{"id":5433,"date":"2025-03-27T00:35:00","date_gmt":"2025-03-27T08:35:00","guid":{"rendered":"https:\/\/www.osmosis.org\/blog\/?p=5433"},"modified":"2026-03-20T13:49:48","modified_gmt":"2026-03-20T21:49:48","slug":"nclex-question-of-the-day-mi-unresponsive","status":"publish","type":"post","link":"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-mi-unresponsive","title":{"rendered":"NCLEX-RN\u00ae Question of the Day:\u00a0MI unresponsive"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_80 ez-toc-wrap-center counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">In This Article<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-mi-unresponsive\/#The_correct_answer_to_todays_NCLEX-RN%C2%AE_question_is%E2%80%A6\" >The correct answer to today\u2019s NCLEX-RN\u00ae question is\u2026<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-mi-unresponsive\/#Major_Takeaway\" >Major Takeaway<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-mi-unresponsive\/#Incorrect_Answer_Explanations\" >Incorrect Answer Explanations<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-mi-unresponsive\/#Want_to_learn_more_about_this_topic\" >Want to learn more about this topic?<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n\n<p class=\"wp-block-paragraph\"><strong>Prepare for your NCLEX-RN\u00ae exam with a clinical question about what actions this nurse should take first to help restore the patient&#8217;s cardiac rhythm!<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The nurse in the emergency department is caring for a client who recently suffered a myocardial infarction. When the nurse enters the client\u2019s room, they see the following rhythm on the cardiac monitor, and the client is unresponsive without a palpable carotid pulse. <\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"791\" height=\"656\" src=\"https:\/\/hm-healthdigital-multisite.go-vip.net\/osmosisblog\/wp-content\/uploads\/sites\/2\/2025\/02\/image_f5156f.png\" alt=\"An EKG monitor showing no activity.\" class=\"wp-image-5434\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2025\/02\/image_f5156f.png 791w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2025\/02\/image_f5156f.png?resize=300,249 300w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2025\/02\/image_f5156f.png?resize=768,637 768w\" sizes=\"auto, (max-width: 791px) 100vw, 791px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Which action should the nurse take <em><strong>first<\/strong><\/em>?\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A. Lower the head of the bed<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B. Establish intravenous access<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C. Notify the client\u2019s family members<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>D. Perform synchronized cardioversion<\/strong><\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\"><em>Scroll down for the correct answer!<\/em><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"The_correct_answer_to_todays_NCLEX-RN%C2%AE_question_is%E2%80%A6\"><\/span>The correct answer to today\u2019s NCLEX-RN\u00ae question is\u2026<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A. Lower the head of the bed<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:<\/strong> This client requires cardiopulmonary resuscitation (CPR) to restore a perfusing cardiac rhythm. To perform effective CPR, the nurse should first lower the head of the bed so the client is flat.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Major_Takeaway\"><\/span>Major Takeaway<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Cardiac arrest occurs when the heart suddenly stops pumping blood throughout the body. One type of cardiac arrest is asystole or cardiac flatline, where there is a total absence of electrical and mechanical activity in the heart. Priority nursing goals for the client in asystole include performing interventions to restore a perfusing heart rhythm. The nurse should first assess the client\u2019s pulse and respiration. If no pulse is felt within 10 seconds, the nurse should call for assistance and begin cardiopulmonary resuscitation (CPR). CPR consists of high-quality chest compressions at a rate of 100-120 per minute and rescue breathing via bag-mask ventilation with 100% oxygen. Epinephrine 1 mg may be administered every 2-4 minutes intravenously. Because this client requires CPR, the initial step the nurse should take is lowering the head of the bed in order to perform high-quality chest compressions. Intravenous access can be established once CPR is established. Family members can be notified after the event is over. Synchronized cardioversion is not indicated for asystole.&nbsp;&nbsp;&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"718\" height=\"365\" src=\"https:\/\/hm-healthdigital-multisite.go-vip.net\/osmosisblog\/wp-content\/uploads\/sites\/2\/2025\/02\/image_3a90c0.png\" alt=\"Call for assistance\nChest compresssions\nAssess for ROSC\nPresence of pulse\nMeasurable BP\nOther team members:\nAdminister 100% oxygen\nBag-mask ventilation\nAdminister Epinephrine\nIntubate\nIdentifies and treats underlying cause\" class=\"wp-image-5435\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2025\/02\/image_3a90c0.png 718w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2025\/02\/image_3a90c0.png?resize=300,153 300w\" sizes=\"auto, (max-width: 718px) 100vw, 718px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Incorrect_Answer_Explanations\"><\/span>Incorrect Answer Explanations<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B. Establish intravenous access<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Rationale: Intravenous access should be established quickly so that medications may be administered. However, this is not the priority action.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C. Notify the client\u2019s family members<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Rationale: Although notifying the client\u2019s family members is important, it is not the priority action at this time.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>D. Perform synchronized cardioversion<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Rationale: Synchronized cardioversion is indicated to treat abnormally fast heart rhythms, like atrial fibrillation. Synchronized cardioversion is not indicated to treat asystole; therefore, it is not the priority action at this time.<\/p>\n\n\n\n<h3 class=\"wp-block-heading has-text-align-left\"><span class=\"ez-toc-section\" id=\"Want_to_learn_more_about_this_topic\"><\/span>Want to learn more about this topic?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"has-text-align-left wp-block-paragraph\"><strong>Watch the Osmosis video: <a href=\"https:\/\/www.osmosis.org\/learn\/Myocardial_infarction_(MI):_Nursing_Process_(ADPIE)\">Myocardial infarction (MI): Nursing process (ADPIE)<\/a><\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image\"><a href=\"https:\/\/www.osmosis.org\/plans\/rn\"><img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"250\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/08\/ACE-NCLEX-RN-banner.png?w=700\" alt=\"\" class=\"wp-image-252\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/08\/ACE-NCLEX-RN-banner.png 700w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/08\/ACE-NCLEX-RN-banner.png?resize=300,107 300w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/><\/a><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><em>Want more NCLEX\u00ae-style practice questions? Try Osmosis today! Access your&nbsp;<a href=\"https:\/\/www.osmosis.org\/login?type=create\" target=\"_blank\" rel=\"noreferrer noopener\">free trial<\/a>&nbsp;and find out why millions of current and future clinicians and caregivers love learning with us<\/em><\/strong>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Get ready for your NCLEX-RN\u00ae exam by understanding the critical actions to take during a myocardial infarction. Discover the priority steps for restoring a patient&#8217;s cardiac rhythm after a myocardial infarction, including performing CPR and managing the emergency situation effectively.<\/p>\n","protected":false},"author":279,"featured_media":5436,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[20,29,1367,32],"tags":[367,368,369,371,366,283,245,370,149,372],"class_list":["post-5433","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-exam-prep","category-nclex","category-nclex-rn","category-nursing","tag-cardiac-arrest","tag-cpr","tag-emergency-nursing","tag-heart-rhythm","tag-myocardial-infarction","tag-nclex","tag-nursing-education","tag-nursing-priorities","tag-patient-care","tag-resuscitation"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>NCLEX-RN\u00ae Question of the Day:\u00a0MI unresponsive - Osmosis Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-mi-unresponsive\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"NCLEX-RN\u00ae Question of the Day:\u00a0MI unresponsive - Osmosis Blog\" \/>\n<meta property=\"og:description\" content=\"Get ready for your NCLEX-RN\u00ae exam by understanding the critical actions to take during a myocardial infarction. 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