NCLEX-RN
Cardiovascular System NCLEX RN Questions Questions
Extract:
The following scenario applies to the next 1 items
The nurse in the intensive care unit (ICU) is caring for 58-year-old male client
Item 1 of 1
Medical History Vital Signs Medication Administration Record
• atrial fibrillation
• chronic obstructive pulmonary disease
• hyperlipidemia
• chronic back pain
Question 1 of 5
Based on the 2000 vital signs, select two (2) immediate actions the nurse should take for a client with atrial fibrillation, COPD, hyperlipidemia, and chronic back pain.
Stop the diltiazem infusion |
Apply supplemental oxygen via nonrebreather face mask |
Stop the 0.9% saline infusion |
Notify the primary healthcare provider |
Assess the client for back pain |
Request a prescription to change the intravenous fluids to hypertonic saline |
Correct Answer: B,D
Rationale: Supplemental oxygen addresses potential hypoxia from COPD or atrial fibrillation complications. D: Correct - Notifying the provider ensures timely management of abnormal vital signs. A, C, E, F: Incorrect - No vital sign data suggests stopping infusions, assessing back pain, or changing to hypertonic saline.
Extract:
Question 2 of 5
Correct Answer:
Rationale:
Question 3 of 5
Correct Answer:
Rationale:
Question 4 of 5
Correct Answer:
Rationale:
Question 5 of 5
Correct Answer:
Rationale: