1 NUR 2356 MULTIDIMENSIONAL CARE I (MDC 1)
NUR 2356 MULTIDIMENSIONAL CARE I (MDC 1) FINAL
PRACTICE EXAM — ADVANCED STUDY GUIDE, TESTBANK &
PRACTICE QUESTIONS | 2026/2027 LATEST UPDATE | 100+
QUESTIONS WITH 100% CORRECT ANSWERS | INSTANT PDF
DOWNLOAD
higher education level student
100+ Q&As with rationales
10 domains
academic year 2026/2027
Table of Contents
i. Basic Care, Comfort, Pain, and Elimination
ii. Safety, Communication, Documentation, and Quality Improvement
iii. Mobility and Musculoskeletal Disorders
iv. Sensory and Perception Disorders
v. Integumentary Integrity and Wound Care
vi. Immunologic, Infectious, and Inflammatory Disorders
vii. Medication Safety, Patient Education, and Clinical Judgment
viii. Multidimensional, Culturally Responsive, and Interprofessional Nursing Care
INTRODUCTION
This comprehensive NUR 2356 Multidimensional Care I final practice examination is
designed for nursing students preparing for advanced course-level and professional nursing
assessments. It emphasizes clinical judgment, prioritization, safety, assessment, intervention
selection, patient education, documentation, and multidimensional care across mobility,
musculoskeletal, sensory, integumentary, infectious, inflammatory, and immunologic
conditions. The questions are intentionally challenging and require application, analysis,
interpretation, and professional decision-making rather than simple recall. The examination
contains 100+ questions and answers with a rationale, with the first 30 presented here.
Purchase and instantly get a downloadable and editable pdf for extended study and practice.
,2 NUR 2356 MULTIDIMENSIONAL CARE I (MDC 1)
Question 1
A 74-year-old client is postoperative day 1 following total hip arthroplasty. During morning
assessment, the client reports sudden severe hip pain after attempting to reach for an object
on the bedside table. The affected leg appears shortened and internally rotated. Which action
should the nurse take first?
A. Assist the client to ambulate to determine whether the hip remains stable.
B. Place the client in a high-Fowler position and encourage active range-of-motion exercises.
C. Maintain the affected extremity in the prescribed position and notify the provider
immediately.
D. Apply a heating pad to the hip and reassess the pain after 30 minutes.
Correct Answer: C. Maintain the affected extremity in the prescribed position and
notify the provider immediately.
The shortened, internally rotated extremity with acute severe pain is highly concerning for
prosthetic hip dislocation. The nurse should avoid manipulating the joint, maintain
prescribed positioning, and obtain immediate evaluation.
Question 2
A client with chronic osteoarthritis reports pain rated 8/10 but is reluctant to request
prescribed analgesia because of concerns about becoming dependent. Which nursing
response best demonstrates therapeutic communication and supports autonomous decision-
making?
A. “You should take the medication because your pain level is too high.”
B. “If you do not take medication now, your arthritis will permanently worsen.”
C. “Tell me what concerns you most about using the prescribed medication.”
D. “Most clients with arthritis eventually become dependent on pain medication.”
Correct Answer: C. “Tell me what concerns you most about using the prescribed
medication.”
An open-ended response explores the client's concern without judgment and allows
individualized education based on the client's beliefs, knowledge, and preferences.
Question 3
A hospitalized client with limited mobility has a Braden Scale score indicating high risk for
pressure injury. The client is incontinent and has poor nutritional intake. Which intervention
should the nurse prioritize?
A. Massage reddened areas over bony prominences every shift.
B. Reposition the client regularly while managing moisture and optimizing nutritional intake.
C. Restrict fluids to decrease episodes of urinary incontinence.
D. Place the client directly on a donut-shaped ring to relieve sacral pressure.
Correct Answer: B. Reposition the client regularly while managing moisture and
optimizing nutritional intake.
Pressure-injury prevention requires pressure redistribution, moisture management, adequate
,3 NUR 2356 MULTIDIMENSIONAL CARE I (MDC 1)
nutrition, and frequent assessment. Massage over reddened tissue and donut devices can
worsen tissue injury.
