NUR2755 Multidimensional Care IV | NUR 2755 MDC 4 Final Exam Questions and
Answers Latest 2025/2026 Update (Multidimensional Care IV / MDC 4) - Rasmussen
1. A client who experienced a near drowning accident in a local pool, but now is awake and breathing spontaneously, is
admitted for observation. Which assessment will be most important for the nurse to take during the observation period?
a) Auscultate heart sounds
b) palpate peripheral pulses
c) Auscultate breath sounds (NOTE: drowning → risk for pulmonary infection, ARDS, CNS impairment)
d) check pupil reaction to light
2. A client who has undergone preadmission laboratory studies, including a complete blood count, coagulation studies, and
electrolytes and creatinine levels. Which of the following laboratory results should be reported to the surgeon's office by the
nurse, knowing that it could cause surgery to be postponed?
a) A. Sodium, 141 mEq/L (normal range 135-145)
b) B. Hemoglobin, 8.0 g/Dl Need HGB >9
c) C. Platelets, 210,000/mm3 Platelets need >50,000
d) D. Serum creatinine, 0.8 mg/dl (normal range is 0.6-1.2)
Select if Creatinine level 2.0mg/dl
3. The nurse is caring for a patient suspected of having heatstroke. Which findings are consistent with this diagnosis? (Select all
that apply.)
a) A. Bradycardia
b) B. Tachycardia (also Tachypnea)
c) C. Irregular pulse patterns (dysrhythmias)
d) D. Visual disturbances (hallucinations)
e) E. Decreased urinary output.
Other options for this question:
a) Tachycardia
b) Bradycardia
c) mental status changes
d) loss of coordination
e) hypertension (should be Hypotension)
4. At which time of the day should the nurse encourage the client with Parkinson’s disease to schedule the most demanding
physical activities to minimize the effects of hypokinesia?
a) A. Early in the morning when the client’s energy level is high.
b) B. To coincide with the peak action of drug therapy.
c) C. Immediately after a rest period
d) D. When family members will be available.
5. Which of the following would be classified as an external disaster?
a) A fire started in the emergency department
b) A city-wide power outage
c) Massive flooding
d) A bomb threat to administration
6. On a hot, humid day, a client arrives in the emergency department presenting with confusion, lethargy, and the following
vital signs: temperature 104.1 degrees F, pulse 132 beats/min, respiration 26 breaths/min, and blood pressure 106/66 mm
Hg. What is the most appropriate intervention for this client? (Heat Stroke)
a) Encourage the client to drink cool water or sports drinks
NUR 2755 MDC 4 Final Exam
, b) start an intravenous line and infuse 0.9% saline solution
c) administer acetaminophen 650 milligram orally
d) encourage rest and reassess in 15 minutes
7. The nurse is orienting a new nurse to the pediatric intensive care unit and discussing the care of a client recovering from
drowning. Which statement by the new nurse accurately demonstrates an understanding of this condition?
a) Drowning results in the collapse of alveoli and pulmonary edema.
b) Drowning causes an increased amount of surfactant in the lungs, which decreases airway pressure
c) Since the client has recovered, we should not need to monitor for any complications
d) It is OK to leave children unattended in a bathtub as long as it's only for a minute or two
8. A nurse in an emergency department is caring for a client with a penetrating trauma from a gunshot and a sucking chest
wound. The client has a blood pressure of 101/61 mm Hg, a weak pulse, rate of 117/min, a respiratory rate of 39/min, and a
pulse oximeter reading of 90% on room air. Which action should the nurse take first in the primary survey?
a) Place the client in Trendelenburg position
b) Remove the dressing to inspect the wound
c) prepare to insert a central line
d) administer oxygen via nonrebreather mask per order
(Or provide bag valve ventilation)
9. A triage officer is discussing mass casualty triage during a tabletop disaster drill. Which statement should indicate the staff
member requires further teaching?
a) Clients in the emergent category should be treated first
b) Clients in the Expected category should receive comfort measures only (EXPECTED = EXPECTED TO DIE)
c) clients in the non-urgent category would include closed fracture injuries
d) clients in the urgent category would include shock and airway obstruction
10. What is a priority nursing assessment in the first 24 hours after admission of client with a thrombotic stroke?
a) Cholesterol level
b) Pupil size and papillary response(PUPIL SIZE INDICATES ICP)
c) Bowel sounds
d) Echocardiogram
11. A nurse assesses a client's surgical incision for signs of infection. Which finding by the nurse would be interpreted as
anormal finding at the surgical site?
a) Red, hard skin
b) Serous drainage
c) Purulent drainage
d) Warm, tender skin
12. A nurse is assessing a child at the scene of a school bus crash. The child has facial lacerations and an audible stridor. The
nurse should identify the child to which of the following tragic categories?
