NUR 2356 MDC 1 FINAL EXAM 2026 UPDATE |NUR2356
MULTIDIMENSIONAL CARE 1 FINAL EXAM VERSION A & B WITH
COMPLETE 300 QUESTIONS AND CORRECT DETAILED
ANSWERS|AGRADE
1. A nurse is caring for an older adult who reports difficulty hearing during a
health interview. Which nursing action would best promote effective
communication while maintaining the client's dignity and encouraging
accurate information sharing?
A. Speak loudly while standing several feet away from the client
B. Face the client directly, speak clearly at a normal pace, and reduce
background noise
C. Repeat every question several times before allowing the client to respond
D. Ask a family member to answer all questions on the client's behalf
Answer: B. Face the client directly, speak clearly at a normal pace, and
reduce background noise
2. A hospitalized client reports severe pain but has difficulty describing the
sensation because of a language barrier. Which nursing action is most
appropriate when performing a comprehensive pain assessment?
A. Assume the pain is mild because the client is not visibly distressed
B. Ask the family to determine the client's pain intensity
C. Use an appropriate interpreter and a validated pain assessment tool
D. Administer medication immediately without completing any assessment
Answer: C. Use an appropriate interpreter and a validated pain assessment
tool
3. A nurse enters the room of a client who is newly admitted and appears
anxious, repeatedly asking whether the diagnosis is serious. Which
response demonstrates therapeutic communication?
A. “You should try not to worry until the provider explains everything.”
B. “I can see that you are concerned. Tell me what worries you most right
now.”
C. “There is no reason to be anxious because you are in the hospital.”
pg. 1
, D. “Your family probably knows more about your condition than I do.”
Answer: B. “I can see that you are concerned. Tell me what worries you
most right now.”
4. A client has difficulty understanding written discharge instructions because
of limited health literacy. Which nursing intervention best supports safe
patient-centered education?
A. Provide complex written information so the client can study it
independently
B. Ask the client to sign the teaching form before asking questions
C. Give the instructions only to a family member
D. Use plain language, demonstrate important skills, and ask the client to
teach back the instructions
Answer: D. Use plain language, demonstrate important skills, and ask the
client to teach back the instructions
5. A nurse is assessing a client who reports sudden shortness of breath. Which
finding requires the most immediate nursing attention?
A. Oxygen saturation of 86% with increasing respiratory effort
B. Respiratory rate of 20/min with no distress
C. Mild anxiety reported after walking
D. Occasional nonproductive cough
Answer: A. Oxygen saturation of 86% with increasing respiratory effort
6. A postoperative client suddenly becomes restless and confused. The nurse
notes tachypnea and an oxygen saturation of 88%. Which action should the
nurse take first?
A. Document the client's behavior and reassess in 30 minutes
B. Administer the prescribed opioid for possible postoperative discomfort
C. Assess airway and breathing and initiate appropriate oxygen therapy
D. Ask the family whether confusion is normal for the client
Answer: C. Assess airway and breathing and initiate appropriate oxygen
therapy
pg. 2
, 7. A nurse is caring for a client who has impaired mobility and is at increased
risk for pressure injury. Which intervention is most appropriate for
preventing skin breakdown?
A. Massage reddened areas over bony prominences
B. Reposition the client regularly and minimize pressure, moisture, friction,
and shear
C. Keep the client in one position to avoid unnecessary movement
D. Apply powder to all areas of intact skin every shift
Answer: B. Reposition the client regularly and minimize pressure, moisture,
friction, and shear
8. A nurse uses the Braden Scale when assessing a hospitalized client. Which
factors are included in this pressure-injury risk assessment?
A. Blood pressure, pulse, temperature, and oxygen saturation
B. Pain, sleep, nutrition, anxiety, and coping
C. Sensory perception, moisture, activity, mobility, nutrition, and
friction/shear
D. Level of consciousness, pupils, reflexes, and muscle strength
Answer: C. Sensory perception, moisture, activity, mobility, nutrition, and
friction/shear
9. A client is being transferred from bed to a wheelchair. Which nursing action
most effectively reduces the risk of injury during the transfer?
