Nclex PN Questions and Answers - Nurselytic

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Nclex PN Questions and Answers Questions

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Question 1 of 5

A nurse on the night shift is making client rounds. When the nurse checks a client who is 97 years old and has successfully been treated for heart failure, he notes that the client is not breathing. If the client does not have a do-not-resuscitate (DNR) order, the nurse should take which action?

Correct Answer: A

Rationale: Administering cardiopulmonary resuscitation (CPR) is the appropriate action when a client is not breathing and does not have a do-not-resuscitate (DNR) order. CPR is considered an emergency treatment that can be provided without client consent in life-threatening situations. Calling the health care provider or nursing supervisor for directions, as well as administering oxygen without addressing the lack of breathing, would delay critical life-saving interventions.
Therefore, administering CPR is the most urgent and necessary action to perform in this scenario.

Question 2 of 5

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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