Download Rasmussen MDC 1 questions and 100%correct answers 2025/2026 and more Exams Nursing in PDF only on Docsity!
Rasmussen MDC 1 questions and
100%correct answers 2025/
Ways to prevent Osteoporosis – ✔✔ Avoid alcohol, tobacco, and caffeine Increase Vitamin D and Calcium At least 5 min. of sun exposure Weight bearing exercise 3-5 times a wk The person takes on the values, beliefs, and behaviors of the dominant culture - ✔✔Assimilation Providing for a client's basic care and comfort needs while taking consideration the values, beliefs and definitions of health and illness of each individual within our diverse society. - ✔✔culturally competent care Assuming the characteristics of the new culture through a learning process called - ✔✔acculturation Student nurse introduces self, role in the relationship, determines the name the client wishes to be addressed by and establishes the rapport. - ✔✔Orientation phase Marks the end of the relationship whether at the end of the shift or discharge. Summarizing all of the work done during the relationship is a good way to end the shift. - ✔✔termination phase
You walk in and a patient is on the floor after a fall. Which should you do first? A. Wash hands B. Use call light for assistance C. Obtain Vitals D. Put her in bed - ✔✔B. Use call light for assistance Range of motion- Bending a hinge joint at 90 degrees. A. AdductionB. Circumduction C. Flexion D. Extension - ✔✔C. Flexion You walk in on a patient who fell and is lying on the floor complaining of hip pain. After getting help, what should be your next step A. Re-position client for comfort B. Assess the comfort level C. Assess for groin pain or pain in back of knee D. Measure legs to see if one is shorter - ✔✔Assess comfort level Coordinated use of the body to safely transfer clients from place to place. Use lift equipment to protect the care provider from injury. A. Body mechanics B. Coordination C. Body alignment
B. Amphiarthroses C. Synarthrosis - ✔✔C. Synarthroses Where are condyloid joints found? A. Knee and elbow B. Shoulder C. Carpal D. Wrist - ✔✔D. Wrist Damage to this area of the body can cause problems with a patient's coordination A. Condyloid B. Cerebellum C. Cerebral cortex D. Acromion process - ✔✔B. Cerebellum A patient cut off his fingers while doing yard work and wrapped his hand in a towel to stop the bleeding. The patient comes into the ER with the towel still wrapped around his hand. When should the nurse remove the towel?A. Immediately when he enters the ER B. After receiving the order from the doctor C. In the operating room D. After giving him an IV - ✔✔B. After receiving the order from the doctor A patient on bedrest has what percentage of muscle loss per week? - ✔✔ 7 - 10%
How often should a patient do the incentive spirometer when awake? - ✔✔Every 2 hours How does immobility affect the gastrointestinal system? Select all that applies A. Paralytic Illeus B. Constipation C. Bowel obstruction D. Slows peristalsis E. Diarrhea - ✔✔A. Paralytic Illeus B. Constipation D. Slows Peristalsis What are nursing interventions to help immobile patients not have musculoskeletal system? Select all that apply. A. Reposition every 2 hours. B. Incentive spirometer every 4 hours C. Perform Passive or active ROM D. Administer Heparin - ✔✔A. Reposition every 2 hours C. Perform passive or active ROM Immobility effects the respiratory system. Select all that apply. A. Respiratory depth decreases. B. Increases Secretion.C. Osteoporosis D. Decreases all muscle strengths including lungs
A. No evidence of muscle strength B. Normal ROMC. Fair: Can complete ROM against gravity D. Poor: can complete ROM with no gravity E. Good: Can complete ROM against gravity with some resistance - ✔✔C. Fair: Can complete ROM against gravity Paget's disease effects what body system? - ✔✔Musculoskeletal Which lab result would you look for to see if your patient's most accurate nutrition status? A. Calcium B. Phosphate C. Pre Albumin D. Albumin - ✔✔C. Pre Albumin what does SPICE stand for? - ✔✔Sleep disorders Problems with eating or feeding Incontinence Confusion Evidence of falls Skin breakdown Which is a priority intervention to decrease risk of pressure ulcer? A. Provide rest and comfort measures B. Use a draw sheet to slide the patient C. Reposition the pt every two hours. D. Sit the pt in chair - ✔✔D. Reposition the pt every two hours
