Multidimensional Care Ii (Nur2392)/ Mdc2 Final Exam 300 Actual Questions And Correct Answers With Rationale Latest Update Already Graded A+ Assured Pass

MULTIDIMENSIONAL CARE II (NUR2392)/
MDC2 FINAL EXAM 300 ACTUAL
QUESTIONS AND CORRECT ANSWERS
WITH RATIONALE LATEST UPDATE
ALREADY GRADED A+ ASSURED PASS



Section 1: Perioperative Nursing and Pain Management
(Questions 1–30)
Question 1
A nurse is providing preoperative teaching to a patient scheduled for abdominal
surgery. Which instruction is most important to include?
A. "You should eat a heavy meal the night before surgery."
B. "You will need to perform deep breathing and coughing exercises after
surgery."
C. "You should avoid moving after surgery to prevent complications."
D. "You can resume your normal medications without notifying the surgeon."
Correct Answer: B
Rationale: Deep breathing and coughing exercises help prevent postoperative
pulmonary complications such as atelectasis and pneumonia. Eating a heavy meal
before surgery is not recommended, early mobility is encouraged, and medication
changes must be discussed with the surgeon.

Question 2
A patient is recovering from surgery and reports pain at the incision site. Which
assessment finding requires immediate intervention?
A. Pain rated 4/10
B. Incision edges approximated
C. Sudden shortness of breath and chest pain
D. Mild incisional tenderness
Correct Answer: C

,Rationale: Sudden shortness of breath and chest pain may indicate a pulmonary
embolism, a life-threatening postoperative complication requiring immediate
intervention.

Question 3
A patient is scheduled for surgery and asks why they must be NPO before the
procedure. What is the nurse's best response?
A. "It prevents nausea and vomiting during surgery."
B. "To reduce the risk of aspiration during anesthesia."
C. "To make the surgery faster."
D. "To reduce the need for pain medication."
Correct Answer: B
Rationale: NPO status reduces the risk of aspiration of gastric contents during
induction of anesthesia, which can lead to aspiration pneumonia.

Question 4
A patient receiving epidural analgesia after surgery reports pruritus. Which
intervention is most appropriate?
A. Administer naloxone
B. Administer diphenhydramine as prescribed
C. Discontinue the epidural
D. Encourage the patient to scratch the area
Correct Answer: B
Rationale: Pruritus is a common side effect of epidural opioids. Diphenhydramine
or low-dose naloxone may be prescribed.

Question 5
A patient is being prepared for surgery and has an order for a preoperative
antibiotic. When should the nurse administer it?
A. At bedtime the night before surgery
B. Within 60 minutes before the incision
C. Immediately after surgery
D. When the patient arrives in the PACU
Correct Answer: B
Rationale: Preoperative antibiotics should be administered within 60 minutes
before the surgical incision to reduce the risk of surgical site infection.

Question 6
Which finding indicates malignant hyperthermia during surgery?
A. Decreased heart rate

,B. Muscle rigidity and rising temperature
C. Hypertension and bradycardia
D. Hypothermia
Correct Answer: B
Rationale: Malignant hyperthermia is characterized by muscle rigidity,
hyperthermia, tachycardia, and metabolic acidosis. Dantrolene is the treatment.

Question 7
A patient is postoperative and has a drain in place. Which assessment finding is
most concerning?
A. Serosanguineous drainage
B. Sudden cessation of drainage with increased pain
C. Small amount of serous drainage
D. Drain secured to the skin
Correct Answer: B
Rationale: Sudden cessation of drainage with increased pain may indicate drain
obstruction or a hematoma, requiring immediate evaluation.

Question 8
A patient is receiving PCA morphine. Which assessment is priority?
A. Pain level
B. Respiratory rate and sedation level
C. Blood pressure only
D. Urine output
Correct Answer: B
Rationale: Respiratory depression is the most serious adverse effect of opioid PCA.
Monitoring respiratory rate and sedation is essential.

Question 9
A patient is recovering from surgery and develops a fever on postoperative day 2.
Which cause is most likely?
A. Atelectasis
B. Wound infection
C. Urinary tract infection
D. Deep vein thrombosis
Correct Answer: A
Rationale: Atelectasis is a common cause of fever in the first 24-48 hours after
surgery.

Question 10

, A patient is postoperative and reports calf pain and swelling. Which action is
priority?
A. Massage the calf
B. Apply warm compresses
C. Notify the provider and keep the leg elevated
D. Encourage ambulation
Correct Answer: C
Rationale: Calf pain and swelling may indicate DVT. Massaging the calf can
dislodge the clot. The nurse should notify the provider and keep the leg elevated.

Question 11
A patient is being discharged after surgery. Which instruction is most important?
A. "You can drive as soon as you feel like it."
B. "Return to the clinic if you have a fever over 101°F, chills, or increased
drainage."
C. "You can lift heavy objects immediately."
D. "Stop taking antibiotics when you feel better."
Correct Answer: B
Rationale: Signs of infection include fever, chills, and purulent drainage. Patients
should report these immediately.

Question 12
A patient is postoperative and has an order for enoxaparin. What is the purpose of
this medication?
A. Pain relief
B. Prevention of DVT
C. Prevention of infection
D. Prevention of nausea
Correct Answer: B
Rationale: Enoxaparin is a low-molecular-weight heparin used for DVT
prophylaxis.

Question 13
A patient receiving conscious sedation for a procedure. Which assessment is most
important?
A. Level of consciousness and respiratory status
B. Blood glucose
C. Urine output
D. Skin color
Correct Answer: A