NUR 2755 MULTIDIMENSIONAL CARE IV (MDC 4) FINAL EXAM Rasmussen University 2026/2027
Complete Test Bank — 300 Practice Questions with Verified Answers & Detailed Rationales
TABLE OF CONTENTS
| Section | Topic | Questions |
|---------|-------|-----------|
| Section 1 | Critical Care & Hemodynamic Monitoring | Q1–Q35 |
| Section 2 | Complex Respiratory Conditions (ARDS, Mechanical Ventilation, Pneumothorax,
Flail Chest) | Q36–Q70 |
| Section 3 | Complex Cardiac Conditions (MI, Heart Failure, Dysrhythmias, Cardiac Surgery) |
Q71–Q105 |
| Section 4 | Neurological Emergencies (ICP, Stroke, Seizures, Head Trauma, Meningitis) | Q106–
Q140 |
| Section 5 | Renal & Endocrine Crises (AKI, CKD, DKA, HHS, Thyroid Storm, Adrenal Crisis) |
Q141–Q175 |
| Section 6 | Shock States & Sepsis (Hypovolemic, Cardiogenic, Septic, Neurogenic,
Anaphylactic) | Q176–Q210 |
| Section 7 | Leadership, Delegation & Management | Q211–Q240 |
| Section 8 | Emergency & Disaster Nursing (Triage, Burns, Trauma, Disaster Preparedness) |
Q241–Q270 |
| Section 9 | End-of-Life & Palliative Care | Q271–Q285 |
| Section 10 | Ethics, Legal Issues & Quality Improvement | Q286–Q300 |
---
EXAM OVERVIEW
| Category | Details |
,|--------------|-------------|
| Exam Name | NUR 2755 Multidimensional Care IV (MDC 4) Final Exam |
| University | Rasmussen University |
| Certification Period | 2026/2027 |
| Total Practice Questions | 300 |
| Question Format | Multiple Choice (with some Select All That Apply and prioritization
scenarios) |
| Passing Score Requirement | 75% (Standard Nursing Program Requirement) |
| Primary Focus Areas | Critical care and hemodynamic monitoring; complex respiratory and
cardiac conditions; neurological and renal emergencies; endocrine and metabolic crises;
leadership, delegation and management; emergency and disaster nursing; end-of-life and
palliative care; ethics, legal and quality improvement |
| Key References | NUR 2755 Course Curriculum; NCLEX-RN 2026/2027 Test Plan; AACN
Essentials; Evidence-Based Nursing Practice Standards |
---
SECTION 1: CRITICAL CARE & HEMODYNAMIC MONITORING
Questions 1–35
---
Q1. A patient in the intensive care unit has a pulmonary artery catheter (Swan-Ganz). Which
hemodynamic value indicates left ventricular preload?
A) Central venous pressure (CVP)
B) Pulmonary artery wedge pressure (PAWP)
C) Cardiac output (CO)
,D) Systemic vascular resistance (SVR)
Correct Answer: B) Pulmonary artery wedge pressure (PAWP)
Rationale: PAWP (also called pulmonary capillary wedge pressure) reflects left ventricular end-
diastolic pressure and is the best indicator of left ventricular preload. CVP reflects right
ventricular preload, CO reflects cardiac function, and SVR reflects afterload.
---
Q2. A nurse is caring for four patients. Which patient should the nurse assess first?
A) A patient with COPD reporting a change in sputum color
B) A patient post-operative day 2 with pain rating 6/10
C) A patient with new-onset confusion and oxygen saturation of 88%
D) A patient requesting assistance to the bathroom
Correct Answer: C) A patient with new-onset confusion and oxygen saturation of 88%
Rationale: New-onset confusion with hypoxemia (SpO2 88%) indicates acute deterioration and
requires immediate assessment. This patient is unstable and should be seen first using Maslow's
hierarchy and ABCs (Airway, Breathing, Circulation).
---
Q3. The nurse is using the ABCDE framework to prioritize care. Which condition requires the
most immediate intervention?
, A) Decreased level of consciousness
B) Open wound
C) Lack of IV access
D) Patient anxiety
Correct Answer: A) Decreased level of consciousness
Rationale: The ABCDE framework prioritizes Airway (patency), Breathing
(ventilation/oxygenation), Circulation (perfusion), Disability (neurologic status), and Exposure.
Decreased LOC affects airway protection and breathing, making it the priority.
---
Q4. A patient's arterial blood gas results reveal: pH 7.28, PaCO₂ 55 mm Hg, HCO₃ 24 mEq/L. The
nurse correctly interprets this as:
A) Metabolic acidosis
B) Respiratory acidosis
C) Metabolic alkalosis
D) Respiratory alkalosis
Correct Answer: B) Respiratory acidosis
Rationale: The pH is <7.35, indicating acidosis. The PaCO₂ is elevated (>45 mm Hg), indicating a
respiratory cause. The HCO₃ is within normal range (22-26 mEq/L), showing no renal
compensation has occurred yet.
