NUR 2356 MULTIDIMENSIONAL CARE I
(MDC 1) EXAM 2 PRACTICE QUESTIONS &
ANSWERS 2026/2027 | 150 QUESTIONS
WITH RATIONALES | RASMUSSEN
UNIVERSITY NURSING PREP| INSTANT
DOWNLOAD
NUR 2356 Multidimensional Care I (MDC 1) — Exam 2
Questions 1–150
1. A nurse is caring for a client who has sustained an open fracture. Which intervention
is the priority for preventing infection?
A. Apply a heating pad to the affected area
B. Maintain strict aseptic technique during wound care
C. Encourage active range-of-motion exercises
D. Massage the area surrounding the fracture
Answer: B. Maintain strict aseptic technique during wound care
Rationale: An open fracture exposes bone and surrounding tissue to microorganisms,
increasing the risk of osteomyelitis. Strict infection-control and aseptic wound-care practices
are essential.
2. A client with a newly applied cast reports increasing pain that is not relieved by
prescribed analgesics. Which complication should the nurse suspect?
A. Osteoporosis
B. Compartment syndrome
C. Osteoarthritis
D. Muscle atrophy
Answer: B. Compartment syndrome
Rationale: Severe, escalating pain that is disproportionate to the injury and poorly relieved
by analgesics is an important early manifestation of compartment syndrome.
,3. Which assessment finding is most concerning in a client with a casted extremity?
A. Mild itching beneath the cast
B. Warm skin around the cast
C. Capillary refill of 5 seconds
D. Mild discomfort after movement
Answer: C. Capillary refill of 5 seconds
Rationale: Prolonged capillary refill indicates impaired peripheral circulation and requires
prompt neurovascular assessment.
4. A client is receiving Buck's traction following a hip injury. Which nursing
intervention is most appropriate?
A. Remove the weights every 2 hours
B. Ensure the weights hang freely
C. Place the weights directly on the bed
D. Encourage the client to reposition the affected leg independently
Answer: B. Ensure the weights hang freely
Rationale: Traction must provide continuous, prescribed force. The weights should hang
freely and should not rest on the floor or bed.
5. A nurse is assessing a client with peripheral neurovascular dysfunction. Which
findings are most consistent with impaired circulation?
A. Warm skin and brisk capillary refill
B. Pink skin and strong peripheral pulses
C. Cool skin, decreased sensation, and delayed capillary refill
D. Bounding pulses and increased sensation
Answer: C. Cool skin, decreased sensation, and delayed capillary refill
Rationale: Coolness, sensory changes, and delayed capillary refill are warning signs of
impaired peripheral circulation and require prompt assessment.
6. Which intervention should the nurse teach a client with osteoporosis to help maintain
bone strength?
A. Avoid all physical activity
B. Perform weight-bearing exercises as prescribed
,C. Remain on bed rest during periods of discomfort
D. Restrict calcium-containing foods
Answer: B. Perform weight-bearing exercises as prescribed
Rationale: Appropriate weight-bearing activity helps stimulate bone formation and can
reduce further bone loss.
7. A client with a lower-extremity cast reports swelling. Which instruction should the
nurse provide?
A. Keep the extremity dependent
B. Elevate the extremity above heart level
C. Apply direct heat over the cast
D. Massage the affected extremity vigorously
Answer: B. Elevate the extremity above heart level
Rationale: Elevation helps reduce edema and promotes venous return. Heat and vigorous
massage may worsen tissue injury.
8. What is a major cardiovascular complication associated with prolonged immobility?
A. Deep vein thrombosis
B. Hypertension caused by increased mobility
C. Bradycardia caused by exercise
D. Increased cardiac output
Answer: A. Deep vein thrombosis
Rationale: Immobility causes venous stasis, particularly in the lower extremities, increasing
the risk for deep vein thrombosis.
9. Which complication of immobility involves shortening and tightening of muscles and
connective tissue around a joint?
A. Contracture
B. Crepitus
C. Osteoporosis
D. Scoliosis
Answer: A. Contracture
, Rationale: Contractures develop when muscles and connective tissues shorten because of
prolonged immobility and limited joint movement.
10. A client has limited hand movement and difficulty feeding independently. Which
intervention best promotes independence?
A. Feed the client completely
B. Use an adaptive feeding device
C. Keep the client NPO
D. Ask family members to provide all meals
Answer: B. Use an adaptive feeding device
Rationale: Adaptive equipment can compensate for impaired hand function while allowing
the client to participate in self-care.
11. A client experiences an ankle injury while playing sports. Which intervention should
be performed initially?
A. Apply heat immediately
B. Encourage vigorous exercise
C. Rest, ice, compression, and elevation
D. Massage the injured area
Answer: C. Rest, ice, compression, and elevation
Rationale: RICE is commonly used during the acute phase of many soft-tissue injuries to
decrease pain, swelling, and inflammation.
12. A nurse is caring for a client with osteoporosis. Which finding places the client at
greatest risk for injury?
A. Increased muscle strength
B. Fragile bones
C. Increased joint flexibility
D. Increased bone density
Answer: B. Fragile bones
Rationale: Osteoporosis causes decreased bone mass and structural deterioration, making
bones more susceptible to fractures.
