NUR 2755 Final Exam 2025/2026 –
Multidimensional Care IV (MDC 4) – Rasmussen
College | 100+ Verified Questions with Correct
Answers | A+ Study Guide
Topic: Neurological
Question 1
What is the neurological sign for meningitis?
A: Brudzinski’s sign
B: Babinski’s sign
C: Chvostek’s sign
D: Trousseau’s sign
A: Brudzinski’s sign
Rationale: Brudzinski’s sign (neck flexion causing hip/knee flexion) indicates meningeal
irritation in meningitis. B is for corticospinal tract issues. C and D are for hypocalcemia.
Question 2
A patient with a halo device asks about care instructions. What should the nurse include?
A: Drink with a straw and maintain skin hygiene
B: Remove the device daily for cleaning
C: Avoid all neck movement
D: Use a regular pillow for sleep
A: Drink with a straw and maintain skin hygiene
Rationale: A halo device requires using a straw for drinking and cleaning under the vest to
prevent skin breakdown. B is unsafe. C is unrealistic. D risks device displacement.
Question 3
A patient with a traumatic brain injury (TBI) shows increased intracranial pressure (ICP). What
is the priority nursing intervention?
A: Maintain head of bed at 30 degrees
B: Administer diuretics immediately
C: Restrict all fluids
D: Encourage coughing
A: Maintain head of bed at 30 degrees
Rationale: Elevating the head to 30 degrees promotes venous drainage to reduce ICP. B requires
a prescription. C may cause dehydration. D increases ICP.
Question 4
A patient with hemiparesis and hemiplegia is offered food. Where should the nurse place the
, tray?
A: On the unaffected side
B: On the affected side
C: At the foot of the bed
D: On a table across the room
A: On the unaffected side
Rationale: Placing food on the unaffected side facilitates safe eating with functional limbs. B, C,
and D hinder access and safety.
Question 5
What is a long-term side effect of phenytoin (Dilantin) use?
A: Gum hyperplasia
B: Weight loss
C: Hypertension
D: Hair loss
A: Gum hyperplasia
Rationale: Phenytoin causes gum hyperplasia as a common side effect. B, C, and D are not
associated with phenytoin.
Question 6
What may occur if a patient abruptly discontinues long-term phenytoin (Dilantin)?
A: Status epilepticus
B: Hypotension
C: Hyperglycemia
D: Bradycardia
A: Status epilepticus
Rationale: Abrupt phenytoin cessation can trigger status epilepticus due to loss of seizure
control. B, C, and D are unrelated.
Question 7
A nurse triages an infant with petechiae and a 104°F fever. What is the priority action?
A: Administer antipyretics and assess for infection
B: Apply cold compresses
C: Monitor blood pressure
D: Encourage oral fluids
A: Administer antipyretics and assess for infection
Rationale: Petechiae and high fever suggest serious infection (e.g., meningitis), requiring
immediate antipyretics and assessment. B, C, and D are secondary.
Question 8
A patient with a stroke exhibits expressive aphasia. What is the best communication strategy?
A: Use simple yes/no questions
B: Speak loudly and slowly
C: Write all instructions
D: Avoid verbal communication
A: Use simple yes/no questions
Multidimensional Care IV (MDC 4) – Rasmussen
College | 100+ Verified Questions with Correct
Answers | A+ Study Guide
Topic: Neurological
Question 1
What is the neurological sign for meningitis?
A: Brudzinski’s sign
B: Babinski’s sign
C: Chvostek’s sign
D: Trousseau’s sign
A: Brudzinski’s sign
Rationale: Brudzinski’s sign (neck flexion causing hip/knee flexion) indicates meningeal
irritation in meningitis. B is for corticospinal tract issues. C and D are for hypocalcemia.
Question 2
A patient with a halo device asks about care instructions. What should the nurse include?
A: Drink with a straw and maintain skin hygiene
B: Remove the device daily for cleaning
C: Avoid all neck movement
D: Use a regular pillow for sleep
A: Drink with a straw and maintain skin hygiene
Rationale: A halo device requires using a straw for drinking and cleaning under the vest to
prevent skin breakdown. B is unsafe. C is unrealistic. D risks device displacement.
Question 3
A patient with a traumatic brain injury (TBI) shows increased intracranial pressure (ICP). What
is the priority nursing intervention?
A: Maintain head of bed at 30 degrees
B: Administer diuretics immediately
C: Restrict all fluids
D: Encourage coughing
A: Maintain head of bed at 30 degrees
Rationale: Elevating the head to 30 degrees promotes venous drainage to reduce ICP. B requires
a prescription. C may cause dehydration. D increases ICP.
Question 4
A patient with hemiparesis and hemiplegia is offered food. Where should the nurse place the
, tray?
A: On the unaffected side
B: On the affected side
C: At the foot of the bed
D: On a table across the room
A: On the unaffected side
Rationale: Placing food on the unaffected side facilitates safe eating with functional limbs. B, C,
and D hinder access and safety.
Question 5
What is a long-term side effect of phenytoin (Dilantin) use?
A: Gum hyperplasia
B: Weight loss
C: Hypertension
D: Hair loss
A: Gum hyperplasia
Rationale: Phenytoin causes gum hyperplasia as a common side effect. B, C, and D are not
associated with phenytoin.
Question 6
What may occur if a patient abruptly discontinues long-term phenytoin (Dilantin)?
A: Status epilepticus
B: Hypotension
C: Hyperglycemia
D: Bradycardia
A: Status epilepticus
Rationale: Abrupt phenytoin cessation can trigger status epilepticus due to loss of seizure
control. B, C, and D are unrelated.
Question 7
A nurse triages an infant with petechiae and a 104°F fever. What is the priority action?
A: Administer antipyretics and assess for infection
B: Apply cold compresses
C: Monitor blood pressure
D: Encourage oral fluids
A: Administer antipyretics and assess for infection
Rationale: Petechiae and high fever suggest serious infection (e.g., meningitis), requiring
immediate antipyretics and assessment. B, C, and D are secondary.
Question 8
A patient with a stroke exhibits expressive aphasia. What is the best communication strategy?
A: Use simple yes/no questions
B: Speak loudly and slowly
C: Write all instructions
D: Avoid verbal communication
A: Use simple yes/no questions
