NUR 2755 MDC4 FINAL EXAM– QUESTIONS AND ANSWERS | VERIFIED AND WELL DETAILED ANSWERS | PLUS
RATIONALES | DOWNLOAD AND PASS | LATEST EXAM UPDATE 2026/2027
Core Domains
Cardiovascular and Hematologic Disorders
Respiratory and Acid-Base Disorders
Neurologic and Sensory Disorders
Endocrine and Metabolic Disorders
Renal and Genitourinary Disorders
Gastrointestinal and Hepatic Disorders
Musculoskeletal and Integumentary Disorders
Perioperative and Emergency Nursing
Pharmacology and Intravenous Therapy
Ethics, Legal, and Professional Standards
Introduction
This comprehensive final examination is designed to evaluate the advanced medical-surgical nursing knowledge and
clinical judgment of students completing NUR 2755 MDC4. The assessment measures mastery of cardiovascular,
,respiratory, neurologic, endocrine, renal, gastrointestinal, musculoskeletal, and integumentary systems, along with
perioperative care, emergency management, pharmacology, and professional standards. Questions are presented in
multiple-choice and scenario-based formats that emphasize real-world application, clinical decision-making,
prioritization, and safe practice. Learners must demonstrate critical thinking, ethical reasoning, regulatory compliance,
and the ability to integrate theoretical foundations into patient-centered care across diverse healthcare settings.
SECTION ONE: QUESTIONS 1–50
1. A nurse is assessing a client with acute decompensated heart failure. Which finding requires immediate
intervention?
A. Bilateral crackles in the lung bases
B. Weight gain of 1 kg over one week
C. Pink frothy sputum with severe dyspnea
D. Dependent edema of the ankles
🟢 Correct Answer: C. Pink frothy sputum with severe dyspnea
🔴 Explanation: Pink frothy sputum with severe dyspnea indicates pulmonary edema, a life-threatening complication
of acute decompensated heart failure requiring immediate intervention.
,2. Which laboratory value is most indicative of worsening heart failure?
A. Serum potassium 4.2 mEq/L
B. B-type natriuretic peptide (BNP) 1,200 pg/mL
C. Hemoglobin 13.5 g/dL
D. Serum sodium 138 mEq/L
🟢 Correct Answer: B. B-type natriuretic peptide (BNP) 1,200 pg/mL
🔴 Explanation: An elevated BNP reflects ventricular stretch and volume overload, which is characteristic of
worsening heart failure.
3. A client prescribed digoxin reports nausea, vomiting, and visual changes. Which action should the nurse take
first?
A. Administer the next dose as scheduled
B. Hold the digoxin and check the serum digoxin level
C. Encourage increased fluid intake
D. Document the findings and continue monitoring
🟢 Correct Answer: B. Hold the digoxin and check the serum digoxin level
, 🔴 Explanation: Nausea, vomiting, and visual disturbances are signs of digoxin toxicity; the drug should be held and
the level verified.
4. Which client is at highest risk for developing a deep vein thrombosis (DVT)?
A. A client who ambulates four times daily
B. A client on prolonged bed rest after orthopedic surgery
C. A client with well-controlled hypertension
D. A client with a history of seasonal allergies
🟢 Correct Answer: B. A client on prolonged bed rest after orthopedic surgery
🔴 Explanation: Venous stasis from immobility combined with surgical trauma significantly increases DVT risk.
5. A nurse is caring for a client receiving heparin infusion. Which finding indicates a need for immediate follow-
up?
A. Platelet count 250,000/mm³
B. aPTT 45 seconds
C. Platelet count 75,000/mm³
D. Hemoglobin 14 g/dL
🟢 Correct Answer: C. Platelet count 75,000/mm³
RATIONALES | DOWNLOAD AND PASS | LATEST EXAM UPDATE 2026/2027
Core Domains
Cardiovascular and Hematologic Disorders
Respiratory and Acid-Base Disorders
Neurologic and Sensory Disorders
Endocrine and Metabolic Disorders
Renal and Genitourinary Disorders
Gastrointestinal and Hepatic Disorders
Musculoskeletal and Integumentary Disorders
Perioperative and Emergency Nursing
Pharmacology and Intravenous Therapy
Ethics, Legal, and Professional Standards
Introduction
This comprehensive final examination is designed to evaluate the advanced medical-surgical nursing knowledge and
clinical judgment of students completing NUR 2755 MDC4. The assessment measures mastery of cardiovascular,
,respiratory, neurologic, endocrine, renal, gastrointestinal, musculoskeletal, and integumentary systems, along with
perioperative care, emergency management, pharmacology, and professional standards. Questions are presented in
multiple-choice and scenario-based formats that emphasize real-world application, clinical decision-making,
prioritization, and safe practice. Learners must demonstrate critical thinking, ethical reasoning, regulatory compliance,
and the ability to integrate theoretical foundations into patient-centered care across diverse healthcare settings.
SECTION ONE: QUESTIONS 1–50
1. A nurse is assessing a client with acute decompensated heart failure. Which finding requires immediate
intervention?
A. Bilateral crackles in the lung bases
B. Weight gain of 1 kg over one week
C. Pink frothy sputum with severe dyspnea
D. Dependent edema of the ankles
🟢 Correct Answer: C. Pink frothy sputum with severe dyspnea
🔴 Explanation: Pink frothy sputum with severe dyspnea indicates pulmonary edema, a life-threatening complication
of acute decompensated heart failure requiring immediate intervention.
,2. Which laboratory value is most indicative of worsening heart failure?
A. Serum potassium 4.2 mEq/L
B. B-type natriuretic peptide (BNP) 1,200 pg/mL
C. Hemoglobin 13.5 g/dL
D. Serum sodium 138 mEq/L
🟢 Correct Answer: B. B-type natriuretic peptide (BNP) 1,200 pg/mL
🔴 Explanation: An elevated BNP reflects ventricular stretch and volume overload, which is characteristic of
worsening heart failure.
3. A client prescribed digoxin reports nausea, vomiting, and visual changes. Which action should the nurse take
first?
A. Administer the next dose as scheduled
B. Hold the digoxin and check the serum digoxin level
C. Encourage increased fluid intake
D. Document the findings and continue monitoring
🟢 Correct Answer: B. Hold the digoxin and check the serum digoxin level
, 🔴 Explanation: Nausea, vomiting, and visual disturbances are signs of digoxin toxicity; the drug should be held and
the level verified.
4. Which client is at highest risk for developing a deep vein thrombosis (DVT)?
A. A client who ambulates four times daily
B. A client on prolonged bed rest after orthopedic surgery
C. A client with well-controlled hypertension
D. A client with a history of seasonal allergies
🟢 Correct Answer: B. A client on prolonged bed rest after orthopedic surgery
🔴 Explanation: Venous stasis from immobility combined with surgical trauma significantly increases DVT risk.
5. A nurse is caring for a client receiving heparin infusion. Which finding indicates a need for immediate follow-
up?
A. Platelet count 250,000/mm³
B. aPTT 45 seconds
C. Platelet count 75,000/mm³
D. Hemoglobin 14 g/dL
🟢 Correct Answer: C. Platelet count 75,000/mm³