(MDC 1) EXAM 2 PRACTICE QUESTIONS &
ANSWERS 2026/2027 | 150 QUESTIONS
WITH RATIONALES | RASMUSSEN
UNIVERSITY NURSING PREP| INSTANT
DOWNLOAD
NUR 2356 Multidimensional Care I (MDC 1) — Exam 2
Questions 1–150
1. A nurse is caring for a client who has sustained an open fracture. Which intervention
is the priority for preventing infection?
A. Apply a heating pad to the affected area
B. Maintain strict aseptic technique during wound care
C. Encourage active range-of-motion exercises
D. Massage the area surrounding the fracture
Answer: B. Maintain strict aseptic technique during wound care
Rationale: An open fracture exposes bone and surrounding tissue to microorganisms,
increasing the risk of osteomyelitis. Strict infection-control and aseptic wound-care practices
are essential.
2. A client with a newly applied cast reports increasing pain that is not relieved by
prescribed analgesics. Which complication should the nurse suspect?
A. Osteoporosis
B. Compartment syndrome
C. Osteoarthritis
D. Muscle atrophy
Answer: B. Compartment syndrome
Rationale: Severe, escalating pain that is disproportionate to the injury and poorly relieved
by analgesics is an important early manifestation of compartment syndrome.
,3. Which assessment finding is most concerning in a client with a casted extremity?
A. Mild itching beneath the cast
B. Warm skin around the cast
C. Capillary refill of 5 seconds
D. Mild discomfort after movement
Answer: C. Capillary refill of 5 seconds
Rationale: Prolonged capillary refill indicates impaired peripheral circulation and requires
prompt neurovascular assessment.
4. A client is receiving Buck's traction following a hip injury. Which nursing
intervention is most appropriate?
A. Remove the weights every 2 hours
B. Ensure the weights hang freely
C. Place the weights directly on the bed
D. Encourage the client to reposition the affected leg independently
Answer: B. Ensure the weights hang freely
Rationale: Traction must provide continuous, prescribed force. The weights should hang
freely and should not rest on the floor or bed.
5. A nurse is assessing a client with peripheral neurovascular dysfunction. Which
findings are most consistent with impaired circulation?
A. Warm skin and brisk capillary refill
B. Pink skin and strong peripheral pulses
C. Cool skin, decreased sensation, and delayed capillary refill
D. Bounding pulses and increased sensation
Answer: C. Cool skin, decreased sensation, and delayed capillary refill
Rationale: Coolness, sensory changes, and delayed capillary refill are warning signs of
impaired peripheral circulation and require prompt assessment.
6. Which intervention should the nurse teach a client with osteoporosis to help maintain
bone strength?
A. Avoid all physical activity
B. Perform weight-bearing exercises as prescribed
,C. Remain on bed rest during periods of discomfort
D. Restrict calcium-containing foods
Answer: B. Perform weight-bearing exercises as prescribed
Rationale: Appropriate weight-bearing activity helps stimulate bone formation and can
reduce further bone loss.
7. A client with a lower-extremity cast reports swelling. Which instruction should the
nurse provide?
A. Keep the extremity dependent
B. Elevate the extremity above heart level
C. Apply direct heat over the cast
D. Massage the affected extremity vigorously
Answer: B. Elevate the extremity above heart level
Rationale: Elevation helps reduce edema and promotes venous return. Heat and vigorous
massage may worsen tissue injury.
8. What is a major cardiovascular complication associated with prolonged immobility?
A. Deep vein thrombosis
B. Hypertension caused by increased mobility
C. Bradycardia caused by exercise
D. Increased cardiac output
Answer: A. Deep vein thrombosis
Rationale: Immobility causes venous stasis, particularly in the lower extremities, increasing
the risk for deep vein thrombosis.
9. Which complication of immobility involves shortening and tightening of muscles and
connective tissue around a joint?
A. Contracture
B. Crepitus
C. Osteoporosis
D. Scoliosis
Answer: A. Contracture
, Rationale: Contractures develop when muscles and connective tissues shorten because of
prolonged immobility and limited joint movement.
10. A client has limited hand movement and difficulty feeding independently. Which
intervention best promotes independence?
A. Feed the client completely
B. Use an adaptive feeding device
C. Keep the client NPO
D. Ask family members to provide all meals
Answer: B. Use an adaptive feeding device
Rationale: Adaptive equipment can compensate for impaired hand function while allowing
the client to participate in self-care.
11. A client experiences an ankle injury while playing sports. Which intervention should
be performed initially?
A. Apply heat immediately
B. Encourage vigorous exercise
C. Rest, ice, compression, and elevation
D. Massage the injured area
Answer: C. Rest, ice, compression, and elevation
Rationale: RICE is commonly used during the acute phase of many soft-tissue injuries to
decrease pain, swelling, and inflammation.
12. A nurse is caring for a client with osteoporosis. Which finding places the client at
greatest risk for injury?
A. Increased muscle strength
B. Fragile bones
C. Increased joint flexibility
D. Increased bone density
Answer: B. Fragile bones
Rationale: Osteoporosis causes decreased bone mass and structural deterioration, making
bones more susceptible to fractures.
