NCLEX EMERGENCY NURSING PRACTICE

NCLEX EMERGENCY NURSING PRACTICE

TEST Prepare for the NCLEX Emergency Nursing Test with flashcards and multiple choice questions, including hints and explanations for each question. Boost your exam readiness

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• The nurse working on a medical unit finds the client unresponsive in the bed.

After establishing the client is not breathing and giving two rescue breaths with a mask, which action should the nurse implement next?

• Check the client for airway obstruction.
• Assess the carotid artery for a pulse.
• Begin chest compressions.
• Call a code via the call light.

Correct Answer: D

• Which behavior by the unlicensed assistant personnel (UAP) who is performing

cardiac compressions during a code warrants immediate intervention by the nurse?

• The UAP has two hands on the upper half of the sternum.
• The UAP notifies the team when getting tired of performing compressions.
• The UAP depresses the sternum 1.5-2 inches during compressions.
• The UAP counts out loud to keep the rhythm of compressions.

Correct Answer: A

• Which is the primary responsibility of the supervising nurse during a code?
• Escort family members from the room.
• Ensure that all roles are being performed.
• Notify the client's health-care provider (HCP) of the event.
• Document what happened in the code.

Correct Answer: B

• The nurse is caring for clients on a telemetry floor. Which client is most likely to

experience sudden cardiac death?

• The client exhibiting uncontrolled atrial fibrillation at a rate of 136 bpm.
• The client exhibiting symptomatic sinus bradycardia who received a

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pacemaker.

• The client exhibiting multifocal premature ventricular contractions.
• The client exhibiting supraventricular tachycardia at a rate of 110 bpm.

Correct Answer: C

• The male client is experiencing a cardiac arrest, and his wife is distraught. Which

intervention should the nurse implement at this time?

• Notify hospital security to keep an eye on the wife.
• Stay with the significant other until the client's minister arrives.
• Ask the UAP to talk to the wife.
• Request the hospital chaplain to come to the station and support the wife.

Correct Answer: D

• Which medication intervention is the most important for the nurse to implement

when functioning as the medication nurse in a code?

• Check the armband against the medication administration record (MAR).
• Administer the medications rapidly and then raise the client's arm.
• Feel for a pulse to make sure the medications are being delivered.
• Document the amount of medication administered and the route.

Correct Answer: B

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