RASMUSSEN UNIVERSITY
Bachelor of Science in Nursing (BSN)
NUR2755 - Multidimensional Care IV (MDC 4)
Academic Year: 2026/2027
Final Exam Question Bank - Comprehensive Review
Question 1
The nurse is caring for a patient with acute respiratory distress syndrome (ARDS). Which
assessment finding is most characteristic of this condition?
A. Hypoxemia that does not improve with supplemental oxygen
B. Hypercapnia that resolves with bronchodilators
C. Wheezing and productive cough with green sputum
D. Sudden onset of pleuritic chest pain with hemoptysis
CORRECT ANSWER A. Hypoxemia that does not improve with supplemental oxygen
RATIONALE
ARDS is characterized by severe hypoxemia that is refractory to supplemental oxygen due to
diffuse alveolar damage, pulmonary edema, and decreased lung compliance. Patients typically
require mechanical ventilation with PEEP.
, Question 2
A patient with a pulmonary embolism (PE) is receiving anticoagulation therapy. Which
assessment finding indicates the therapy is effective?
A. Increased partial thromboplastin time (PTT) to 1.5-2.5 times normal
B. Decreased platelet count to 50,000/uL
C. International normalized ratio (INR) of 0.8
D. Prothrombin time (PT) within normal range
CORRECT ANSWER
A. Increased partial thromboplastin time (PTT) to 1.5-2.5 times normal
RATIONALE
For patients receiving heparin (unfractionated), therapeutic effect is indicated by aPTT 1.5-2.5
times normal. For warfarin, therapeutic INR is 2-3. An INR of 0.8 is subtherapeutic and indicates
inadequate anticoagulation.
Question 3
The nurse is assessing a patient with pneumonia. Which finding requires immediate
intervention?
A. Temperature of 38.5°C (101.3°F)
B. Oxygen saturation of 86% on room air
C. Productive cough with yellow sputum
D. Respiratory rate of 22 breaths per minute
CORRECT ANSWER B. Oxygen saturation of 86% on room air
RATIONALE
An oxygen saturation below 90% indicates hypoxemia and requires immediate intervention with
supplemental oxygen. Fever, productive cough, and mild tachypnea are expected findings in
pneumonia but do not require emergent intervention.
Bachelor of Science in Nursing (BSN)
NUR2755 - Multidimensional Care IV (MDC 4)
Academic Year: 2026/2027
Final Exam Question Bank - Comprehensive Review
Question 1
The nurse is caring for a patient with acute respiratory distress syndrome (ARDS). Which
assessment finding is most characteristic of this condition?
A. Hypoxemia that does not improve with supplemental oxygen
B. Hypercapnia that resolves with bronchodilators
C. Wheezing and productive cough with green sputum
D. Sudden onset of pleuritic chest pain with hemoptysis
CORRECT ANSWER A. Hypoxemia that does not improve with supplemental oxygen
RATIONALE
ARDS is characterized by severe hypoxemia that is refractory to supplemental oxygen due to
diffuse alveolar damage, pulmonary edema, and decreased lung compliance. Patients typically
require mechanical ventilation with PEEP.
, Question 2
A patient with a pulmonary embolism (PE) is receiving anticoagulation therapy. Which
assessment finding indicates the therapy is effective?
A. Increased partial thromboplastin time (PTT) to 1.5-2.5 times normal
B. Decreased platelet count to 50,000/uL
C. International normalized ratio (INR) of 0.8
D. Prothrombin time (PT) within normal range
CORRECT ANSWER
A. Increased partial thromboplastin time (PTT) to 1.5-2.5 times normal
RATIONALE
For patients receiving heparin (unfractionated), therapeutic effect is indicated by aPTT 1.5-2.5
times normal. For warfarin, therapeutic INR is 2-3. An INR of 0.8 is subtherapeutic and indicates
inadequate anticoagulation.
Question 3
The nurse is assessing a patient with pneumonia. Which finding requires immediate
intervention?
A. Temperature of 38.5°C (101.3°F)
B. Oxygen saturation of 86% on room air
C. Productive cough with yellow sputum
D. Respiratory rate of 22 breaths per minute
CORRECT ANSWER B. Oxygen saturation of 86% on room air
RATIONALE
An oxygen saturation below 90% indicates hypoxemia and requires immediate intervention with
supplemental oxygen. Fever, productive cough, and mild tachypnea are expected findings in
pneumonia but do not require emergent intervention.
