• NUR 2755 MDC4 09/11/2026
Final Exam
NUR 2755 MDC4 Final Exam | Multidimensional
Care IV Study Guide 2026/2027
38. A nurse is preparing a teaching plan for a client with migraine headaches who has been prescribed a beta
blocker daily to help manage this disorder. Which instructions would be appropriate to relay to this client?
a. Take this drug only when you have prodromal symptoms indicating the unsent of a migraine headache
b. take this drug as ordered, even when filling well, to prevent vascular changes associated with migraine
headaches.
c. This drug will relieve the pain during the Aurora phase soon after a headache has started
d. this medication is prescribed for migraines, you won't experience any effect on your heart rate or blood
pressure - Correct Answer :b. take this drug as ordered, even when filling well, to prevent vascular changes
associated with migraine headaches.
39. the nurse is obtaining a health history for a 45 year old woman with Guillain-Barre syndrome (BGS). Which
statement by the client does the nurse correlate with the clients diagnosis?
a. I have a history of cardiac dysrhythmias
P 1
, • NUR 2755 MDC4 09/11/2026
Final Exam
b. I just got over the flu a couple of weeks ago and now this
c. my neighbor also has Guillain-Barre syndrome
d. I am an artist and work with oil paints - Correct Answer :b. I just got over the flu a couple of weeks ago and
now this
40. Hey client is admitted to the neurological unit after having had three tonic-clonic seizures in the past two
days. Her husband reported that she had been sleeping for long periods after each
seizure. The nurse explains to him that this rest period after a tonic-clonic seizure is which of the following?
a. Convalescent. Convulsant.
b. Post status epilepticus period
c. Post tonic clonic period
d. postictal period - Correct Answer :d. postictal period
41. The three components of Cushing's response (triad) are of the following? Select all that apply
a. decreased blood pressure
b. widened pulse pressure
c. Bradycardia
d. increased systolic blood pressure
e. uncontrolled thermal regulation - Correct Answer :b. widened pulse pressure
c. Bradycardia
d. increased systolic blood pressure
42. A client with new onset status epilepticus is prescribed phenytoin. Ever teaching the client about this
treatment regimen , the nurse assesses the client's understanding. Which statement indicates that the client
understands the teaching?
a. I must drink at least 2 liters of water daily
b. this will stop me from getting an aura before a seizure
c. I will not be able to be employed while taking this medication
P 2
, • NUR 2755 MDC4 09/11/2026
Final Exam
d. even when my seizures stop, I will take this drug. - Correct Answer :d. even when my seizures stop, I will take
this drug.
43. C: Chart the clients level of consciousness as coma - Correct Answer :Glascow Score of of 7 generally
indicates coma
44. A nurse is providing teaching to a class about transient ischemic attacks (TIAs). Which information should the
nurse include in the teaching?
a. A TIA can cause irreversible hemiparesis
b. A TIA can be the result of cerebral bleeding
c. A TIA can cause cerebral edema
d. A TIA can precede an ischemic stroke - Correct Answer :d. A TIA can precede an ischemic stroke
45. The nurse enters a room and witnesses a client experiencing a seizure. What is the nurse's priority actions?
a. Establish a large-bore catheter and start 0.9% sodium chloride
b. Start the client on 8L of oxygen via non-rebreather mask
c. Place the client in the supine, left-lateral position
d. Remove items that may cause client injury - Correct Answer :c. Place the client in the supine, left- lateral
position
46. A nurse is developing a care plan for a client with bacterial meningitis. Which of the following interventions
will reduce the risk of increased intracranial pressure?
a. Initiate seizure precautions per facility protocol
b. Assess glasgow Coma scale once per shift
c. Keep the head of the bed elevated as high as tolerated
d. Start 0.9% normal saline at 75 ml/hr via peripheral IV - Correct Answer :c. Keep the head of the bed elevated
as high as tolerated
47. Which of the following statements by your client's son indicate the need for further teaching when using
patient controlled analgesia (PCA)?
P 3
, • NUR 2755 MDC4 09/11/2026
Final Exam
a. The medication is flowing through my mothers intravenous line
b. I can push the button for my mother if she is too drowsy
c. My mother or I should notify the nurse if her pain is uncontrolled while using the PCA
d. My mother will push the PCA button when she is experiencing increased pain - Correct Answer :b. I can push
the button for my mother if she is too drowsy
48. In preparing the client for abdominal surgery, the nurse delegates which tasks to the unlicensed assistive
personnel? (Select all that apply)
a. Vital signs
b. Insertions of nasogastric tube (NGT)
c. Height and weight
d. Obtain operative consent
e. Sterile gowning - Correct Answer :a. Vital signs
c. Height and weight
49. The nurse is educating a client on the types of anesthesia used in surgery. Which client statement indicates a
correct understanding of the topic?
a. I am having general anesthesia, so I will be given gas to breathe and medication in my IV
b. I may still be aware of what's happening with general anesthesia
c. An epidural is used for general anesthesia
d. When I had my skin cancer removed on my leg, the doctor used general anesthesia to numb this area. -
Correct Answer :a. I am having general anesthesia, so I will be given gas to breathe and medication in my IV
50. A client has been admitted to the neurological department because of seizures of unknown cause. Which of
the following is the priority intervention?
a. Placing the client in protective restaurants
b. Being sure padded side rails are present
c. Suggesting that the family monitor the client
d. Placing the client with one on one nursing service - Correct Answer :b. Being sure padded side rails are
present
P 4
Final Exam
NUR 2755 MDC4 Final Exam | Multidimensional
Care IV Study Guide 2026/2027
38. A nurse is preparing a teaching plan for a client with migraine headaches who has been prescribed a beta
blocker daily to help manage this disorder. Which instructions would be appropriate to relay to this client?
a. Take this drug only when you have prodromal symptoms indicating the unsent of a migraine headache
b. take this drug as ordered, even when filling well, to prevent vascular changes associated with migraine
headaches.
c. This drug will relieve the pain during the Aurora phase soon after a headache has started
d. this medication is prescribed for migraines, you won't experience any effect on your heart rate or blood
pressure - Correct Answer :b. take this drug as ordered, even when filling well, to prevent vascular changes
associated with migraine headaches.
