1
NUR 2755 / NUR2755 Exam 3 Actual Exam
2026/2027 | Multidimensional Care IV / MDC
4 | Rasmussen | Questions with Verified
Answers | 100% Correct | Pass Guaranteed
Q001: A 68-year-old client with a history of COPD, coronary artery disease, and
type 2 diabetes is admitted to the ICU with septic shock from pneumonia. The
client is on mechanical ventilation, norepinephrine infusion, and empiric
antibiotics. The respiratory therapist reports increasing peak pressures and
decreasing oxygen saturation. As the charge nurse, you note the client has become
increasingly agitated and is asynchronous with the ventilator. Which
multidisciplinary intervention should you prioritize first?
Options:
A. Increase the norepinephrine dose to improve perfusion
B. Initiate sedation protocol and consider neuromuscular blockade for ventilator
synchrony
C. Order STAT chest X-ray to rule out pneumothorax
D. Call the provider to change antibiotic regimen
ANSWER: B
Q002: A 45-year-old female post-operative day 2 from a radical hysterectomy
develops sudden-onset dyspnea and chest pain. She is receiving LMWH
prophylaxis. Her SpO2 drops to 88%, HR 124, BP 90/58. Labs show D-dimer 4500
ng/mL. The rapid response team is activated. As the primary nurse, you recognize
the need for immediate intervention while the provider is en route. Which action
should you delegate to the most experienced ICU nurse versus handle yourself?
Options:
, 2
A. Delegate starting a second IV line to ICU nurse; prepare to administer
thrombolytics yourself
B. Delegate obtaining STAT ABG to ICU nurse; prepare to assist with intubation
yourself
C. Delegate calling CT surgery consult to ICU nurse; prepare to give heparin bolus
yourself
D. Delegate calling family to ICU nurse; prepare to administer oxygen and monitor
yourself
ANSWER: B
Q003: A 72-year-old client with end-stage renal disease on hemodialysis presents
with altered mental status, K+ 6.8 mEq/L, and peaked T waves. The provider
orders calcium gluconate, insulin, dextrose, and emergent dialysis. As the charge
nurse, you must manage staffing, equipment, and family communication
simultaneously. Which leadership principle should guide your delegation
decisions?
Options:
A. Assign the newest nurse to monitor the dialysis machine while you manage the
code
B. Delegate family communication to the social worker; coordinate the medical
emergency yourself
C. Assign two nurses to the client: one for medications/IVs, one for dialysis setup
and monitoring
D. Have the provider manage staffing while you focus on direct client care
ANSWER: C
Q004: A 55-year-old client with alcoholic cirrhosis presents with massive
hematemesis and hypotension. The provider orders octreotide, pantoprazole, and
blood products. The client's family is demanding information and the client's
partner is intoxicated and combative. Which ethical-legal principle should guide
your approach to family communication while maintaining client safety?
, 3
Options:
A. Share all medical details with the partner due to next-of-kin status
B. Focus only on client stabilization; refuse to speak with family until the client is
stable
C. Provide limited, professional updates to calm family while prioritizing client
care and staff safety
D. Allow the intoxicated partner to remain in the trauma room to avoid
abandonment claims
ANSWER: C
Q005: A 60-year-old client with a history of gastric bypass surgery presents with
profound weakness, paresthesias, and a macrocytic anemia with hypersegmented
neutrophils. B12 level is critically low. The provider orders B12 injections. As the
nurse, you must also consider long-term complications of malabsorption, potential
medication interactions, and psychosocial impact. Which intervention
demonstrates holistic, multidimensional care?
Options:
A. Administer B12 injection and monitor hemoglobin only
B. Administer B12, assess neurologic status, review all medications for absorption
issues, and arrange dietary consult
C. Focus on B12 administration; refer all other issues to discharge planner
D. Administer B12 and discharge with primary care follow-up
ANSWER: B
Q006: A 35-year-old pregnant client at 32 weeks gestation presents with seizure
activity, BP 168/110, proteinuria 3+, and platelets 90,000. The provider orders
magnesium sulfate, labetalol, and plans emergent delivery. You must coordinate
OB, NICU, anesthesia, and pharmacy. Which action best demonstrates
interdisciplinary collaboration?