a) Emergent (RED) (AIRWAY ISSUE)
b) Expectant (black)
c) Urgent (yellow)
d) Nonurgent (green)
NUR 2755 MDC 4 Final Exam
, 13. A nurse is monitoring the status of a postoperative client. Which of the following clinical manifestations would the nurse be
most concerned with in a postoperative client?
a) decreased level of consciousness (LOC) Or Respiratory Rate of 12 breaths per min
b) A pulse of 86 beats/min
c) blood pressure of 128/80mmhg
d) hyperactive bowel sounds in all four quadrants
14. A student nurse is caring for a client who suffered massive blood loss after trauma. How does the student nurse correlate
the blood loss with the client’s mean arterial pressure (MAP)?
a) it causes vasoconstriction and increased MAP
b) lower blood volume lowers MAP
c) There is no direct correlation to MAP
d) it raises cardiac output and MAP
15. and elderly man was found unresponsive in his home and unable to give a history of any contributing events. The nurse
recognizes the man skin color of “cherry red” as a sign that he has been involved in which of the following scenarios?
a) Cardiac arrest
b) hemorrhagic stroke
c) carbon monoxide poisoning
d) cyanide poisoning
16. a client with a chest injury has suffered a flail chest. A nurse assesses the client for which most distinctive sign of flail chest?
a) Cyanosis
b) Hypotension
c) paradoxical chest movement
d) dyspnea, especially on exhalation
17. after receiving report on four clients, the nurse determines the order of care of the clients. based on report, the nurse will
prioritize the clients to see which one first?
a) A newborn with modeling of extremities
b) A 72-year-old with dry tenting skin
c) 35-year-old athlete with a heart rate of 50 beats per minute
d) A healthy 18-year-old with rapid shallow respirations (AIRWAY COMES FIRST)
Other options for this question:
a) A four-year-old with a skin rash and sore throat
b) An 18-year-old with a cough and a temperature of 102F
c) A 35-year-old with a suspected urinary tract infection
d) A 72-year-old with chest pain and diaphoresis
18. a nurse in the emergency department is caring for a client who had a seizure and became unresponsive after stating she had
a sudden, severe headache and vomiting. The client's vital signs are as follows: blood pressure of 197/111 mmhg, pulse of
81/min, and respirations of 26/min. which of the following neurologic disorders should the nurse suspect?
a) Hemorrhagic stroke (HYPERTENSION AND HEADACHE INDICATED OF ICP FROM A BLEED)
b) transient ischemic attack
c) thrombotic stroke
d) embolic stroke
NUR 2755 MDC 4 Final Exam
Answers Latest 2025/2026 Update (Multidimensional Care IV / MDC 4) - Rasmussen
1. A client who experienced a near drowning accident in a local pool, but now is awake and breathing spontaneously, is
admitted for observation. Which assessment will be most important for the nurse to take during the observation period?
a) Auscultate heart sounds
b) palpate peripheral pulses
c) Auscultate breath sounds (NOTE: drowning → risk for pulmonary infection, ARDS, CNS impairment)
d) check pupil reaction to light
2. A client who has undergone preadmission laboratory studies, including a complete blood count, coagulation studies, and
electrolytes and creatinine levels. Which of the following laboratory results should be reported to the surgeon's office by the
nurse, knowing that it could cause surgery to be postponed?
a) A. Sodium, 141 mEq/L (normal range 135-145)
b) B. Hemoglobin, 8.0 g/Dl Need HGB >9
c) C. Platelets, 210,000/mm3 Platelets need >50,000
d) D. Serum creatinine, 0.8 mg/dl (normal range is 0.6-1.2)
Select if Creatinine level 2.0mg/dl
3. The nurse is caring for a patient suspected of having heatstroke. Which findings are consistent with this diagnosis? (Select all
that apply.)
a) A. Bradycardia
b) B. Tachycardia (also Tachypnea)
c) C. Irregular pulse patterns (dysrhythmias)
d) D. Visual disturbances (hallucinations)
e) E. Decreased urinary output.
Other options for this question:
a) Tachycardia
b) Bradycardia
c) mental status changes
d) loss of coordination
e) hypertension (should be Hypotension)
4. At which time of the day should the nurse encourage the client with Parkinson’s disease to schedule the most demanding
physical activities to minimize the effects of hypokinesia?
a) A. Early in the morning when the client’s energy level is high.
b) B. To coincide with the peak action of drug therapy.
c) C. Immediately after a rest period
d) D. When family members will be available.
