NUR 2356-MULTIDIMENSIONAL CARE I-MDC 1 FINAL EXAM |
ALL PRACTICE Q&A 2026/2027 | A+ GRADED |
COMPREHENSIVE EXAM GUIDE 2026&2027
1. A nurse is completing an initial assessment of a client admitted with an acute illness.
Which action best demonstrates a multidimensional approach to care?
A. Focusing only on the client's presenting physical symptom
B. Assessing physical, psychological, social, cultural, and environmental factors
C. Completing the physical assessment before speaking with the client
D. Limiting assessment to information documented by the previous provider
Answer: B
A multidimensional assessment considers the whole person rather than a single disease or
symptom. Physical, psychological, social, cultural, and environmental factors may all
influence health outcomes and care needs.
2. A client reports sudden shortness of breath and chest discomfort. Which assessment
finding requires the nurse's immediate attention?
A. Respiratory rate of 28/min with oxygen saturation of 88%
B. Mild anxiety about the hospital admission
C. Decreased appetite for two days
D. Difficulty sleeping the previous night
Answer: A
An oxygen saturation of 88% accompanied by tachypnea indicates impaired oxygenation and
requires immediate assessment and intervention. Airway and breathing take priority over less
urgent concerns.
3. Which nursing action is most appropriate when establishing a therapeutic relationship
with a newly admitted client?
A. Asking only closed-ended questions
B. Sharing extensive personal experiences
C. Introducing oneself and explaining the purpose of the interaction
D. Immediately discussing the client's discharge plans
Answer: C
Introducing oneself, establishing the purpose of the interaction, and demonstrating respect
establish trust and provide a professional foundation for therapeutic communication.
4. A client says, “I am frightened because I don't know what is happening to me.” Which
response is most therapeutic?
,A. “There is nothing to worry about.”
B. “You should try to stay positive.”
C. “The physician will explain everything later.”
D. “Tell me what concerns you most right now.”
Answer: D
An open-ended response encourages the client to express concerns and allows the nurse to
identify specific sources of fear without minimizing the client's feelings.
5. During a health assessment, which finding is considered subjective data?
A. Blood pressure of 146/88 mmHg
B. Client reports feeling dizzy when standing
C. Respiratory rate of 24/min
D. Skin temperature of 38.2°C
Answer: B
Subjective data are symptoms or experiences reported by the client. Objective data are
measurable or observable findings obtained through assessment.
6. A nurse notices that an older adult becomes confused shortly after receiving a new
medication. What is the nurse's priority action?
A. Document the confusion and reassess next shift
B. Ask the family whether confusion is normal
C. Assess the client's current neurological and physiological status
D. Encourage the client to sleep
Answer: C
Acute confusion may indicate an adverse medication effect or another acute physiological
problem. Immediate assessment is necessary before determining subsequent interventions.
7. Which principle should guide nursing care when a competent client refuses a
recommended treatment?
A. The nurse should administer the treatment anyway if it is beneficial
B. The family should make the decision
C. The client's informed decision should be respected
D. Treatment refusal should automatically result in discharge
Answer: C
A competent adult has the right to accept or refuse treatment after receiving appropriate
information. Respecting informed decisions is a fundamental ethical principle.
,8. A client asks a nurse to explain a procedure that the nurse is qualified to perform. Which
response is appropriate?
A. “You don't need to know the details.”
B. “The procedure is routine, so there is nothing to discuss.”
C. “Your family can explain it to you.”
D. “I can explain what the procedure involves and answer your questions.”
Answer: D
Providing understandable information within the nurse's scope supports informed
participation and promotes client autonomy.
9. Which assessment finding most strongly suggests impaired fluid balance?
A. Moist oral mucosa
B. Stable daily weight
C. Sudden 2-kg weight gain in 24 hours
D. Urine output of 1,500 mL in 24 hours
Answer: C
A rapid weight increase can reflect fluid retention because approximately 1 kg of acute
weight change corresponds to about 1 liter of fluid.
10. A hospitalized client has a history of falls. Which intervention should the nurse
prioritize?
