A+ VERIFIED
NURSING · OBJECTIVE ASSESSMENT
Rasmussen College MDC 2 Exam 1 — Complete
Official Exam
50 Questions Full Rationales Verified Answers
50 5 100%
QUESTIONS SECTIONS RATIONALES
Complete coverage Core exam domains Every answer explained
WHAT THIS COVERS
01 Health Assessment & Clinical Judgment
02 Fluid & Electrolyte Balance
03 Perioperative Nursing Care
04 Wound Care & Infection Control
05 Respiratory & Cardiovascular Foundations
ABOUT THIS ASSESSMENT
Build mastery in medical-surgical nursing — from health assessment
and clinical judgment to fluid and electrolyte balance, perioperative care,
wound management, infection control, and respiratory and cardiovascular
foundations. This original study bank targets application and analysis skills
for Rasmussen MDC 2 Exam 1, with full rationales for every answer.
For review use only; not an institutional proctored assessment.
PASSING SCORE LEVEL FORMAT
80% Intermediate (Nursing Course) Application / Analysis
STUVIA ACTUAL EXAM Page 1
, SECTION 1: Health Assessment & Clinical Judgment
Q1. A 68-year-old client is admitted with new-onset confusion and a temperature of 38.4°C (101.1°F). The nurse is
prioritizing assessment findings using clinical judgment. Which finding should the nurse investigate first as a potential source
of the change in mental status?
A. Client preference for a soft diet due to dental discomfort
B. Mild bilateral lower-extremity edema noted on inspection
C. History of osteoarthritis managed with acetaminophen
D. Recent onset of urinary frequency and dysuria reported by the client
Correct Answer: D
Rationale: New confusion with low-grade fever in an older adult raises concern for infection, commonly urinary tract infection. Urinary
symptoms should be investigated promptly because untreated UTI can rapidly progress to sepsis and worsen delirium. The other findings
are less immediately linked to acute mental-status change.
Q2. During a focused cardiovascular assessment, the nurse notes an irregularly irregular pulse and hears no S3 or S4. The
client denies chest pain. Which action demonstrates the highest level of clinical judgment?
A. Encourage the client to ambulate immediately to improve circulation
B. Administer a scheduled dose of a beta-blocker without further assessment
C. Obtain a 12-lead ECG and notify the provider of the irregular rhythm
D. Document the finding as normal sinus arrhythmia and continue routine care
Correct Answer: C
Rationale: An irregularly irregular rhythm is characteristic of atrial fibrillation and requires ECG confirmation and provider notification
because of stroke risk and need for rate or rhythm management. Assuming it is benign or proceeding without further assessment is unsafe.
Q3. A nurse is reviewing vital signs for a postoperative client: BP 88/54 mm Hg, HR 118 bpm, RR 24, SpO2 93% on room
air. Using the ABC priority framework, which intervention should the nurse implement first?
A. Increase the rate of the maintenance IV fluid without provider order
B. Encourage deep breathing only after the client is fully ambulatory
C. Administer a PRN antiemetic for reported mild nausea
D. Apply supplemental oxygen and reassess oxygenation and respiratory effort
Correct Answer: D
Rationale: Airway and breathing take precedence. Hypotension with tachycardia and borderline oxygenation indicate potential
hypovolemia or respiratory compromise; oxygen support and reassessment address the most immediate physiologic threat while further
evaluation continues.
Q4. A client reports sharp, localized pain at a surgical incision that increases with movement and is rated 6/10. The nurse is
differentiating nociceptive from neuropathic pain. Which characteristic best supports a nociceptive (somatic) pain source?
A. Burning, shooting pain radiating along a dermatomal distribution
B. Pain described as electric shocks with no clear relationship to movement
C. Pain that is well localized, sharp, and related to tissue trauma at the incision
D. Diffuse aching pain without identifiable tissue injury
Correct Answer: C
Rationale: Nociceptive somatic pain is typically well localized, sharp or aching, and directly related to tissue injury such as a surgical
incision. Neuropathic pain is more often burning, shooting, or electric and follows nerve pathways.
Q5. While performing a head-to-toe assessment, the nurse observes jugular venous distention with the client at 45 degrees,
bilateral crackles, and 2+ pitting edema. Which clinical judgment conclusion is most accurate?
