NUR2755 / NUR 2755 FINAL EXAM PRACTICE 2026/2027:
MULTIDIMENSIONAL CARE IV (MDC 4) – RASMUSSEN
UNIVERSITY | 100+ QUESTIONS & ANSWERS
NUR2755 / NUR 2755 FINAL EXAM PRACTICE
Multidimensional Care IV (MDC 4)
Rasmussen University
Academic Year: 2026–2027
Date: August 10, 2026
Exam Type: Comprehensive NCLEX-Style Practice Examination
Creator: Original Study Material
TABLE OF CONTENTS
1. Cardiovascular System — Questions 1–10
2. Respiratory System — Questions 11–20
3. Neurologic System — Questions 21–30
4. Renal and Genitourinary Systems — Questions 31–38
5. Endocrine System — Questions 39–47
6. Gastrointestinal and Hepatic Systems — Questions 48–56
7. Hematologic and Oncologic Care — Questions 57–64
8. Musculoskeletal System — Questions 65–71
9. Integumentary and Wound Care — Questions 72–78
10. Immune and Infectious Disease — Questions 79–85
11. Emergency, Critical Care, and Multisystem Disorders — Questions 86–93
12. Pharmacology, Prioritization, Delegation, and Patient Safety — Questions 94–100
SECTION I — CARDIOVASCULAR SYSTEM
Question 1 — Multiple Choice
,A client with acute heart failure develops severe dyspnea, bilateral crackles, and an oxygen
saturation of 84%. Which intervention should the nurse perform first?
A. Encourage oral fluids
B. Place the client in high-Fowler's position
C. Obtain the client's daily weight
D. Administer a prescribed oral beta blocker
Correct answer: B. Place the client in high-Fowler's position
Rationale:
High-Fowler's positioning promotes lung expansion and decreases venous return to the heart,
which can reduce pulmonary congestion and improve oxygenation. Severe dyspnea and
hypoxemia indicate an immediate airway/breathing concern. Fluid intake, weight monitoring,
and routine medications are important but do not take priority over correcting impaired
oxygenation.
Question 2 — Multiple Choice
A client taking furosemide for heart failure reports muscle weakness and palpitations. Which
laboratory result should concern the nurse most?
A. Sodium 138 mEq/L
B. Potassium 2.9 mEq/L
C. Calcium 9.2 mg/dL
D. Magnesium 2.0 mg/dL
Correct answer: B. Potassium 2.9 mEq/L
Rationale:
Furosemide is a loop diuretic that can cause potassium loss. A potassium of 2.9 mEq/L represents
significant hypokalemia and increases the risk of dysrhythmias. Muscle weakness and
palpitations are consistent with hypokalemia, making this the priority finding.
Question 3 — Multiple Choice
A client with atrial fibrillation is prescribed warfarin. Which laboratory test is most important for
monitoring the therapeutic effect?
A. aPTT
B. INR
C. Troponin
D. CK-MB
,Correct answer: B. INR
Rationale:
Warfarin therapy is monitored using the prothrombin time expressed as the international
normalized ratio (INR). Monitoring helps determine whether anticoagulation is therapeutic and
reduces the risk of both thrombosis and bleeding. aPTT is primarily associated with
unfractionated heparin monitoring.
Question 4 — Short Answer
A client reports crushing substernal chest pain accompanied by diaphoresis and nausea. What is
the nurse's priority action?
Correct answer: Rapidly assess the client, obtain vital signs and oxygen saturation, and initiate
the facility's acute coronary syndrome protocol, including prompt ECG acquisition.
Rationale:
The symptoms are concerning for acute coronary syndrome. Rapid assessment and a 12-lead
ECG help determine whether myocardial ischemia or infarction is occurring. Time-sensitive
evaluation is essential because myocardial damage can increase as coronary blood flow remains
impaired.
Question 5 — Multiple Choice
Which finding is most characteristic of left-sided heart failure?
A. Dependent peripheral edema
B. Jugular venous distention
C. Pulmonary crackles
D. Ascites
Correct answer: C. Pulmonary crackles
Rationale:
Left-sided heart failure causes blood to back up into the pulmonary circulation, producing
pulmonary congestion. Crackles, dyspnea, orthopnea, and pulmonary edema are common
findings. Peripheral edema, ascites, and jugular venous distention are more strongly associated
with systemic venous congestion from right-sided failure.
Question 6 — Multiple Choice
, A client taking digoxin has an apical pulse of 52/min and reports nausea and yellow-green visual
changes. What should the nurse do?
A. Administer the medication as prescribed
B. Hold the medication and notify the provider
C. Give the medication with food
D. Encourage increased potassium intake and administer the medication
Correct answer: B. Hold the medication and notify the provider
Rationale:
Bradycardia, nausea, and visual disturbances can indicate digoxin toxicity. The nurse should
withhold the medication and notify the provider. Digoxin toxicity can cause potentially
dangerous dysrhythmias and requires prompt evaluation.
Question 7 — Multiple Choice
Which assessment finding in a client with hypertension requires the most immediate
intervention?
A. Blood pressure 148/88 mmHg
B. Mild headache
C. Blood pressure 224/118 mmHg with confusion
D. Heart rate 92/min
Correct answer: C. Blood pressure 224/118 mmHg with confusion
Rationale:
Severely elevated blood pressure accompanied by neurologic changes suggests a hypertensive
emergency with possible end-organ injury. Confusion indicates potential cerebral involvement.
This requires immediate evaluation and treatment.
Question 8 — Multiple Choice
Which statement by a client with heart failure indicates a need for additional teaching?
A. "I will monitor my weight regularly."
B. "I will report increasing shortness of breath."
C. "I should stop my medications when I feel better."
D. "I will follow the sodium restriction prescribed by my provider."
Correct answer: C. "I should stop my medications when I feel better."
