of Medication
Regime, the nurse teaches the patient about a newly prescribed
medication, specifically the name, dose, route of administration,
time, frequency, and special instructions. Which method would the
nurse use to evaluate the effectiveness of the teaching?
A-Observe the patient correctly self-administering a dose of the new
medication at least once.
,B-Request the patient to ask clarifying questions after review of
written directions for use of the new medication.
C-Ask the patient to rate his or her understanding of the directions
for use of the new medication on a scale from 1 to 5, with 1 being
"do not understand" and 5 being "understand completely."
D-Ask the patient to explain the use of the new medication, giving its
name, dose, route, frequency, expected effects, and management of
side and adverse effects of the new medication.
Answer: Ask the patient to explain the use of the new medication,
giving its name, dose, route, frequency, expected effects, and
management of side and adverse effects of the new medication.
◉ A newly admitted patient tells the nurse "I can't swallow
medicines; they all need to be crushed." Based on this statement, the
nurse would contact the health care provider about a prescription
for which form of medication?
A-Toche
B- Sublingual medication
C- Enteric-coated tablet
D- Capsule
Answer: Enteric-coated tablet
, ◉ A patient has a prescription for 2.5 mL of a liquid medication to be
administered orally. In accordance with best practice guidelines,
which device would the nurse use when preparing this medication?
A-Oral syringe calibrated in metric only
B-Measuring spoon calibrated in metric
C-Syringe calibrated in both metric and household units
D-Medicine cup calibrated in both metric and household units
Answer: Oral syringe calibrated in metric only
◉ Which statement made by a patient who self-administers
medications through a gastrointestinal (GI) tube indicates the need
for further instruction about the process?
A-"I take one medication at a time and flush the tube before and
after each one."
B-"If a medication seems thick and I might have a problem getting
through the tube, I dilute it."
C-"I take my evening medications, sit up and watch television for an
hour or more, and then head into bed."
D-"I mix my morning medication with my morning feeding to save a
bit of time before leaving for work."
Answer: "I mix my morning medication with my morning feeding to
save a bit of time before leaving for work."
PREPARATION PACK 2026 KEY CONCEPTS
AND REVISION NOTES
◉ The nurse instructs a patient for whom a transdermal patch has
been prescribed to rotate sites of application. For which hypothesis
is this instruction an intervention?
A- Risk for Cross-infection
B- Risk for allergic reaction
C- Risk for impaired tissue integrity
D- Risk for adverse medication interaction
Answer: Risk for impaired tissue integrity
◉ In response to a hypothesis of Lack of Knowledge of Medication
Regime, the nurse teaches the patient about a newly prescribed
medication, specifically the name, dose, route of administration,
time, frequency, and special instructions. Which method would the
nurse use to evaluate the effectiveness of the teaching?
A-Observe the patient correctly self-administering a dose of the new
medication at least once.
,B-Request the patient to ask clarifying questions after review of
written directions for use of the new medication.
C-Ask the patient to rate his or her understanding of the directions
for use of the new medication on a scale from 1 to 5, with 1 being
"do not understand" and 5 being "understand completely."
D-Ask the patient to explain the use of the new medication, giving its
name, dose, route, frequency, expected effects, and management of
side and adverse effects of the new medication.
Answer: Ask the patient to explain the use of the new medication,
giving its name, dose, route, frequency, expected effects, and
management of side and adverse effects of the new medication.
◉ A newly admitted patient tells the nurse "I can't swallow
medicines; they all need to be crushed." Based on this statement, the
nurse would contact the health care provider about a prescription
for which form of medication?
A-Toche
B- Sublingual medication
C- Enteric-coated tablet
D- Capsule
Answer: Enteric-coated tablet
, ◉ A patient has a prescription for 2.5 mL of a liquid medication to be
administered orally. In accordance with best practice guidelines,
which device would the nurse use when preparing this medication?
A-Oral syringe calibrated in metric only
B-Measuring spoon calibrated in metric
C-Syringe calibrated in both metric and household units
D-Medicine cup calibrated in both metric and household units
Answer: Oral syringe calibrated in metric only
◉ Which statement made by a patient who self-administers
medications through a gastrointestinal (GI) tube indicates the need
for further instruction about the process?
A-"I take one medication at a time and flush the tube before and
after each one."
B-"If a medication seems thick and I might have a problem getting
through the tube, I dilute it."
C-"I take my evening medications, sit up and watch television for an
hour or more, and then head into bed."
D-"I mix my morning medication with my morning feeding to save a
bit of time before leaving for work."
Answer: "I mix my morning medication with my morning feeding to
save a bit of time before leaving for work."