Complete Test Bank — 300 Practice Questions with Verified Answers & Detailed Rationales
TABLE OF CONTENTS
| Section | Topic | Questions |
|---------|-------|-----------|
| Section 1 | Critical Care & Hemodynamic Monitoring | Q1–Q35 |
| Section 2 | Complex Respiratory Conditions (ARDS, Mechanical Ventilation, Pneumothorax,
Flail Chest) | Q36–Q70 |
| Section 3 | Complex Cardiac Conditions (MI, Heart Failure, Dysrhythmias, Cardiac Surgery) |
Q71–Q105 |
| Section 4 | Neurological Emergencies (ICP, Stroke, Seizures, Head Trauma, Meningitis) | Q106–
Q140 |
| Section 5 | Renal & Endocrine Crises (AKI, CKD, DKA, HHS, Thyroid Storm, Adrenal Crisis) |
Q141–Q175 |
| Section 6 | Shock States & Sepsis (Hypovolemic, Cardiogenic, Septic, Neurogenic,
Anaphylactic) | Q176–Q210 |
| Section 7 | Leadership, Delegation & Management | Q211–Q240 |
| Section 8 | Emergency & Disaster Nursing (Triage, Burns, Trauma, Disaster Preparedness) |
Q241–Q270 |
| Section 9 | End-of-Life & Palliative Care | Q271–Q285 |
| Section 10 | Ethics, Legal Issues & Quality Improvement | Q286–Q300 |
---
EXAM OVERVIEW
| Category | Details |
,|--------------|-------------|
| Exam Name | NUR 2755 Multidimensional Care IV (MDC 4) Final Exam |
| University | Rasmussen University |
| Certification Period | 2026/2027 |
| Total Practice Questions | 300 |
| Question Format | Multiple Choice (with some Select All That Apply and prioritization
scenarios) |
| Passing Score Requirement | 75% (Standard Nursing Program Requirement) |
| Primary Focus Areas | Critical care and hemodynamic monitoring; complex respiratory and
cardiac conditions; neurological and renal emergencies; endocrine and metabolic crises;
leadership, delegation and management; emergency and disaster nursing; end-of-life and
palliative care; ethics, legal and quality improvement |
| Key References | NUR 2755 Course Curriculum; NCLEX-RN 2026/2027 Test Plan; AACN
Essentials; Evidence-Based Nursing Practice Standards |
---
SECTION 1: CRITICAL CARE & HEMODYNAMIC MONITORING
Questions 1–35
---
Q1. A patient in the intensive care unit has a pulmonary artery catheter (Swan-Ganz). Which
hemodynamic value indicates left ventricular preload?
A) Central venous pressure (CVP)
B) Pulmonary artery wedge pressure (PAWP)
C) Cardiac output (CO)
,D) Systemic vascular resistance (SVR)
Correct Answer: B) Pulmonary artery wedge pressure (PAWP)
Rationale: PAWP (also called pulmonary capillary wedge pressure) reflects left ventricular end-
diastolic pressure and is the best indicator of left ventricular preload. CVP reflects right
ventricular preload, CO reflects cardiac function, and SVR reflects afterload.
---
Q2. A nurse is caring for four patients. Which patient should the nurse assess first?
A) A patient with COPD reporting a change in sputum color
B) A patient post-operative day 2 with pain rating 6/10
C) A patient with new-onset confusion and oxygen saturation of 88%
D) A patient requesting assistance to the bathroom
Correct Answer: C) A patient with new-onset confusion and oxygen saturation of 88%
Rationale: New-onset confusion with hypoxemia (SpO2 88%) indicates acute deterioration and
requires immediate assessment. This patient is unstable and should be seen first using Maslow's
hierarchy and ABCs (Airway, Breathing, Circulation).
---
Q3. The nurse is using the ABCDE framework to prioritize care. Which condition requires the
most immediate intervention?
, A) Decreased level of consciousness
B) Open wound
C) Lack of IV access
D) Patient anxiety
Correct Answer: A) Decreased level of consciousness
Rationale: The ABCDE framework prioritizes Airway (patency), Breathing
(ventilation/oxygenation), Circulation (perfusion), Disability (neurologic status), and Exposure.
Decreased LOC affects airway protection and breathing, making it the priority.
---
Q4. A patient's arterial blood gas results reveal: pH 7.28, PaCO₂ 55 mm Hg, HCO₃ 24 mEq/L. The
nurse correctly interprets this as:
A) Metabolic acidosis
B) Respiratory acidosis
C) Metabolic alkalosis
D) Respiratory alkalosis
Correct Answer: B) Respiratory acidosis
Rationale: The pH is <7.35, indicating acidosis. The PaCO₂ is elevated (>45 mm Hg), indicating a
respiratory cause. The HCO₃ is within normal range (22-26 mEq/L), showing no renal
compensation has occurred yet.
