1
NR: 341/342 Complex Adult Health Review Exam
2026 REVIEWED
1. A nurse is educating a client following the insertion of permanent pacemaker. Which information
should the nurse include in the
educational plan? SATA
a. Do not have a microwave oven in the home.
b. Avoid walking through antitheft devices in the doorways of stores.
c. Handheld metal detectors should not be placed directly
over the pacemaker.
d. Do not drive until cleared by the healthcare provider. e. Count your
pulse for one minute each morning.
2. Which action should the nurse perform prior to defibrillating a client? a. Ensure the defibrillator is in
synchronous mode.
b. Admin a sedative before giving the shock.
c. Confirm that everyone is clear of contact with the client and bed
d. Stop compressions (CPR) when pads are being placed on clients chest.
3. A nurse in an emergency department is assessing a new client. Which finding is the priority for the
nurse to address?
a. Generalized diaphoresis
b. Blood pressure of 104/63 mmHg
c. Cyanosis to the skin and mucous membranes
d. Client rates pain 9 out of 10 on a 0-10 scale
4. A client who is intubated and receiving mechanical ventilation is anxious, restless, and grimacing. Which
action should the nurse take?
a. Try to identify the cause of the distress and provide reassurance
b. increase the rate for the ordered propofol infusion
c. Sedate the client with the ordered midazolam IV push
d. Manually ventilate the client with a bag valve mask device
5. The nurse is caring for a client that suddenly slumps over and stops breathing telemetry monitor shows the
following that does not have a pulse drag the actions the nurse should take to the box on the right.
, 2
Possible nursing Actions vs. Appropriate Nursing Actions
Begin cardiopulmonary resuscitation
Prepare for defibrillation
Activate a code respons
6. A nurse is preparing to administer fentanyl 25 mcg Iv to a client the amount available is fentanyl 100mcg
per milliliter how many milliliters should the nurse administer round to the nearest 10th?
- 0.3 mL
7. the nurse is caring for a client who has a pneumothorax and is having a chest tube inserted after the chest
tube is inserted what action should the nurse take first?
a. Evaluate for subcutaneous emphysema at the site b. ask the client if they
need pain medication
c. request a portable chest X-ray to check the tube
d. check the clients breathing and lung sounds.
8. A nurse is caring for a client on a mechanical ventilation the client becomes agitated when trying to
communicate their needs what action should the nurse take?
a. Asked the family to leave the room to allow the client to rest b. assess the clients RASS
score and increase the sedation as
prescribed
c. provide a whiteboard so the client can write their request
d. increase the clients level of sedation
9. The nurse is caring for a client on mechanical ventilation what action should the nurse plan to include in
the care of this client to reduce ventilator associated pneumonia (VAP)?
a. Initiate early exercise and mobilization
, 3
b. keep the client under deep sedation
c. routinely change the ventilator circuit tubing d. provide oral care with
sterile saline solution.
10. The nurse is caring for a client with hemopneumothorax that is being treated with the chest tube
which observation should the nurse immediately report to the health care provider?
a. Small amount of subcutaneous emphysema at the insertion site b. intermittent bubbling in the
water seal chamber
c. continuous bubbling in the suction control chamber
d. 600 mL of blood in the collection chambers in the last two hour
11. A nurse is caring for a client in the intensive care unit and includes the ABCDF bundle in the
client's plan of care what is the bundle of care?
a. This bundle includes the nurse consulting the wound/ostomy nurse when needed
b. this bundle assesses the oxygenation status of the client on mechanical ventilation
c. this bundle ensures adequate nutrition for the client within an intensive care unit
d. this bundle sets standards for the management of clients with complex health
issues
12. The nurse is observing an unlicensed assistive personnel UAPcare for a client with peripheral
artery disease what action by the UAPintervention by the nurse?
a. The UAP Elevates the clients legs on pillows
b. the UAP reminds the client to uncross their legs c. the UAP applies
moisturizer to the client's legs
d. the UAP ambulates the client to the bathroom
13. A nurse is reviewing the electronic health records of clients nearing death to determine if they
may qualify for organ donation which client should the nurse identify as a possible organ donor if
declared deceased?
a. A client who overdosed on IV heroin
b. a client with systemic lupus erythematosus (SLE)
c. a client who was in a motor vehicle accident
NR: 341/342 Complex Adult Health Review Exam
2026 REVIEWED
1. A nurse is educating a client following the insertion of permanent pacemaker. Which information
should the nurse include in the
educational plan? SATA
a. Do not have a microwave oven in the home.
b. Avoid walking through antitheft devices in the doorways of stores.
c. Handheld metal detectors should not be placed directly
over the pacemaker.
d. Do not drive until cleared by the healthcare provider. e. Count your
pulse for one minute each morning.
