NUR2755 (Multidimensional Care IV / MDC IV) Final
Exam Questions and Answers | Fall 2025/2026 Update |
100% Correct
1. A client who experienced a near drowning accident in a local pool, but now is awake and
breathing spontaneously, is admitted for observation. Which assessment will be most important
for the nurse to take during the observation period?
a) Auscultate heart sounds
b) Palpate peripheral pulses
c) Auscultate breath sounds (drowning → risk for pulmonary infection, ARDS, CNS impairment)
d) Check pupil reaction to light
Correct Answer: c) Auscultate breath sounds
2. A client who has undergone preadmission laboratory studies, including a complete blood
count, coagulation studies, and electrolytes and creatinine levels. Which of the following
laboratory results should be reported to the surgeon's office by the nurse, knowing that it could
cause surgery to be postponed?
a) Sodium, 141 mEq/L (normal range 135-145)
b) Hemoglobin, 8.0 g/dL (need HGB >9)
c) Platelets, 210,000/mm³ (platelets need >50,000)
d) Serum creatinine, 0.8 mg/dL (normal range is 0.6-1.2; select if creatinine level 2.0 mg/dL)
Correct Answer: b) Hemoglobin, 8.0 g/dL
3. The nurse is caring for a patient suspected of having heatstroke. Which findings are consistent
with this diagnosis? (Select all that apply.)
a) Bradycardia
b) Tachycardia (also tachypnea)
c) Irregular pulse patterns (dysrhythmias)
d) Visual disturbances (hallucinations)
, e) Decreased urinary output
(Other options: Tachycardia, bradycardia, mental status changes, loss of coordination,
hypertension [should be hypotension])
Correct Answers: b) Tachycardia, c) Irregular pulse patterns (dysrhythmias), d) Visual
disturbances (hallucinations), e) Decreased urinary output (with notes on tachycardia,
tachypnea, mental status changes, loss of coordination, and hypotension)
4. At which time of the day should the nurse encourage the client with Parkinson’s disease to
schedule the most demanding physical activities to minimize the effects of hypokinesia?
a) Early in the morning when the client’s energy level is high
b) To coincide with the peak action of drug therapy
c) Immediately after a rest period
d) When family members will be available
Correct Answer: b) To coincide with the peak action of drug therapy
5. Which of the following would be classified as an external disaster?
a) A fire started in the emergency department
b) A city-wide power outage
c) Massive flooding
d) A bomb threat to administration
Correct Answer: b) A city-wide power outage
6. On a hot, humid day, a client arrives in the emergency department presenting with confusion,
lethargy, and the following vital signs: temperature 104.1°F, pulse 132 beats/min, respiration 26
breaths/min, and blood pressure 106/66 mm Hg. What is the most appropriate intervention for
this client? (Heatstroke)
a) Encourage the client to drink cool water or sports drinks
b) Start an intravenous line and infuse 0.9% saline solution
, c) Administer acetaminophen 650 mg orally
d) Encourage rest and reassess in 15 minutes
Correct Answer: b) Start an intravenous line and infuse 0.9% saline solution
7. The nurse is orienting a new nurse to the pediatric intensive care unit and discussing the care
of a client recovering from drowning. Which statement by the new nurse accurately
demonstrates an understanding of this condition?
a) Drowning results in the collapse of alveoli and pulmonary edema
b) Drowning causes an increased amount of surfactant in the lungs, which decreases airway
pressure
c) Since the client has recovered, we should not need to monitor for any complications
d) It is OK to leave children unattended in a bathtub as long as it's only for a minute or two
Correct Answer: a) Drowning results in the collapse of alveoli and pulmonary edema
8. A nurse in an emergency department is caring for a client with a penetrating trauma from a
gunshot and a sucking chest wound. The client has a blood pressure of 101/61 mm Hg, a weak
pulse, rate of 117/min, a respiratory rate of 39/min, and a pulse oximeter reading of 90% on
room air. Which action should the nurse take first in the primary survey?
a) Place the client in Trendelenburg position
b) Remove the dressing to inspect the wound
c) Prepare to insert a central line
d) Administer oxygen via nonrebreather mask per order (or provide bag valve ventilation)
Correct Answer: d) Administer oxygen via nonrebreather mask per order (or provide bag
valve ventilation)
9. A triage officer is discussing mass casualty triage during a tabletop disaster drill. Which
statement should indicate the staff member requires further teaching?
a) Clients in the emergent category should be treated first
, b) Clients in the Expected category should receive comfort measures only (EXPECTED =
EXPECTED TO DIE)
c) Clients in the non-urgent category would include closed fracture injuries
d) Clients in the urgent category would include shock and airway obstruction
Correct Answer: a) Clients in the emergent category should be treated first (Note: This
appears to be the incorrect statement requiring teaching, based on standard triage where
emergent is first, but the preview flags b as potentially misleading.)