Which range below shows a low risk for a Braden Scale? A. 13- 14 B. 15-18C. 10- 12 D. 19- 23 - ✔✔B. 15- 18 The nurse removes a dressing and assesses yellow, foul smelling drainage. How would the nurse document this finding? A. Purulent B. Serous C. Serosanguineous D. Sanguineous - ✔✔A. Purulent The nurse performs a focused musculoskeletal assessment on a patient with a hip fracture. Which should the nurse include for this type of assessment? Select all that applies A. Muscle weakness B. Joint tenderness C. Gait D. Range of motion E. Pain - ✔✔B. Joint tenderness D. Range of motion E. Pain
A nurse is planning care for a client who has a single lumen nasogastric tube for gastric decompression. Which of the following actions should the nurse include in the plan of care? A. Set the suction machine at 120 mmHg. B. Provide oral hygiene frequently. C. Measure the amount of drainage from the NG tube. D. Secure the NG tube to the client's gown. E. Apply petroleum jelly to the clients nares. - ✔✔B, C, D What does PQRST stand for? - ✔✔Provokes Quality Radiates Severity Time Which action should a nurse take to decrease risk of fall? A. Use a gait belt during ambulationB. Ensure the client is wearing socks before ambulating. C. Instruct the client to sit on the edge of the bed for 15 sec before ambulating. D. Walk 2 ft behind the client during ambulation. - ✔✔A. Use a gait belt during ambulation A nurse is providing teaching about crutches to a pt with a fracture. What teaching should the nurse include?
A. When you go up a flight of stairs, place your right foot on the first step. B. Keep the rubber crutch tips securely in place. C. When standing, keep the crutches 12in in front of you and 12in to the side. D. Place your weight on the crutch pads at your armpits. - ✔✔B. Keep the rubber crutch tips securely in place. What kind of side effects happen when a pt uses Timolol? Select all that apply A. Hypoglycemia B. Narrow airways C. Bradycardia D. Hypovolemia - ✔✔A, B, C Which foods promote eye health? Select all A. Kale B. Bananas C. Carrots D. Ground Beef E. Shellfish F. Spinach - ✔✔A, B, C, F A 44 year old client with Diabetes asks how often a visit to the eye doctor is recommended? A. Annually
D. "If I have trouble instilling the drops, I will have my spouse put them in for me." - ✔✔C. "If I can't remember when to take which drops, I'll just take them all at once." The nurse is caring for four clients. Which has the highest risk for development of age-related macular degeneration (AMD)? A. 25-year-old, 70 inches tall, with fracture of the right femur B. 38-year-old, 71 inches tall, who has just given birth to a healthy baby C. 45-year-old, 67 inches tall, who is a vegetarianD. 57-year-old, 60 inches tall, with hypertension - ✔✔D. 57-year-old, 60 inches tall, with hypertension A client is being discharged after surgery to correct a retinal detachment. Which symptoms will the nurse teach the client to immediately report to the eye care provider? Select all that apply. A. Purulent discharge in the affected eye B. Fever of 102° F (38.9° C) C. Pupil that constricts in response to light D. Improved visual acuity E. Pain in the eye - ✔✔A, B, E Which action by a nurse is most likely to increase accurate communication with a client who has low vision? A. Speaking slowly and loudly B. Enhancing the talk using hand gestures
C. Being very specific with descriptions and directions D. Marking the door of the client's room to indicate his or her vision status - ✔✔C. Being very specific with descriptions and directions For which client will the nurse avoid performing an otoscopic examination? A. 29-year-old with abdominal pain B. 37-year-old with vertigo C. 45-year-old with new diagnosis of diabetes D. 59-year-old with confusion - ✔✔D. 59-year-old with confusion The nurse is caring for a client with tinnitus. Which client statement requires nursing teaching? A. "I enjoy eating bananas every day for breakfast." B. "I've found several local support groups for people with tinnitus." C. "I take aspirin every day to help reduce my risk for having a stroke." D. "I'm seeing an audiologist who is fitting me for hearing aids." - ✔✔C "I take aspirin every day to help reduce my risk for having a stroke."The nurse is caring for a client who has experienced an increased frequency in Ménière's disease attacks. When the client asks, "Will I have to have surgery?", what is the appropriate nursing response? Select all that apply. A. "If you eat a better balanced diet, you won't need surgery." B. "Surgery is not an option for this type of disorder." C. "You sound like you are concerned about having surgery."