2. Which action should the nurse perform prior to defibrillating a client? a. Ensure the defibrillator is in
synchronous mode.
b. Admin a sedative before giving the shock.
c. Confirm that everyone is clear of contact with the client and bed
d. Stop compressions (CPR) when pads are being placed on clients chest.
3. A nurse in an emergency department is assessing a new client. Which finding is the priority for the
nurse to address?
a. Generalized diaphoresis
b. Blood pressure of 104/63 mmHg
c. Cyanosis to the skin and mucous membranes
d. Client rates pain 9 out of 10 on a 0-10 scale
4. A client who is intubated and receiving mechanical ventilation is anxious, restless, and grimacing. Which
action should the nurse take?
a. Try to identify the cause of the distress and provide reassurance
b. increase the rate for the ordered propofol infusion
c. Sedate the client with the ordered midazolam IV push
d. Manually ventilate the client with a bag valve mask device
5. The nurse is caring for a client that suddenly slumps over and stops breathing telemetry monitor shows the
following that does not have a pulse drag the actions the nurse should take to the box on the right.
, 2
Possible nursing Actions vs. Appropriate Nursing Actions
Begin cardiopulmonary resuscitation
Prepare for defibrillation
Activate a code respons
6. A nurse is preparing to administer fentanyl 25 mcg Iv to a client the amount available is fentanyl 100mcg
per milliliter how many milliliters should the nurse administer round to the nearest 10th?
- 0.3 mL
7. the nurse is caring for a client who has a pneumothorax and is having a chest tube inserted after the chest
tube is inserted what action should the nurse take first?
a. Evaluate for subcutaneous emphysema at the site b. ask the client if they
need pain medication
c. request a portable chest X-ray to check the tube
d. check the clients breathing and lung sounds.
8. A nurse is caring for a client on a mechanical ventilation the client becomes agitated when trying to
communicate their needs what action should the nurse take?
a. Asked the family to leave the room to allow the client to rest b. assess the clients RASS
score and increase the sedation as
prescribed
c. provide a whiteboard so the client can write their request
d. increase the clients level of sedation
9. The nurse is caring for a client on mechanical ventilation what action should the nurse plan to include in
the care of this client to reduce ventilator associated pneumonia (VAP)?
a. Initiate early exercise and mobilization
, 3
b. keep the client under deep sedation
c. routinely change the ventilator circuit tubing d. provide oral care with
sterile saline solution.
10. The nurse is caring for a client with hemopneumothorax that is being treated with the chest tube
which observation should the nurse immediately report to the health care provider?
a. Small amount of subcutaneous emphysema at the insertion site b. intermittent bubbling in the
water seal chamber
c. continuous bubbling in the suction control chamber
d. 600 mL of blood in the collection chambers in the last two hour
11. A nurse is caring for a client in the intensive care unit and includes the ABCDF bundle in the
client's plan of care what is the bundle of care?
a. This bundle includes the nurse consulting the wound/ostomy nurse when needed
b. this bundle assesses the oxygenation status of the client on mechanical ventilation
c. this bundle ensures adequate nutrition for the client within an intensive care unit
d. this bundle sets standards for the management of clients with complex health
issues
12. The nurse is observing an unlicensed assistive personnel UAPcare for a client with peripheral
artery disease what action by the UAPintervention by the nurse?
a. The UAP Elevates the clients legs on pillows
b. the UAP reminds the client to uncross their legs c. the UAP applies
moisturizer to the client's legs
d. the UAP ambulates the client to the bathroom
13. A nurse is reviewing the electronic health records of clients nearing death to determine if they
may qualify for organ donation which client should the nurse identify as a possible organ donor if
declared deceased?
a. A client who overdosed on IV heroin
b. a client with systemic lupus erythematosus (SLE)
c. a client who was in a motor vehicle accident
