Practice Question
It is 0730 and the start of a new shift. The nurse has entered the client's room and finds them unresponsive, with no respirations and no pulse. The nurse was told in report that the client is a full code. What will the nurse do?
Answer Choices:
Correct Answer:
Call out for help, release the CPR button on the bed, and start with chest compressions.
Rationale:
💓In a full code patient who is unresponsive, pulseless, and apneic, the priority is to activate emergency response and immediately begin high-quality chest compressions.
💓Current AHA guidelines emphasize starting with chest compressions (CAB: Compressions, Airway, Breathing) rather than airway or breathing first.
💓The correct compression rate is 100–120 compressions per minute, not 80–100, to maintain adequate perfusion.
💓Confirming code status at the nurse’s station wastes valuable time and delays life-saving care.
💓Rescue breathing without compressions is ineffective in the absence of a pulse.
💓Pressing the CPR/Code button (or calling for help) ensures additional staff and equipment arrive promptly while compressions maintain circulation.
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This question is from NUR 195 FINAL Summer 25 Detroit A which contains 66 questions.
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Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: 💎Examplify-PN
- Domain: 🔔 Fundamentals of Nursing-PN
- Answer Choices: 4