5. Which of the following would be classified as an external disaster?
a) A fire started in the emergency department
b) A city-wide power outage
c) Massive flooding
d) A bomb threat to administration
6. On a hot, humid day, a client arrives in the emergency department presenting with confusion, lethargy, and the following
vital signs: temperature 104.1 degrees F, pulse 132 beats/min, respiration 26 breaths/min, and blood pressure 106/66 mm
Hg. What is the most appropriate intervention for this client? (Heat Stroke)
a) Encourage the client to drink cool water or sports drinks
NUR 2755 MDC 4 Final Exam
, b) start an intravenous line and infuse 0.9% saline solution
c) administer acetaminophen 650 milligram orally
d) encourage rest and reassess in 15 minutes
7. The nurse is orienting a new nurse to the pediatric intensive care unit and discussing the care of a client recovering from
drowning. Which statement by the new nurse accurately demonstrates an understanding of this condition?
a) Drowning results in the collapse of alveoli and pulmonary edema.
b) Drowning causes an increased amount of surfactant in the lungs, which decreases airway pressure
c) Since the client has recovered, we should not need to monitor for any complications
d) It is OK to leave children unattended in a bathtub as long as it's only for a minute or two
8. A nurse in an emergency department is caring for a client with a penetrating trauma from a gunshot and a sucking chest
wound. The client has a blood pressure of 101/61 mm Hg, a weak pulse, rate of 117/min, a respiratory rate of 39/min, and a
pulse oximeter reading of 90% on room air. Which action should the nurse take first in the primary survey?
a) Place the client in Trendelenburg position
b) Remove the dressing to inspect the wound
c) prepare to insert a central line
d) administer oxygen via nonrebreather mask per order
(Or provide bag valve ventilation)
9. A triage officer is discussing mass casualty triage during a tabletop disaster drill. Which statement should indicate the staff
member requires further teaching?
a) Clients in the emergent category should be treated first
b) Clients in the Expected category should receive comfort measures only (EXPECTED = EXPECTED TO DIE)
c) clients in the non-urgent category would include closed fracture injuries
d) clients in the urgent category would include shock and airway obstruction
10. What is a priority nursing assessment in the first 24 hours after admission of client with a thrombotic stroke?
a) Cholesterol level
b) Pupil size and papillary response(PUPIL SIZE INDICATES ICP)
c) Bowel sounds
d) Echocardiogram
11. A nurse assesses a client's surgical incision for signs of infection. Which finding by the nurse would be interpreted as
anormal finding at the surgical site?
a) Red, hard skin
b) Serous drainage
c) Purulent drainage
d) Warm, tender skin
12. A nurse is assessing a child at the scene of a school bus crash. The child has facial lacerations and an audible stridor. The
nurse should identify the child to which of the following tragic categories?
a) Emergent (RED) (AIRWAY ISSUE)
b) Expectant (black)
c) Urgent (yellow)
d) Nonurgent (green)
NUR 2755 MDC 4 Final Exam
, 13. A nurse is monitoring the status of a postoperative client. Which of the following clinical manifestations would the nurse be
most concerned with in a postoperative client?
a) decreased level of consciousness (LOC) Or Respiratory Rate of 12 breaths per min
b) A pulse of 86 beats/min
c) blood pressure of 128/80mmhg
d) hyperactive bowel sounds in all four quadrants
14. A student nurse is caring for a client who suffered massive blood loss after trauma. How does the student nurse correlate
the blood loss with the client’s mean arterial pressure (MAP)?
a) it causes vasoconstriction and increased MAP
b) lower blood volume lowers MAP
c) There is no direct correlation to MAP
d) it raises cardiac output and MAP
15. and elderly man was found unresponsive in his home and unable to give a history of any contributing events. The nurse
recognizes the man skin color of “cherry red” as a sign that he has been involved in which of the following scenarios?
a) Cardiac arrest
b) hemorrhagic stroke
c) carbon monoxide poisoning
d) cyanide poisoning
16. a client with a chest injury has suffered a flail chest. A nurse assesses the client for which most distinctive sign of flail chest?
a) Cyanosis
b) Hypotension
c) paradoxical chest movement
d) dyspnea, especially on exhalation
17. after receiving report on four clients, the nurse determines the order of care of the clients. based on report, the nurse will
prioritize the clients to see which one first?
a) A newborn with modeling of extremities
b) A 72-year-old with dry tenting skin
c) 35-year-old athlete with a heart rate of 50 beats per minute
d) A healthy 18-year-old with rapid shallow respirations (AIRWAY COMES FIRST)
Other options for this question:
a) A four-year-old with a skin rash and sore throat
b) An 18-year-old with a cough and a temperature of 102F
c) A 35-year-old with a suspected urinary tract infection
d) A 72-year-old with chest pain and diaphoresis
18. a nurse in the emergency department is caring for a client who had a seizure and became unresponsive after stating she had
a sudden, severe headache and vomiting. The client's vital signs are as follows: blood pressure of 197/111 mmhg, pulse of
81/min, and respirations of 26/min. which of the following neurologic disorders should the nurse suspect?
a) Hemorrhagic stroke (HYPERTENSION AND HEADACHE INDICATED OF ICP FROM A BLEED)
b) transient ischemic attack
c) thrombotic stroke
d) embolic stroke
NUR 2755 MDC 4 Final Exam
