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Physiological Adaptation · Multiple choice · Take action

The monitor shows ventricular fibrillation and the client is unresponsive with no pulse. What should the nurse do first?

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Correct answer: B

VF is a shockable rhythm. High-quality CPR and early defibrillation are the most important interventions. Drugs follow.

Source: AHA. Guidelines for CPR and ECC (adult cardiac arrest)

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This question is one of 162 Physiological Adaptation items in NCLEXSim. On the NCLEX-RN, this category makes up 11–17% of the exam.

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Study tip
  • Study emergencies as a sequence: what you see, what it means, what you do first (DKA, sepsis, stroke, PE, anaphylaxis, tension pneumothorax).
  • Review fluid and electrolyte imbalances by their ECG and neuromuscular signs (peaked T waves, Chvostek and Trousseau signs).

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