NR341 COMPLEX ADULT HEALTH EXAM 2 | COMPLETE QUESTIONS
WITH EXPERT SOLUTIONS | 2026 LATEST UPDATED | GET A+
An alarm sounds at the central monitor station showing what appears to be VENTRICULAR
TACHYCARDIA in this client. What action should the nurse do first? - (answer)Check client
and lead placement
Which rhythm characteristic would a nurse expect for a client with ATRIAL FIBRILLATION? -
(answer)An irregular interval between each QRS
A nurse is caring for a post-operate client that has elevated levels of serum lactate. The nurse
recognizes which complication is developing in this client? - (answer)Tissue hypoxia
A catheter is inserted in the right radial artery to monitor the client's blood pressure. Which
assessment finding indicates that a complication of arterial pressure monitoring
is occurring? - (answer)The right hand is numb and pale
A client with a full code status develops ventricular fibrillation. Which action would be
appropriate for the nurse to delegate to an unlicensed assistant personnel (UAP) during
the code? - (answer)Bring crash cart in the coding client's room
,Which hemodynamic parameter should the nurse expect in a client who is experiencing
Gastrointestinal (GI) bleeding? - (answer)Decreased CVP reading
A nurse is taking care of a client with a severe case of diarrhea. The client has low CVP
readings. Based on this information, which order should the nurse anticipate? - (answer)Packed
RBC transfusion
As the nurse enters the room the monitor alarms showing ventricular tachycardia. The
nurse assesses the client and notes there is a pulse . What should the nurse anticipate as
the next action for this client? - (answer)administer amiodarone
A client has atrial fibrillation. What drug does the nurse anticipate will be prescribed to prevent a
stroke? - (answer)Warfarin
a nurse is caring for a cleint with bp 82/46 and sinus tachy - (answer)administer fluid IV bolus
normal saline or metoprolol
A client with septic shock has a central venous pressure reading (CVP) of 1 mm Hg . Which of
these healthcare provider orders would the nurse anticipate? - (answer)Increase the normal saline
rate to 150 ml/hour
,identify atrial flutter strip - (answer)....
Which is the best nursing practice to manage code documentation? - (answer)Preferably all code
events ae documented during the code
or
Document all events immediately after the code is complete
The nurse is reviewing an ECG rhythm strip. The P waves and QRS complex are regular .
The PR interval is 0.28 second and the QRS complexes measure 0.06 second . The heart
rate is 64 beats/minute. Which rhythm would be the correct interpretation? - (answer)First
Degree AV Block
The nurse demonstrates understanding of the relationship of clinical symptoms to
preload when making which statement? - (answer)"Cough and crackles following a fluid bolus
indicates elevated preload"
The nurse notices that the client has a first-degree AV block. Everything else about the
, rhythm is normal. What should the nurse do? - (answer)Monitor the rhythm and the client's
condition
A client with septic shock has hemodynamic monitoring in place. What finding would
the nurse expect to see in this client? - (answer)Hypotension
The nurse evaluates that fluid resuscitation in the septic client is effective when which
finding is present? - (answer)Urine output is at least 30 ml/hour
Which assessment finding may indicate that a client has Obstructive shock? - (answer)Tracheal
deviation and diminished breath sounds
The nurse anticipates which central venous pressure reading (CVP) for a client with
heart failure? - (answer)CVP reading of 10 mm Hg
The nurse notes the pulmonary artery occlusive pressure (PAP) to be significantly higher
than previously recorded values. The client's respiration rate is 16 breaths/minute and
the oxygen saturation 98% on 3L nasal cannula. What is the first priority nursing action? -
(answer)Level and zero reference the transducer at the phlebostatic axis
WITH EXPERT SOLUTIONS | 2026 LATEST UPDATED | GET A+
An alarm sounds at the central monitor station showing what appears to be VENTRICULAR
TACHYCARDIA in this client. What action should the nurse do first? - (answer)Check client
and lead placement
Which rhythm characteristic would a nurse expect for a client with ATRIAL FIBRILLATION? -
(answer)An irregular interval between each QRS
A nurse is caring for a post-operate client that has elevated levels of serum lactate. The nurse
recognizes which complication is developing in this client? - (answer)Tissue hypoxia
A catheter is inserted in the right radial artery to monitor the client's blood pressure. Which
assessment finding indicates that a complication of arterial pressure monitoring
is occurring? - (answer)The right hand is numb and pale
A client with a full code status develops ventricular fibrillation. Which action would be
appropriate for the nurse to delegate to an unlicensed assistant personnel (UAP) during
the code? - (answer)Bring crash cart in the coding client's room
,Which hemodynamic parameter should the nurse expect in a client who is experiencing
Gastrointestinal (GI) bleeding? - (answer)Decreased CVP reading
A nurse is taking care of a client with a severe case of diarrhea. The client has low CVP
readings. Based on this information, which order should the nurse anticipate? - (answer)Packed
RBC transfusion
As the nurse enters the room the monitor alarms showing ventricular tachycardia. The
nurse assesses the client and notes there is a pulse . What should the nurse anticipate as
the next action for this client? - (answer)administer amiodarone
A client has atrial fibrillation. What drug does the nurse anticipate will be prescribed to prevent a
stroke? - (answer)Warfarin
a nurse is caring for a cleint with bp 82/46 and sinus tachy - (answer)administer fluid IV bolus
normal saline or metoprolol
A client with septic shock has a central venous pressure reading (CVP) of 1 mm Hg . Which of
these healthcare provider orders would the nurse anticipate? - (answer)Increase the normal saline
rate to 150 ml/hour
,identify atrial flutter strip - (answer)....
Which is the best nursing practice to manage code documentation? - (answer)Preferably all code
events ae documented during the code
or
Document all events immediately after the code is complete
The nurse is reviewing an ECG rhythm strip. The P waves and QRS complex are regular .
The PR interval is 0.28 second and the QRS complexes measure 0.06 second . The heart
rate is 64 beats/minute. Which rhythm would be the correct interpretation? - (answer)First
Degree AV Block
The nurse demonstrates understanding of the relationship of clinical symptoms to
preload when making which statement? - (answer)"Cough and crackles following a fluid bolus
indicates elevated preload"
The nurse notices that the client has a first-degree AV block. Everything else about the
, rhythm is normal. What should the nurse do? - (answer)Monitor the rhythm and the client's
condition
A client with septic shock has hemodynamic monitoring in place. What finding would
the nurse expect to see in this client? - (answer)Hypotension
The nurse evaluates that fluid resuscitation in the septic client is effective when which
finding is present? - (answer)Urine output is at least 30 ml/hour
Which assessment finding may indicate that a client has Obstructive shock? - (answer)Tracheal
deviation and diminished breath sounds
The nurse anticipates which central venous pressure reading (CVP) for a client with
heart failure? - (answer)CVP reading of 10 mm Hg
The nurse notes the pulmonary artery occlusive pressure (PAP) to be significantly higher
than previously recorded values. The client's respiration rate is 16 breaths/minute and
the oxygen saturation 98% on 3L nasal cannula. What is the first priority nursing action? -
(answer)Level and zero reference the transducer at the phlebostatic axis
