NUR 2502: ACTUAL
MULTIDIMENSIONAL
CARE 4 FINAL EXAM
RASMUSSEN COLLEGE
(WELL STRUCTURED
Q&A 100% SOLVED)
FREQUENTLY TESTED
VERIFIED EXAM
ALREADY GRADED A+
|100+ QUESTIONS
, 1. A nurse is assessing a client at the scene of a school bus
crash. Y=the child has several bruises and a superficial
5cm laceration that has stopped bleeding on his left arm.
The nurse should assign the child to which of the
following triage categories?
Nonurgent (green)
2. A nurse is assessing a client with multiple traumas who is
at risk for developing acute respiratory distress syndrome.
The nurse assesses for which earliest sign of acute
respiratory distress syndrome?
Increased respiration rate
3. A nurse is assessing the respiratory status of a client who
has suffered a fractured rib. The nurse would expect to
note which of the following?
Pain, especially with inspiration
4. A nurse is caring for a client after surgery. Respiratory rate
has increased from 12 to 18, and pulse rate increased
from... what is the nurse’s priority assessment?
B. Assess the client’s tissue perfusion further
5. A nurse is caring for several clients at risk for shock.
Which lab value requires the nurse to communicate with
the healthcare provider?
B. Lactic acid: 54 mg/dL (6 mmol/L)
6. A nurse is developing a care plan for a client who has had a
thrombotic stroke. What is the priority nursing assessment
, in the first 24 hours after admission of this client?
B. Pupil size and pupillary response
7. A nurse is evaluating the status of a client who had a
craniotomy 3 days ago. The nurse would suspect that the
client is developing meningitis as a complication of surgery
if the client exhibits which of the following?
C. A positive Brudzinski sign
8. A nurse is field triaging after an industrial accident. Which
client condition would the nurse triage with a red tag?
D. Multiple fractured ribs and shortness of breath
9. A nurse is monitoring the status of a post-op client. The
nurse would become most concerned with which of the
following signs that could indicate an evolving
complication?
A. Increasing restlessness
10. A nurse is triaging clients in the emergency department.
Which client would the nurse classify as “non-urgent”?
A 62-year-old with a simple fracture of the left arm.
11. A nurse prepares to administer intravenous cimetidine to a
client who has a new burn injury. The client asks, “why am
I taking this medication?” How would the nurse respond?
It helps prevent stomach ulcers, which are common after
burns.
12. A nurse wants to become involved in community disaster
preparedness and is interested in helping set up and staff
MULTIDIMENSIONAL
CARE 4 FINAL EXAM
RASMUSSEN COLLEGE
(WELL STRUCTURED
Q&A 100% SOLVED)
FREQUENTLY TESTED
VERIFIED EXAM
ALREADY GRADED A+
|100+ QUESTIONS
, 1. A nurse is assessing a client at the scene of a school bus
crash. Y=the child has several bruises and a superficial
5cm laceration that has stopped bleeding on his left arm.
The nurse should assign the child to which of the
following triage categories?
Nonurgent (green)
2. A nurse is assessing a client with multiple traumas who is
at risk for developing acute respiratory distress syndrome.
The nurse assesses for which earliest sign of acute
respiratory distress syndrome?
Increased respiration rate
3. A nurse is assessing the respiratory status of a client who
has suffered a fractured rib. The nurse would expect to
note which of the following?
Pain, especially with inspiration
4. A nurse is caring for a client after surgery. Respiratory rate
has increased from 12 to 18, and pulse rate increased
from... what is the nurse’s priority assessment?
B. Assess the client’s tissue perfusion further
5. A nurse is caring for several clients at risk for shock.
Which lab value requires the nurse to communicate with
the healthcare provider?
B. Lactic acid: 54 mg/dL (6 mmol/L)
6. A nurse is developing a care plan for a client who has had a
thrombotic stroke. What is the priority nursing assessment
, in the first 24 hours after admission of this client?
B. Pupil size and pupillary response
7. A nurse is evaluating the status of a client who had a
craniotomy 3 days ago. The nurse would suspect that the
client is developing meningitis as a complication of surgery
if the client exhibits which of the following?
C. A positive Brudzinski sign
8. A nurse is field triaging after an industrial accident. Which
client condition would the nurse triage with a red tag?
D. Multiple fractured ribs and shortness of breath
9. A nurse is monitoring the status of a post-op client. The
nurse would become most concerned with which of the
following signs that could indicate an evolving
complication?
A. Increasing restlessness
10. A nurse is triaging clients in the emergency department.
Which client would the nurse classify as “non-urgent”?
A 62-year-old with a simple fracture of the left arm.
11. A nurse prepares to administer intravenous cimetidine to a
client who has a new burn injury. The client asks, “why am
I taking this medication?” How would the nurse respond?
It helps prevent stomach ulcers, which are common after
burns.
12. A nurse wants to become involved in community disaster
preparedness and is interested in helping set up and staff
