NUR2755-MDC 4
NUR2755 Final Exam 2024/2025 – Multidimensional
Care IV (MDC 4) | Rasmussen | Verified and Updated
Questions
SECTION 1: Leadership and Management
1. A nurse manager is implementing a new fall prevention protocol. Which action demonstrates
transformational leadership?
A) Telling staff to follow the protocol without explanation
B) Punishing staff who do not comply
C) Involving staff in the development and implementation process
D) Ignoring staff feedback
Answer: C
Rationale: Transformational leadership engages and empowers team members, fostering
collaboration and buy-in by involving them in decision-making processes.
2. A charge nurse is assigning patients to a newly graduated RN. Which patient is most appropriate
for the new graduate?
A) A patient on a ventilator with unstable hemodynamics
B) A patient with stable postoperative pain requiring routine care
C) A patient actively seizing
D) A patient requiring emergency resuscitation
Answer: B
Rationale: New graduates should be assigned stable patients with predictable outcomes to ensure
patient safety and support the new nurse's development.
3. A nurse delegates vital signs to an unlicensed assistive personnel (UAP). Which statement
indicates correct delegation?
A) "Take vital signs on all patients whenever you have time."
B) "Take Mrs. Smith's blood pressure every 4 hours and report if systolic is below 90."
C) "Figure out which patients need vital signs."
D) "Do whatever you think is best."
Answer: B
Rationale: Correct delegation must include the specific task, timeframe, and clear parameters for
reporting abnormal findings.
4. The "five rights" of delegation include all of the following EXCEPT:
A) Right task
B) Right circumstances
C) Right person
D) Right salary
Answer: D
Rationale: The five rights of delegation are the right task, right circumstances, right person, right
direction/communication, and right supervision/evaluation.
, NUR2755-MDC 4
5. Which conflict resolution strategy is most effective for long-term team functioning?
A) Avoidance
B) Accommodation
C) Collaboration
D) Competition
Answer: C
Rationale: Collaboration, or a win-win strategy, is most effective for long-term team functioning and
addressing the root cause of conflicts.
6. Which leadership style is characterized by the leader making all decisions without input from
the team?
A) Democratic
B) Laissez-faire
C) Autocratic
D) Transformational
Answer: C
Rationale: Autocratic leaders make unilateral decisions and maintain strict control over their team.
7. A nurse observes a colleague administering medication without scanning the patient's
wristband. What is the nurse's best action?
A) Ignore the behavior
B) Report the colleague to the nurse manager
C) Remind the colleague about the scanning policy
D) Scan the wristband for the colleague
Answer: C
Rationale: The nurse should first address the colleague directly to correct the unsafe behavior and
prevent a potential medication error.
SECTION 2: Prioritization and Delegation (NCLEX-Style)
8. A nurse has four patient requests. Which should the nurse address FIRST?
A) Patient requesting pain medication (pain rated 4/10)
B) Patient asking for a glass of water
C) Patient with new-onset shortness of breath and oxygen saturation of 88%
D) Patient requesting assistance to the bathroom
Answer: C
Rationale: Airway and breathing are always the highest priority. Hypoxia requires immediate
intervention.
9. A charge nurse is making assignments for a medical-surgical unit. Which patient should be
assigned to the most experienced RN?
A) A patient scheduled for discharge teaching
B) A patient with stable diabetes requiring insulin
C) A patient with chest tube and new respiratory distress
D) A patient requesting a warm blanket
Answer: C
Rationale: Unstable or complex patients require the most experienced nurse to manage potential
complications.
, NUR2755-MDC 4
10. A nurse receives shift report. Which patient should the nurse assess FIRST?
A) A patient with pneumonia, oxygen saturation 94% on 2L nasal cannula
B) A patient 1-day post-operative hip replacement, pain 5/10
C) A patient with a history of falls who is currently asleep
D) A patient with a newly placed tracheostomy with blood-tinged secretions and difficulty breathing
Answer: D
Rationale: A compromised airway is the highest priority and requires immediate assessment and
intervention.
11. An RN is working with an LPN. Which task is appropriate to assign to the LPN?
A) Performing an initial admission assessment
B) Administering oral medications to stable patients
C) Creating the discharge plan
D) Providing patient education about a new diagnosis
Answer: B
Rationale: LPNs can administer oral medications to stable patients. Initial assessments, care
planning, and patient teaching are RN responsibilities.
12. A patient becomes unresponsive and pulseless. What is the nurse's priority action?
A) Call a code
B) Start CPR
C) Get the crash cart
D) Check blood pressure
Answer: B
Rationale: CPR should be initiated immediately. Calling for help can be done simultaneously or by
another team member.
13. Which of the following tasks can be delegated to a UAP?
A) Administering a tube feeding
B) Emptying a urinary drainage bag and recording output
C) Changing a sterile dressing
D) Assessing a surgical incision
Answer: B
Rationale: UAPs can empty drainage bags and measure output. Sterile procedures and assessments
require licensed personnel.
SECTION 3: Critical Care and Complex Patient Management
14. A patient on a mechanical ventilator has an alarm indicating high peak airway pressure. Which
action should the nurse take FIRST?
A) Suction the patient
B) Increase the oxygen concentration
C) Assess the patient for respiratory distress and check for kinks in tubing
D) Call the respiratory therapist
Answer: C
Rationale: The nurse must first assess the patient and troubleshoot common causes like kinks in the
tubing, secretions, or the patient biting the tube.
