Exam 2: NUR 2755 NUR2755

Exam 2: NUR 2755 / NUR2755

(Latest Update 2024 / 2025) Multidimensional Care IV / MDC 4 | Questions and Verified Answers | 100% Correct | Grade A - Rasmussen

(Answers in BOLD)

Question:

Client is treated in the emergency department for shock of unknown etiology.The first action by the nurse is which of the following?

Answer:

• Administer oxygen **
• Attach a cardiac monitor
• Obtain a blood pressure
• Check level of consciousness

Question:

Client has been diagnosed with pulmonary embolism. Which diagnostics and treatments does the nurse anticipate will be ordered?

Answer:

• D dimer ** 1 / 4

• Thrombolytics **
• Atropine
• Nitroglycerine
• CT angiogram **

Question:

Nurse is managing several IV medications to maintain the blood pressure of a client in hypovolemic shock. Which medication places the client at risk for a hypertensive reaction, requiring the nurse to assess the blood pressure at least every 15 minutes?

Answer:

• Norepinephrine
• Sodium nitroprusside X **
• Adenosine
• Amiodarone

Question:

Nurse is caring for a client who is receiving mechanical ventilation via an endotracheal tube. Which of the following actions should the nurse take?

Answer:

• Apply a vest restraint if self extubating is attempted
• Monitor daily ventilator settings
• Document tube placement in inches at the angle of the jaw
• Assess breath sounds every 4 hours ** 2 / 4

Question:

Client who is one day post-op following chest surgery, is having difficulty breathing, has bilateral rales, and is confused and restless. Which intervention should the nurse implement first?

Answer:

• Give inhaled nebulizer treatment as ordered
• Notify the rapid response team **
• Place the client in Trendelenburg position X
• Check the clients surgical dressing

Question:

Postop client reports a sudden onset of shortness of breath and pleuritic chest pain. Assessment findings include diaphoresis, hypotension, crackles in the left lower lobe and pulse oximetry of 85% on room air. What does the nurse suspect has occurred with this client?

Answer:

• Atelectasis
• Pneumothorax X
• Pulmonary embolism **
• Flail chest

• / 4

Question:

Client presented to the ED after receiving second and third degree burns from a kitchen grease spill. The tops of both thighs, the groin area, and lower abdomen were the areas of injury. About 3 hours after the injury, the client begins to decompensate and is being prepped for intubation. Regarding the change in client status, which explanation by the nurse is correct when educating the clients family?

Answer:

• Client is complaining of severe pain and will be intubated to safely give pain

medications and sedatives

• Client is experiencing a paralytic ileus and requires intubation to prevent

further damage

• Even a burn as little as 25% of the body can cause a systemic response,

requiring emergency management **

• Fluid shifts in the body immediately cause an increase cardiac output and

increase tissue perfusion, which can negatively affect the healing process X

Question:

A client with a possible spinal cord injury is admitted to the emergency department. Which finding by the nurse will help confirm a diagnosis of neurogenic shock?

Answer:

• Skin is warm and dry
• Inspiratory crackles
• Apical heart rate 48 beat/min **
• Stabbing pain in the extremities
• / 4