NUR2356 Multidimensional Care I / MDC
1 Final Exam Questions And Answers Plus
Rationales Rasmussen University
Question 1
A 64-year-old male with a history of COPD is admitted for an acute
exacerbation. He lives alone and expresses fear that he will lose his
independence. His SpO₂ is 89% on 2L nasal cannula, and he appears
anxious, using accessory muscles to breathe. Which multidimensional
nursing intervention is the priority to address both his physiological
stability and his psychosocial distress?
A) Increase oxygen flow to 6L via simple mask to alleviate anxiety
B) Assist the patient with pursed-lip breathing while remaining at the
bedside
C) Administer a PRN dose of alprazolam to treat the patient's fear
D) Request a social work consult to discuss long-term care facilities
immediately
╔════════════════════╗
✅ Correct Answer: B
╚════════════════════╝
,Rationale: Pursed-lip breathing improves gas exchange by keeping
airways open longer (physiological) and provides the patient with a
sense of control over his dyspnea, which directly mitigates anxiety.
Remaining at the bedside addresses his psychosocial distress while the
breathing technique addresses his physiological instability.
Question 2
If a surgical wound was closed with sutures, what is the healing process
called?
A) Secondary intention
B) Tertiary intention
C) Primary intention
D) Delayed primary closure
╔════════════════════╗
✅ Correct Answer: C
╚════════════════════╝
Rationale: Primary intention healing occurs when wound edges are
approximated and closed with sutures, staples, or adhesive. This results
in minimal scarring and faster healing. Secondary intention involves
wounds left open to heal from the bottom up, and tertiary intention
involves delayed closure.
,Question 3
What is the medical term to describe thick, yellow drainage from a
wound?
A) Serous
B) Sanguineous
C) Purulent
D) Serosanguineous
╔════════════════════╗
✅ Correct Answer: C
╚════════════════════╝
Rationale: Purulent drainage is thick, yellow, green, or brown and
indicates infection. Serous drainage is clear and watery; sanguineous is
bloody; serosanguineous is pink and watery (blood-tinged serous).
Question 4
Which of the following is the correct management of cellulitis?
A) Use a tight bandage on the affected area
B) Do not apply heat to the affected area
C) Use a warm, moist towel on the affected area
D) Use a cold, dry towel on the affected area
, ╔════════════════════╗
✅ Correct Answer: C
╚════════════════════╝
Rationale: Warm, moist compresses promote circulation, help localize
infection, and provide comfort. Tight bandages can impair circulation.
Heat application (as a warm, moist compress) is appropriate for cellulitis
to increase blood flow and promote healing.
Question 5
Which of the following is the best intervention for a patient who
experiences pain during a dressing change?
A) Teach patient nonpharmacological pain control methods
B) Administer pain medications as indicated per the MAR
C) Complete the dressing change quickly to decrease time in pain
D) Educate patient on foods that promote healing
╔════════════════════╗
✅ Correct Answer: B
╚════════════════════╝
Rationale: Premedicating the patient with prescribed analgesics before a
painful procedure is the standard of care. While nonpharmacological
methods can be adjuncts, pharmacological intervention is the best
intervention when ordered.
1 Final Exam Questions And Answers Plus
Rationales Rasmussen University
Question 1
A 64-year-old male with a history of COPD is admitted for an acute
exacerbation. He lives alone and expresses fear that he will lose his
independence. His SpO₂ is 89% on 2L nasal cannula, and he appears
anxious, using accessory muscles to breathe. Which multidimensional
nursing intervention is the priority to address both his physiological
stability and his psychosocial distress?
A) Increase oxygen flow to 6L via simple mask to alleviate anxiety
B) Assist the patient with pursed-lip breathing while remaining at the
bedside
C) Administer a PRN dose of alprazolam to treat the patient's fear
D) Request a social work consult to discuss long-term care facilities
immediately
╔════════════════════╗
✅ Correct Answer: B
╚════════════════════╝
,Rationale: Pursed-lip breathing improves gas exchange by keeping
airways open longer (physiological) and provides the patient with a
sense of control over his dyspnea, which directly mitigates anxiety.
Remaining at the bedside addresses his psychosocial distress while the
breathing technique addresses his physiological instability.
Question 2
If a surgical wound was closed with sutures, what is the healing process
called?
A) Secondary intention
B) Tertiary intention
C) Primary intention
D) Delayed primary closure
╔════════════════════╗
✅ Correct Answer: C
╚════════════════════╝
Rationale: Primary intention healing occurs when wound edges are
approximated and closed with sutures, staples, or adhesive. This results
in minimal scarring and faster healing. Secondary intention involves
wounds left open to heal from the bottom up, and tertiary intention
involves delayed closure.
,Question 3
What is the medical term to describe thick, yellow drainage from a
wound?
A) Serous
B) Sanguineous
C) Purulent
D) Serosanguineous
╔════════════════════╗
✅ Correct Answer: C
╚════════════════════╝
Rationale: Purulent drainage is thick, yellow, green, or brown and
indicates infection. Serous drainage is clear and watery; sanguineous is
bloody; serosanguineous is pink and watery (blood-tinged serous).
Question 4
Which of the following is the correct management of cellulitis?
A) Use a tight bandage on the affected area
B) Do not apply heat to the affected area
C) Use a warm, moist towel on the affected area
D) Use a cold, dry towel on the affected area
, ╔════════════════════╗
✅ Correct Answer: C
╚════════════════════╝
Rationale: Warm, moist compresses promote circulation, help localize
infection, and provide comfort. Tight bandages can impair circulation.
Heat application (as a warm, moist compress) is appropriate for cellulitis
to increase blood flow and promote healing.
Question 5
Which of the following is the best intervention for a patient who
experiences pain during a dressing change?
A) Teach patient nonpharmacological pain control methods
B) Administer pain medications as indicated per the MAR
C) Complete the dressing change quickly to decrease time in pain
D) Educate patient on foods that promote healing
╔════════════════════╗
✅ Correct Answer: B
╚════════════════════╝
Rationale: Premedicating the patient with prescribed analgesics before a
painful procedure is the standard of care. While nonpharmacological
methods can be adjuncts, pharmacological intervention is the best
intervention when ordered.
