Rasmussen College | NUR 2356 Multidimensional Care I (MDC 1)
NUR 2356 Multidimensional Care I (MDC 1)
Exam 2 Comprehensive Examination 2026/2027 |
Verified Questions
Rasmussen College | NUR 2356 Multidimensional Care I (MDC 1) | University-Level Nursing Students
80 Verified Questions | 4 Core Domains | Academic Year 2026/2027
Prepared by
Rasmussen College | NUR 2356 Multidimensional Care I (MDC 1)
Examination 2 Actual Exam | Academic Year 2026/2027
NUR 2356 Multidimensional Care I (MDC 1) Exam 2 Comprehensive Examination 2026/2027 | Verified Questions
,INTRODUCTION
This comprehensive examination contains exactly 80 original verified questions designed to reinforce the official
Rasmussen College NUR 2356 Multidimensional Care I (MDC 1) Examination 2 course objectives for actual exam
readiness and clinical proficiency in the 2026/2027 academic year. The questions span four core domains: Domain
1 Pain Management and Comfort, Domain 2 Mobility, Safety, and Fall Prevention, Domain 3 Gastrointestinal and
Nutritional Alterations, and Domain 4 Respiratory and Cardiovascular Alterations. Each question is crafted to test
distinct sub-topics drawn from foundational medical-surgical and multidimensional care nursing methodology,
enabling university-level nursing students to demonstrate clinical mastery of patient safety and comfort
interventions.
ACTUAL QUESTIONS
Domain 1: Pain Management and Comfort
Question 1. Which pain scale is most appropriate for a nonverbal adult client with advanced
dementia?
A. Numeric Rating Scale 0–10
B. Wong-Baker FACES scale exclusively
C. PAINAD (Pain Assessment in Advanced Dementia) scale
D. Visual Analog Scale only
Correct Answer: D
Rationale: The PAINAD scale assesses breathing, negative vocalization, facial expression, body language, and
consolability and is validated for clients with advanced dementia who cannot self-report.
Question 2. A client reports sharp, well-localized pain at a surgical incision. This description is
most consistent with which type of pain?
A. Visceral pain
B. Somatic (nociceptive) pain
C. Neuropathic pain
D. Psychogenic pain
Correct Answer: B
Rationale: Somatic pain arises from skin, muscle, or bone and is typically sharp and well localized, as occurs at a
surgical incision.
Question 3. Which non-pharmacologic intervention is evidence-based for reducing acute
procedural pain?
A. Ignoring the client’s reports of pain
B. Guided imagery, distraction, or cold application when appropriate
C. Withholding all analgesics until the procedure is finished
D. Encouraging the client to remain completely still without support
Correct Answer: A
Rationale: Non-pharmacologic strategies such as distraction, guided imagery, and temperature modalities can
reduce perceived pain intensity when used as adjuncts to pharmacologic therapy.
Question 4. A client receiving intravenous morphine for postoperative pain becomes sedated with a
respiratory rate of 8 breaths/min. The priority nursing action is to:
A. Increase the morphine dose
B. Administer naloxone as ordered and support ventilation
C. Encourage deep breathing only
D. Document the finding and continue the current dose
Correct Answer: D
Rationale: Respiratory depression is a serious opioid adverse effect; naloxone reverses opioid-induced
respiratory depression while airway support is provided.
Question 5. Which statement best describes the gate-control theory of pain?
A. Pain is purely a psychological phenomenon
B. Large-diameter sensory fibers can close the gate and reduce pain transmission to the brain
NUR 2356 Multidimensional Care I (MDC 1) Exam 2 Comprehensive Examination 2026/2027 | Verified Questions
, C. Pain intensity is determined solely by the extent of tissue damage
D. Opioids have no effect on spinal cord transmission
Correct Answer: A
Rationale: The gate-control theory proposes that non-painful input (large-fiber activity) can close the spinal gate
and inhibit transmission of pain signals.
Question 6. Around-the-clock dosing of analgesics is preferred over PRN dosing for continuous
pain because it:
A. Increases the total amount of medication required
B. Maintains more stable serum drug levels and prevents pain from becoming severe
C. Allows the client to experience breakthrough pain as a teaching opportunity
D. Reduces the need for non-pharmacologic interventions
Correct Answer: D
Rationale: Scheduled dosing keeps serum levels within the therapeutic range and avoids the peaks and troughs
associated with PRN administration of continuous pain.