A. Findings indicate severe dehydration requiring immediate fluid bolus
B. Findings are expected normal variations in an older adult
STUVIA ACTUAL EXAM · Page 2
NURSING · OBJECTIVE ASSESSMENT
Rasmussen College MDC 2 Exam 1 — Complete
Official Exam
50 Questions Full Rationales Verified Answers
50 5 100%
QUESTIONS SECTIONS RATIONALES
Complete coverage Core exam domains Every answer explained
WHAT THIS COVERS
01 Health Assessment & Clinical Judgment
02 Fluid & Electrolyte Balance
03 Perioperative Nursing Care
04 Wound Care & Infection Control
05 Respiratory & Cardiovascular Foundations
ABOUT THIS ASSESSMENT
Build mastery in medical-surgical nursing — from health assessment
and clinical judgment to fluid and electrolyte balance, perioperative care,
wound management, infection control, and respiratory and cardiovascular
foundations. This original study bank targets application and analysis skills
for Rasmussen MDC 2 Exam 1, with full rationales for every answer.
For review use only; not an institutional proctored assessment.
PASSING SCORE LEVEL FORMAT
80% Intermediate (Nursing Course) Application / Analysis
STUVIA ACTUAL EXAM Page 1
, SECTION 1: Health Assessment & Clinical Judgment
Q1. A 68-year-old client is admitted with new-onset confusion and a temperature of 38.4°C (101.1°F). The nurse is
prioritizing assessment findings using clinical judgment. Which finding should the nurse investigate first as a potential source
of the change in mental status?
A. Client preference for a soft diet due to dental discomfort
B. Mild bilateral lower-extremity edema noted on inspection
C. History of osteoarthritis managed with acetaminophen
D. Recent onset of urinary frequency and dysuria reported by the client
Correct Answer: D
Rationale: New confusion with low-grade fever in an older adult raises concern for infection, commonly urinary tract infection. Urinary
symptoms should be investigated promptly because untreated UTI can rapidly progress to sepsis and worsen delirium. The other findings
are less immediately linked to acute mental-status change.
Q2. During a focused cardiovascular assessment, the nurse notes an irregularly irregular pulse and hears no S3 or S4. The
client denies chest pain. Which action demonstrates the highest level of clinical judgment?
A. Encourage the client to ambulate immediately to improve circulation
B. Administer a scheduled dose of a beta-blocker without further assessment
C. Obtain a 12-lead ECG and notify the provider of the irregular rhythm
D. Document the finding as normal sinus arrhythmia and continue routine care
Correct Answer: C
Rationale: An irregularly irregular rhythm is characteristic of atrial fibrillation and requires ECG confirmation and provider notification
because of stroke risk and need for rate or rhythm management. Assuming it is benign or proceeding without further assessment is unsafe.
Q3. A nurse is reviewing vital signs for a postoperative client: BP 88/54 mm Hg, HR 118 bpm, RR 24, SpO2 93% on room
air. Using the ABC priority framework, which intervention should the nurse implement first?
A. Increase the rate of the maintenance IV fluid without provider order
B. Encourage deep breathing only after the client is fully ambulatory
C. Administer a PRN antiemetic for reported mild nausea
D. Apply supplemental oxygen and reassess oxygenation and respiratory effort
Correct Answer: D
Rationale: Airway and breathing take precedence. Hypotension with tachycardia and borderline oxygenation indicate potential
hypovolemia or respiratory compromise; oxygen support and reassessment address the most immediate physiologic threat while further
evaluation continues.
Q4. A client reports sharp, localized pain at a surgical incision that increases with movement and is rated 6/10. The nurse is
differentiating nociceptive from neuropathic pain. Which characteristic best supports a nociceptive (somatic) pain source?
A. Burning, shooting pain radiating along a dermatomal distribution
B. Pain described as electric shocks with no clear relationship to movement
C. Pain that is well localized, sharp, and related to tissue trauma at the incision
D. Diffuse aching pain without identifiable tissue injury
Correct Answer: C
Rationale: Nociceptive somatic pain is typically well localized, sharp or aching, and directly related to tissue injury such as a surgical
incision. Neuropathic pain is more often burning, shooting, or electric and follows nerve pathways.
Q5. While performing a head-to-toe assessment, the nurse observes jugular venous distention with the client at 45 degrees,
bilateral crackles, and 2+ pitting edema. Which clinical judgment conclusion is most accurate?
A. Findings indicate severe dehydration requiring immediate fluid bolus
B. Findings are expected normal variations in an older adult
STUVIA ACTUAL EXAM · Page 2