MULTIDIMENSIONAL CARE IV (MDC 4) – RASMUSSEN
UNIVERSITY | 100+ QUESTIONS & ANSWERS
NUR2755 / NUR 2755 FINAL EXAM PRACTICE
Multidimensional Care IV (MDC 4)
Rasmussen University
Academic Year: 2026–2027
Date: August 10, 2026
Exam Type: Comprehensive NCLEX-Style Practice Examination
Creator: Original Study Material
TABLE OF CONTENTS
1. Cardiovascular System — Questions 1–10
2. Respiratory System — Questions 11–20
3. Neurologic System — Questions 21–30
4. Renal and Genitourinary Systems — Questions 31–38
5. Endocrine System — Questions 39–47
6. Gastrointestinal and Hepatic Systems — Questions 48–56
7. Hematologic and Oncologic Care — Questions 57–64
8. Musculoskeletal System — Questions 65–71
9. Integumentary and Wound Care — Questions 72–78
10. Immune and Infectious Disease — Questions 79–85
11. Emergency, Critical Care, and Multisystem Disorders — Questions 86–93
12. Pharmacology, Prioritization, Delegation, and Patient Safety — Questions 94–100
SECTION I — CARDIOVASCULAR SYSTEM
Question 1 — Multiple Choice
,A client with acute heart failure develops severe dyspnea, bilateral crackles, and an oxygen
saturation of 84%. Which intervention should the nurse perform first?
A. Encourage oral fluids
B. Place the client in high-Fowler's position
C. Obtain the client's daily weight
D. Administer a prescribed oral beta blocker
Correct answer: B. Place the client in high-Fowler's position
Rationale:
High-Fowler's positioning promotes lung expansion and decreases venous return to the heart,
which can reduce pulmonary congestion and improve oxygenation. Severe dyspnea and
hypoxemia indicate an immediate airway/breathing concern. Fluid intake, weight monitoring,
and routine medications are important but do not take priority over correcting impaired
oxygenation.
Question 2 — Multiple Choice
A client taking furosemide for heart failure reports muscle weakness and palpitations. Which
laboratory result should concern the nurse most?
A. Sodium 138 mEq/L
B. Potassium 2.9 mEq/L
C. Calcium 9.2 mg/dL
D. Magnesium 2.0 mg/dL
Correct answer: B. Potassium 2.9 mEq/L
Rationale:
Furosemide is a loop diuretic that can cause potassium loss. A potassium of 2.9 mEq/L represents
significant hypokalemia and increases the risk of dysrhythmias. Muscle weakness and
palpitations are consistent with hypokalemia, making this the priority finding.
Question 3 — Multiple Choice
A client with atrial fibrillation is prescribed warfarin. Which laboratory test is most important for
monitoring the therapeutic effect?
A. aPTT
B. INR
C. Troponin
D. CK-MB
,Correct answer: B. INR
Rationale:
Warfarin therapy is monitored using the prothrombin time expressed as the international
normalized ratio (INR). Monitoring helps determine whether anticoagulation is therapeutic and
reduces the risk of both thrombosis and bleeding. aPTT is primarily associated with
unfractionated heparin monitoring.
Question 4 — Short Answer
A client reports crushing substernal chest pain accompanied by diaphoresis and nausea. What is
the nurse's priority action?
Correct answer: Rapidly assess the client, obtain vital signs and oxygen saturation, and initiate
the facility's acute coronary syndrome protocol, including prompt ECG acquisition.
Rationale:
The symptoms are concerning for acute coronary syndrome. Rapid assessment and a 12-lead
ECG help determine whether myocardial ischemia or infarction is occurring. Time-sensitive
evaluation is essential because myocardial damage can increase as coronary blood flow remains
impaired.
Question 5 — Multiple Choice
Which finding is most characteristic of left-sided heart failure?
A. Dependent peripheral edema
B. Jugular venous distention
C. Pulmonary crackles
D. Ascites
Correct answer: C. Pulmonary crackles
Rationale:
Left-sided heart failure causes blood to back up into the pulmonary circulation, producing
pulmonary congestion. Crackles, dyspnea, orthopnea, and pulmonary edema are common
findings. Peripheral edema, ascites, and jugular venous distention are more strongly associated
with systemic venous congestion from right-sided failure.
Question 6 — Multiple Choice
, A client taking digoxin has an apical pulse of 52/min and reports nausea and yellow-green visual
changes. What should the nurse do?
A. Administer the medication as prescribed
B. Hold the medication and notify the provider
C. Give the medication with food
D. Encourage increased potassium intake and administer the medication
Correct answer: B. Hold the medication and notify the provider
Rationale:
Bradycardia, nausea, and visual disturbances can indicate digoxin toxicity. The nurse should
withhold the medication and notify the provider. Digoxin toxicity can cause potentially
dangerous dysrhythmias and requires prompt evaluation.
Question 7 — Multiple Choice
Which assessment finding in a client with hypertension requires the most immediate
intervention?
A. Blood pressure 148/88 mmHg
B. Mild headache
C. Blood pressure 224/118 mmHg with confusion
D. Heart rate 92/min
Correct answer: C. Blood pressure 224/118 mmHg with confusion
Rationale:
Severely elevated blood pressure accompanied by neurologic changes suggests a hypertensive
emergency with possible end-organ injury. Confusion indicates potential cerebral involvement.
This requires immediate evaluation and treatment.
Question 8 — Multiple Choice
Which statement by a client with heart failure indicates a need for additional teaching?
A. "I will monitor my weight regularly."
B. "I will report increasing shortness of breath."
C. "I should stop my medications when I feel better."
D. "I will follow the sodium restriction prescribed by my provider."
Correct answer: C. "I should stop my medications when I feel better."
