NUR 2356 Multidimensional Care I - MDC 1 Exam
Practice Questions & Correct Answers | 2026
Edition
This comprehensive test bank contains 250 practice questions for the NUR 2356
Multidimensional Care I (MDC 1) Exam 2 at Rasmussen University, updated for the 2026/2027
academic year . The questions cover all essential domains including mobility and immobility,
sensory disorders, medication administration, and infection control . Each question includes a
detailed rationale to reinforce learning and ensure exam readiness.
Content Area Overview
Domain Questions Key Topics
Mobility & Immobility 1-80 Effects of immobility, ROM exercises, positioning, transfers, gait
training
Musculoskeletal Disorders 81-130 Osteoporosis, fractures, arthritis, bone healing,
neurovascular assessment
Sensory Disorders 131-180 Vision, hearing, glaucoma, cataracts, Meniere's disease,
hearing loss
Medication Administration & Safety 181-210 High-alert medications, dosage calculations,
medication reconciliation
Safety & Infection Control 211-250 Falls prevention, hand hygiene, C. diff, restraints,
pressure ulcers
SECTION 1: MOBILITY & IMMOBILITY (Questions 1-80)
Question 1: The nurse is assessing a client who has been immobile for several days. Which
finding indicates a negative effect of immobility on the gastrointestinal system?
A) Increased peristalsis
B) Decreased peristalsis
C) Increased appetite
D) Enhanced nutrient absorption
,Correct Answer: B
Rationale: Immobility causes decreased peristalsis, leading to constipation and gastrointestinal
complications. This is one of the systemic negative effects of immobility on the body . The
decrease in physical activity slows bowel motility and can result in fecal impaction .
Question 2: What are the effects of immobility on the respiratory system? (Select all that
apply.)
A) Decreased depth of respiration
B) Increased ability to cough
C) Atelectasis
D) Pooling of secretions in airways
Correct Answer: A, C, D
Rationale: Immobility decreases the strength of respiratory muscles, reduces depth of
respiration, causes secretions to pool in airways due to alveolar collapse, and decreases the
ability to effectively cough and expectorate secretions . This increases the risk of atelectasis and
pneumonia .
Question 3: What are the effects of immobility on the circulatory system?
A) Decreased workload of the heart
B) Venous stasis leading to DVT
C) Increased peripheral circulation
D) Decreased risk of thrombus formation
, Correct Answer: B
Rationale: Immobility increases the workload of the heart and causes venous stasis, which can
lead to deep vein thrombosis (DVT) . The lack of muscle contraction in the lower extremities
reduces venous return and promotes clot formation .
Question 4: Which interventions should the nurse implement to prevent complications of
immobility on the musculoskeletal system? (Select all that apply.)
A) Reposition the client every 2 hours
B) Perform passive or active range-of-motion exercises
C) Administer heparin as prescribed
D) Apply antiembolic stockings
Correct Answer: A, B
Rationale: To prevent musculoskeletal complications of immobility such as contractures and
muscle atrophy, the nurse should reposition the client every 2 hours and perform passive or
active range-of-motion exercises . Heparin and antiembolic stockings address circulatory, not
musculoskeletal, complications.
Question 5: The nurse is caring for an immobile client. What is the priority assessment for this
client?
A) Palpate for edema
B) Auscultate for bowel sounds
C) Inspect the skin for injury
D) Auscultation of lung sounds
Practice Questions & Correct Answers | 2026
Edition
This comprehensive test bank contains 250 practice questions for the NUR 2356
Multidimensional Care I (MDC 1) Exam 2 at Rasmussen University, updated for the 2026/2027
academic year . The questions cover all essential domains including mobility and immobility,
sensory disorders, medication administration, and infection control . Each question includes a
detailed rationale to reinforce learning and ensure exam readiness.
Content Area Overview
Domain Questions Key Topics
Mobility & Immobility 1-80 Effects of immobility, ROM exercises, positioning, transfers, gait
training
Musculoskeletal Disorders 81-130 Osteoporosis, fractures, arthritis, bone healing,
neurovascular assessment
Sensory Disorders 131-180 Vision, hearing, glaucoma, cataracts, Meniere's disease,
hearing loss
Medication Administration & Safety 181-210 High-alert medications, dosage calculations,
medication reconciliation
Safety & Infection Control 211-250 Falls prevention, hand hygiene, C. diff, restraints,
pressure ulcers
SECTION 1: MOBILITY & IMMOBILITY (Questions 1-80)
Question 1: The nurse is assessing a client who has been immobile for several days. Which
finding indicates a negative effect of immobility on the gastrointestinal system?
A) Increased peristalsis
B) Decreased peristalsis
C) Increased appetite
D) Enhanced nutrient absorption
,Correct Answer: B
Rationale: Immobility causes decreased peristalsis, leading to constipation and gastrointestinal
complications. This is one of the systemic negative effects of immobility on the body . The
decrease in physical activity slows bowel motility and can result in fecal impaction .
Question 2: What are the effects of immobility on the respiratory system? (Select all that
apply.)
A) Decreased depth of respiration
B) Increased ability to cough
C) Atelectasis
D) Pooling of secretions in airways
Correct Answer: A, C, D
Rationale: Immobility decreases the strength of respiratory muscles, reduces depth of
respiration, causes secretions to pool in airways due to alveolar collapse, and decreases the
ability to effectively cough and expectorate secretions . This increases the risk of atelectasis and
pneumonia .
Question 3: What are the effects of immobility on the circulatory system?
A) Decreased workload of the heart
B) Venous stasis leading to DVT
C) Increased peripheral circulation
D) Decreased risk of thrombus formation
, Correct Answer: B
Rationale: Immobility increases the workload of the heart and causes venous stasis, which can
lead to deep vein thrombosis (DVT) . The lack of muscle contraction in the lower extremities
reduces venous return and promotes clot formation .
Question 4: Which interventions should the nurse implement to prevent complications of
immobility on the musculoskeletal system? (Select all that apply.)
A) Reposition the client every 2 hours
B) Perform passive or active range-of-motion exercises
C) Administer heparin as prescribed
D) Apply antiembolic stockings
Correct Answer: A, B
Rationale: To prevent musculoskeletal complications of immobility such as contractures and
muscle atrophy, the nurse should reposition the client every 2 hours and perform passive or
active range-of-motion exercises . Heparin and antiembolic stockings address circulatory, not
musculoskeletal, complications.
Question 5: The nurse is caring for an immobile client. What is the priority assessment for this
client?
A) Palpate for edema
B) Auscultate for bowel sounds
C) Inspect the skin for injury
D) Auscultation of lung sounds
