(MDC 1) | Rasmussen College |
Academic Year 2026/2027 | Final
Comprehensive Examination | 100
Verified Questions and Correct Answer
Rationales | rated 100% correct.
SECTION 1: MASLOW'S HIERARCHY &
PRIORITIZATION (Questions 1-15)
Question 1: A patient who is experiencing chest pain is also anxious about
their diagnosis. Based on Maslow's hierarchy, which need should the nurse
address first?
A. Anxiety about diagnosis
B. Chest pain
C. Fear of hospitalization
D. Need for information
Correct Answer: B. Chest pain
Rationale: Chest pain indicates a potential physiological emergency affecting
oxygenation and circulation, which are the most basic physiological needs.
Maslow's hierarchy prioritizes physiological needs first. While anxiety and
fear are important, they are secondary to immediate physiological threats .
,Question 2: A nurse is prioritizing care for multiple patients. Which patient
should the nurse see first based on Maslow's hierarchy?
A. A patient who is hungry and needs assistance with meals
B. A patient who is experiencing chest pain
C. A patient who is anxious about test results
D. A patient who requests help with ambulation
Correct Answer: B. A patient who is experiencing chest pain
Rationale: Chest pain indicates a potential physiological emergency affecting
oxygenation and circulation, which are the most basic physiological needs.
This patient requires immediate assessment and intervention .
Question 3: A patient who is isolated from family and friends due to
hospitalization is expressing which need according to Maslow's hierarchy?
A. Physiological needs
B. Safety and security
C. Love and belonging
D. Self-actualization
Correct Answer: C. Love and belonging
Rationale: Hospitalization can lead to social isolation, affecting the patient's
need for love and belonging. The nurse should facilitate family visits and
social connections to address this need .
Question 4: A patient who is religious expresses a desire to pray. This
reflects which level of Maslow's hierarchy?
A. Physiological
B. Safety and security
C. Love and belonging
D. Self-actualization
Correct Answer: D. Self-actualization
, Rationale: Spiritual fulfillment is part of self-actualization, the highest level
of Maslow's hierarchy. Allowing the patient to pray supports their spiritual
needs and is an important aspect of holistic care .
Question 5: A patient who is afraid of falling refuses to walk. What should
the nurse do first?
A. Encourage the patient to walk despite the fear
B. Assess the patient's fear and implement fall precautions
C. Notify the provider immediately
D. Restrain the patient to prevent falls
Correct Answer: B. Assess the patient's fear and implement fall
precautions
Rationale: Addressing the patient's fear (safety need) while also promoting
mobility is appropriate. The nurse should assess the fear, implement fall
precautions, and provide education to address both the psychological and
physiological aspects of care .
Question 6: A patient who is incontinent of urine is embarrassed and
withdrawn. Which intervention best addresses this patient's needs?
A. Use a bed alarm to prevent falls
B. Ignore the behavior to avoid reinforcing it
C. Restrict fluid intake to prevent episodes
D. Tell the patient that incontinence is normal
Correct Answer: A. Use a bed alarm to prevent falls
Rationale: Using a bed alarm prevents falls and injury, directly addressing
the patient's safety and security needs. The patient may attempt to get up
independently due to embarrassment, increasing fall risk. Safety is the
priority .