NUR2356 Multidimensional Care I Final Exam Review
2025/2026 - 200-Item Quiz Bank (MCQ, SATA,
Priority)
SECTION A: FOUNDATIONAL NURSING CONCEPTS (30 QUESTIONS)
A1. Nursing Process & Clinical Judgment Model (10 Q)
Q1.
A 68-year-old post-surgical patient reports sudden onset shortness of breath and
pleuritic chest pain. Vital signs: BP 148/88, HR 104, RR 28, SpO₂ 89 %, T 37 °C. Which
finding best represents the "Analyze" step of the Clinical Judgment Measurement Model
(CJMM)?
A. Documenting SpO₂ 89 % in the EHR
B. Recognizing that unilateral calf swelling + sudden dyspnea = high suspicion for
pulmonary embolism
C. Applying oxygen via nasal cannula
D. Re-checking SpO₂ after 15 min
Answer: B – Recognizing that unilateral calf swelling + sudden dyspnea = high
suspicion for pulmonary embolism
Rationale: "Analyze" = interpret data & determine significance. Documentation &
re-checking = Assessment/Evaluation; oxygen = Implementation.
,Q2.
During morning assessment, the nurse notes a patient’s wound is red, warm, and has
purulent drainage. Which action reflects "Prioritize Hypotheses"?
A. Obtain wound culture
B. Decide infection is the most urgent hypothesis to address
C. Notify provider
D. Start antibiotics per protocol
Answer: B – Decide infection is the most urgent hypothesis to address
Rationale: Prioritizing hypotheses ranks problems by urgency/severity; other choices
occur later in CJMM.
Q3.
The nurse formulates the diagnosis: "Impaired Gas Exchange related to
alveolar-capillary membrane changes as evidenced by SpO₂ 88 % and crackles." This is
which type of diagnosis?
A. Problem-focused
B. Risk
C. Health promotion
D. Syndrome
Answer: A – Problem-focused
,Rationale: Current evidence of problem exists; "risk" = vulnerability but no evidence yet.
Q4.
Which outcome statement is written correctly?
A. "Patient will ambulate hallway by discharge."
B. "Patient will have adequate perfusion."
C. "Nurse will turn patient q2h."
D. "Patient will understand fall risks."
Answer: A – "Patient will ambulate hallway by discharge."
Rationale: SMART format (Specific, Measurable); B vague, C nurse-focused, D
"understand" not observable.
Q5.
A patient’s BP drops from 140/80 to 90/50 after epidural. The nurse increases IV fluids
and elevates legs. This is which nursing intervention type?
A. Dependent
B. Independent
C. Collaborative
D. Diagnostic
Answer: B – Independent
, Rationale: Does not require provider order; within RN scope (positioning, fluid
management).
Q6.
When evaluating a patient’s pain after medication, the nurse is performing which ANA
Standard?
A. Standard 3: Outcomes Identification
B. Standard 5: Implementation
C. Standard 7: Quality of Practice
D. Standard 6: Evaluation
Answer: D – Standard 6: Evaluation
Rationale: Measures progress toward outcomes; re-assessment is key evaluation
activity.
Q7.
Which finding requires the nurse to "Generate Solutions" immediately?
A. Patient requesting water
B. SpO₂ 85 % on room air
C. Asking for extra blanket
D. Asking time of next medication
Answer: B – SpO₂ 85 % on room air
2025/2026 - 200-Item Quiz Bank (MCQ, SATA,
Priority)
SECTION A: FOUNDATIONAL NURSING CONCEPTS (30 QUESTIONS)
A1. Nursing Process & Clinical Judgment Model (10 Q)
Q1.
A 68-year-old post-surgical patient reports sudden onset shortness of breath and
pleuritic chest pain. Vital signs: BP 148/88, HR 104, RR 28, SpO₂ 89 %, T 37 °C. Which
finding best represents the "Analyze" step of the Clinical Judgment Measurement Model
(CJMM)?
A. Documenting SpO₂ 89 % in the EHR
B. Recognizing that unilateral calf swelling + sudden dyspnea = high suspicion for
pulmonary embolism
C. Applying oxygen via nasal cannula
D. Re-checking SpO₂ after 15 min
Answer: B – Recognizing that unilateral calf swelling + sudden dyspnea = high
suspicion for pulmonary embolism
Rationale: "Analyze" = interpret data & determine significance. Documentation &
re-checking = Assessment/Evaluation; oxygen = Implementation.
,Q2.
During morning assessment, the nurse notes a patient’s wound is red, warm, and has
purulent drainage. Which action reflects "Prioritize Hypotheses"?
A. Obtain wound culture
B. Decide infection is the most urgent hypothesis to address
C. Notify provider
D. Start antibiotics per protocol
Answer: B – Decide infection is the most urgent hypothesis to address
Rationale: Prioritizing hypotheses ranks problems by urgency/severity; other choices
occur later in CJMM.
Q3.
The nurse formulates the diagnosis: "Impaired Gas Exchange related to
alveolar-capillary membrane changes as evidenced by SpO₂ 88 % and crackles." This is
which type of diagnosis?
A. Problem-focused
B. Risk
C. Health promotion
D. Syndrome
Answer: A – Problem-focused
,Rationale: Current evidence of problem exists; "risk" = vulnerability but no evidence yet.
Q4.
Which outcome statement is written correctly?
A. "Patient will ambulate hallway by discharge."
B. "Patient will have adequate perfusion."
C. "Nurse will turn patient q2h."
D. "Patient will understand fall risks."
Answer: A – "Patient will ambulate hallway by discharge."
Rationale: SMART format (Specific, Measurable); B vague, C nurse-focused, D
"understand" not observable.
Q5.
A patient’s BP drops from 140/80 to 90/50 after epidural. The nurse increases IV fluids
and elevates legs. This is which nursing intervention type?
A. Dependent
B. Independent
C. Collaborative
D. Diagnostic
Answer: B – Independent
, Rationale: Does not require provider order; within RN scope (positioning, fluid
management).
Q6.
When evaluating a patient’s pain after medication, the nurse is performing which ANA
Standard?
A. Standard 3: Outcomes Identification
B. Standard 5: Implementation
C. Standard 7: Quality of Practice
D. Standard 6: Evaluation
Answer: D – Standard 6: Evaluation
Rationale: Measures progress toward outcomes; re-assessment is key evaluation
activity.
Q7.
Which finding requires the nurse to "Generate Solutions" immediately?
A. Patient requesting water
B. SpO₂ 85 % on room air
C. Asking for extra blanket
D. Asking time of next medication
Answer: B – SpO₂ 85 % on room air
