NUR 2356: MULTIDIMENSIONAL CARE
IV FINAL EXAM QUESTIONS AND
VERIFIED ANSWERS |GRADE A+| JUST
RELEASED
1. A patient in the intensive care unit is being treated for septic shock. Despite aggressive
fluid resuscitation of 30 mL/kg, the patient’s mean arterial pressure (MAP) remains at 55
mmHg. Which pharmacological intervention should the nurse anticipate next?
A. Intravenous administration of Furosemide
B. Infusion of Norepinephrine
C. Administration of Nitroprusside
D. A bolus of 5% Dextrose in Water
Answer: B
Conceptual Explanation: In septic shock, if fluid resuscitation does not maintain a MAP of
at least 65 mmHg, vasopressors such as Norepinephrine are the first-line choice to improve
systemic vascular resistance and blood pressure.
2. A nurse is caring for a patient who sustained full-thickness burns to 40% of their body 4
hours ago. The patient’s heart rate is 120 bpm, and blood pressure is 90/50 mmHg. Which
physiological process explains these findings?
A. Increased systemic vascular resistance
,B. Hypervolemia due to renal compensation
C. Fluid shift from the intravascular to the interstitial space
D. Decreased capillary permeability
Answer: C
Conceptual Explanation: Burn shock is characterized by increased capillary permeability,
leading to a massive fluid shift from the intravascular space to the interstitial space, causing
hypovolemia and hypotension.
3. A patient with Acute Respiratory Distress Syndrome (ARDS) is on mechanical ventilation
with High-Level Positive End-Expiratory Pressure (PEEP). The nurse monitors for which
primary complication related to high PEEP?
A. Increased cardiac output
B. Metabolic alkalosis
C. Pneumothorax
D. Respiratory acidosis
Answer: C
Conceptual Explanation: High PEEP levels increase the risk of barotrauma, which can lead
to a pneumothorax or subcutaneous emphysema due to excessive alveolar pressure.
, 4. The nurse is interpreting the ABG results for a patient: pH 7.28, PaCO2 55 mmHg, HCO3 26
mEq/L. Which condition does this reflect?
A. Metabolic Acidosis
B. Respiratory Alkalosis
C. Respiratory Acidosis
D. Metabolic Alkalosis
Answer: C
Conceptual Explanation: A pH below 7.35 indicates acidosis, and a PaCO2 above 45
mmHg indicates a respiratory cause. The bicarbonate is normal, indicating no
compensation yet.
5. A patient with a C6 spinal cord injury reports a sudden, severe headache and blurred
vision. The blood pressure is 200/110 mmHg. What is the nurse’s priority action?
A. Administer PRN Hydralazine
B. Lower the head of the bed immediately
C. Call the healthcare provider to request a CT scan
D. Check for bladder distension or fecal impaction
Answer: D
IV FINAL EXAM QUESTIONS AND
VERIFIED ANSWERS |GRADE A+| JUST
RELEASED
1. A patient in the intensive care unit is being treated for septic shock. Despite aggressive
fluid resuscitation of 30 mL/kg, the patient’s mean arterial pressure (MAP) remains at 55
mmHg. Which pharmacological intervention should the nurse anticipate next?
A. Intravenous administration of Furosemide
B. Infusion of Norepinephrine
C. Administration of Nitroprusside
D. A bolus of 5% Dextrose in Water
Answer: B
Conceptual Explanation: In septic shock, if fluid resuscitation does not maintain a MAP of
at least 65 mmHg, vasopressors such as Norepinephrine are the first-line choice to improve
systemic vascular resistance and blood pressure.
2. A nurse is caring for a patient who sustained full-thickness burns to 40% of their body 4
hours ago. The patient’s heart rate is 120 bpm, and blood pressure is 90/50 mmHg. Which
physiological process explains these findings?
A. Increased systemic vascular resistance
,B. Hypervolemia due to renal compensation
C. Fluid shift from the intravascular to the interstitial space
D. Decreased capillary permeability
Answer: C
Conceptual Explanation: Burn shock is characterized by increased capillary permeability,
leading to a massive fluid shift from the intravascular space to the interstitial space, causing
hypovolemia and hypotension.
3. A patient with Acute Respiratory Distress Syndrome (ARDS) is on mechanical ventilation
with High-Level Positive End-Expiratory Pressure (PEEP). The nurse monitors for which
primary complication related to high PEEP?
A. Increased cardiac output
B. Metabolic alkalosis
C. Pneumothorax
D. Respiratory acidosis
Answer: C
Conceptual Explanation: High PEEP levels increase the risk of barotrauma, which can lead
to a pneumothorax or subcutaneous emphysema due to excessive alveolar pressure.
, 4. The nurse is interpreting the ABG results for a patient: pH 7.28, PaCO2 55 mmHg, HCO3 26
mEq/L. Which condition does this reflect?
A. Metabolic Acidosis
B. Respiratory Alkalosis
C. Respiratory Acidosis
D. Metabolic Alkalosis
Answer: C
Conceptual Explanation: A pH below 7.35 indicates acidosis, and a PaCO2 above 45
mmHg indicates a respiratory cause. The bicarbonate is normal, indicating no
compensation yet.
5. A patient with a C6 spinal cord injury reports a sudden, severe headache and blurred
vision. The blood pressure is 200/110 mmHg. What is the nurse’s priority action?
A. Administer PRN Hydralazine
B. Lower the head of the bed immediately
C. Call the healthcare provider to request a CT scan
D. Check for bladder distension or fecal impaction
Answer: D
