1
NUR 2755 / NUR2755 Exam 3 Actual Exam
2026/2027 | Multidimensional Care IV / MDC
4 | Rasmussen | Questions with Verified
Answers | 100% Correct | Pass Guaranteed
Q001: A 68-year-old male with STEMI, diabetes, and COPD is post-PCI Day 2. He
develops sudden dyspnea, bilateral crackles, and SpO₂ 86 % on 4 L NC. NT-
proBNP jumps from 380 to 2100 pg/mL. Which collaborative action is most
urgent?
Options:
A. Increase nasal cannula to 6 L
B. Page cardiology for repeat cath lab
C. Initiate BiPAP and obtain stat bedside echo - CORRECT
D. Administer albuterol nebulizer only
ANSWER: C
Q002: A 34-year-old primigravida at 32 weeks presents with severe headache,
epigastric pain, and platelets 82 K. Urine protein is 3+. BP 170/110. Which
intervention should the nurse implement first?
Options:
A. Start magnesium sulfate 4 g load - CORRECT
B. Give hydralazine 20 mg IV
C. Prepare for immediate vaginal delivery
D. Restrict fluids to 1 L/day
ANSWER: A
, 2
Q003: A 55-year-old female on mechanical ventilation for ARDS has plateau
pressure 32 cmH₂O and PEEP 14. PaO₂/FiO₂ is 135. Which ventilator adjustment
best reduces ventilator-induced lung injury?
Options:
A. Increase PEEP to 18
B. Lower tidal volume to 4 mL/kg IBW - CORRECT
C. Switch to APRV mode
D. Add inhaled nitric oxide
ANSWER: B
Q004: A 72-year-old male with cirrhosis and ascites develops fever, altered mental
status, and WBC 18 K. Paracentesis shows 320 PMNs/mm³. Which antibiotic class
should be started immediately?
Options:
A. Piperacillin-tazobactam - CORRECT
B. Vancomycin monotherapy
C. Oral metronidazole
D. Azithromycin
ANSWER: A
Q005: A 42-year-old with T1DM on insulin pump presents with BG 46 mg/dL,
confusion, and diaphoresis. Which emergency action is priority before
administering dextrose?
Options:
A. Obtain stat ABG
B. Disconnect pump and give 1 mg glucagon IM - CORRECT
C. Start D10 drip at 100 mL/hr
D. Check ketones
, 3
ANSWER: B
Q006: A 60-year-old female post-thyroidectomy has positive Chvostek sign and
tetany. Ca²⁺ is 7.2 mg/dL. Which IV replacement protocol is correct?
Options:
A. 1 g calcium gluconate over 10 min - CORRECT
B. 3 g calcium chloride rapid push
C. Oral calcium carbonate STAT
D. Magnesium sulfate 2 g IV first
ANSWER: A
Q007: A 28-year-old with sickle cell crisis receives morphine PCA. Respirations
drop to 8/min and SpO₂ 88 %. Which agent reverses toxicity without
compromising analgesia?
Options:
A. Naloxone 0.4 mg IV push - CORRECT
B. Flumazenil 0.5 mg
C. Reduce morphine dose by 25 %
D. Switch to hydromorphone
ANSWER: A
Q008: A 50-year-old with heart failure (EF 20 %) on dobutamine has BP 82/50 and
UOP 15 mL/hr. Pulmonary artery occlusion pressure is 24 mmHg. Which
intervention is priority?
Options:
A. Increase dobutamine to 10 mcg/kg/min
B. Start norepinephrine and give 250 mL bolus - CORRECT
C. Initiate IABP
D. Add nesiritide
NUR 2755 / NUR2755 Exam 3 Actual Exam
2026/2027 | Multidimensional Care IV / MDC
4 | Rasmussen | Questions with Verified
Answers | 100% Correct | Pass Guaranteed
Q001: A 68-year-old male with STEMI, diabetes, and COPD is post-PCI Day 2. He
develops sudden dyspnea, bilateral crackles, and SpO₂ 86 % on 4 L NC. NT-
proBNP jumps from 380 to 2100 pg/mL. Which collaborative action is most
urgent?
Options:
A. Increase nasal cannula to 6 L
B. Page cardiology for repeat cath lab
C. Initiate BiPAP and obtain stat bedside echo - CORRECT
D. Administer albuterol nebulizer only
ANSWER: C
Q002: A 34-year-old primigravida at 32 weeks presents with severe headache,
epigastric pain, and platelets 82 K. Urine protein is 3+. BP 170/110. Which
intervention should the nurse implement first?
Options:
A. Start magnesium sulfate 4 g load - CORRECT
B. Give hydralazine 20 mg IV
C. Prepare for immediate vaginal delivery
D. Restrict fluids to 1 L/day
ANSWER: A
, 2
Q003: A 55-year-old female on mechanical ventilation for ARDS has plateau
pressure 32 cmH₂O and PEEP 14. PaO₂/FiO₂ is 135. Which ventilator adjustment
best reduces ventilator-induced lung injury?
Options:
A. Increase PEEP to 18
B. Lower tidal volume to 4 mL/kg IBW - CORRECT
C. Switch to APRV mode
D. Add inhaled nitric oxide
ANSWER: B
Q004: A 72-year-old male with cirrhosis and ascites develops fever, altered mental
status, and WBC 18 K. Paracentesis shows 320 PMNs/mm³. Which antibiotic class
should be started immediately?
Options:
A. Piperacillin-tazobactam - CORRECT
B. Vancomycin monotherapy
C. Oral metronidazole
D. Azithromycin
ANSWER: A
Q005: A 42-year-old with T1DM on insulin pump presents with BG 46 mg/dL,
confusion, and diaphoresis. Which emergency action is priority before
administering dextrose?
Options:
A. Obtain stat ABG
B. Disconnect pump and give 1 mg glucagon IM - CORRECT
C. Start D10 drip at 100 mL/hr
D. Check ketones
, 3
ANSWER: B
Q006: A 60-year-old female post-thyroidectomy has positive Chvostek sign and
tetany. Ca²⁺ is 7.2 mg/dL. Which IV replacement protocol is correct?
Options:
A. 1 g calcium gluconate over 10 min - CORRECT
B. 3 g calcium chloride rapid push
C. Oral calcium carbonate STAT
D. Magnesium sulfate 2 g IV first
ANSWER: A
Q007: A 28-year-old with sickle cell crisis receives morphine PCA. Respirations
drop to 8/min and SpO₂ 88 %. Which agent reverses toxicity without
compromising analgesia?
Options:
A. Naloxone 0.4 mg IV push - CORRECT
B. Flumazenil 0.5 mg
C. Reduce morphine dose by 25 %
D. Switch to hydromorphone
ANSWER: A
Q008: A 50-year-old with heart failure (EF 20 %) on dobutamine has BP 82/50 and
UOP 15 mL/hr. Pulmonary artery occlusion pressure is 24 mmHg. Which
intervention is priority?
Options:
A. Increase dobutamine to 10 mcg/kg/min
B. Start norepinephrine and give 250 mL bolus - CORRECT
C. Initiate IABP
D. Add nesiritide
