NUR2356 Multidimensional Care I / MDC
1 – Book 1 Exam And Answers Plus
Rationales Rasmussen University
Question 1
A nurse is preparing to measure a patient's vital signs. Which factor can
affect the accuracy of a blood pressure reading?
A) Patient is lying supine with legs crossed
B) Patient has just finished drinking a cold beverage
C) Patient has been sitting quietly for 5 minutes
D) Patient has a full bladder
╔════════════════════╗
✅ Correct Answer: A
╚════════════════════╝
Rationale: Crossing the legs can falsely elevate blood pressure. Patients
should be seated with feet flat on the floor for accurate measurement.
Drinking cold beverages does not significantly affect blood pressure.
Sitting quietly for 5 minutes is appropriate. A full bladder can also cause
a falsely elevated reading.
,Question 2
The nurse is assessing a patient's pain using the PQRST method. What
does the "R" stand for?
A) Rate
B) Region and Radiation
C) Relief
D) Reaction
╔════════════════════╗
✅ Correct Answer: B
╚════════════════════╝
Rationale: In the PQRST pain assessment method, P =
Provocation/Palliation, Q = Quality, R = Region/Radiation (where is the
pain and does it radiate), S = Severity, and T = Timing.
Question 3
A patient who is postoperative day 1 after abdominal surgery reports
severe nausea. Which nonpharmacological intervention should the nurse
implement first?
A) Offer a cold compress to the forehead
B) Provide a small amount of ginger ale
,C) Keep the head of the bed elevated
D) Encourage deep breathing exercises
╔════════════════════╗
✅ Correct Answer: C
╚════════════════════╝
Rationale: Keeping the head of the bed elevated helps reduce nausea by
preventing gastric reflux and promoting gastric emptying. While ginger
ale and cold compresses may help, positioning is the priority
intervention.
Question 4
A patient is receiving an opioid analgesic for severe pain. Which
assessment finding is most concerning?
A) Respiratory rate of 10 breaths/min
B) Blood pressure of 110/70 mmHg
C) Heart rate of 88 beats/min
D) Pain rating of 4 on a 0-10 scale
╔════════════════════╗
✅ Correct Answer: A
╚════════════════════╝
Rationale: A respiratory rate of 10 breaths/min indicates respiratory
, depression, the most serious side effect of opioid analgesics. The other
findings are within acceptable ranges.
Question 5
A patient is preparing for discharge and needs to learn how to self-
administer insulin. Which learning domain is primarily being addressed?
A) Cognitive
B) Psychomotor
C) Affective
D) Behavioral
╔════════════════════╗
✅ Correct Answer: B
╚════════════════════╝
Rationale: Self-administration of insulin involves the psychomotor
domain, which requires physical skills and coordination. Cognitive
domain involves knowledge and understanding, affective involves
attitudes and feelings.
Question 6
1 – Book 1 Exam And Answers Plus
Rationales Rasmussen University
Question 1
A nurse is preparing to measure a patient's vital signs. Which factor can
affect the accuracy of a blood pressure reading?
A) Patient is lying supine with legs crossed
B) Patient has just finished drinking a cold beverage
C) Patient has been sitting quietly for 5 minutes
D) Patient has a full bladder
╔════════════════════╗
✅ Correct Answer: A
╚════════════════════╝
Rationale: Crossing the legs can falsely elevate blood pressure. Patients
should be seated with feet flat on the floor for accurate measurement.
Drinking cold beverages does not significantly affect blood pressure.
Sitting quietly for 5 minutes is appropriate. A full bladder can also cause
a falsely elevated reading.
,Question 2
The nurse is assessing a patient's pain using the PQRST method. What
does the "R" stand for?
A) Rate
B) Region and Radiation
C) Relief
D) Reaction
╔════════════════════╗
✅ Correct Answer: B
╚════════════════════╝
Rationale: In the PQRST pain assessment method, P =
Provocation/Palliation, Q = Quality, R = Region/Radiation (where is the
pain and does it radiate), S = Severity, and T = Timing.
Question 3
A patient who is postoperative day 1 after abdominal surgery reports
severe nausea. Which nonpharmacological intervention should the nurse
implement first?
A) Offer a cold compress to the forehead
B) Provide a small amount of ginger ale
,C) Keep the head of the bed elevated
D) Encourage deep breathing exercises
╔════════════════════╗
✅ Correct Answer: C
╚════════════════════╝
Rationale: Keeping the head of the bed elevated helps reduce nausea by
preventing gastric reflux and promoting gastric emptying. While ginger
ale and cold compresses may help, positioning is the priority
intervention.
Question 4
A patient is receiving an opioid analgesic for severe pain. Which
assessment finding is most concerning?
A) Respiratory rate of 10 breaths/min
B) Blood pressure of 110/70 mmHg
C) Heart rate of 88 beats/min
D) Pain rating of 4 on a 0-10 scale
╔════════════════════╗
✅ Correct Answer: A
╚════════════════════╝
Rationale: A respiratory rate of 10 breaths/min indicates respiratory
, depression, the most serious side effect of opioid analgesics. The other
findings are within acceptable ranges.
Question 5
A patient is preparing for discharge and needs to learn how to self-
administer insulin. Which learning domain is primarily being addressed?
A) Cognitive
B) Psychomotor
C) Affective
D) Behavioral
╔════════════════════╗
✅ Correct Answer: B
╚════════════════════╝
Rationale: Self-administration of insulin involves the psychomotor
domain, which requires physical skills and coordination. Cognitive
domain involves knowledge and understanding, affective involves
attitudes and feelings.
Question 6