NUR2755 Final Exam 2024/2025 – Multidimensional
Care IV (MDC 4) | Rasmussen | Verified and Updated
Questions
SECTION 1: Leadership and Management
1. A nurse manager is implementing a new fall prevention protocol. Which action demonstrates
transformational leadership?
A) Telling staff to follow the protocol without explanation
B) Punishing staff who do not comply
C) Involving staff in the development and implementation process
D) Ignoring staff feedback
Answer: C
Rationale: Transformational leadership engages and empowers team members, fostering
collaboration and buy-in by involving them in decision-making processes.
2. A charge nurse is assigning patients to a newly graduated RN. Which patient is most appropriate
for the new graduate?
A) A patient on a ventilator with unstable hemodynamics
B) A patient with stable postoperative pain requiring routine care
C) A patient actively seizing
D) A patient requiring emergency resuscitation
Answer: B
Rationale: New graduates should be assigned stable patients with predictable outcomes to ensure
patient safety and support the new nurse's development.
3. A nurse delegates vital signs to an unlicensed assistive personnel (UAP). Which statement
indicates correct delegation?
A) "Take vital signs on all patients whenever you have time."
B) "Take Mrs. Smith's blood pressure every 4 hours and report if systolic is below 90."
C) "Figure out which patients need vital signs."
D) "Do whatever you think is best."
Answer: B
Rationale: Correct delegation must include the specific task, timeframe, and clear parameters for
reporting abnormal findings.
4. The "five rights" of delegation include all of the following EXCEPT:
A) Right task
B) Right circumstances
C) Right person
D) Right salary
Answer: D
Rationale: The five rights of delegation are the right task, right circumstances, right person, right
direction/communication, and right supervision/evaluation.
, NUR2755-MDC 4
5. Which conflict resolution strategy is most effective for long-term team functioning?
A) Avoidance
B) Accommodation
C) Collaboration
D) Competition
Answer: C
Rationale: Collaboration, or a win-win strategy, is most effective for long-term team functioning and
addressing the root cause of conflicts.
6. Which leadership style is characterized by the leader making all decisions without input from
the team?
A) Democratic
B) Laissez-faire
C) Autocratic
D) Transformational
Answer: C
Rationale: Autocratic leaders make unilateral decisions and maintain strict control over their team.
7. A nurse observes a colleague administering medication without scanning the patient's
wristband. What is the nurse's best action?
A) Ignore the behavior
B) Report the colleague to the nurse manager
C) Remind the colleague about the scanning policy
D) Scan the wristband for the colleague
Answer: C
Rationale: The nurse should first address the colleague directly to correct the unsafe behavior and
prevent a potential medication error.
SECTION 2: Prioritization and Delegation (NCLEX-Style)
8. A nurse has four patient requests. Which should the nurse address FIRST?
A) Patient requesting pain medication (pain rated 4/10)
B) Patient asking for a glass of water
C) Patient with new-onset shortness of breath and oxygen saturation of 88%
D) Patient requesting assistance to the bathroom
Answer: C
Rationale: Airway and breathing are always the highest priority. Hypoxia requires immediate
intervention.
9. A charge nurse is making assignments for a medical-surgical unit. Which patient should be
assigned to the most experienced RN?
A) A patient scheduled for discharge teaching
B) A patient with stable diabetes requiring insulin
C) A patient with chest tube and new respiratory distress
D) A patient requesting a warm blanket
Answer: C
Rationale: Unstable or complex patients require the most experienced nurse to manage potential
complications.
, NUR2755-MDC 4
10. A nurse receives shift report. Which patient should the nurse assess FIRST?
A) A patient with pneumonia, oxygen saturation 94% on 2L nasal cannula
B) A patient 1-day post-operative hip replacement, pain 5/10
C) A patient with a history of falls who is currently asleep
D) A patient with a newly placed tracheostomy with blood-tinged secretions and difficulty breathing
Answer: D
Rationale: A compromised airway is the highest priority and requires immediate assessment and
intervention.
11. An RN is working with an LPN. Which task is appropriate to assign to the LPN?
A) Performing an initial admission assessment
B) Administering oral medications to stable patients
C) Creating the discharge plan
D) Providing patient education about a new diagnosis
Answer: B
Rationale: LPNs can administer oral medications to stable patients. Initial assessments, care
planning, and patient teaching are RN responsibilities.
12. A patient becomes unresponsive and pulseless. What is the nurse's priority action?
A) Call a code
B) Start CPR
C) Get the crash cart
D) Check blood pressure
Answer: B
Rationale: CPR should be initiated immediately. Calling for help can be done simultaneously or by
another team member.
13. Which of the following tasks can be delegated to a UAP?
A) Administering a tube feeding
B) Emptying a urinary drainage bag and recording output
C) Changing a sterile dressing
D) Assessing a surgical incision
Answer: B
Rationale: UAPs can empty drainage bags and measure output. Sterile procedures and assessments
require licensed personnel.
SECTION 3: Critical Care and Complex Patient Management
14. A patient on a mechanical ventilator has an alarm indicating high peak airway pressure. Which
action should the nurse take FIRST?
A) Suction the patient
B) Increase the oxygen concentration
C) Assess the patient for respiratory distress and check for kinks in tubing
D) Call the respiratory therapist
Answer: C
Rationale: The nurse must first assess the patient and troubleshoot common causes like kinks in the
tubing, secretions, or the patient biting the tube.