Options:
NUR 2755 / NUR2755 Exam 3 Actual Exam
2026/2027 | Multidimensional Care IV / MDC
4 | Rasmussen | Questions with Verified
Answers | 100% Correct | Pass Guaranteed
Q001: A 68-year-old client with a history of COPD, coronary artery disease, and
type 2 diabetes is admitted to the ICU with septic shock from pneumonia. The
client is on mechanical ventilation, norepinephrine infusion, and empiric
antibiotics. The respiratory therapist reports increasing peak pressures and
decreasing oxygen saturation. As the charge nurse, you note the client has become
increasingly agitated and is asynchronous with the ventilator. Which
multidisciplinary intervention should you prioritize first?
Options:
A. Increase the norepinephrine dose to improve perfusion
B. Initiate sedation protocol and consider neuromuscular blockade for ventilator
synchrony
C. Order STAT chest X-ray to rule out pneumothorax
D. Call the provider to change antibiotic regimen
ANSWER: B
Q002: A 45-year-old female post-operative day 2 from a radical hysterectomy
develops sudden-onset dyspnea and chest pain. She is receiving LMWH
prophylaxis. Her SpO2 drops to 88%, HR 124, BP 90/58. Labs show D-dimer 4500
ng/mL. The rapid response team is activated. As the primary nurse, you recognize
the need for immediate intervention while the provider is en route. Which action
should you delegate to the most experienced ICU nurse versus handle yourself?
Options:
, 2
A. Delegate starting a second IV line to ICU nurse; prepare to administer
thrombolytics yourself
B. Delegate obtaining STAT ABG to ICU nurse; prepare to assist with intubation
yourself
C. Delegate calling CT surgery consult to ICU nurse; prepare to give heparin bolus
yourself
D. Delegate calling family to ICU nurse; prepare to administer oxygen and monitor
yourself
ANSWER: B
Q003: A 72-year-old client with end-stage renal disease on hemodialysis presents
with altered mental status, K+ 6.8 mEq/L, and peaked T waves. The provider
orders calcium gluconate, insulin, dextrose, and emergent dialysis. As the charge
nurse, you must manage staffing, equipment, and family communication
simultaneously. Which leadership principle should guide your delegation
decisions?
Options:
A. Assign the newest nurse to monitor the dialysis machine while you manage the
code
B. Delegate family communication to the social worker; coordinate the medical
emergency yourself
C. Assign two nurses to the client: one for medications/IVs, one for dialysis setup
and monitoring
D. Have the provider manage staffing while you focus on direct client care
ANSWER: C
Q004: A 55-year-old client with alcoholic cirrhosis presents with massive
hematemesis and hypotension. The provider orders octreotide, pantoprazole, and
blood products. The client's family is demanding information and the client's
partner is intoxicated and combative. Which ethical-legal principle should guide
your approach to family communication while maintaining client safety?
, 3
Options:
A. Share all medical details with the partner due to next-of-kin status
B. Focus only on client stabilization; refuse to speak with family until the client is
stable
C. Provide limited, professional updates to calm family while prioritizing client
care and staff safety
D. Allow the intoxicated partner to remain in the trauma room to avoid
abandonment claims
ANSWER: C
Q005: A 60-year-old client with a history of gastric bypass surgery presents with
profound weakness, paresthesias, and a macrocytic anemia with hypersegmented
neutrophils. B12 level is critically low. The provider orders B12 injections. As the
nurse, you must also consider long-term complications of malabsorption, potential
medication interactions, and psychosocial impact. Which intervention
demonstrates holistic, multidimensional care?
Options:
A. Administer B12 injection and monitor hemoglobin only
B. Administer B12, assess neurologic status, review all medications for absorption
issues, and arrange dietary consult
C. Focus on B12 administration; refer all other issues to discharge planner
D. Administer B12 and discharge with primary care follow-up
ANSWER: B
Q006: A 35-year-old pregnant client at 32 weeks gestation presents with seizure
activity, BP 168/110, proteinuria 3+, and platelets 90,000. The provider orders
magnesium sulfate, labetalol, and plans emergent delivery. You must coordinate
OB, NICU, anesthesia, and pharmacy. Which action best demonstrates
interdisciplinary collaboration?
Options:
