Exam 3 - NUR2755 / NUR 2755 (Latest 2026/2027): Multidimensional Care IV / MDC 4
- Rasmussen 2026/2027
OBJECTIVE ASSESSMENT - EXAM
Exam 3 - NUR2755 / NUR 2755
(Latest 2026/2027):
Multidimensional Care IV / MDC 4
- Rasmussen 2026/2027
75 100%
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
Neurological Disorders and Interventions Endocrine and Metabolic Disturbances
Cardiovascular Conditions and Management Hematologic and Immunologic Disorders
Respiratory Emergencies and Ventilatory Care Critical Care Nursing Priorities
COVER PAGE - 1
, SECTION 1 | Neurological Care | Q1-Q15 | Exam 3 - NUR2755 / NUR 2755 (Latest 2026/2027):
Multidimensional Care IV / MDC 4 - Rasmussen 2026/2027 2026/2027
Q1 Question 1 of 75
1. A 68-year-old patient arrives at the emergency department with sudden onset of
right-sided weakness and slurred speech that began 45 minutes ago. The rapid response
team is preparing for stroke intervention.
A. Measure the oxygen saturation level and apply supplemental oxygen
B. Obtain a detailed medication history from the patient's family members
C. Check the pupils for equality and reactivity to light bilaterally
D. Assess the patient for facial drooping and arm drift using the Cincinnati Prehospital Stroke
Scale
Correct Answer: D
Rationale:
Rapid stroke assessment using a validated tool like the Cincinnati Stroke Scale is the priority to confirm
stroke symptoms and determine thrombolytic eligibility within the narrow time window. While medication
history is important, it does not take precedence over confirming the stroke diagnosis and initiating the
time-sensitive stroke protocol.
Q2 Question 2 of 75
2. A 55-year-old patient with an acute ischemic stroke is being considered for alteplase (tPA)
administration. The blood pressure reading is 185/110 mmHg, and the stroke onset was 2
hours ago.
A. The blood pressure must be lowered below 185/110 mmHg before tPA can be safely
administered
B. The time window of 2 hours is within the approved 3-hour window so tPA can proceed
immediately
C. The patient needs a CT scan first to differentiate ischemic from hemorrhagic stroke
D. tPA is contraindicated because the blood pressure exceeds the safe threshold of 180/105
mmHg
Correct Answer: D
Rationale:
tPA administration requires blood pressure below 185/110 mmHg for ischemic stroke, making the current
reading a contraindication until antihypertensive therapy lowers it. The 2-hour window is acceptable, and a
CT is always needed, but the blood pressure must be addressed first to prevent hemorrhagic
transformation.
Exam 3 - NUR2755 / NUR 2755 (Latest 2026/2027): Multidimensional Care IV / MDC 4 - Rasmussen 2026/2027 | Passing Score: 80% | Page 2
, Q3 Question 3 of 75
3. A 32-year-old patient with a known seizure disorder experiences a tonic-clonic seizure
lasting approximately 3 minutes in the hospital unit. The seizure has just ended and the
patient is unresponsive with slow breathing.
A. Place the patient in a supine position with a pillow under the head for comfort
B. Insert a padded tongue blade between the teeth to prevent tongue biting
C. Position the patient on their side to maintain a patent airway and prevent aspiration
D. Restrict the patient's limbs gently to prevent further injury during the postictal phase
Correct Answer: C
Rationale:
Recovery positioning on the side keeps the airway clear and allows secretions to drain, which is critical
during the postictal phase when the patient has altered consciousness. Supine positioning increases
aspiration risk, tongue blades can cause dental trauma, and restraining limbs is unnecessary and can
cause injury.
Q4 Question 4 of 75
4. A 45-year-old patient with a severe traumatic brain injury has an intracranial pressure
(ICP) monitor reading of 28 mmHg. The nurse is preparing to administer mannitol as
ordered.
A. Elevate the head of the bed to 15 degrees and keep the neck in a neutral position
B. Administer the mannitol as a slow intravenous push over 10 minutes
C. Perform a neurological assessment including pupil reactivity and Glasgow Coma Scale
before giving the medication
D. Hyperventilate the patient to a target PaCO2 of 25 mmHg to acutely reduce ICP
Correct Answer: C
Rationale:
A baseline neurological assessment is essential before administering ICP-lowering agents to evaluate
treatment effectiveness. Mannitol is given as an IV bolus over 15 to 20 minutes, the head of bed should be
elevated to 30 degrees, and hyperventilation is reserved for acute herniation events, not routine ICP
management.
Q5 Question 5 of 75
5. A 24-year-old patient is brought to the emergency department after a diving accident with
loss of motor and sensory function below the T6 level. The blood pressure is 85/50 mmHg
and the heart rate is 42 bpm.
A. Perform a focused abdominal assessment to rule out internal hemorrhage as the cause of
shock
Exam 3 - NUR2755 / NUR 2755 (Latest 2026/2027): Multidimensional Care IV / MDC 4 - Rasmussen 2026/2027 | Passing Score: 80% | Page 3
, B. Initiate high-dose methylprednisolone within 8 hours of injury to reduce inflammation
C. Place the patient in Trendelenburg position to improve venous return and blood pressure
D. Administer norepinephrine to address the hypotension caused by loss of sympathetic tone
Correct Answer: D
Rationale:
Neurogenic shock following spinal cord injury above T6 results from loss of sympathetic vascular tone,
causing vasodilation and bradycardia. Vasopressors like norepinephrine are the first-line treatment.
Methylprednisolone use is controversial and not a priority over hemodynamic stabilization, Trendelenburg
is not evidence-based, and the shock is neurogenic rather than hemorrhagic.
Q6 Question 6 of 75
6. A 62-year-old patient with Parkinson disease is prescribed carbidopa-levodopa. The nurse
provides discharge teaching about medication administration.
A. Take the medication with high-protein meals to enhance absorption and reduce nausea
B. Split the daily dose into equal portions and take them every 2 hours while awake
C. Take the medication on an empty stomach at least 30 minutes before meals for optimal
absorption
D. Discontinue the medication immediately if involuntary writhing movements develop
Correct Answer: C
Rationale:
Carbidopa-levodopa should be taken on an empty stomach because dietary proteins compete with
levodopa for absorption at the level of the large neutral amino acid transporter. High-protein meals reduce
drug effectiveness, dividing doses every 2 hours is not the prescribed regimen, and dyskinesias should be
reported to the provider rather than stopping the drug abruptly.
Q7 Question 7 of 75
7. A 40-year-old patient with myasthenia gravis presents to the clinic with increasing muscle
weakness, difficulty swallowing, and shortness of breath over the past two days.
A. Schedule an electromyography study to confirm the diagnosis of myasthenia gravis
B. Obtain a comprehensive metabolic panel to evaluate electrolyte imbalances causing the
weakness
C. Instruct the patient to perform deep breathing exercises to improve respiratory muscle
strength
D. Prepare the patient for a Tensilon test by having atropine available at the bedside
Correct Answer: D
Rationale:
Exam 3 - NUR2755 / NUR 2755 (Latest 2026/2027): Multidimensional Care IV / MDC 4 - Rasmussen 2026/2027 | Passing Score: 80% | Page 4
- Rasmussen 2026/2027
OBJECTIVE ASSESSMENT - EXAM
Exam 3 - NUR2755 / NUR 2755
(Latest 2026/2027):
Multidimensional Care IV / MDC 4
- Rasmussen 2026/2027
75 100%
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
Neurological Disorders and Interventions Endocrine and Metabolic Disturbances
Cardiovascular Conditions and Management Hematologic and Immunologic Disorders
Respiratory Emergencies and Ventilatory Care Critical Care Nursing Priorities
COVER PAGE - 1
, SECTION 1 | Neurological Care | Q1-Q15 | Exam 3 - NUR2755 / NUR 2755 (Latest 2026/2027):
Multidimensional Care IV / MDC 4 - Rasmussen 2026/2027 2026/2027
Q1 Question 1 of 75
1. A 68-year-old patient arrives at the emergency department with sudden onset of
right-sided weakness and slurred speech that began 45 minutes ago. The rapid response
team is preparing for stroke intervention.
A. Measure the oxygen saturation level and apply supplemental oxygen
B. Obtain a detailed medication history from the patient's family members
C. Check the pupils for equality and reactivity to light bilaterally
D. Assess the patient for facial drooping and arm drift using the Cincinnati Prehospital Stroke
Scale
Correct Answer: D
Rationale:
Rapid stroke assessment using a validated tool like the Cincinnati Stroke Scale is the priority to confirm
stroke symptoms and determine thrombolytic eligibility within the narrow time window. While medication
history is important, it does not take precedence over confirming the stroke diagnosis and initiating the
time-sensitive stroke protocol.
Q2 Question 2 of 75
2. A 55-year-old patient with an acute ischemic stroke is being considered for alteplase (tPA)
administration. The blood pressure reading is 185/110 mmHg, and the stroke onset was 2
hours ago.
A. The blood pressure must be lowered below 185/110 mmHg before tPA can be safely
administered
B. The time window of 2 hours is within the approved 3-hour window so tPA can proceed
immediately
C. The patient needs a CT scan first to differentiate ischemic from hemorrhagic stroke
D. tPA is contraindicated because the blood pressure exceeds the safe threshold of 180/105
mmHg
Correct Answer: D
Rationale:
tPA administration requires blood pressure below 185/110 mmHg for ischemic stroke, making the current
reading a contraindication until antihypertensive therapy lowers it. The 2-hour window is acceptable, and a
CT is always needed, but the blood pressure must be addressed first to prevent hemorrhagic
transformation.
Exam 3 - NUR2755 / NUR 2755 (Latest 2026/2027): Multidimensional Care IV / MDC 4 - Rasmussen 2026/2027 | Passing Score: 80% | Page 2
, Q3 Question 3 of 75
3. A 32-year-old patient with a known seizure disorder experiences a tonic-clonic seizure
lasting approximately 3 minutes in the hospital unit. The seizure has just ended and the
patient is unresponsive with slow breathing.
A. Place the patient in a supine position with a pillow under the head for comfort
B. Insert a padded tongue blade between the teeth to prevent tongue biting
C. Position the patient on their side to maintain a patent airway and prevent aspiration
D. Restrict the patient's limbs gently to prevent further injury during the postictal phase
Correct Answer: C
Rationale:
Recovery positioning on the side keeps the airway clear and allows secretions to drain, which is critical
during the postictal phase when the patient has altered consciousness. Supine positioning increases
aspiration risk, tongue blades can cause dental trauma, and restraining limbs is unnecessary and can
cause injury.
Q4 Question 4 of 75
4. A 45-year-old patient with a severe traumatic brain injury has an intracranial pressure
(ICP) monitor reading of 28 mmHg. The nurse is preparing to administer mannitol as
ordered.
A. Elevate the head of the bed to 15 degrees and keep the neck in a neutral position
B. Administer the mannitol as a slow intravenous push over 10 minutes
C. Perform a neurological assessment including pupil reactivity and Glasgow Coma Scale
before giving the medication
D. Hyperventilate the patient to a target PaCO2 of 25 mmHg to acutely reduce ICP
Correct Answer: C
Rationale:
A baseline neurological assessment is essential before administering ICP-lowering agents to evaluate
treatment effectiveness. Mannitol is given as an IV bolus over 15 to 20 minutes, the head of bed should be
elevated to 30 degrees, and hyperventilation is reserved for acute herniation events, not routine ICP
management.
Q5 Question 5 of 75
5. A 24-year-old patient is brought to the emergency department after a diving accident with
loss of motor and sensory function below the T6 level. The blood pressure is 85/50 mmHg
and the heart rate is 42 bpm.
A. Perform a focused abdominal assessment to rule out internal hemorrhage as the cause of
shock
Exam 3 - NUR2755 / NUR 2755 (Latest 2026/2027): Multidimensional Care IV / MDC 4 - Rasmussen 2026/2027 | Passing Score: 80% | Page 3
, B. Initiate high-dose methylprednisolone within 8 hours of injury to reduce inflammation
C. Place the patient in Trendelenburg position to improve venous return and blood pressure
D. Administer norepinephrine to address the hypotension caused by loss of sympathetic tone
Correct Answer: D
Rationale:
Neurogenic shock following spinal cord injury above T6 results from loss of sympathetic vascular tone,
causing vasodilation and bradycardia. Vasopressors like norepinephrine are the first-line treatment.
Methylprednisolone use is controversial and not a priority over hemodynamic stabilization, Trendelenburg
is not evidence-based, and the shock is neurogenic rather than hemorrhagic.
Q6 Question 6 of 75
6. A 62-year-old patient with Parkinson disease is prescribed carbidopa-levodopa. The nurse
provides discharge teaching about medication administration.
A. Take the medication with high-protein meals to enhance absorption and reduce nausea
B. Split the daily dose into equal portions and take them every 2 hours while awake
C. Take the medication on an empty stomach at least 30 minutes before meals for optimal
absorption
D. Discontinue the medication immediately if involuntary writhing movements develop
Correct Answer: C
Rationale:
Carbidopa-levodopa should be taken on an empty stomach because dietary proteins compete with
levodopa for absorption at the level of the large neutral amino acid transporter. High-protein meals reduce
drug effectiveness, dividing doses every 2 hours is not the prescribed regimen, and dyskinesias should be
reported to the provider rather than stopping the drug abruptly.
Q7 Question 7 of 75
7. A 40-year-old patient with myasthenia gravis presents to the clinic with increasing muscle
weakness, difficulty swallowing, and shortness of breath over the past two days.
A. Schedule an electromyography study to confirm the diagnosis of myasthenia gravis
B. Obtain a comprehensive metabolic panel to evaluate electrolyte imbalances causing the
weakness
C. Instruct the patient to perform deep breathing exercises to improve respiratory muscle
strength
D. Prepare the patient for a Tensilon test by having atropine available at the bedside
Correct Answer: D
Rationale:
Exam 3 - NUR2755 / NUR 2755 (Latest 2026/2027): Multidimensional Care IV / MDC 4 - Rasmussen 2026/2027 | Passing Score: 80% | Page 4
