Title RECALLS 8 - NP3 - SC ✅

C. Repaglinide D. Regular insulin 13. One of your clients is having a sinus bradycardia, with a heart rate of 45 beats per minute and blood pressure of 82/60 mm Hg, reports dizziness. Which intervention would you anticipate will be prescribed? A. Administer digoxin. B. Defibrillate the client. C. Continue to monitor the client. D. Prepare for transcutaneous pacing. 14. You are watching the cardiac monitor and notices that a client’s rhythm suddenly changes. There are no P waves, the QRS complexes are wide, and the ventricular rate is regular but more than 140 beats per minute. The nurse determines that the client is experiencing which dysrhythmia? A. Sinus tachycardia B. Ventricular Fibrillation C. Ventricular tachycardia D. Premature ventricular contractions 15. You are assisting to defibrillate a client in ventricular fibrillation. Which intervention is your priority after placing the pads on the client’s chest and before discharging the device? A. Ensure that the client has been intubated. B. Set the defibrillator to “synchronize” mode. C. Administer an amiodarone bolus. D. Confirm the cardiac rhythm 16. You noticed that your client with myocardial infarction suddenly becomes tachycardic, shows signs of air hunger, and begins coughing frothy, pink-tinged sputum. Which finding would you anticipate when auscultating the client’s breath sounds? A. Stridor B. Crackles C. Scattered rhonchi D. Diminished breath sound 17. You are assessing the neurovascular status of a client who returned to the surgical nursing unit 4 hours ago after undergoing aortoiliac bypass graft. The affected leg is warm, and the nurse notes redness and edema. The pedal pulse is palpable. How would you interpret the client’s neurovascular status? A. The neurovascular status is expected because of increased blood flow through the leg. B. The neurovascular status is moderately impaired, and the surgeon needs to be called. C. The neurovascular status is slightly deteriorating and needs to be monitored for another hour. D. The neurovascular status shows adequate arterial flow, but venous complications are arising. 18. A client has frequent bursts of ventricular tachycardia on the cardiac monitor. Which factor is your highest priority with regard to this dysrhythmia? A. It can develop into ventricular fibrillation at any time. B. It is almost impossible to convert to a normal rhythm. C. It is uncomfortable for the client, giving a sense of impending doom. D. It produces a high cardiac output with cerebral and myocardial ischemia 19. Your client with ventricular fibrillation is about to be defibrillated. Which energy level (in joules, J) would you set on the monophasic defibrillator machine for the first delivery? A. 50 J B. 120 J C. 200 J D. 360 J 20. You are caring for a client who had a resection of an abdominal aortic aneurysm yesterday. The client has an intravenous (IV) infusion at a rate of 150 mL/hr, unchanged for the last 10 hours. The client’s urine output for the last 3 hours has been 90, 50, and 28 mL (28 mL is most recent). The client’s blood urea nitrogen level is 35 mg/dL (12.6 mmol/L), and the serum creatinine level is 1.8 mg/dL (159 mcmol/L), measured this morning. Which nursing action is your priority? A. Check the serum albumin level. B. Check the urine specific gravity. C. Continue to monitor urine output. D. Call the primary health care provider. 21. A client is wearing a continuous cardiac monitor, which begins to sound its alarm. You notice that there are no electrocardiographic complexes on the screen. Which is the priority nursing action? A. Call a code. B. Check the client’s status. C. Call the primary health care provider. D. Document the lack of complexes. 22. You are evaluating a client’s response to cardioversion. Which assessment would be the priority? A. Blood pressure B. Airway patency C. Oxygen flow rate D. Level of consciousness Situation: You are on shift, responsible for managing the care of several patients with various respiratory conditions. 23. A 12-year-old child with asthma is being treated for a severe asthma attack in the emergency room. What symptom should you specifically watch for, as it would signal a worsening of the child's condition? A. Warm, dry skin B. Decreased wheezing C. Pulse rate of 90 beats per minute D. Respirations of 18 breaths per minute 24. An 8-year-old child undergoing home treatment for right lower lobe pneumonia calls the clinic with their parent, who reports that the child is experiencing discomfort on the right side and that ibuprofen is not providing relief. What guidance should you offer to the parent? A. Increase the dose of ibuprofen. B. Increase the frequency of ibuprofen. C. Encourage the child to lie on the left side. D. Encourage the child to lie on the right side. 25. A new parent is worried about sudden infant death syndrome (SIDS) and asks the nurse for guidance on the safest sleep position for their newborn. What position should you recommend for placing the infant? A. Side or prone B. Back or prone C. Stomach with the face turned D. Back rather than on the stomach 26. You are discussing the immunization schedule with the parent of a child with cystic fibrosis. What information should you, as the nurse, provide to the parent regarding the child's vaccinations? A. “The immunization schedule will need to be altered.” B. “The child should not receive any hepatitis vaccines.” C. “The child will receive all of the immunizations except for the polio series.” D. “The child will receive the recommended basic series of immunizations along with a yearly influenza vaccination.” 27. You are an emergency department nurse evaluating a child diagnosed with epiglottitis. What signs should you watch for to determine if the child may be experiencing an airway obstruction? A. The child exhibits nasal flaring and bradycardia. B. The child is leaning forward, with the chin thrust out. C. The child has a low-grade fever and complains of a sore throat. D. The child is leaning backward, supporting self with the hands and arms. 28. A child with croup is being treated with a cool mist vaporizer in their hospital room. The child is visibly distressed, crying persistently, and attempting to leave the area. What should you do to address the child's discomfort and ensure their safety? A. Tell the parent that the child must stay in the tent. B. Place a toy in the tent to make the child feel more comfortable. C. Call the pediatrician and obtain a prescription for a mild sedative. D. Let the parent hold the child and direct the cool mist over the child’s face. 29. You reviews the tuberculin skin test (TST) results for a 3-year-old child and notes an induration area measuring 10 mm. How should you interpret these results? A. Positive B. Negative 2 | Page