,NUR 2356 Final Exam | Multidimensional Care I (2026)
Actual Q&A PDF | Rasmussen College
1. A nurse is preparing to perform a complete physical examination on an adult client. In
which sequence should the nurse perform the four fundamental examination techniques
for the abdomen?
A) Palpation, percussion, auscultation, inspection
B) Inspection, auscultation, percussion, palpation
C) Inspection, palpation, percussion, auscultation
D) Auscultation, inspection, palpation, percussion
Correct Answer: Inspection, auscultation, percussion, palpation
Rationale: For the abdomen, the correct sequence is inspection, auscultation, percussion,
and palpation. Auscultation is performed before palpation and percussion because
manipulating the abdomen can alter bowel sounds and produce false findings. For all other
body systems, the typical order is inspection, palpation, percussion, and auscultation.
2. A nurse is preparing to perform a head-to-toe assessment on a newly admitted patient.
Which action should the nurse perform first?
A) Inspect the skin for color and lesions
B) Obtain the patient's vital signs
C) Palpate the abdomen for tenderness
D) Auscultate lung sounds bilaterally
Correct Answer: Obtain the patient's vital signs
,Rationale: Obtaining vital signs establishes a baseline and identifies immediate
physiological instability before proceeding with the full assessment. This is a priority
nursing action at the start of any assessment.
3. The single most effective nursing action for preventing healthcare-associated infections
is:
A) Wearing gloves for all patient contact
B) Giving prophylactic antibiotics to all admitted patients
C) Daily bathing of all patients with chlorhexidine
D) Performing hand hygiene before and after every patient contact
Correct Answer: Performing hand hygiene before and after every patient contact
Rationale: Hand hygiene interrupts organism transmission more than any other
measure. Infection prevention follows Taylor's Fundamentals of Nursing and the NUR 2356
curriculum.
4. Before administering medication, the nurse should identify the patient by:
A) Room number and diagnosis
B) Bed number and physician name
C) Full name and date of birth
D) Wristband color and unit
Correct Answer: Full name and date of birth
Rationale: Two unique identifiers prevent wrong-patient errors; room and bed numbers
change and are unsafe identifiers. Identification standards follow the NUR 2356 curriculum.
, 5. The most appropriate fall prevention intervention for a patient at fall risk is:
A) Applying restraints to all confused patients
B) Keeping the bed in the lowest position with the call light within reach
C) Keeping all four side rails raised continuously
D) Sedating restless patients at night
Correct Answer: Keeping the bed in the lowest position with the call light within reach
Rationale: Environmental measures reduce falls without restricting freedom; restraints
and rails can increase injury. Fall prevention follows Ignatavicius Medical-Surgical Nursing.
6. The most effective intervention to prevent pressure injuries in a bedbound patient is:
A) Repositioning at least every two hours
B) Massaging reddened bony prominences
C) Using a donut-shaped cushion
D) Applying heat to pressure points
Correct Answer: Repositioning at least every two hours
Rationale: Repositioning at least every two hours relieves pressure on bony prominences
and is the cornerstone of pressure injury prevention. Massaging reddened areas can
damage tissue. Donut cushions can impair circulation. Heat application does not prevent
pressure injuries.
7. A patient with heart failure and chronic kidney disease is receiving IV furosemide. Which
finding indicates the need for immediate nursing action?
A) Urine output of 30 mL/hr
B) Serum potassium of 4.0 mEq/L
Actual Q&A PDF | Rasmussen College
1. A nurse is preparing to perform a complete physical examination on an adult client. In
which sequence should the nurse perform the four fundamental examination techniques
for the abdomen?
A) Palpation, percussion, auscultation, inspection
B) Inspection, auscultation, percussion, palpation
C) Inspection, palpation, percussion, auscultation
D) Auscultation, inspection, palpation, percussion
Correct Answer: Inspection, auscultation, percussion, palpation
Rationale: For the abdomen, the correct sequence is inspection, auscultation, percussion,
and palpation. Auscultation is performed before palpation and percussion because
manipulating the abdomen can alter bowel sounds and produce false findings. For all other
body systems, the typical order is inspection, palpation, percussion, and auscultation.
2. A nurse is preparing to perform a head-to-toe assessment on a newly admitted patient.
Which action should the nurse perform first?
A) Inspect the skin for color and lesions
B) Obtain the patient's vital signs
C) Palpate the abdomen for tenderness
D) Auscultate lung sounds bilaterally
Correct Answer: Obtain the patient's vital signs
,Rationale: Obtaining vital signs establishes a baseline and identifies immediate
physiological instability before proceeding with the full assessment. This is a priority
nursing action at the start of any assessment.
3. The single most effective nursing action for preventing healthcare-associated infections
is:
A) Wearing gloves for all patient contact
B) Giving prophylactic antibiotics to all admitted patients
C) Daily bathing of all patients with chlorhexidine
D) Performing hand hygiene before and after every patient contact
Correct Answer: Performing hand hygiene before and after every patient contact
Rationale: Hand hygiene interrupts organism transmission more than any other
measure. Infection prevention follows Taylor's Fundamentals of Nursing and the NUR 2356
curriculum.
4. Before administering medication, the nurse should identify the patient by:
A) Room number and diagnosis
B) Bed number and physician name
C) Full name and date of birth
D) Wristband color and unit
Correct Answer: Full name and date of birth
Rationale: Two unique identifiers prevent wrong-patient errors; room and bed numbers
change and are unsafe identifiers. Identification standards follow the NUR 2356 curriculum.
, 5. The most appropriate fall prevention intervention for a patient at fall risk is:
A) Applying restraints to all confused patients
B) Keeping the bed in the lowest position with the call light within reach
C) Keeping all four side rails raised continuously
D) Sedating restless patients at night
Correct Answer: Keeping the bed in the lowest position with the call light within reach
Rationale: Environmental measures reduce falls without restricting freedom; restraints
and rails can increase injury. Fall prevention follows Ignatavicius Medical-Surgical Nursing.
6. The most effective intervention to prevent pressure injuries in a bedbound patient is:
A) Repositioning at least every two hours
B) Massaging reddened bony prominences
C) Using a donut-shaped cushion
D) Applying heat to pressure points
Correct Answer: Repositioning at least every two hours
Rationale: Repositioning at least every two hours relieves pressure on bony prominences
and is the cornerstone of pressure injury prevention. Massaging reddened areas can
damage tissue. Donut cushions can impair circulation. Heat application does not prevent
pressure injuries.
7. A patient with heart failure and chronic kidney disease is receiving IV furosemide. Which
finding indicates the need for immediate nursing action?
A) Urine output of 30 mL/hr
B) Serum potassium of 4.0 mEq/L