A client returns to the postanesthesia care unit (PACU) after an arthroscopy to repair a knee injury. What is the nurse's priority when caring for this client? A. Perform passive range-of-motion exercises. B. Keep the affected leg immobilized.C. Ensure that the patient uses the patient-controlled analgesia (PCA) pump. D. Check the neurovascular status of the affected leg and foot. - ✔✔D. Check the neurovascular status of the affected leg and foot. Which additional assessment data will the nurse collect from an older Euro-American (white) woman to determine the client's risk for osteoporosis? Select all that apply. A. Tobacco use, especially smoking B. Alcohol use each day C. Exercise and activity level D. Dietary intake of vitamin D E. Use of calcium supplements F. Medication history - ✔✔A, B, C, D, E, F Which statement by the client regarding lifestyle changes to prevent osteoporosis indicates a need for further teaching by the nurse? A. "I'm going to continue having my DXA scans as my doctor orders." B. "I'll drink only a half glass of wine occasionally to help me sleep." C. "I plan to increase calcium and vitamin D foods in my diet."
D. "I'm going to jog every day for at least 30 minutes." - ✔✔D. "I'm going to jog every day for at least 30 minutes." A client recently diagnosed with primary bone cancer states, "My life is over. I'll never get married now!" What is the nurse's best action at this time? A. Refer the client to a clergy member or spiritual leader. B. Ask the client what is meant by that statement. C. Listen while the client expresses feelings. D. Provide hope that marriage will happen. - ✔✔C. Listen while the client expresses feelings. The nurse is caring for a client immediately after a bunionectomy. What is the nurse's priority action? A. Relieve or reduce the patient's pain.B. Assess neurovascular status in the affected foot. C. Apply a hot compress to the surgical area. D. Check the surgical dressing for intactness. - ✔✔B. Assess neurovascular status in the affected foot. A client who has a plaster leg splint reports a painful pressure sensation under the elastic wrap that is holding the splint in place. What is the nurse's best initial action? A. Remove the splint to reduce skin pressure. B. Perform a neurovascular assessment. C. Report the client's concern to the primary health care provider.
What is the nurse's priority when doing an admission for a client who returned directly from the operating suite after a carpal tunnel repair? A. Monitor vital signs, including pulse oximetry.B. Check the surgical dressing to ensure that it is intact. C. Assess neurovascular assessment in the affected arm. D. Monitor intake and output. - ✔✔A. Monitor vital signs, including pulse oximetry. What are some findings for osteoporosis? Select All that apply A. T score at or lower than - 2. B. Caused from lack of calcium, estrogen, or testosterone C. Bone softening caused by lack of calcification D. High parathyroid hormone - ✔✔A, B What is the normal Intra ocular pressure measurement? A. 40mmHg B. 20mmHg C. 100mmHg D. 10mmHg - ✔✔B. 20mmHg What is the most common type of Glaucoma? A. Cataract B. Primary open angle C. Associated D. Myopia
E. Secondary - ✔✔B. Primary open angle How would you explain myopia to a patient? - ✔✔Myopia is nearsightedness vision. After cataract surgery what medications should the patient get? Select all. A. Steroids B. WarfarinC. Heparin D. Antibiotics - ✔✔A and D What group is mostly affected by primary angle closure glaucoma? A. African American male B. Eastern Europeans C. Hispanic females D. Asian women - ✔✔D. Asian women What group is most commonly affected by primary angle open glaucoma? Select all that apply A. African American B. Eastern Europeans C. Hispanic D. Asian - ✔✔A. C. This test is used when elevation intraocular pressure is diagnosed to determine if the glaucoma is open angle or closed angle. Allows visualization of angle where the Otis meets the cornea.