A. Lock the wheelchair, position it appropriately, and use a gait belt when
indicated
B. Ask the client to hold onto the nurse's neck during the transfer
C. Place the wheelchair several feet away to provide room for movement
D. Allow the client to stand without assistance before approaching
Answer: A. Lock the wheelchair, position it appropriately, and use a gait belt
when indicated
10. A nurse is caring for a client who has been prescribed a medication with a
high risk for adverse effects. Before administering the medication, which
action is most important for preventing a medication error?
pg. 3
, A. Ask another client whether the medication is familiar
B. Verify the medication against the prescription, client identification, dose,
route, and relevant clinical parameters
C. Administer the medication quickly to prevent treatment delays
D. Document administration before giving the medication
Answer: B. Verify the medication against the prescription, client
identification, dose, route, and relevant clinical parameters
11. A client who has been prescribed an oral medication tells the nurse, “I don't
want to take this medicine because I don't understand why I need it.” Which
nursing action is most appropriate?
A. Tell the client that refusal is not permitted in the hospital
B. Hide the medication in food so the client receives the prescribed therapy
C. Explain the purpose, benefits, risks, and alternatives and support an
informed decision
D. Ask the family to force the client to take the medication
Answer: C. Explain the purpose, benefits, risks, and alternatives and support
an informed decision
12. A nurse is preparing to administer insulin to a hospitalized client. Which
action is essential before administration?
A. Verify the insulin type, prescribed dose, blood glucose result, and
appropriate administration requirements
B. Administer the insulin without checking the blood glucose level
C. Mix all available insulin preparations in the same syringe
D. Hold insulin whenever the client reports mild hunger
Answer: A. Verify the insulin type, prescribed dose, blood glucose result,
and appropriate administration requirements
13. A client receiving an opioid analgesic becomes difficult to arouse and has a
respiratory rate of 7/min. Which nursing action has the highest priority?
A. Encourage the client to drink water
B. Place the client in a private room
C. Reassess the pain score in one hour
pg. 4
MULTIDIMENSIONAL CARE 1 FINAL EXAM VERSION A & B WITH
COMPLETE 300 QUESTIONS AND CORRECT DETAILED
ANSWERS|AGRADE
1. A nurse is caring for an older adult who reports difficulty hearing during a
health interview. Which nursing action would best promote effective
communication while maintaining the client's dignity and encouraging
accurate information sharing?
A. Speak loudly while standing several feet away from the client
B. Face the client directly, speak clearly at a normal pace, and reduce
background noise
C. Repeat every question several times before allowing the client to respond
D. Ask a family member to answer all questions on the client's behalf
Answer: B. Face the client directly, speak clearly at a normal pace, and
reduce background noise
2. A hospitalized client reports severe pain but has difficulty describing the
sensation because of a language barrier. Which nursing action is most
appropriate when performing a comprehensive pain assessment?
A. Assume the pain is mild because the client is not visibly distressed
B. Ask the family to determine the client's pain intensity
C. Use an appropriate interpreter and a validated pain assessment tool
D. Administer medication immediately without completing any assessment
Answer: C. Use an appropriate interpreter and a validated pain assessment
tool
3. A nurse enters the room of a client who is newly admitted and appears
anxious, repeatedly asking whether the diagnosis is serious. Which
response demonstrates therapeutic communication?
A. “You should try not to worry until the provider explains everything.”
B. “I can see that you are concerned. Tell me what worries you most right
now.”
C. “There is no reason to be anxious because you are in the hospital.”
pg. 1
, D. “Your family probably knows more about your condition than I do.”
Answer: B. “I can see that you are concerned. Tell me what worries you
most right now.”
4. A client has difficulty understanding written discharge instructions because
of limited health literacy. Which nursing intervention best supports safe
patient-centered education?