A. Keeping the bed in the lowest position and ensuring the call light is accessible
B. Restricting all ambulation
C. Keeping all four side rails raised
D. Asking the client to remain in bed without assistance
Answer: A
Fall prevention focuses on reducing environmental hazards while maintaining appropriate
mobility. A low bed and accessible call light are basic safety measures.
11. Which factor is most important when developing an individualized nursing care plan?
A. The nurse's preferred intervention
B. The client's identified needs and goals
C. The most frequently used hospital protocol
D. The family member's preferred schedule
Answer: B
Individualized care plans should be based on assessment findings, client priorities,
measurable goals, and identified health needs.
, 12. A client with limited English proficiency is preparing to provide informed consent.
What is the most appropriate nursing action?
A. Ask a minor child to interpret
B. Use another client as an interpreter
C. Use a qualified medical interpreter
D. Ask the client to sign because the procedure is routine
Answer: C
A qualified interpreter helps ensure accurate communication and supports informed decision-
making while protecting confidentiality.
13. Which statement best reflects culturally responsive nursing care?
A. “All clients should receive identical care.”
B. “Cultural practices should be ignored in clinical settings.”
C. “The nurse should identify and incorporate relevant cultural preferences when safe.”
D. “The nurse should assume cultural preferences based on ethnicity.”
Answer: C
Culturally responsive care recognizes individual preferences and incorporates them when they
are compatible with safety and clinical requirements.
14. A nurse is caring for a client who appears anxious before surgery. Which intervention
is most appropriate initially?
A. Avoid discussing the surgery
B. Encourage the client to express concerns
C. Tell the client that anxiety is unnecessary
D. Change the subject whenever surgery is mentioned
Answer: B
Allowing the client to express concerns helps identify sources of anxiety and provides an
opportunity for accurate information and emotional support.
15. Which action best demonstrates professional accountability?
A. Blaming another nurse for an error
B. Hiding a documentation mistake
C. Reporting and appropriately addressing an identified error
D. Altering the medical record to prevent investigation
Answer: C
Professional accountability requires nurses to acknowledge errors, report them through
appropriate channels, and participate in corrective actions.
ALL PRACTICE Q&A 2026/2027 | A+ GRADED |
COMPREHENSIVE EXAM GUIDE 2026&2027
1. A nurse is completing an initial assessment of a client admitted with an acute illness.
Which action best demonstrates a multidimensional approach to care?
A. Focusing only on the client's presenting physical symptom
B. Assessing physical, psychological, social, cultural, and environmental factors
C. Completing the physical assessment before speaking with the client
D. Limiting assessment to information documented by the previous provider
Answer: B
A multidimensional assessment considers the whole person rather than a single disease or
symptom. Physical, psychological, social, cultural, and environmental factors may all
influence health outcomes and care needs.
2. A client reports sudden shortness of breath and chest discomfort. Which assessment
finding requires the nurse's immediate attention?
A. Respiratory rate of 28/min with oxygen saturation of 88%
B. Mild anxiety about the hospital admission
C. Decreased appetite for two days
D. Difficulty sleeping the previous night
Answer: A
An oxygen saturation of 88% accompanied by tachypnea indicates impaired oxygenation and
requires immediate assessment and intervention. Airway and breathing take priority over less
urgent concerns.
3. Which nursing action is most appropriate when establishing a therapeutic relationship
with a newly admitted client?
A. Asking only closed-ended questions
B. Sharing extensive personal experiences
C. Introducing oneself and explaining the purpose of the interaction
D. Immediately discussing the client's discharge plans
Answer: C
Introducing oneself, establishing the purpose of the interaction, and demonstrating respect
establish trust and provide a professional foundation for therapeutic communication.
4. A client says, “I am frightened because I don't know what is happening to me.” Which
response is most therapeutic?
,A. “There is nothing to worry about.”
B. “You should try to stay positive.”
C. “The physician will explain everything later.”
D. “Tell me what concerns you most right now.”
Answer: D
An open-ended response encourages the client to express concerns and allows the nurse to
identify specific sources of fear without minimizing the client's feelings.