Question 4
A client with an indwelling urinary catheter reports suprapubic pressure and an urgent
sensation to urinate. The drainage bag contains very little urine despite adequate oral intake.
Which action should the nurse perform first?
A. Obtain a urine specimen for culture.
B. Remove the catheter immediately.
C. Assess the catheter tubing for obstruction or dependent loops.
D. Administer the prescribed urinary analgesic.
Correct Answer: C. Assess the catheter tubing for obstruction or dependent loops.
Suprapubic discomfort with decreased urine output may indicate impaired catheter drainage.
The nurse should first assess the system for mechanical obstruction before pursuing
additional interventions.
Question 5
A client receiving opioid analgesia after surgery is difficult to arouse and has a respiratory
rate of 7/min. Which nursing action has the highest priority?
A. Document the client's pain score.
B. Administer the prescribed opioid reversal medication according to protocol and support
ventilation.
C. Encourage oral fluids to improve medication elimination.
D. Place the client in a supine position and reassess in 30 minutes.
Correct Answer: B. Administer the prescribed opioid reversal medication according to
protocol and support ventilation.
Severe respiratory depression following opioid administration is an emergency. Airway and
breathing take priority, with opioid reversal and ventilatory support implemented according
to the clinical protocol.
Question 6
A client with osteoporosis asks which lifestyle modification would most directly reduce the
risk of future fractures. Which recommendation is most appropriate?
A. Avoid weight-bearing activity to prevent stress on bones.
B. Increase prolonged bed rest during periods of fatigue.
C. Participate in appropriately prescribed weight-bearing and resistance exercise.
D. Consume a high-protein diet while avoiding calcium-containing foods.
Correct Answer: C. Participate in appropriately prescribed weight-bearing and
resistance exercise.
Weight-bearing and resistance activities can help maintain bone strength, improve muscle
support, and reduce fall and fracture risk when performed safely.
, 4 NUR 2356 MULTIDIMENSIONAL CARE I (MDC 1)
Question 7
A client with a newly applied fiberglass cast reports escalating pain that is not relieved by
prescribed analgesia. The client also reports numbness and tingling in the affected extremity.
Which assessment finding requires the most urgent response?
A. Mild itching beneath the cast.
B. Capillary refill of 4 seconds with increasing paresthesia.
C. Mild edema during the first several hours after casting.
D. Warm skin surrounding the proximal cast edge.
Correct Answer: B. Capillary refill of 4 seconds with increasing paresthesia.
Delayed capillary refill and progressive paresthesia may indicate impaired neurovascular
perfusion and possible compartment syndrome. Immediate evaluation is required to prevent
permanent tissue damage.
Question 8
A client with glaucoma asks why prescribed therapy is necessary even though the client
currently has no eye pain. Which explanation is most accurate?
A. “Glaucoma primarily causes infection of the cornea.”
B. “Glaucoma can damage the optic nerve before symptoms become obvious.”
C. “Glaucoma causes temporary changes in visual acuity that resolve spontaneously.”
D. “Treatment is primarily intended to prevent cataract formation.”
Correct Answer: B. “Glaucoma can damage the optic nerve before symptoms become
obvious.”
Glaucoma can cause progressive optic nerve damage associated with elevated intraocular
pressure. Vision loss may occur gradually and can be irreversible.
Question 9
A client is prescribed ophthalmic drops for glaucoma. Which technique should the nurse
emphasize to maximize medication delivery and reduce systemic absorption?
A. Place the drop directly onto the cornea.
B. Touch the dropper tip to the conjunctival sac to stabilize it.
C. Apply gentle pressure to the nasolacrimal duct after instillation.
D. Blink rapidly several times immediately after administration.
Correct Answer: C. Apply gentle pressure to the nasolacrimal duct after instillation.
Gentle nasolacrimal occlusion helps reduce systemic absorption of ophthalmic medications
while allowing the medication to remain in contact with ocular tissues.
Question 10
A client with suspected carpal tunnel syndrome reports nocturnal hand numbness and
weakness. Which intervention should the nurse anticipate as an appropriate conservative
measure?
