A cardiopulmonary resuscitation (CPR) instructor is presenting a health care provider CPR course. The instructor reviews the ABCDs of basic CPR, which

Assessment, balloon pump, circulation, and drugs

Airway, breathing, circulation, and defibrillation

Airway, breathing, cardioversion, and diuretics

Adrenalin, Bumex, Cardizem, and Dobutrex

Answer and Explanation

The Correct Answer is B

A. Airway: Ensure the airway is open.
B. Breathing: Provide rescue breaths if the person is not breathing.
C. Circulation: Begin chest compressions to maintain blood flow.
D. Defibrillation: Use an automated external defibrillator (AED) as soon as it's available, especially in cases of shockable rhythms like ventricular fibrillation.

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Correct Answer is ["A","C","D"]

Explanation

A. Renal function – Requires follow-up: The client’s BUN is 28 mg/dL (high), and creatinine is 1.5 mg/dL (above normal range). This indicates possible renal hypoperfusion or early acute kidney injury due to decreased cardiac output from worsening heart failure. This needs immediate evaluation to prevent further decline in renal function.
B. Cardiac enzymes – Does NOT require follow-up: Troponin T = 0.06 ng/mL and Troponin I = 0.01 ng/mL, both of which are within normal limits. There is no evidence of acute myocardial infarction, so this finding does not require immediate follow-up.
C. BNP – Requires follow-up: BNP is 800 ng/mL (normal < 100 ng/mL), which is markedly elevated. This is a specific indicator of acute decompensated heart failure, requiring urgent treatment such as diuretics, oxygen, and possibly vasodilators.
D. ECG results – Requires follow-up: The client is in atrial fibrillation with rapid ventricular response (RVR) at a rate of 135/min. This rhythm can reduce cardiac output and increase risk for thromboembolic events. It requires rate control or rhythm conversion and anticoagulation evaluation.
E. Neurologic status – Does NOT require follow-up: The client is alert and oriented ×3, follows commands, and has no neurological deficits. This indicates no current neurologic impairment, so this finding is stable and does not need immediate intervention.

A. Increase the head of the bed. B. Place the patient in a recovery position. C. Stop the infusion of the medication. D. Slow down the infusion of the medication.

Correct Answer is C

Explanation

A. Increasing the head of the bed may help ease breathing but does not address the potential cause of the problem.
B. The recovery position is used for unconscious patients to maintain an open airway—not appropriate here.
C. Stopping the infusion of the medication is the first and most critical action. The client is likely experiencing an allergic reaction or anaphylaxis to penicillin, and continuing the drug could worsen symptoms.
D. Slowing the infusion does not prevent further reaction and delays stopping the exposure to the allergen.

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A cardiopulmonary resuscitation (CPR) instructor is presenting a health care provider CPR course. The instructor reviews the ABCDs of basic CPR, which

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Naxlex Comprehensive Predictor Exams

A nurse is admitting a client who has a history of heart failure. Exhibits Check the 3 findings that require immediate follow-up.

Correct Answer is ["A","C","D"]

Explanation

A client is receiving an initial dose of penicillin IV. During the infusion, the client becomes short of breath. What is the first thing the nurse should do?

Correct Answer is C

Explanation

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