NUR 2356 EXAM 1
Multidimensional Care I – Mobility, Safety, Pain,
and Communication – Questions with Answers and
Rationales
Instructions: This exam contains multiple-choice questions covering the core content tested on
NUR 2356 Exam 1 at Rasmussen University. Topics include mobility and assistive devices, safety and
restraints, pain assessment, therapeutic communication, and foundational multidimensional care
concepts.
1. A nurse is preparing to assist a client with ambulation using
a cane. On which side should the cane be held?
A. The weaker side
B. The stronger side
C. Both hands
D. Against the chest
Correct Answer: B — The stronger side
Rationale: Holding the cane on the stronger side provides a
wider base of support and allows the client to transfer weight
away from the weaker extremity. This is standard cane use
instruction in the MDC 1 curriculum .
,2. A nurse is teaching a client how to use a walker. Which
instruction is correct?
A. Move the walker first, then step into it
B. Step first, then move the walker
C. Lift the walker with each step
D. Keep the walker behind you
Correct Answer: A — Move the walker first, then step into it
Rationale: The correct sequence for walker use is to move the
walker forward first, then step into it. This ensures stability
and balance during ambulation .
3. A client using crutches should be taught to:
A. Place weight on the crutch pads in the armpits
B. Apply no pressure in the armpits
C. Use crutches only on the weak side
D. Keep crutches 12 inches in front and 12 inches to the side when standing
Correct Answer: B — Apply no pressure in the armpits
,Rationale: Pressure on the axillae can damage the radial
nerve. Weight should be borne on the hands, not the armpits
.
4. A nurse is caring for a client with limited mobility. Which
intervention best helps prevent complications associated with
prolonged immobility?
A. Restricting fluid intake
B. Keeping the client in one position for comfort
C. Encouraging regular repositioning and range-of-motion exercises
D. Limiting activity until the client reports no discomfort
Correct Answer: C — Encouraging regular repositioning and
range-of-motion exercises
Rationale: Regular repositioning and range-of-motion
exercises promote circulation, maintain joint mobility, and
reduce the risk of pressure injuries, contractures, and venous
stasis .
, 5. Which finding is most characteristic of a pressure injury
caused by prolonged pressure over a bony prominence?
A. Generalized muscle weakness
B. Localized tissue damage over an area of sustained pressure
C. Bilateral joint inflammation
D. Increased peripheral circulation
Correct Answer: B — Localized tissue damage over an area of
sustained pressure
Rationale: Pressure injuries develop when sustained pressure
impairs blood flow to tissue, particularly over bony
prominences such as the sacrum, heels, and hips .
6. A client is unable to independently perform activities of
daily living after an injury. Which nursing action is most
appropriate?
A. Perform all activities for the client
B. Encourage complete bed rest
C. Delay assistance until the client regains full strength
D. Encourage independence while providing assistance as needed
Multidimensional Care I – Mobility, Safety, Pain,
and Communication – Questions with Answers and
Rationales
Instructions: This exam contains multiple-choice questions covering the core content tested on
NUR 2356 Exam 1 at Rasmussen University. Topics include mobility and assistive devices, safety and
restraints, pain assessment, therapeutic communication, and foundational multidimensional care
concepts.
1. A nurse is preparing to assist a client with ambulation using
a cane. On which side should the cane be held?
A. The weaker side
B. The stronger side
C. Both hands
D. Against the chest
Correct Answer: B — The stronger side
Rationale: Holding the cane on the stronger side provides a
wider base of support and allows the client to transfer weight
away from the weaker extremity. This is standard cane use
instruction in the MDC 1 curriculum .
,2. A nurse is teaching a client how to use a walker. Which
instruction is correct?
A. Move the walker first, then step into it
B. Step first, then move the walker
C. Lift the walker with each step
D. Keep the walker behind you
Correct Answer: A — Move the walker first, then step into it
Rationale: The correct sequence for walker use is to move the
walker forward first, then step into it. This ensures stability
and balance during ambulation .
3. A client using crutches should be taught to:
A. Place weight on the crutch pads in the armpits
B. Apply no pressure in the armpits
C. Use crutches only on the weak side
D. Keep crutches 12 inches in front and 12 inches to the side when standing
Correct Answer: B — Apply no pressure in the armpits
,Rationale: Pressure on the axillae can damage the radial
nerve. Weight should be borne on the hands, not the armpits
.
4. A nurse is caring for a client with limited mobility. Which
intervention best helps prevent complications associated with
prolonged immobility?
A. Restricting fluid intake
B. Keeping the client in one position for comfort
C. Encouraging regular repositioning and range-of-motion exercises
D. Limiting activity until the client reports no discomfort
Correct Answer: C — Encouraging regular repositioning and
range-of-motion exercises
Rationale: Regular repositioning and range-of-motion
exercises promote circulation, maintain joint mobility, and
reduce the risk of pressure injuries, contractures, and venous
stasis .
, 5. Which finding is most characteristic of a pressure injury
caused by prolonged pressure over a bony prominence?
A. Generalized muscle weakness
B. Localized tissue damage over an area of sustained pressure
C. Bilateral joint inflammation
D. Increased peripheral circulation
Correct Answer: B — Localized tissue damage over an area of
sustained pressure
Rationale: Pressure injuries develop when sustained pressure
impairs blood flow to tissue, particularly over bony
prominences such as the sacrum, heels, and hips .
6. A client is unable to independently perform activities of
daily living after an injury. Which nursing action is most
appropriate?
A. Perform all activities for the client
B. Encourage complete bed rest
C. Delay assistance until the client regains full strength
D. Encourage independence while providing assistance as needed