NUR 2356 MULTIDIMENSIONAL CARE I (MDC 1) FINAL
PRACTICE EXAM — ADVANCED STUDY GUIDE, TESTBANK &
PRACTICE QUESTIONS | 2026/2027 LATEST UPDATE | 100+
QUESTIONS WITH 100% CORRECT ANSWERS | INSTANT PDF
DOWNLOAD
higher education level student
100+ Q&As with rationales
10 domains
academic year 2026/2027
Table of Contents
i. Basic Care, Comfort, Pain, and Elimination
ii. Safety, Communication, Documentation, and Quality Improvement
iii. Mobility and Musculoskeletal Disorders
iv. Sensory and Perception Disorders
v. Integumentary Integrity and Wound Care
vi. Immunologic, Infectious, and Inflammatory Disorders
vii. Medication Safety, Patient Education, and Clinical Judgment
viii. Multidimensional, Culturally Responsive, and Interprofessional Nursing Care
INTRODUCTION
This comprehensive NUR 2356 Multidimensional Care I final practice examination is
designed for nursing students preparing for advanced course-level and professional nursing
assessments. It emphasizes clinical judgment, prioritization, safety, assessment, intervention
selection, patient education, documentation, and multidimensional care across mobility,
musculoskeletal, sensory, integumentary, infectious, inflammatory, and immunologic
conditions. The questions are intentionally challenging and require application, analysis,
interpretation, and professional decision-making rather than simple recall. The examination
contains 100+ questions and answers with a rationale, with the first 30 presented here.
Purchase and instantly get a downloadable and editable pdf for extended study and practice.
,2 NUR 2356 MULTIDIMENSIONAL CARE I (MDC 1)
Question 1
A 74-year-old client is postoperative day 1 following total hip arthroplasty. During morning
assessment, the client reports sudden severe hip pain after attempting to reach for an object
on the bedside table. The affected leg appears shortened and internally rotated. Which action
should the nurse take first?
A. Assist the client to ambulate to determine whether the hip remains stable.
B. Place the client in a high-Fowler position and encourage active range-of-motion exercises.
C. Maintain the affected extremity in the prescribed position and notify the provider
immediately.
D. Apply a heating pad to the hip and reassess the pain after 30 minutes.
Correct Answer: C. Maintain the affected extremity in the prescribed position and
notify the provider immediately.
The shortened, internally rotated extremity with acute severe pain is highly concerning for
prosthetic hip dislocation. The nurse should avoid manipulating the joint, maintain
prescribed positioning, and obtain immediate evaluation.
Question 2
A client with chronic osteoarthritis reports pain rated 8/10 but is reluctant to request
prescribed analgesia because of concerns about becoming dependent. Which nursing
response best demonstrates therapeutic communication and supports autonomous decision-
making?
A. “You should take the medication because your pain level is too high.”
B. “If you do not take medication now, your arthritis will permanently worsen.”
C. “Tell me what concerns you most about using the prescribed medication.”
D. “Most clients with arthritis eventually become dependent on pain medication.”
Correct Answer: C. “Tell me what concerns you most about using the prescribed
medication.”
An open-ended response explores the client's concern without judgment and allows
individualized education based on the client's beliefs, knowledge, and preferences.
Question 3
A hospitalized client with limited mobility has a Braden Scale score indicating high risk for
pressure injury. The client is incontinent and has poor nutritional intake. Which intervention
should the nurse prioritize?
A. Massage reddened areas over bony prominences every shift.
B. Reposition the client regularly while managing moisture and optimizing nutritional intake.
C. Restrict fluids to decrease episodes of urinary incontinence.
D. Place the client directly on a donut-shaped ring to relieve sacral pressure.
Correct Answer: B. Reposition the client regularly while managing moisture and
optimizing nutritional intake.
Pressure-injury prevention requires pressure redistribution, moisture management, adequate
,3 NUR 2356 MULTIDIMENSIONAL CARE I (MDC 1)
nutrition, and frequent assessment. Massage over reddened tissue and donut devices can
worsen tissue injury.
