RN Comprehensive Predictor 2026 Proctored Exam V2
Select All That Apply
Click to highlight the findings that require immediate follow-up: • Sudden onset of dyspnea and chest discomfort — Immediate follow-up ✓ • "I just feel like something is really wrong" — Immediate follow-up ✓ • Tachypneic, appears in distress — Immediate follow-up ✓ • Crackles in bilateral lungs — Immediate follow-up ✓ • S3 and S4 heart sounds — Immediate follow-up ✓ • Temperature 38.9° C, Heart rate 112, RR 34, O2 sat 92% — Immediate follow-up ✓ • Surgical site dressed, dry, and intact — Expected finding
Explanation & Rationale
The client's sudden dyspnea, chest discomfort, tachycardia, tachypnea, fever, decreased O2 saturation, crackles, and S3/S4 heart sounds represent acute cardiorespiratory decompensation. The client's own statement of "something is really wrong" reflects clinical intuition that must be taken seriously. The clean surgical site is the only reassuring finding.
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