Test Id: 287339301 (Tutored, Untimed)
NCLEX-RN TEST - jennifer acilo
QId: 36901 (2900042)
The charge nurse is assisting with a nonemergent cardioversion
for a client with supraventricular tachycardia. Which action by the
primary nurse would cause the charge nurse to intervene?
1. Administers a one-time dose of IV midazolam (6%)
2. Disengages the "sync" function on the (61%)
defibrillator
3. Places defibrillator pads on upper right and (7%)
lower left chest
4. Turns off the client's oxygen and moves it (24%)
away from the bed
Synchronized cardioversi
tachyarrhythmias (eg, sup
Omitted
61% tachycardia) with a pulse t
Correct answer Answered correctly
2 transcutaneous electrical sh
timed by the defibrillator ("s
01 sec 2023 delivered only during the R
Time Spent Version
the ventricles depolarize.
Accidentally delivering shoc
ventricles are repolarizing, c
frequently results in lethal a
fibrillation). The nurse mus
feature is enabled when pre
cardioversion. Disabling or
may result in a potentially le
delivered to the client (Opti
(Option 1) During noneme
hemodynamically stable clie
often administered for clien
(Option 3) Defibrillator pad
upper chest next to the ster
(Option 4) Prior to delivery
cardioversion, defibrillation
moved away. Oxygen is fl
,2/4/23, 5:22 PM UWorld Nursing
Test Id: 287339301 (Tutored, Untimed)
NCLEX-RN TEST - jennifer acilo
QId: 31273 (2900042)
A client is diagnosed with a small thoracic aortic aneurysm during
Explanation
a routine chest x-ray and follows up 6 months later with the health
care provider (HCP). Which assessment data is most important
Difficulty swallowing is the m
for the nurse to report to the HCP?
the HCP. A thoracic aortic
esophagus and cause dysp
1. Blood pressure (BP) of 140/86 mm Hg (12%)
symptom may indicate that
2. Difficulty swallowing (43%) and may need further diagn
3. Dry, hacking cough (14%) (Option 1) This BP reading
4. Low back pain (30%) would need to assess furthe
this client. Given the client'
BP may warrant treatment.
Omitted (Option 3) The nurse woul
43%
Correct answer Answered correctly there are multiple causes o
2
(Option 4) Low back pain w
01 sec 2023 history of abdominal aortic a
Time Spent Version
Educational objective:
The nurse should report sw
client with a thoracic aortic
the aneurysm has increase
Test Id: 287339301 (Tutored, Untimed)
NCLEX-RN TEST - jennifer acilo
QId: 30304 (2900042)
The nurse is teaching a client diagnosed with Raynaud
phenomenon about ways to prevent recurrent episodes. Which
instructions should the nurse include? Select all that apply.
1. Avoid excessive caffeine
2. Immerse hands in cold water
3. Practice yoga or tai chi
4. Refrain from using tobacco products Raynaud phenomenon is
5. Wear gloves when handling cold objects an episodic vascular respon
emotional stress. It most c
Vasospasms induce a chara
Omitted appendages (eg, fingers, to
34%
Correct answer
1,3,4,5
Answered correctly
vasoconstriction occurs, the
white from decreased perfu
appearance due to cyanosi
0 secs 2023
Time Spent Version and coldness during this sta
subsequently restored, the
and clients experience throb
tingling. Acute vasospasms
hands in warm water.
Client teaching regarding pr
Wear gloves when ha
Dress in warm layers,
Avoid extremes and a
Avoid vasoconstricting
ergotamine, pseudoep
Avoid excessive caffe
Refrain from use of to
Implement stress man
chi) (Option 3).
If conservative managemen
prescribed calcium channe
muscle and prevent recurre
(Option 2) Cold water will
, 2/4/23, 5:23 PM UWorld Nursing
Test Id: 287339301 (Tutored, Untimed)
NCLEX-RN TEST - jennifer acilo
QId: 30305 (2900042)
The nurse is caring for a client who has been admitted to the
Explanation
hospital for an acute exacerbation of heart failure. Blood pressure
is 104/62 mm Hg, pulse is 96/min, respirations are 22/min, and
Brain (or b-type) natriuretic
oxygen saturation is 91%. Which of these findings supports the
response to ventricular str
diagnosis of acute heart failure exacerbation?
filling pressures are elevate
differentiate dyspnea of hea
1. B-type natriuretic peptide (BNP) 1382 pg/mL (81%)
etiology. The level of circula
[399 pmol/L]
severity of left ventricular fil
2. Flat jugular veins when seated at a 45-degree (4%)
A normal BNP level is <10
angle
would expect a high BNP in
3. Sodium 150 mEq/L [150 mmol/L] (10%) decompensated heart failur
4. Urine output greater than 100 mL/hr (3%) (Option 2) Jugular veins sh
as the client is raised to an
distension present above a
Omitted fluid volume excess and ele
81%
Correct answer Answered correctly occur with heart failure.
1
(Option 3) Normal sodium
0 secs 2023 mmol/L]. Serum sodium ca
Time Spent Version
clients. Low levels are due
(Option 4) Urine output of
maintain fluid volume status
fluid retention and volume o
of heart failure. A state of lo
renal perfusion, resulting in
urine output. Diuretic thera
volume overload. The nurs
urine output in response to
Educational objective:
The nurse should assess th
heart failure exacerbations.
increased ventricular stretch
failure and fluid volume ove
present with jugular venous
decreased urine output.
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