NUR2755 FINAL EXAM – QUESTIONS AND ANSWERS | VERIFIED AND WELL DETAILED ANSWERS | PLUS
RATIONALES | GUARANTEED PASS | LATEST EXAM UPDATE
CORE DOMAINS
Neurological and Neurosurgical Nursing
Critical Care and Emergency Nursing
Medical-Surgical Nursing: Respiratory, Cardiovascular, and Renal
Disaster Management and Triage
Shock States and Multisystem Organ Dysfunction
Burns and Wound Care
Perioperative and Postoperative Nursing Care
Pharmacology and Medication Administration
Ethics, Professional Standards, and Legal Issues
Palliative and End-of-Life Care
INTRODUCTION
This comprehensive assessment is designed to evaluate the student's mastery of advanced nursing concepts essential
for the Multidimensional Care IV (MDC 4) course. The examination measures the ability to apply critical thinking and
clinical judgment in complex, real-world scenarios. It assesses foundational knowledge and its practical application in
managing patients with multidimensional health alterations, including emergencies, chronic illness exacerbations, and
perioperative care. The format includes multiple-choice and scenario-based questions that require professional
decision-making and prioritization. Successful completion of this exam demonstrates readiness to provide safe,
,evidence-based, and patient-centered care across diverse healthcare settings, synthesizing knowledge from
pathophysiology, pharmacology, and nursing interventions.
Question 1
A client who experienced a near-drowning accident is awake and breathing spontaneously but is admitted for
observation. Which assessment is the priority for the nurse during this observation period?
A. Auscultate heart sounds for murmurs
B. Palpate peripheral pulses for quality
C. Auscultate breath sounds for adventitious sounds
D. Check pupil reaction to light
🟢 Correct Answer: C. Auscultate breath sounds for adventitious sounds
🔴 Explanation: Near-drowning can lead to pulmonary complications such as aspiration pneumonia, pneumonitis, or
Acute Respiratory Distress Syndrome (ARDS). The priority is to monitor for respiratory compromise. Adventitious
breath sounds (e.g., crackles, wheezing) are an early indicator of these complications .
Question 2
A client is scheduled for surgery and has the following pre-admission laboratory results. Which result should be
reported to the surgeon as it could cause the surgery to be postponed?
A. Sodium, 141 mEq/L
B. Hemoglobin, 8.0 g/dL
,C. Platelets, 210,000/mm³
D. Serum creatinine, 0.8 mg/dL
🟢 Correct Answer: B. Hemoglobin, 8.0 g/dL
🔴 Explanation: A hemoglobin level of 8.0 g/dL indicates significant anemia. Surgery is typically postponed until the
hemoglobin is above a safe threshold (often >9-10 g/dL) to ensure adequate oxygen-carrying capacity during and
after the procedure .
Question 3
The nurse is caring for a patient suspected of having heatstroke. Which clinical manifestations are consistent with
this diagnosis?
A. Bradycardia and hypotension
B. Tachycardia, tachypnea, and decreased urinary output
C. Hypothermia and bradycardia
D. Polyuria and hyperthermia
🟢 Correct Answer: B. Tachycardia, tachypnea, and decreased urinary output
🔴 Explanation: Heatstroke is a life-threatening condition characterized by a core temperature >104°F (40°C) and
central nervous system dysfunction. The body attempts to compensate with tachycardia and tachypnea. Decreased
urinary output occurs due to dehydration and hypovolemia from sweating and fluid loss .
Question 4
The nurse is teaching a client with Parkinson’s disease about managing daily activities. To minimize the effects of
hypokinesia, when should the client schedule the most demanding physical activities?
, A. Early in the morning when energy levels are highest
B. To coincide with the peak action of their dopaminergic drug therapy
C. Immediately after a rest period
D. When family members are available to assist
🟢 Correct Answer: B. To coincide with the peak action of their drug therapy
🔴 Explanation: Medications like levodopa-carbidopa have peak action times when symptoms are best controlled.
Scheduling demanding activities during these peak periods will optimize motor function and reduce "off" periods,
allowing the patient to perform tasks more effectively .
Question 5
Which of the following events 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 directed at the hospital
🟢 Correct Answer: C. Massive flooding
🔴 Explanation: An external disaster originates outside the healthcare facility and involves a large-scale event that
overwhelms local resources. Massive flooding, caused by a natural event, meets these criteria. A city-wide power
outage can be a disaster but is typically an infrastructure failure, while an internal disaster originates inside the
facility .
