NUR2755 Multidimensional Care IV (MDC 4)
Expanded Final Exam Study & Practice Guide —
2024/2025
Independent study resource. This guide is newly authored from the public topic signals in the supplied listing; it does not reproduce or
claim to contain actual/leaked exam questions.
The supplied Stuvia page is listed as a NUR2755 Final Exam for Multidimensional Care IV (MDC 4), Rasmussen, written for 2024/2025.
The page currently displays a 25-page listing and a preview containing questions on septic shock, traumatic brain injury, hypovolemic
shock, burns, GCS, ARDS, and spinal-cord injury. ■cite■turn0view0■
Rasmussen catalog material describes NUR 2755 as a 120-hour, 6-credit course focused on neurological disorders and trauma, with
prioritization, critical thinking, and higher-order problem solving. ■cite■turn1search60■
Current-care note: some emergency/critical-care recommendations evolve. For example, current Brain Trauma Foundation guidance
recommends treating ICP above 22 mm Hg in severe TBI, while older study materials may use >20 mm Hg; use your course's tested
framework when preparing for a course exam and current institutional/clinical guidance for real patients. ■cite■turn1search3■
NUR2755 Multidimensional Care IV — Independent Study Guide Page 1
, 1. High-Yield Framework
Priority sequence: airway → breathing → circulation → disability/neurologic status → exposure. In unstable patients, correct immediate
threats before nonurgent diagnostics or comfort measures. For shock, assess perfusion, identify the likely mechanism, establish
access/monitoring, and reassess response. For neurologic emergencies, protect airway, oxygenation and perfusion while preventing
secondary brain injury.
Exam pattern: look for “first,” “priority,” “most important,” “requires immediate intervention,” and “best response.” These usually test ABCs,
unstable-versus-stable discrimination, or prevention of secondary injury.
2. Shock, Sepsis & Hemodynamic Emergencies
Question: A client with suspected septic shock is hypotensive and has signs of poor perfusion. Which action is most appropriate as an early
priority?
Choices: A. A B. Delay treatment until all cultures return C. B D. Begin rapid evaluation and resuscitative treatment, including appropriate
fluids and antimicrobial therapy
Answer: C
Rationale: Give only an antipyretic
Question: Which finding is most consistent with hypovolemic shock after trauma?
Choices: A. A B. Bradycardia and warm skin C. B D. Tachycardia, hypotension and cool clammy skin
Answer: C
Rationale: Hypertension and bounding pulses
Question: Which finding most strongly suggests worsening tissue perfusion?
Choices: A. A B. Warm dry skin C. B D. Improving urine output
Answer: C
Rationale: Acute confusion with hypotension
Question: Which type of shock is caused primarily by pump failure?
Choices: A. A B. Cardiogenic C. B D. Hypovolemic
Answer: C
Rationale: Distributive
Question: A patient with anaphylaxis develops wheezing, hypotension and facial swelling. Which medication is the priority?
Choices: A. A B. Oral antihistamine only C. B D. IM epinephrine
Answer: C
Rationale: Furosemide
Question: Which statement about sepsis is most accurate?
Choices: A. A B. It is limited to bloodstream infections C. B D. It is an extreme response to infection that can cause organ dysfunction
Answer: C
Rationale: It is always accompanied by fever
3. Neurologic Disorders & Traumatic Brain Injury
Question: A client with severe TBI has declining neurologic status. Which nursing goal is most important?
Choices: A. A B. Prevent secondary brain injury C. B D. Encourage frequent ambulation
Answer: C
Rationale: Limit neurologic assessments
NUR2755 Multidimensional Care IV — Independent Study Guide Page 2
Expanded Final Exam Study & Practice Guide —
2024/2025
Independent study resource. This guide is newly authored from the public topic signals in the supplied listing; it does not reproduce or
claim to contain actual/leaked exam questions.
The supplied Stuvia page is listed as a NUR2755 Final Exam for Multidimensional Care IV (MDC 4), Rasmussen, written for 2024/2025.
The page currently displays a 25-page listing and a preview containing questions on septic shock, traumatic brain injury, hypovolemic
shock, burns, GCS, ARDS, and spinal-cord injury. ■cite■turn0view0■
Rasmussen catalog material describes NUR 2755 as a 120-hour, 6-credit course focused on neurological disorders and trauma, with
prioritization, critical thinking, and higher-order problem solving. ■cite■turn1search60■
Current-care note: some emergency/critical-care recommendations evolve. For example, current Brain Trauma Foundation guidance
recommends treating ICP above 22 mm Hg in severe TBI, while older study materials may use >20 mm Hg; use your course's tested
framework when preparing for a course exam and current institutional/clinical guidance for real patients. ■cite■turn1search3■
NUR2755 Multidimensional Care IV — Independent Study Guide Page 1
, 1. High-Yield Framework
Priority sequence: airway → breathing → circulation → disability/neurologic status → exposure. In unstable patients, correct immediate
threats before nonurgent diagnostics or comfort measures. For shock, assess perfusion, identify the likely mechanism, establish
access/monitoring, and reassess response. For neurologic emergencies, protect airway, oxygenation and perfusion while preventing
secondary brain injury.
Exam pattern: look for “first,” “priority,” “most important,” “requires immediate intervention,” and “best response.” These usually test ABCs,
unstable-versus-stable discrimination, or prevention of secondary injury.
2. Shock, Sepsis & Hemodynamic Emergencies
Question: A client with suspected septic shock is hypotensive and has signs of poor perfusion. Which action is most appropriate as an early
priority?
Choices: A. A B. Delay treatment until all cultures return C. B D. Begin rapid evaluation and resuscitative treatment, including appropriate
fluids and antimicrobial therapy
Answer: C
Rationale: Give only an antipyretic
Question: Which finding is most consistent with hypovolemic shock after trauma?
Choices: A. A B. Bradycardia and warm skin C. B D. Tachycardia, hypotension and cool clammy skin
Answer: C
Rationale: Hypertension and bounding pulses
Question: Which finding most strongly suggests worsening tissue perfusion?
Choices: A. A B. Warm dry skin C. B D. Improving urine output
Answer: C
Rationale: Acute confusion with hypotension
Question: Which type of shock is caused primarily by pump failure?
Choices: A. A B. Cardiogenic C. B D. Hypovolemic
Answer: C
Rationale: Distributive
Question: A patient with anaphylaxis develops wheezing, hypotension and facial swelling. Which medication is the priority?
Choices: A. A B. Oral antihistamine only C. B D. IM epinephrine
Answer: C
Rationale: Furosemide
Question: Which statement about sepsis is most accurate?
Choices: A. A B. It is limited to bloodstream infections C. B D. It is an extreme response to infection that can cause organ dysfunction
Answer: C
Rationale: It is always accompanied by fever
3. Neurologic Disorders & Traumatic Brain Injury
Question: A client with severe TBI has declining neurologic status. Which nursing goal is most important?
Choices: A. A B. Prevent secondary brain injury C. B D. Encourage frequent ambulation
Answer: C
Rationale: Limit neurologic assessments
NUR2755 Multidimensional Care IV — Independent Study Guide Page 2