10. What is a priority nursing assessment in the first 24 hours after admission of client with a
thrombotic stroke?
a) Cholesterol level
b) Pupil size and pupillary response (pupil size indicates ICP)
c) Bowel sounds
d) Echocardiogram
Correct Answer: b) Pupil size and pupillary response
11. A nurse assesses a client's surgical incision for signs of infection. Which finding by the nurse
would be interpreted as an abnormal finding at the surgical site?
a) Red, hard skin
b) Serous drainage
c) Purulent drainage
d) Warm, tender skin
Correct Answer: c) Purulent drainage
12. A nurse is assessing a child at the scene of a school bus crash. The child has facial lacerations
and an audible stridor. The nurse should identify the child to which of the following triage
categories?
a) Emergent (RED) (airway issue)
Exam Questions and Answers | Fall 2025/2026 Update |
100% Correct
1. A client who experienced a near drowning accident in a local pool, but now is awake and
breathing spontaneously, is admitted for observation. Which assessment will be most important
for the nurse to take during the observation period?
a) Auscultate heart sounds
b) Palpate peripheral pulses
c) Auscultate breath sounds (drowning → risk for pulmonary infection, ARDS, CNS impairment)
d) Check pupil reaction to light
Correct Answer: c) Auscultate breath sounds
2. A client who has undergone preadmission laboratory studies, including a complete blood
count, coagulation studies, and electrolytes and creatinine levels. Which of the following
laboratory results should be reported to the surgeon's office by the nurse, knowing that it could
cause surgery to be postponed?
a) Sodium, 141 mEq/L (normal range 135-145)
b) Hemoglobin, 8.0 g/dL (need HGB >9)
c) Platelets, 210,000/mm³ (platelets need >50,000)
d) Serum creatinine, 0.8 mg/dL (normal range is 0.6-1.2; select if creatinine level 2.0 mg/dL)
Correct Answer: b) Hemoglobin, 8.0 g/dL
3. The nurse is caring for a patient suspected of having heatstroke. Which findings are consistent
with this diagnosis? (Select all that apply.)
a) Bradycardia
b) Tachycardia (also tachypnea)
c) Irregular pulse patterns (dysrhythmias)
d) Visual disturbances (hallucinations)
, e) Decreased urinary output
(Other options: Tachycardia, bradycardia, mental status changes, loss of coordination,
hypertension [should be hypotension])
Correct Answers: b) Tachycardia, c) Irregular pulse patterns (dysrhythmias), d) Visual
disturbances (hallucinations), e) Decreased urinary output (with notes on tachycardia,
tachypnea, mental status changes, loss of coordination, and hypotension)
4. At which time of the day should the nurse encourage the client with Parkinson’s disease to
schedule the most demanding physical activities to minimize the effects of hypokinesia?
a) Early in the morning when the client’s energy level is high
b) To coincide with the peak action of drug therapy
c) Immediately after a rest period
d) When family members will be available
Correct Answer: b) To coincide with the peak action of drug therapy
5. Which of the following would be classified as an external disaster?
a) A fire started in the emergency department
b) A city-wide power outage
c) Massive flooding
d) A bomb threat to administration
Correct Answer: b) A city-wide power outage
6. On a hot, humid day, a client arrives in the emergency department presenting with confusion,
lethargy, and the following vital signs: temperature 104.1°F, pulse 132 beats/min, respiration 26
breaths/min, and blood pressure 106/66 mm Hg. What is the most appropriate intervention for
this client? (Heatstroke)
a) Encourage the client to drink cool water or sports drinks
b) Start an intravenous line and infuse 0.9% saline solution
, c) Administer acetaminophen 650 mg orally
d) Encourage rest and reassess in 15 minutes
Correct Answer: b) Start an intravenous line and infuse 0.9% saline solution
7. The nurse is orienting a new nurse to the pediatric intensive care unit and discussing the care
of a client recovering from drowning. Which statement by the new nurse accurately
demonstrates an understanding of this condition?
a) Drowning results in the collapse of alveoli and pulmonary edema
b) Drowning causes an increased amount of surfactant in the lungs, which decreases airway
pressure
c) Since the client has recovered, we should not need to monitor for any complications
d) It is OK to leave children unattended in a bathtub as long as it's only for a minute or two
Correct Answer: a) Drowning results in the collapse of alveoli and pulmonary edema
8. A nurse in an emergency department is caring for a client with a penetrating trauma from a
gunshot and a sucking chest wound. The client has a blood pressure of 101/61 mm Hg, a weak
pulse, rate of 117/min, a respiratory rate of 39/min, and a pulse oximeter reading of 90% on
room air. Which action should the nurse take first in the primary survey?
a) Place the client in Trendelenburg position
b) Remove the dressing to inspect the wound
c) Prepare to insert a central line
d) Administer oxygen via nonrebreather mask per order (or provide bag valve ventilation)
Correct Answer: d) Administer oxygen via nonrebreather mask per order (or provide bag
valve ventilation)
9. A triage officer is discussing mass casualty triage during a tabletop disaster drill. Which
statement should indicate the staff member requires further teaching?
a) Clients in the emergent category should be treated first
, b) Clients in the Expected category should receive comfort measures only (EXPECTED =
EXPECTED TO DIE)
c) Clients in the non-urgent category would include closed fracture injuries
d) Clients in the urgent category would include shock and airway obstruction
Correct Answer: a) Clients in the emergent category should be treated first (Note: This
appears to be the incorrect statement requiring teaching, based on standard triage where
emergent is first, but the preview flags b as potentially misleading.)
10. What is a priority nursing assessment in the first 24 hours after admission of client with a
thrombotic stroke?
a) Cholesterol level
b) Pupil size and pupillary response (pupil size indicates ICP)
c) Bowel sounds
d) Echocardiogram
Correct Answer: b) Pupil size and pupillary response
11. A nurse assesses a client's surgical incision for signs of infection. Which finding by the nurse
would be interpreted as an abnormal finding at the surgical site?
a) Red, hard skin
b) Serous drainage
c) Purulent drainage
d) Warm, tender skin
Correct Answer: c) Purulent drainage
12. A nurse is assessing a child at the scene of a school bus crash. The child has facial lacerations
and an audible stridor. The nurse should identify the child to which of the following triage
categories?
a) Emergent (RED) (airway issue)
