NR341 Exam 1 Study Guide – Palliative Care, Cardiac Rhythms,
Respiratory Failure & Nursing Priorities|Verified Questions
Provided with A+ Graded Rationales Latest Updated 2026
A nurse is providing education to a client about palliative care. Which statement by the client
indicates a need for further teaching?
Palliative care means I will not make it more than 6 more months.
A nurse is giving a change-of-shift report using ISBAR to the oncoming nurse about a client with
a traumatic brain injury. Which information should the nurse include in the background
segment of ISBAR?
Pertinent medical history or code status
The nurse is caring for a client when the monitor alarms with the heart rhythm shown below
place the nursing actions in priority order
1. Assess for responsiveness
2. Check the client's carotid pulse
3. Call a code blue
4. Begin chest compressions
5. Provide 2 breaths per 30 compression
A nurse is caring for a client with a permanent peacemaker. Click on the letter that represent
the client's atrial pacer spike Select your answer by clicking the desired location on the image
below
C
A nurse provided education for a client with end-stage cancer transitioning to palliative care.
Which statement made by the client indicates the need for further education?
The new treatments for my cancer will be available soon so I can stop palliative care.
The nurse is caring for several clients at risk for hypercapnic respiratory failure. After bedside
shift report on the clients, which client should the nurse see first?
A client with chronic obstructive pulmonary disease (COPD) who has intercostal retractions
, A nurse is caring for a client immediately following a cardiac catheterization with a femoral
puncture. Which nursing action(s) should be included in the client's plan of care? Select all that
apply
-Keep the client's hip and leg straight
-Check peripheral pulses in the affected extremity
A nurse is caring for a client and notes the rhythm below on the cardiac monitor. For which
medication does the nurse anticipate receiving a prescription
Adenosine - SVT (Adenosine IVP 1mg 2-3 secs/ NS flush followed by 6mg and then 12mg 2
mins apart)
NURSING NOTE
Upon assessment, of donna miller the client's breathing is labored, with accessory muscle use
noted. Lung sounds diminished bilaterally with crackles auscultated in the right lower lobe,
clubbing prominent on fingers, skin warm to touch yet pale, pulses 3+ and regular, and capillary
refill is 3 seconds. The client is lethargic but alert and oriented to person and place. She cannot
verbalize the current situation or time of day and follows verbal commands but with delayed
responses. Right forearm 20-gauge intravenous catheter in place and saline locked
- Clubbing presence
- Vital signs
- Client orientation
- Lung sounds
- Cough with green sputum
Blank
blank
Review the electronic health record. For each assessment finding below, click to specify if the
finding is consistent with the disease process of pneumonia or COPD exacerbation. Each finding
may support more than one (1) disease process
pneumonia
-temp, green thick sputum, diminished lungs sounds bilaterally, labored breathing, heart rate
124 bpm, resp 32 breaths per min, SPO2 64% on 15 L/min via non rebreather
COPD
-diminished lung sounds bilaterally, labored breathing, HR 124 BPM, respirations 32 Bpm, SPO2
64% on 15 L/min non - rebreather
Respiratory Failure & Nursing Priorities|Verified Questions
Provided with A+ Graded Rationales Latest Updated 2026
A nurse is providing education to a client about palliative care. Which statement by the client
indicates a need for further teaching?
Palliative care means I will not make it more than 6 more months.
A nurse is giving a change-of-shift report using ISBAR to the oncoming nurse about a client with
a traumatic brain injury. Which information should the nurse include in the background
segment of ISBAR?
Pertinent medical history or code status
The nurse is caring for a client when the monitor alarms with the heart rhythm shown below
place the nursing actions in priority order
1. Assess for responsiveness
2. Check the client's carotid pulse
3. Call a code blue
4. Begin chest compressions
5. Provide 2 breaths per 30 compression
A nurse is caring for a client with a permanent peacemaker. Click on the letter that represent
the client's atrial pacer spike Select your answer by clicking the desired location on the image
below
C
A nurse provided education for a client with end-stage cancer transitioning to palliative care.
Which statement made by the client indicates the need for further education?
The new treatments for my cancer will be available soon so I can stop palliative care.
The nurse is caring for several clients at risk for hypercapnic respiratory failure. After bedside
shift report on the clients, which client should the nurse see first?
A client with chronic obstructive pulmonary disease (COPD) who has intercostal retractions
, A nurse is caring for a client immediately following a cardiac catheterization with a femoral
puncture. Which nursing action(s) should be included in the client's plan of care? Select all that
apply
-Keep the client's hip and leg straight
-Check peripheral pulses in the affected extremity
A nurse is caring for a client and notes the rhythm below on the cardiac monitor. For which
medication does the nurse anticipate receiving a prescription
Adenosine - SVT (Adenosine IVP 1mg 2-3 secs/ NS flush followed by 6mg and then 12mg 2
mins apart)
NURSING NOTE
Upon assessment, of donna miller the client's breathing is labored, with accessory muscle use
noted. Lung sounds diminished bilaterally with crackles auscultated in the right lower lobe,
clubbing prominent on fingers, skin warm to touch yet pale, pulses 3+ and regular, and capillary
refill is 3 seconds. The client is lethargic but alert and oriented to person and place. She cannot
verbalize the current situation or time of day and follows verbal commands but with delayed
responses. Right forearm 20-gauge intravenous catheter in place and saline locked
- Clubbing presence
- Vital signs
- Client orientation
- Lung sounds
- Cough with green sputum
Blank
blank
Review the electronic health record. For each assessment finding below, click to specify if the
finding is consistent with the disease process of pneumonia or COPD exacerbation. Each finding
may support more than one (1) disease process
pneumonia
-temp, green thick sputum, diminished lungs sounds bilaterally, labored breathing, heart rate
124 bpm, resp 32 breaths per min, SPO2 64% on 15 L/min via non rebreather
COPD
-diminished lung sounds bilaterally, labored breathing, HR 124 BPM, respirations 32 Bpm, SPO2
64% on 15 L/min non - rebreather