5. During a health assessment, which finding is considered subjective data?
A. Blood pressure of 146/88 mmHg
B. Client reports feeling dizzy when standing
C. Respiratory rate of 24/min
D. Skin temperature of 38.2°C
Answer: B
Subjective data are symptoms or experiences reported by the client. Objective data are
measurable or observable findings obtained through assessment.
6. A nurse notices that an older adult becomes confused shortly after receiving a new
medication. What is the nurse's priority action?
A. Document the confusion and reassess next shift
B. Ask the family whether confusion is normal
C. Assess the client's current neurological and physiological status
D. Encourage the client to sleep
Answer: C
Acute confusion may indicate an adverse medication effect or another acute physiological
problem. Immediate assessment is necessary before determining subsequent interventions.
7. Which principle should guide nursing care when a competent client refuses a
recommended treatment?
A. The nurse should administer the treatment anyway if it is beneficial
B. The family should make the decision
C. The client's informed decision should be respected
D. Treatment refusal should automatically result in discharge
Answer: C
A competent adult has the right to accept or refuse treatment after receiving appropriate
information. Respecting informed decisions is a fundamental ethical principle.
,8. A client asks a nurse to explain a procedure that the nurse is qualified to perform. Which
response is appropriate?
A. “You don't need to know the details.”
B. “The procedure is routine, so there is nothing to discuss.”
C. “Your family can explain it to you.”
D. “I can explain what the procedure involves and answer your questions.”
Answer: D
Providing understandable information within the nurse's scope supports informed
participation and promotes client autonomy.
9. Which assessment finding most strongly suggests impaired fluid balance?
A. Moist oral mucosa
B. Stable daily weight
C. Sudden 2-kg weight gain in 24 hours
D. Urine output of 1,500 mL in 24 hours
Answer: C
A rapid weight increase can reflect fluid retention because approximately 1 kg of acute
weight change corresponds to about 1 liter of fluid.
10. A hospitalized client has a history of falls. Which intervention should the nurse
prioritize?
A. Keeping the bed in the lowest position and ensuring the call light is accessible
B. Restricting all ambulation
C. Keeping all four side rails raised
D. Asking the client to remain in bed without assistance
Answer: A
Fall prevention focuses on reducing environmental hazards while maintaining appropriate
mobility. A low bed and accessible call light are basic safety measures.
11. Which factor is most important when developing an individualized nursing care plan?
A. The nurse's preferred intervention
B. The client's identified needs and goals
C. The most frequently used hospital protocol
D. The family member's preferred schedule
Answer: B
Individualized care plans should be based on assessment findings, client priorities,
measurable goals, and identified health needs.
, 12. A client with limited English proficiency is preparing to provide informed consent.
What is the most appropriate nursing action?
A. Ask a minor child to interpret
B. Use another client as an interpreter
C. Use a qualified medical interpreter
D. Ask the client to sign because the procedure is routine
Answer: C
A qualified interpreter helps ensure accurate communication and supports informed decision-
making while protecting confidentiality.
13. Which statement best reflects culturally responsive nursing care?
A. “All clients should receive identical care.”
B. “Cultural practices should be ignored in clinical settings.”
C. “The nurse should identify and incorporate relevant cultural preferences when safe.”
D. “The nurse should assume cultural preferences based on ethnicity.”
Answer: C
Culturally responsive care recognizes individual preferences and incorporates them when they
are compatible with safety and clinical requirements.
14. A nurse is caring for a client who appears anxious before surgery. Which intervention
is most appropriate initially?
A. Avoid discussing the surgery
B. Encourage the client to express concerns
C. Tell the client that anxiety is unnecessary
D. Change the subject whenever surgery is mentioned
Answer: B
Allowing the client to express concerns helps identify sources of anxiety and provides an
opportunity for accurate information and emotional support.
15. Which action best demonstrates professional accountability?
A. Blaming another nurse for an error
B. Hiding a documentation mistake
C. Reporting and appropriately addressing an identified error
D. Altering the medical record to prevent investigation
Answer: C
Professional accountability requires nurses to acknowledge errors, report them through
appropriate channels, and participate in corrective actions.