Question 6
RATIONALES | GUARANTEED PASS | LATEST EXAM UPDATE
CORE DOMAINS
Neurological and Neurosurgical Nursing
Critical Care and Emergency Nursing
Medical-Surgical Nursing: Respiratory, Cardiovascular, and Renal
Disaster Management and Triage
Shock States and Multisystem Organ Dysfunction
Burns and Wound Care
Perioperative and Postoperative Nursing Care
Pharmacology and Medication Administration
Ethics, Professional Standards, and Legal Issues
Palliative and End-of-Life Care
INTRODUCTION
This comprehensive assessment is designed to evaluate the student's mastery of advanced nursing concepts essential
for the Multidimensional Care IV (MDC 4) course. The examination measures the ability to apply critical thinking and
clinical judgment in complex, real-world scenarios. It assesses foundational knowledge and its practical application in
managing patients with multidimensional health alterations, including emergencies, chronic illness exacerbations, and
perioperative care. The format includes multiple-choice and scenario-based questions that require professional
decision-making and prioritization. Successful completion of this exam demonstrates readiness to provide safe,
,evidence-based, and patient-centered care across diverse healthcare settings, synthesizing knowledge from
pathophysiology, pharmacology, and nursing interventions.
Question 1
A client who experienced a near-drowning accident is awake and breathing spontaneously but is admitted for
observation. Which assessment is the priority for the nurse during this observation period?
A. Auscultate heart sounds for murmurs
B. Palpate peripheral pulses for quality
C. Auscultate breath sounds for adventitious sounds
D. Check pupil reaction to light
🟢 Correct Answer: C. Auscultate breath sounds for adventitious sounds
🔴 Explanation: Near-drowning can lead to pulmonary complications such as aspiration pneumonia, pneumonitis, or
Acute Respiratory Distress Syndrome (ARDS). The priority is to monitor for respiratory compromise. Adventitious
breath sounds (e.g., crackles, wheezing) are an early indicator of these complications .
Question 2
A client is scheduled for surgery and has the following pre-admission laboratory results. Which result should be
reported to the surgeon as it could cause the surgery to be postponed?
A. Sodium, 141 mEq/L
B. Hemoglobin, 8.0 g/dL
,C. Platelets, 210,000/mm³
D. Serum creatinine, 0.8 mg/dL
🟢 Correct Answer: B. Hemoglobin, 8.0 g/dL
🔴 Explanation: A hemoglobin level of 8.0 g/dL indicates significant anemia. Surgery is typically postponed until the
hemoglobin is above a safe threshold (often >9-10 g/dL) to ensure adequate oxygen-carrying capacity during and
after the procedure .
Question 3
The nurse is caring for a patient suspected of having heatstroke. Which clinical manifestations are consistent with
this diagnosis?
A. Bradycardia and hypotension
B. Tachycardia, tachypnea, and decreased urinary output
C. Hypothermia and bradycardia
D. Polyuria and hyperthermia
🟢 Correct Answer: B. Tachycardia, tachypnea, and decreased urinary output
🔴 Explanation: Heatstroke is a life-threatening condition characterized by a core temperature >104°F (40°C) and
central nervous system dysfunction. The body attempts to compensate with tachycardia and tachypnea. Decreased
urinary output occurs due to dehydration and hypovolemia from sweating and fluid loss .
Question 4
The nurse is teaching a client with Parkinson’s disease about managing daily activities. To minimize the effects of
hypokinesia, when should the client schedule the most demanding physical activities?
, A. Early in the morning when energy levels are highest
B. To coincide with the peak action of their dopaminergic drug therapy
C. Immediately after a rest period
D. When family members are available to assist
🟢 Correct Answer: B. To coincide with the peak action of their drug therapy
🔴 Explanation: Medications like levodopa-carbidopa have peak action times when symptoms are best controlled.
Scheduling demanding activities during these peak periods will optimize motor function and reduce "off" periods,
allowing the patient to perform tasks more effectively .
Question 5
Which of the following events 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 directed at the hospital
🟢 Correct Answer: C. Massive flooding
🔴 Explanation: An external disaster originates outside the healthcare facility and involves a large-scale event that
overwhelms local resources. Massive flooding, caused by a natural event, meets these criteria. A city-wide power
outage can be a disaster but is typically an infrastructure failure, while an internal disaster originates inside the
facility .
Question 6
