RASMUSSEN NUR 2755 MDC IV EXAM 2
2025 NEWEST EXAM QUESTIONS AND
DETAILED CORRECT ANSWERS | A+
GRADE VERIFIED
During change of shift report, the nurse learns that a client
has been admitted with dehydration and hypotension after
having vomiting and diarrhea for 3 days. Which finding is
most important for the nurse to report to the health care
provider?
a. Decreased bowel sounds
b. Apical pulse 110 beats/min
c. Pale, cool, and dry extremities
d. New onset of confusion and agitation Correct Answer d.
New onset of confusion and agitation
When the charge nurse is evaluating the skills of a new
RN, which action by the new RN indicated a need for
further education in the care of clients with shock?
a. Placing the pulse oximeter on the ear for a client with
septic shock
b. Keeping the head of the bed flat for a patient with
hypovolemic shock
c. Decreasing the room temperature to 68 F for a patient
with neurogenic shock
,d. Increasing the nitroprusside (Nipride) infusion rate for a
patient with high SVR Correct Answer c. Decreasing the
room temperature to 68 F for a patient with neurogenic
shock
A nurse is reviewing the health records of clients. Which
client is at least risk for developing acute respiratory
distress syndrome?
a. A client who experienced a near drowning incident in
freshwater
b. A client following coronary artery bypass graft surgery
c. A client who has hemoglobin of 10.1 mg/dl post 1 unit
PRBC
d. A client who is experiencing acute pancreatitis and
vomiting Correct Answer c. A client who has hemoglobin
of 10.1 mg/dl post 1 unit PRBC
A client is admitted to the emergency department with a
full thickness burn to the right arm. Upon assessment, the
arm is edematous, fingers are mottled, and radial pulse is
now absent. The client states that the pain is 8 on a scale
of 1 to 10. The nurse should perform which of the
following?
a. Administer morphine sulfate IV push for severe pain
b. Call the healthcare provider to report the loss of the
radial pulse
c. Continue to assess the arm every hour for any
additional changes
,d. Instruct the client to exercise the fingers and wrist
Correct Answer b. Call the healthcare provider to report
the loss of the radial pulse
A nurse is teaching a client who has septic shock about
the development of disseminated intravascular
coagulation. Which statement indicates the nurses correct
understanding of DIC?
a. DIC is controllable with lifelong heparin usage
b. DIC is a genetic disorder characterized by an elevated
factor VII count
c. DIC is caused by abnormal coagulation involving
fibrinogen
d. DIC is a genetic disorder involving a vitamin K
deficiency Correct Answer c. DIC is caused by abnormal
coagulation involving fibrinogen
A client begins to show signs of shock. How should the
client be positioned?
a. With the head lower than the body
b. Flat with legs elevated
c. High fowlers position
d. In a side lying position Correct Answer b. Flat with legs
elevated
The nurse is caring for a ventilated client. Which
intervention is appropriate for this client?
, a. Ensure there is a manual resuscitation bag at the
bedside
b. Monitor the clients pulse oximeter reading every shift
c. Assess the clients respiratory status every 8 hours
d. Turn alarm volumes down to allow the client to rest
Correct Answer a. Ensure there is a manual resuscitation
bag at the bedside
Which intervention will the nurse include in the plan of
care for a client who has cardiogenic shock?
a. Avoid elevating head of bed
b. Check temperature every 2 hours
c. Monitor breath sounds frequently
d. Assess skin for flushing and itching Correct Answer c.