A. Provide complex written information so the client can study it
independently
B. Ask the client to sign the teaching form before asking questions
C. Give the instructions only to a family member
D. Use plain language, demonstrate important skills, and ask the client to
teach back the instructions
Answer: D. Use plain language, demonstrate important skills, and ask the
client to teach back the instructions
5. A nurse is assessing a client who reports sudden shortness of breath. Which
finding requires the most immediate nursing attention?
A. Oxygen saturation of 86% with increasing respiratory effort
B. Respiratory rate of 20/min with no distress
C. Mild anxiety reported after walking
D. Occasional nonproductive cough
Answer: A. Oxygen saturation of 86% with increasing respiratory effort
6. A postoperative client suddenly becomes restless and confused. The nurse
notes tachypnea and an oxygen saturation of 88%. Which action should the
nurse take first?
A. Document the client's behavior and reassess in 30 minutes
B. Administer the prescribed opioid for possible postoperative discomfort
C. Assess airway and breathing and initiate appropriate oxygen therapy
D. Ask the family whether confusion is normal for the client
Answer: C. Assess airway and breathing and initiate appropriate oxygen
therapy
pg. 2
, 7. A nurse is caring for a client who has impaired mobility and is at increased
risk for pressure injury. Which intervention is most appropriate for
preventing skin breakdown?
A. Massage reddened areas over bony prominences
B. Reposition the client regularly and minimize pressure, moisture, friction,
and shear
C. Keep the client in one position to avoid unnecessary movement
D. Apply powder to all areas of intact skin every shift
Answer: B. Reposition the client regularly and minimize pressure, moisture,
friction, and shear
8. A nurse uses the Braden Scale when assessing a hospitalized client. Which
factors are included in this pressure-injury risk assessment?
A. Blood pressure, pulse, temperature, and oxygen saturation
B. Pain, sleep, nutrition, anxiety, and coping
C. Sensory perception, moisture, activity, mobility, nutrition, and
friction/shear
D. Level of consciousness, pupils, reflexes, and muscle strength
Answer: C. Sensory perception, moisture, activity, mobility, nutrition, and
friction/shear
9. A client is being transferred from bed to a wheelchair. Which nursing action
most effectively reduces the risk of injury during the transfer?
A. Lock the wheelchair, position it appropriately, and use a gait belt when
indicated
B. Ask the client to hold onto the nurse's neck during the transfer
C. Place the wheelchair several feet away to provide room for movement
D. Allow the client to stand without assistance before approaching
Answer: A. Lock the wheelchair, position it appropriately, and use a gait belt
when indicated
10. A nurse is caring for a client who has been prescribed a medication with a
high risk for adverse effects. Before administering the medication, which
action is most important for preventing a medication error?
pg. 3
, A. Ask another client whether the medication is familiar
B. Verify the medication against the prescription, client identification, dose,
route, and relevant clinical parameters
C. Administer the medication quickly to prevent treatment delays
D. Document administration before giving the medication
Answer: B. Verify the medication against the prescription, client
identification, dose, route, and relevant clinical parameters
11. A client who has been prescribed an oral medication tells the nurse, “I don't
want to take this medicine because I don't understand why I need it.” Which
nursing action is most appropriate?
A. Tell the client that refusal is not permitted in the hospital
B. Hide the medication in food so the client receives the prescribed therapy
C. Explain the purpose, benefits, risks, and alternatives and support an
informed decision
D. Ask the family to force the client to take the medication
Answer: C. Explain the purpose, benefits, risks, and alternatives and support
an informed decision
12. A nurse is preparing to administer insulin to a hospitalized client. Which
action is essential before administration?
A. Verify the insulin type, prescribed dose, blood glucose result, and
appropriate administration requirements
B. Administer the insulin without checking the blood glucose level
C. Mix all available insulin preparations in the same syringe
D. Hold insulin whenever the client reports mild hunger
Answer: A. Verify the insulin type, prescribed dose, blood glucose result,
and appropriate administration requirements
13. A client receiving an opioid analgesic becomes difficult to arouse and has a
respiratory rate of 7/min. Which nursing action has the highest priority?
A. Encourage the client to drink water
B. Place the client in a private room
C. Reassess the pain score in one hour
pg. 4
