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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

When implementing a disaster intervention plan, which intervention should the nurse implement first?

A. Initiate the discharge of stable clients from hospital units

B. Identify a command center where activities are coordinated

C. Assess community safety needs impacted by the disaster

D. Instruct all essential off-duty personnel to report to the facility

Expert Explanatory Rationale

Correct Answer: Identify a command center where activities are coordinated

Question 2 of 5

The charge nurse of a cardiac telemetry unit is assigning client care to a registered nurse (RN) and a practical nurse (PN). Which client should be assigned to the RN?

A. One day after a permanent pacemaker insertion, a client's telemetry monitor shows a pacer rhythm.

B. Two hours after undergoing cardioversion, a client's telemetry monitor shows a normal sinus rhythm.

C. A client started on carvedilol the previous day for heart failure has controlled atrial fibrillation.

D. Four hours after admission, a client with syncope shows complete heart block on the telemetry monitor.

Expert Explanatory Rationale

Correct Answer: Four hours after admission, a client with syncope shows complete heart block on the telemetry monitor.

Question 3 of 5

A client diagnosed with a deep vein thrombus (DVT) followed by a diagnosis of pulmonary embolism (PE) is receiving heparin via an infusion pump at a rate of 1400 u/hour. The client tells the nurse, "I wish this medicine would hurry up and dissolve this clot in my lung so that I can go home". What response is best for the nurse to provide?

A. Heparin prevents further clot formation, but your risk of bleeding needs to be monitored closely

B. You seem to be concerned about the length of time it takes for Heparin to dissolve this clot

C. Let me contact your healthcare provider to discuss the possibility of receiving IV heparin therapy at home

D. Why are you so anxious to leave the hospital when you know you are not well enough yet?

Expert Explanatory Rationale

Correct Answer: Heparin prevents further clot formation, but your risk of bleeding needs to be monitored closely

Question 4 of 5

An adult client with a broken femur is transferred to the medical-surgical unit to await surgical internal fixation after the application of an external traction device to stabilize the leg. An hour after an opioid analgesic was administered, the client reports muscle spasms and pain at the fracture site. While waiting for the client to be transported to surgery, which action should the nurse implement?

A. Observe for signs of deep vein thrombosis.

B. Administer a PRN dose of a muscle relaxant.

C. Check the client's most recent electrolyte values.

D. Reduce the weight on the traction device.

Expert Explanatory Rationale

Correct Answer: Administer a PRN dose of a muscle relaxant.

Question 5 of 5

A client collapses while showering and is found by the nurse while making rounds. The client is not breathing and does not have a palpable pulse. The nurse obtains the Automated External Defibrillator (AED). What action should the nurse implement next?

A. Follow the prompts of the AED

B. Apply the AED pads to the client's chest

C. Wipe the client's chest dry

D. Move the client from the bathroom

Expert Explanatory Rationale

Correct Answer: Apply the AED pads to the client's chest

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