NR341 Complex Health Exam 1 Study Guide –
Critical Care, Cardiac, Respiratory & Emergency
Nursing|Questions with Verified A+ Graded
Rationales Latest Updated 2026
A nurse is educating a client following the insertion of a permanent pacemaker. Which
information should the nurse include in the educational plan? (Select all that apply.)
-Avoid walking through antitheft devices in the doorways of stores
- Handheld metal detectors should not be placed directly over the pacemaker
-Do not drive until cleared by the healthcare provider
-Count your pulse for one minute each morning
Which action should the nurse perform prior to defibrillating a client?
Confirm that everyone is clear of contact with the client and bed
A nurse in an emergency department is assessing a new client. Which finding is the priority for
the nurse to address?
Cyanosis to the skin and mucous membranes
a nurse is preparing to administer heparin sodium 800 units per hour by continuous intravenous
infusion. the pharmacy prepares and delivers the solution labeled heparin sodium 20,000 units
per 250 mL in D5W. at what rate will the nurse set the infusion? __ml/hr
10mL/hr
A client who is intubated and receiving mechanical ventilation is anxious, restless, and
grimacing. Which action should the nurse take?
Try to identify the cause of the distress and provide reassurance.
The nurse is caring for a client that suddenly slumps over and stops breathing. the telemetry
monitor shows the following. the patient does not have a pulse. drag the actions the nurse
should take to the box on the right
-Lie the client flat on their back
-Activate a code response
, -Begin cardiopulmonary resuscitation
-Prepare for defibrillation
A nurse is preparing to administer fentanyl 25 micrograms intravenously. The amount available
is fentanyl 100 micrograms per milliliter. How many milliliters should the nurse administer?
(Round to the nearest tenth.)
0.3 mL
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?
Check the client’s breathing and lung sounds
The nurse is caring for a client on mechanical ventilation. The client becomes agitated when
trying to communicate their needs. What action should the nurse take?
Provide a white board so the client can write their request
A nurse is caring for a client on mechanical ventilation. Which action should the nurse plan to
include in the care of this client to prevent ventilator-associated pneumonia?
Initiate early exercise and mobilization
The nurse is caring for a client with a hemopneumothorax that is being treated with a chest
tube. Which observation should the nurse immediately report to the healthcare provider?
600 milliliters of blood in the collection chamber in the last two hours
The nurse is caring for a client in the intensive care unit and includes the ABCDEF bundle in the
client’s plan of care. What is the purpose of this bundle?
The bundle sets standards for the management of clients with complex health issues
The nurse is observing an unlicensed assistive personnel caring for a client with peripheral
artery disease. Which action by the unlicensed assistive personnel requires intervention by the
nurse?
The unlicensed assistive personnel elevates the client’s legs on pillows
nurse is reviewing the electronic health record of clients nearing death to determine if they may
qualify for organ donation. Which client can the nurse identify as a possible organ donor if
declared deceased?
a client who was in a motor vehicle accident
Critical Care, Cardiac, Respiratory & Emergency
Nursing|Questions with Verified A+ Graded
Rationales Latest Updated 2026
A nurse is educating a client following the insertion of a permanent pacemaker. Which
information should the nurse include in the educational plan? (Select all that apply.)
-Avoid walking through antitheft devices in the doorways of stores
- Handheld metal detectors should not be placed directly over the pacemaker
-Do not drive until cleared by the healthcare provider
-Count your pulse for one minute each morning
Which action should the nurse perform prior to defibrillating a client?
Confirm that everyone is clear of contact with the client and bed
A nurse in an emergency department is assessing a new client. Which finding is the priority for
the nurse to address?
Cyanosis to the skin and mucous membranes
a nurse is preparing to administer heparin sodium 800 units per hour by continuous intravenous
infusion. the pharmacy prepares and delivers the solution labeled heparin sodium 20,000 units
per 250 mL in D5W. at what rate will the nurse set the infusion? __ml/hr
10mL/hr
A client who is intubated and receiving mechanical ventilation is anxious, restless, and
grimacing. Which action should the nurse take?
Try to identify the cause of the distress and provide reassurance.
The nurse is caring for a client that suddenly slumps over and stops breathing. the telemetry
monitor shows the following. the patient does not have a pulse. drag the actions the nurse
should take to the box on the right
-Lie the client flat on their back
-Activate a code response
, -Begin cardiopulmonary resuscitation
-Prepare for defibrillation
A nurse is preparing to administer fentanyl 25 micrograms intravenously. The amount available
is fentanyl 100 micrograms per milliliter. How many milliliters should the nurse administer?
(Round to the nearest tenth.)
0.3 mL
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?
Check the client’s breathing and lung sounds
The nurse is caring for a client on mechanical ventilation. The client becomes agitated when
trying to communicate their needs. What action should the nurse take?
Provide a white board so the client can write their request
A nurse is caring for a client on mechanical ventilation. Which action should the nurse plan to
include in the care of this client to prevent ventilator-associated pneumonia?
Initiate early exercise and mobilization
The nurse is caring for a client with a hemopneumothorax that is being treated with a chest
tube. Which observation should the nurse immediately report to the healthcare provider?
600 milliliters of blood in the collection chamber in the last two hours
The nurse is caring for a client in the intensive care unit and includes the ABCDEF bundle in the
client’s plan of care. What is the purpose of this bundle?
The bundle sets standards for the management of clients with complex health issues
The nurse is observing an unlicensed assistive personnel caring for a client with peripheral
artery disease. Which action by the unlicensed assistive personnel requires intervention by the
nurse?
The unlicensed assistive personnel elevates the client’s legs on pillows
nurse is reviewing the electronic health record of clients nearing death to determine if they may
qualify for organ donation. Which client can the nurse identify as a possible organ donor if
declared deceased?
a client who was in a motor vehicle accident
