NCSBN Practice Questions with correct answers

A client is admitted with a diagnosis of myocardial infarction (MI) and reports having chest pain. The nurse provides care based on the knowledge that pain associated with an MI is related to which of the following findings? A. Insufficient oxygenation of the cardiac muscle B. Fluid volume excess C. Arrhythmia D. An electrolyte imbalance - Answer A Due to ischemia of the heart muscle, the client will experience pain. This happens because destroyed myocardial tissue can block or interfere with the normal cardiac circulation. Decentralized scheduling is used on a nursing unit. What is the advantage of this management strategy? A. Conserves time spent on planning B. Considers client and staff needs C. Frees the nurse manager to handle other priorities D. Allows requests for special privileges - Answer B Decentralized staffing takes into consideration specific client needs and staff abilities and interests. This means the staffing is decided on the lowest level which is at the unit level. Upon entering an adult client's room, the client is found to be unresponsive. After calling for help, what is the next action that should be taken by the nurse? A. Give two rescue breaths B. Deliver five abdominal thrusts