Monitor breath sounds frequently
A client is being treated for distributive shock with IV
norepinephrine. The nurse expects the drug to have which
effect on the clients mean arterial pressure?
a. Increased MAP with no change in vascular volume
b. Increased MAP by increasing vascular volume
c. Decreased MAP from widespread capillary leak
d. Decreased MAP by decreasing vascular volume Correct
Answer a. Increased MAP with no change in vascular
volume
A nurse is reviewing the health records of clients. Which
client is at greatest risk for developing acute respiratory
2025 NEWEST EXAM QUESTIONS AND
DETAILED CORRECT ANSWERS | A+
GRADE VERIFIED
During change of shift report, the nurse learns that a client
has been admitted with dehydration and hypotension after
having vomiting and diarrhea for 3 days. Which finding is
most important for the nurse to report to the health care
provider?
a. Decreased bowel sounds
b. Apical pulse 110 beats/min
c. Pale, cool, and dry extremities
d. New onset of confusion and agitation Correct Answer d.
New onset of confusion and agitation
When the charge nurse is evaluating the skills of a new
RN, which action by the new RN indicated a need for
further education in the care of clients with shock?
a. Placing the pulse oximeter on the ear for a client with
septic shock
b. Keeping the head of the bed flat for a patient with
hypovolemic shock
c. Decreasing the room temperature to 68 F for a patient
with neurogenic shock
,d. Increasing the nitroprusside (Nipride) infusion rate for a
patient with high SVR Correct Answer c. Decreasing the
room temperature to 68 F for a patient with neurogenic
shock
A nurse is reviewing the health records of clients. Which
client is at least risk for developing acute respiratory
distress syndrome?
a. A client who experienced a near drowning incident in
freshwater
b. A client following coronary artery bypass graft surgery
c. A client who has hemoglobin of 10.1 mg/dl post 1 unit
PRBC
d. A client who is experiencing acute pancreatitis and
vomiting Correct Answer c. A client who has hemoglobin
of 10.1 mg/dl post 1 unit PRBC
A client is admitted to the emergency department with a
full thickness burn to the right arm. Upon assessment, the
arm is edematous, fingers are mottled, and radial pulse is
now absent. The client states that the pain is 8 on a scale
of 1 to 10. The nurse should perform which of the
following?
a. Administer morphine sulfate IV push for severe pain
b. Call the healthcare provider to report the loss of the
radial pulse
c. Continue to assess the arm every hour for any
additional changes
,d. Instruct the client to exercise the fingers and wrist
Correct Answer b. Call the healthcare provider to report
the loss of the radial pulse
A nurse is teaching a client who has septic shock about
the development of disseminated intravascular
coagulation. Which statement indicates the nurses correct
understanding of DIC?
a. DIC is controllable with lifelong heparin usage
b. DIC is a genetic disorder characterized by an elevated
factor VII count
c. DIC is caused by abnormal coagulation involving
fibrinogen
d. DIC is a genetic disorder involving a vitamin K
deficiency Correct Answer c. DIC is caused by abnormal
coagulation involving fibrinogen
A client begins to show signs of shock. How should the
client be positioned?
a. With the head lower than the body
b. Flat with legs elevated
c. High fowlers position
d. In a side lying position Correct Answer b. Flat with legs
elevated
The nurse is caring for a ventilated client. Which
intervention is appropriate for this client?
, a. Ensure there is a manual resuscitation bag at the
bedside
b. Monitor the clients pulse oximeter reading every shift
c. Assess the clients respiratory status every 8 hours
d. Turn alarm volumes down to allow the client to rest
Correct Answer a. Ensure there is a manual resuscitation
bag at the bedside
Which intervention will the nurse include in the plan of
care for a client who has cardiogenic shock?
a. Avoid elevating head of bed
b. Check temperature every 2 hours
c. Monitor breath sounds frequently
d. Assess skin for flushing and itching Correct Answer c.
Monitor breath sounds frequently
A client is being treated for distributive shock with IV
norepinephrine. The nurse expects the drug to have which
effect on the clients mean arterial pressure?
a. Increased MAP with no change in vascular volume
b. Increased MAP by increasing vascular volume
c. Decreased MAP from widespread capillary leak
d. Decreased MAP by decreasing vascular volume Correct
Answer a. Increased MAP with no change in vascular
volume
A nurse is reviewing the health records of clients. Which
client is at greatest risk for developing acute respiratory