Question 7. A client describes burning, shooting pain in a diabetic foot. This is characteristic of:
A. Nociceptive somatic pain
B. Neuropathic pain
C. Visceral pain
D. Referred pain from the gallbladder
Correct Answer: C
Rationale: Burning, shooting, or electric-like pain is typical of neuropathic pain caused by nerve injury or
dysfunction.
Question 8. Which assessment finding indicates that a client’s pain is adequately controlled after
analgesic administration?
A. The client remains motionless and avoids interaction
B. The client reports a lower pain score and is able to participate in recovery activities
C. The client requests more medication within 15 minutes of every dose
D. Vital signs remain elevated and the client is diaphoretic
Correct Answer: D
Rationale: Effective pain control is demonstrated by reduced pain intensity and improved ability to engage in
functional activities such as ambulation and deep breathing.
Question 9. When administering a transdermal fentanyl patch, the nurse should:
A. Cut the patch to adjust the dose
B. Apply the patch to clean, dry, non-hairy skin and rotate sites
C. Place a heating pad over the patch to increase absorption
D. Apply the new patch to the same site as the previous one
Correct Answer: C
Rationale: Transdermal patches must be applied to intact, clean, dry skin; heat can accelerate absorption and
cause overdose, and sites should be rotated.
Question 10. Which side effect of opioid analgesics requires the most proactive preventive nursing
intervention?
A. Pruritus
B. Constipation
C. Nausea that resolves after the first few doses
D. Mild sedation during the first 24 hours
Correct Answer: D
Rationale: Opioid-induced constipation is nearly universal and does not diminish with continued use; a bowel
regimen should be initiated concurrently with opioid therapy.
Question 11. A client rates pain as 8/10 and requests medication. The nurse’s first action is to:
A. Suggest the client try distraction instead
NUR 2356 Multidimensional Care I (MDC 1) Exam 2 Comprehensive Examination 2026/2027 | Verified Questions
NUR 2356 Multidimensional Care I (MDC 1)
Exam 2 Comprehensive Examination 2026/2027 |
Verified Questions
Rasmussen College | NUR 2356 Multidimensional Care I (MDC 1) | University-Level Nursing Students
80 Verified Questions | 4 Core Domains | Academic Year 2026/2027
Prepared by
Rasmussen College | NUR 2356 Multidimensional Care I (MDC 1)
Examination 2 Actual Exam | Academic Year 2026/2027
NUR 2356 Multidimensional Care I (MDC 1) Exam 2 Comprehensive Examination 2026/2027 | Verified Questions
,INTRODUCTION
This comprehensive examination contains exactly 80 original verified questions designed to reinforce the official
Rasmussen College NUR 2356 Multidimensional Care I (MDC 1) Examination 2 course objectives for actual exam
readiness and clinical proficiency in the 2026/2027 academic year. The questions span four core domains: Domain
1 Pain Management and Comfort, Domain 2 Mobility, Safety, and Fall Prevention, Domain 3 Gastrointestinal and
Nutritional Alterations, and Domain 4 Respiratory and Cardiovascular Alterations. Each question is crafted to test
distinct sub-topics drawn from foundational medical-surgical and multidimensional care nursing methodology,
enabling university-level nursing students to demonstrate clinical mastery of patient safety and comfort
interventions.
ACTUAL QUESTIONS
Domain 1: Pain Management and Comfort
Question 1. Which pain scale is most appropriate for a nonverbal adult client with advanced
dementia?
A. Numeric Rating Scale 0–10
B. Wong-Baker FACES scale exclusively
C. PAINAD (Pain Assessment in Advanced Dementia) scale
D. Visual Analog Scale only
Correct Answer: D
Rationale: The PAINAD scale assesses breathing, negative vocalization, facial expression, body language, and
consolability and is validated for clients with advanced dementia who cannot self-report.
Question 2. A client reports sharp, well-localized pain at a surgical incision. This description is
most consistent with which type of pain?
