NUR 2502 NUR2502 MULTIDIMENSIONAL
CARE III MIDTERM EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS PLUS
RATIONALES 2025 RASMUSSEN UNIVERSITY
1. A nurse is caring for a patient with septic shock. Which assessment finding
requires immediate intervention?
A. BP 92/60 mmHg
B. Lactate level 6 mmol/L
C. Temperature 101.5°F
D. Heart rate 110 bpm
High lactate indicates poor tissue perfusion and anaerobic metabolism,
requiring urgent treatment to prevent organ failure.
2. A patient with ARDS is on mechanical ventilation. Which setting helps
prevent alveolar collapse?
A. FiO2
B. Tidal volume
C. Rate
D. PEEP
, PEEP (positive end-expiratory pressure) prevents alveolar collapse and
improves oxygenation in ARDS.
3. The nurse monitors a patient with a chest tube. Which finding should be
reported to the provider?
A. Bubbling in the suction control chamber
B. Continuous bubbling in the water seal chamber
C. Fluctuation with respiration
D. Serosanguinous drainage in the collection chamber
Continuous bubbling in the water seal chamber indicates an air leak that
must be investigated.
4. A nurse is planning care for a patient with multiple rib fractures. What is
the priority?
A. Monitor for bowel sounds
B. Promote effective ventilation
C. Maintain bed rest
D. Assess for skin breakdown
The major risk with rib fractures is impaired ventilation leading to
hypoxia.
5. A patient with DIC (disseminated intravascular coagulation) is at greatest
risk for which complication?
A. Hemorrhage
B. Deep vein thrombosis
C. Sepsis
D. Acute kidney injury
, DIC depletes clotting factors, leading to bleeding and possible
hemorrhagic shock.
6. Which medication is expected for a patient in neurogenic shock?
A. Anticoagulants
B. Vasopressors
C. Antipyretics
D. Diuretics
Vasopressors help restore vascular tone and increase blood pressure in
neurogenic shock.
7. A nurse evaluates fluid resuscitation effectiveness in hypovolemic shock by
assessing:
A. Hemoglobin level
B. CVP pressure
C. Urine output
D. Breath sounds
Adequate urine output (>30 mL/hr) indicates improved perfusion to vital
organs.
8. A patient with MODS (Multiple Organ Dysfunction Syndrome) exhibits
confusion. What is the priority action?
A. Assess oxygenation
B. Administer haloperidol
C. Reduce environmental stimuli
D. Check glucose
CARE III MIDTERM EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS PLUS
RATIONALES 2025 RASMUSSEN UNIVERSITY
1. A nurse is caring for a patient with septic shock. Which assessment finding
requires immediate intervention?
A. BP 92/60 mmHg
B. Lactate level 6 mmol/L
C. Temperature 101.5°F
D. Heart rate 110 bpm
High lactate indicates poor tissue perfusion and anaerobic metabolism,
requiring urgent treatment to prevent organ failure.
2. A patient with ARDS is on mechanical ventilation. Which setting helps
prevent alveolar collapse?
A. FiO2
B. Tidal volume
C. Rate
D. PEEP
, PEEP (positive end-expiratory pressure) prevents alveolar collapse and
improves oxygenation in ARDS.
3. The nurse monitors a patient with a chest tube. Which finding should be
reported to the provider?
A. Bubbling in the suction control chamber
B. Continuous bubbling in the water seal chamber
C. Fluctuation with respiration
D. Serosanguinous drainage in the collection chamber
Continuous bubbling in the water seal chamber indicates an air leak that
must be investigated.
4. A nurse is planning care for a patient with multiple rib fractures. What is
the priority?
A. Monitor for bowel sounds
B. Promote effective ventilation
C. Maintain bed rest
D. Assess for skin breakdown
The major risk with rib fractures is impaired ventilation leading to
hypoxia.
5. A patient with DIC (disseminated intravascular coagulation) is at greatest
risk for which complication?
A. Hemorrhage
B. Deep vein thrombosis
C. Sepsis
D. Acute kidney injury
, DIC depletes clotting factors, leading to bleeding and possible
hemorrhagic shock.
6. Which medication is expected for a patient in neurogenic shock?
A. Anticoagulants
B. Vasopressors
C. Antipyretics
D. Diuretics
Vasopressors help restore vascular tone and increase blood pressure in
neurogenic shock.
7. A nurse evaluates fluid resuscitation effectiveness in hypovolemic shock by
assessing:
A. Hemoglobin level
B. CVP pressure
C. Urine output
D. Breath sounds
Adequate urine output (>30 mL/hr) indicates improved perfusion to vital
organs.
8. A patient with MODS (Multiple Organ Dysfunction Syndrome) exhibits
confusion. What is the priority action?
A. Assess oxygenation
B. Administer haloperidol
C. Reduce environmental stimuli
D. Check glucose
