NCLEX-RN
Exam for RN Cardiovascular NCLEX Exam Questions
Extract:
The following scenario applies to the next 1 items
The nurse cares for a client admitted for a myocardial infarction
Item 1 of 1
Nurses' Note
0800 - Client was found in bed pale and diaphoretic, stating, I do not feel well. Approximately two minutes later, the cardiac monitor showed ventricular tachycardia. Upon assessment, the client became unresponsive and did not have a pulse.
Question 1 of 5
For each potential intervention, click to specify if it is essential or contraindicated: A. Call a code blue, B. Cardiovert the client, C. Defibrillate the client, D. Anticipate a prescription for intravenous digoxin, E. Perform chest compressions
| Intervention | Essential | Contraindicated |
|---|---|---|
| Call a code blue | ||
| Cardiovert the client | ||
| Defibrillate the client | ||
| Anticipate a prescription for intravenous digoxin | ||
| Perform chest compressions |
Correct Answer: A,C,E
Rationale: A: Essential - Calling a code blue activates the emergency response team for immediate intervention. B: Contraindicated - Cardioversion is used for synchronized shocks in stable rhythms like atrial fibrillation, not for pulseless ventricular tachycardia. C: Essential - Defibrillation is the treatment for pulseless ventricular tachycardia to restore a viable rhythm. D: Contraindicated - Digoxin is not used in acute cardiac arrest; it is for heart failure or rate control in arrhythmias. E: Essential - Chest compressions are required in pulseless clients as part of CPR.
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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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