1|Page
NUR 2755 MDC4 PRACTICE EXAM RASMUSSEN||
ACCURATE AND FREQUENTLY ASKED
QUESTIONS AND 100% CORRECT ANSWERS||
LATEST AND COMPLETE UPDATE WITH
VERIFIED SOLUTIONS GRADED A+|| SURE PASS!!
A client is admitted to the emergency department with a full-thickness burn to the
right arm. Upon assessment, the arm is edematous, fingers are mottled, and radial
pulse is now absent. The client states that the pain is 8 on a scale of 1 to 10. The
nurse should:
(a) Administer morphine sulfate IV push for the severe pain
(b) Call the healthcare provider (HCP) to report the loss of the radial pulse
(c) Continue to assess the arm every hour for any additional changes
(d) Instruct the client to exercise the fingers and wrist
The client, who is one-day postoperative following chest surgery is having difficulty
breathing, has bilateral rales, and is confused and restless. Which intervention
should the nurse implement first?
(a) Assess the client pulse oximeter reading
(b) Notify the rapid response team
(c) Place the client in the Trendelenburg position
(d) Check the client’s surgical dressing
The intensive care unit (ICU) nurse is caring for a client on a ventilator who is
exhibiting respiratory distress. The ventilator alarms are going off. Which
interventions should the nurse implement first?
(a) Notify the respiratory therapist immediately
(b) Ventilate with a manual resuscitation bag
(c) Check the ventilator to resolve the problem-first step
(d) Auscultate the client’s lung sound
,2|Page
The client in the intensive care unit is on a ventilator. Which interventions should
the nurse implement? (select all that apply)
(a) Ensure there is manual resuscitation bag at the bedside
(b) Monitor the client’s pulse oximeter reading every shift
(c) Assess the client’s respiratory status every 2 hours
(d) Check the ventilatory setting every 4 hours
(e) Collaborate with the respiratory therapist
Which actions are essential for the nurse caring for a mechanically ventilated to
prevent ventilator-acquired pneumonia (VAP) (Select all that apply)?
(a) Keep the HOB elevated at least 30 degrees
(b) Perform oral care every 12 hours
(c) Prevent aspiration
(d) Suction every 1-2 hours around the clock
(e) Turn and reposition the patient every 2 hours
(f) Prevent pressure ulcers around the mouth
A patient in respiratory failure is diagnosed with a flail chest. After the patient is
intubated, which treatment does the nurse expect to be implemented?
(a) Positive end-expiratory pressure (PEEP)
(b) Synchronized intermittent mechanical ventilator (SSIMV)
(c) Bi-level positive airway pressure (Bi-PAP)
(d) Peak inspiratory pressure (PIP)
, 3|Page
When caring for a patient who has septic shock, which assessment finding is most
important for the nurse to report to the care provider?
(a) BP 92/56
(b) Skin cool and clammy- means progression
(c) Apical pulse 118 beats/min
(d) Arterial oxygen saturation 91%
Calculate the mean arterial pressure (MAP) in mmHg for a patient with a blood
pressure of 84/46mmHg. (Record answer to the nearest whole number)
MAP = SBP + 2 (DBP)/
3
84+2(46)/3=59
The emergency department nurse is assessing a client who has sustained a blunt
injury to the chest wall. Which finding would indicate the presence of
pneumothorax in this client?
(a) A low respiratory rate
(b) Diminished breath sounds
(c) The presence of a barrel chest-copd
(d) A sucking sound at the site of injury-open chest
The nurse is assessing the respiratory status of a client who has suffered a fractured
rib. The nurse should expect to note which finding?
(a) Slow deep respirations
(b) Rapid deep respiration
(c) Paradoxical respirations
(d) Pain, especially with inspiration
A client with a chest injury has suffered a flail chest. The nurse assesses the client
NUR 2755 MDC4 PRACTICE EXAM RASMUSSEN||
ACCURATE AND FREQUENTLY ASKED
QUESTIONS AND 100% CORRECT ANSWERS||
LATEST AND COMPLETE UPDATE WITH
VERIFIED SOLUTIONS GRADED A+|| SURE PASS!!
A client is admitted to the emergency department with a full-thickness burn to the
right arm. Upon assessment, the arm is edematous, fingers are mottled, and radial
pulse is now absent. The client states that the pain is 8 on a scale of 1 to 10. The
nurse should:
(a) Administer morphine sulfate IV push for the severe pain
(b) Call the healthcare provider (HCP) to report the loss of the radial pulse
(c) Continue to assess the arm every hour for any additional changes
(d) Instruct the client to exercise the fingers and wrist
The client, who is one-day postoperative following chest surgery is having difficulty
breathing, has bilateral rales, and is confused and restless. Which intervention
should the nurse implement first?
(a) Assess the client pulse oximeter reading
(b) Notify the rapid response team
(c) Place the client in the Trendelenburg position
(d) Check the client’s surgical dressing
The intensive care unit (ICU) nurse is caring for a client on a ventilator who is
exhibiting respiratory distress. The ventilator alarms are going off. Which
interventions should the nurse implement first?
(a) Notify the respiratory therapist immediately
(b) Ventilate with a manual resuscitation bag
(c) Check the ventilator to resolve the problem-first step
(d) Auscultate the client’s lung sound
,2|Page
The client in the intensive care unit is on a ventilator. Which interventions should
the nurse implement? (select all that apply)
(a) Ensure there is manual resuscitation bag at the bedside
(b) Monitor the client’s pulse oximeter reading every shift
(c) Assess the client’s respiratory status every 2 hours
(d) Check the ventilatory setting every 4 hours
(e) Collaborate with the respiratory therapist
Which actions are essential for the nurse caring for a mechanically ventilated to
prevent ventilator-acquired pneumonia (VAP) (Select all that apply)?
(a) Keep the HOB elevated at least 30 degrees
(b) Perform oral care every 12 hours
(c) Prevent aspiration
(d) Suction every 1-2 hours around the clock
(e) Turn and reposition the patient every 2 hours
(f) Prevent pressure ulcers around the mouth
A patient in respiratory failure is diagnosed with a flail chest. After the patient is
intubated, which treatment does the nurse expect to be implemented?
(a) Positive end-expiratory pressure (PEEP)
(b) Synchronized intermittent mechanical ventilator (SSIMV)
(c) Bi-level positive airway pressure (Bi-PAP)
(d) Peak inspiratory pressure (PIP)
, 3|Page
When caring for a patient who has septic shock, which assessment finding is most
important for the nurse to report to the care provider?
(a) BP 92/56
(b) Skin cool and clammy- means progression
(c) Apical pulse 118 beats/min
(d) Arterial oxygen saturation 91%
Calculate the mean arterial pressure (MAP) in mmHg for a patient with a blood
pressure of 84/46mmHg. (Record answer to the nearest whole number)
MAP = SBP + 2 (DBP)/
3
84+2(46)/3=59
The emergency department nurse is assessing a client who has sustained a blunt
injury to the chest wall. Which finding would indicate the presence of
pneumothorax in this client?
(a) A low respiratory rate
(b) Diminished breath sounds
(c) The presence of a barrel chest-copd
(d) A sucking sound at the site of injury-open chest
The nurse is assessing the respiratory status of a client who has suffered a fractured
rib. The nurse should expect to note which finding?
(a) Slow deep respirations
(b) Rapid deep respiration
(c) Paradoxical respirations
(d) Pain, especially with inspiration
A client with a chest injury has suffered a flail chest. The nurse assesses the client