Question 4
A client with an indwelling urinary catheter reports suprapubic pressure and an urgent
sensation to urinate. The drainage bag contains very little urine despite adequate oral intake.
Which action should the nurse perform first?
A. Obtain a urine specimen for culture.
B. Remove the catheter immediately.
C. Assess the catheter tubing for obstruction or dependent loops.
D. Administer the prescribed urinary analgesic.
Correct Answer: C. Assess the catheter tubing for obstruction or dependent loops.
Suprapubic discomfort with decreased urine output may indicate impaired catheter drainage.
The nurse should first assess the system for mechanical obstruction before pursuing
additional interventions.
Question 5
A client receiving opioid analgesia after surgery is difficult to arouse and has a respiratory
rate of 7/min. Which nursing action has the highest priority?
A. Document the client's pain score.
B. Administer the prescribed opioid reversal medication according to protocol and support
ventilation.
C. Encourage oral fluids to improve medication elimination.
D. Place the client in a supine position and reassess in 30 minutes.
Correct Answer: B. Administer the prescribed opioid reversal medication according to
protocol and support ventilation.
Severe respiratory depression following opioid administration is an emergency. Airway and
breathing take priority, with opioid reversal and ventilatory support implemented according
to the clinical protocol.
Question 6
A client with osteoporosis asks which lifestyle modification would most directly reduce the
risk of future fractures. Which recommendation is most appropriate?
A. Avoid weight-bearing activity to prevent stress on bones.
B. Increase prolonged bed rest during periods of fatigue.
C. Participate in appropriately prescribed weight-bearing and resistance exercise.
D. Consume a high-protein diet while avoiding calcium-containing foods.
Correct Answer: C. Participate in appropriately prescribed weight-bearing and
resistance exercise.
Weight-bearing and resistance activities can help maintain bone strength, improve muscle
support, and reduce fall and fracture risk when performed safely.
, 4 NUR 2356 MULTIDIMENSIONAL CARE I (MDC 1)
Question 7
A client with a newly applied fiberglass cast reports escalating pain that is not relieved by
prescribed analgesia. The client also reports numbness and tingling in the affected extremity.
Which assessment finding requires the most urgent response?
A. Mild itching beneath the cast.
B. Capillary refill of 4 seconds with increasing paresthesia.
C. Mild edema during the first several hours after casting.
D. Warm skin surrounding the proximal cast edge.
Correct Answer: B. Capillary refill of 4 seconds with increasing paresthesia.
Delayed capillary refill and progressive paresthesia may indicate impaired neurovascular
perfusion and possible compartment syndrome. Immediate evaluation is required to prevent
permanent tissue damage.
Question 8
A client with glaucoma asks why prescribed therapy is necessary even though the client
currently has no eye pain. Which explanation is most accurate?
A. “Glaucoma primarily causes infection of the cornea.”
B. “Glaucoma can damage the optic nerve before symptoms become obvious.”
C. “Glaucoma causes temporary changes in visual acuity that resolve spontaneously.”
D. “Treatment is primarily intended to prevent cataract formation.”
Correct Answer: B. “Glaucoma can damage the optic nerve before symptoms become
obvious.”
Glaucoma can cause progressive optic nerve damage associated with elevated intraocular
pressure. Vision loss may occur gradually and can be irreversible.
Question 9
A client is prescribed ophthalmic drops for glaucoma. Which technique should the nurse
emphasize to maximize medication delivery and reduce systemic absorption?
A. Place the drop directly onto the cornea.
B. Touch the dropper tip to the conjunctival sac to stabilize it.
C. Apply gentle pressure to the nasolacrimal duct after instillation.
D. Blink rapidly several times immediately after administration.
Correct Answer: C. Apply gentle pressure to the nasolacrimal duct after instillation.
Gentle nasolacrimal occlusion helps reduce systemic absorption of ophthalmic medications
while allowing the medication to remain in contact with ocular tissues.
Question 10
A client with suspected carpal tunnel syndrome reports nocturnal hand numbness and
weakness. Which intervention should the nurse anticipate as an appropriate conservative
measure?
