Rationales EXAM QUESTIONS AND VERIFIED
SOLUTIONS|2026| Exam Questions & Answers Test ||
ELABORATED &DETAILED ANSWERS!!
A nurse is caring for a critically ill client who has been intubated
and placed on a mechanical
ventilator. The client’s family member states they would not like the
client resuscitated if the client’s condition worsens. The client has
not been able to make their wishes known and has no advance
directives. Which action by the nurse is most appropriate?
Notify the healthcare provider that the family would like to
request a do-not-resuscitate status for the client
the nurse is caring for a client with a permanent pacemaker, click on
the letter that represents the clients ventricular pacer spikes.
C- Ventricular pacer spikes appear immediately BEFORE the QRS
complex
,review the electronic health record and determine if the clients
condition is improving or declining
improving - reports no shortness or breath, blood
pressure, heart rate, O2 sat, declining: bilateral
crackles, 2 pitting edema
a nurse is caring for a client requiring oropharyngeal or
nasopharyngeal airway adjuncts. which
client should the nurse identify as a good candidate for
oropharyngeal airway select all that apply
?
-A client with a basilar skull fracture who is postictal after a seizure
-A client who is intubated and chewing on the endotracheal tube
, a nurse is caring for a client with full code status who presents to
the emergency department with complaints of mid sternal chest
pain at rest and feeling dizzy. after a few minutes, the cardiac
monitor shows the rhythm below. the client becomes unresponsive,
and the carotid pulse is not palpable. what action should the nurse
take next?
-Start high-quality cardiopulmonary resuscitation
-Prepare for immediate defibrillation
a nurse is planning education for a client with a new nitroglycerin
prescription who is being
discharged after a myocardial infarction and is concerned about
resuming sexual activity. which information should the nurse plan to
provide? select all that apply
-Erectile dysfunction medication should not be taken when taking
nitroglycerin
-Avoid intensely hot or extremely cold showers after intercourse
-Sex is physical activity that should be resumed slowly after having a
heart attack