39. the nurse is obtaining a health history for a 45 year old woman with Guillain-Barre syndrome (BGS). Which
statement by the client does the nurse correlate with the clients diagnosis?
a. I have a history of cardiac dysrhythmias
P 1
, • NUR 2755 MDC4 09/11/2026
Final Exam
b. I just got over the flu a couple of weeks ago and now this
c. my neighbor also has Guillain-Barre syndrome
d. I am an artist and work with oil paints - Correct Answer :b. I just got over the flu a couple of weeks ago and
now this
40. Hey client is admitted to the neurological unit after having had three tonic-clonic seizures in the past two
days. Her husband reported that she had been sleeping for long periods after each
seizure. The nurse explains to him that this rest period after a tonic-clonic seizure is which of the following?
a. Convalescent. Convulsant.
b. Post status epilepticus period
c. Post tonic clonic period
d. postictal period - Correct Answer :d. postictal period
41. The three components of Cushing's response (triad) are of the following? Select all that apply
a. decreased blood pressure
b. widened pulse pressure
c. Bradycardia
d. increased systolic blood pressure
e. uncontrolled thermal regulation - Correct Answer :b. widened pulse pressure
c. Bradycardia
d. increased systolic blood pressure
42. A client with new onset status epilepticus is prescribed phenytoin. Ever teaching the client about this
treatment regimen , the nurse assesses the client's understanding. Which statement indicates that the client
understands the teaching?
a. I must drink at least 2 liters of water daily
b. this will stop me from getting an aura before a seizure
c. I will not be able to be employed while taking this medication
P 2
, • NUR 2755 MDC4 09/11/2026
Final Exam
d. even when my seizures stop, I will take this drug. - Correct Answer :d. even when my seizures stop, I will take
this drug.
43. C: Chart the clients level of consciousness as coma - Correct Answer :Glascow Score of of 7 generally
indicates coma
44. A nurse is providing teaching to a class about transient ischemic attacks (TIAs). Which information should the
nurse include in the teaching?
a. A TIA can cause irreversible hemiparesis
b. A TIA can be the result of cerebral bleeding
c. A TIA can cause cerebral edema
d. A TIA can precede an ischemic stroke - Correct Answer :d. A TIA can precede an ischemic stroke
45. The nurse enters a room and witnesses a client experiencing a seizure. What is the nurse's priority actions?
a. Establish a large-bore catheter and start 0.9% sodium chloride
b. Start the client on 8L of oxygen via non-rebreather mask
c. Place the client in the supine, left-lateral position
d. Remove items that may cause client injury - Correct Answer :c. Place the client in the supine, left- lateral
position
46. A nurse is developing a care plan for a client with bacterial meningitis. Which of the following interventions
will reduce the risk of increased intracranial pressure?
a. Initiate seizure precautions per facility protocol
b. Assess glasgow Coma scale once per shift
c. Keep the head of the bed elevated as high as tolerated
d. Start 0.9% normal saline at 75 ml/hr via peripheral IV - Correct Answer :c. Keep the head of the bed elevated
as high as tolerated
47. Which of the following statements by your client's son indicate the need for further teaching when using
patient controlled analgesia (PCA)?
P 3
, • NUR 2755 MDC4 09/11/2026
Final Exam
a. The medication is flowing through my mothers intravenous line
b. I can push the button for my mother if she is too drowsy
c. My mother or I should notify the nurse if her pain is uncontrolled while using the PCA
d. My mother will push the PCA button when she is experiencing increased pain - Correct Answer :b. I can push
the button for my mother if she is too drowsy
48. In preparing the client for abdominal surgery, the nurse delegates which tasks to the unlicensed assistive
personnel? (Select all that apply)
a. Vital signs
b. Insertions of nasogastric tube (NGT)
c. Height and weight
d. Obtain operative consent
e. Sterile gowning - Correct Answer :a. Vital signs
c. Height and weight
49. The nurse is educating a client on the types of anesthesia used in surgery. Which client statement indicates a
correct understanding of the topic?
a. I am having general anesthesia, so I will be given gas to breathe and medication in my IV
b. I may still be aware of what's happening with general anesthesia
c. An epidural is used for general anesthesia
d. When I had my skin cancer removed on my leg, the doctor used general anesthesia to numb this area. -
Correct Answer :a. I am having general anesthesia, so I will be given gas to breathe and medication in my IV
50. A client has been admitted to the neurological department because of seizures of unknown cause. Which of
the following is the priority intervention?
a. Placing the client in protective restaurants
b. Being sure padded side rails are present
c. Suggesting that the family monitor the client
d. Placing the client with one on one nursing service - Correct Answer :b. Being sure padded side rails are
present
P 4