A. Visceral pain
B. Somatic (nociceptive) pain
C. Neuropathic pain
D. Psychogenic pain
Correct Answer: B
Rationale: Somatic pain arises from skin, muscle, or bone and is typically sharp and well localized, as occurs at a
surgical incision.
Question 3. Which non-pharmacologic intervention is evidence-based for reducing acute
procedural pain?
A. Ignoring the client’s reports of pain
B. Guided imagery, distraction, or cold application when appropriate
C. Withholding all analgesics until the procedure is finished
D. Encouraging the client to remain completely still without support
Correct Answer: A
Rationale: Non-pharmacologic strategies such as distraction, guided imagery, and temperature modalities can
reduce perceived pain intensity when used as adjuncts to pharmacologic therapy.
Question 4. A client receiving intravenous morphine for postoperative pain becomes sedated with a
respiratory rate of 8 breaths/min. The priority nursing action is to:
A. Increase the morphine dose
B. Administer naloxone as ordered and support ventilation
C. Encourage deep breathing only
D. Document the finding and continue the current dose
Correct Answer: D
Rationale: Respiratory depression is a serious opioid adverse effect; naloxone reverses opioid-induced
respiratory depression while airway support is provided.
Question 5. Which statement best describes the gate-control theory of pain?
A. Pain is purely a psychological phenomenon
B. Large-diameter sensory fibers can close the gate and reduce pain transmission to the brain
NUR 2356 Multidimensional Care I (MDC 1) Exam 2 Comprehensive Examination 2026/2027 | Verified Questions
, C. Pain intensity is determined solely by the extent of tissue damage
D. Opioids have no effect on spinal cord transmission
Correct Answer: A
Rationale: The gate-control theory proposes that non-painful input (large-fiber activity) can close the spinal gate
and inhibit transmission of pain signals.
Question 6. Around-the-clock dosing of analgesics is preferred over PRN dosing for continuous
pain because it:
A. Increases the total amount of medication required
B. Maintains more stable serum drug levels and prevents pain from becoming severe
C. Allows the client to experience breakthrough pain as a teaching opportunity
D. Reduces the need for non-pharmacologic interventions
Correct Answer: D
Rationale: Scheduled dosing keeps serum levels within the therapeutic range and avoids the peaks and troughs
associated with PRN administration of continuous pain.
Question 7. A client describes burning, shooting pain in a diabetic foot. This is characteristic of:
A. Nociceptive somatic pain
B. Neuropathic pain
C. Visceral pain
D. Referred pain from the gallbladder
Correct Answer: C
Rationale: Burning, shooting, or electric-like pain is typical of neuropathic pain caused by nerve injury or
dysfunction.
Question 8. Which assessment finding indicates that a client’s pain is adequately controlled after
analgesic administration?
A. The client remains motionless and avoids interaction
B. The client reports a lower pain score and is able to participate in recovery activities
C. The client requests more medication within 15 minutes of every dose
D. Vital signs remain elevated and the client is diaphoretic
Correct Answer: D
Rationale: Effective pain control is demonstrated by reduced pain intensity and improved ability to engage in
functional activities such as ambulation and deep breathing.
Question 9. When administering a transdermal fentanyl patch, the nurse should:
A. Cut the patch to adjust the dose
B. Apply the patch to clean, dry, non-hairy skin and rotate sites
C. Place a heating pad over the patch to increase absorption
D. Apply the new patch to the same site as the previous one
Correct Answer: C
Rationale: Transdermal patches must be applied to intact, clean, dry skin; heat can accelerate absorption and
cause overdose, and sites should be rotated.
Question 10. Which side effect of opioid analgesics requires the most proactive preventive nursing
intervention?
A. Pruritus
B. Constipation
C. Nausea that resolves after the first few doses
D. Mild sedation during the first 24 hours
Correct Answer: D
Rationale: Opioid-induced constipation is nearly universal and does not diminish with continued use; a bowel
regimen should be initiated concurrently with opioid therapy.
Question 11. A client rates pain as 8/10 and requests medication. The nurse’s first action is to:
A. Suggest the client try distraction instead
NUR 2356 Multidimensional Care I (MDC 1) Exam 2 Comprehensive Examination 2026/2027 | Verified Questions
