NUR 2755 | NUR2755 MULTIDIMENSIONAL CARE
IV (MDC IV) EXAM 2 | 60+ QUESTIONS AND
ANSWERS GRADED A+ | LATEST 2024/2025
What finding is a sign of shock after a spinal cord injury?
Stabbing pain in the extremities
Apical heart rate 50
Inspiratory crackles
Elevated WBC count
- Correct Answer - Apical heart rate 50
One of the biggest risks of neurogenic shock is severe bradycardia
True
False
- Correct Answer - True
Which statement is true regarding DIC?
DIC is caused by abnormal clotting involving fibrinogen
Patients with DIC will be on lifelong hepatin
DIC is caused by a vitamin K deficiency
DIC is a genetic disorder
- Correct Answer - DIC is caused by abnormal clotting involving
fibrinogen
The nurse should always lower the temperature of the room for a patient
with neurogenic shock
,True
False
- Correct Answer - False! They need a warm room w/ warm fluids
Which patient should be seen first?
An intubated patient with a flail chest
A patient with rib fractures asking for pain meds
A patient who just extubated themselves
A patient with a fracture and weak distal pulses
- Correct Answer - A patient who just extubated themselves
A characteristic of full-thickness burn include:
Very painful
Heals without intervention
Needs skin grafting
Blisters develop
- Correct Answer - Needs skin grafting
A client in septic shock is 80Kg. An appropriate fluid volume infusion would
be 2400MLs of LR
True
False
- Correct Answer - True
30mL/kg
30mL x 80kg = 2,400mL
What would the nurse expect to find in a patient with a pneumothorax?
, Decreased heart rates
Diminished breath sounds
Decreased respiratory rate
A sucking sound at the site of injury
- Correct Answer - diminished breath sounds
What is a classic sign of a flail chest?
Paradoxical chest movement
Cyanosis
Hypotension
Pain with exhalation
- Correct Answer - paradoxical chest movement
A disconnected ET tube from a ventilatory will sound a high alarm on the
vent
True
False
- Correct Answer - False - a disconnection is a low alarm
To prevent a patient from getting VAP the nurse should include what in her
patient's care?
Perform mouth care q 12 hours
Suction q 1-2 hours around the clock
Elevate the head of the bed 30 degrees
Keep the patient on their left side
- Correct Answer - Elevate the head of the bed 30 degrees
mouth care q 2 hours*
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