HEART FAILURE WITH ATRIAL FIBRILLATION EXAM QUESTIONS ANSWERED CORRECTLY LATEST
UPDATE 2026
Knowing that the client has two risk factors that cannot be modified, which intervention is most
important for the nurse to include in the clients plan of care? - Answers Complete a focused cardiac
history assessment.
Which assessment finding provides the earliest indication that the client is experiencing right-sided
heart failure? - Answers Peripheral Edema
Based on the electrocardiogram rhythm strip, what intervention should the nurse implement first? -
Answers Obtain a 12 lead ECG.
After the clients cardiac rhythm is confirmed, which action should the nurse implement next? -
Answers Administer a prescribed stat dose of digoxin.
When preparing the client for the echocardiogram, which intervention should the nurse implement? -
Answers Ask the client to lay on their left side during the test.
The nurse prepares a dose of digoxin 0.125 mg IV push. The medication is supplied as 0.25 mg in 2 mL.
How many mL should the nurse prepare to give? - Answers 1 mL
After administration of the prescribed captopril, which assessment finding warrants intervention by
the nurse? - Answers Decrease in baseline blood pressure.
The nurse is monitoring the clients serum electrolytes. Which of the client's serum laboratory values
requires intervention by the nurse? - Answers Potassium 3.0 mEq/L
The client is concerned about how easily they are bruising since they started taking the warfarin.
Which intervention is most important for the nurse to include in the client's plan of care? - Answers
Monitor INR levels every 4-6 weeks.
The nurse observed a family member bringing the client food from home. Which intervention is most
important for the nurse to implement? - Answers Teach the client and his family what foods are low
in sodium.
The client asks the nurse why they have to be weighed every day. The nurse explains that the weight
gain is one of the first signs of retaining fluid. Which intervention is most important for the nurse to
include in the client's plan of care? - Answers Report a gain of 3 pounds in one week
What is the first action that the nurse should implement when entering the client's room? - Answers
Elevate the head of the client's bed
Select additional instructions the nurse should include in the client's teaching plan. SATA - Answers -
Monitor blood pressure prior to administration of digoxin.
-Do not stop taking any prescribed potassium supplements.
-Regular blood draws will be necessary to measure PT and INR.
The client has been taking alpha- adrenergic blocker carvedilol 3.125 mg PO twice daily. Which
interventions are important for the nurse to include in the clients discharge plan? SATA - Answers -
Avoid abrupt transitions to an erect posture
-Take with food, restrict salt and alcohol intake
-Do not quickly discontinue medication
-Do not take extra medicine to make up a missed dose.
The client will be going home on carvedilol 12.5 mg PO twice daily. Choose the most important side
effect for the nurse to include in the discharge teaching and document in the EMR. - Answers Slow
pulse rate
The client is now on furosemide 20 mg PO twice daily. The client is aware that this medication
increases urinary output. Which interventions should be included in the client's discharge teaching?
SATA - Answers -Wear sunblock and long sleeves when out in the sun
-Swollen skin remains indented after being pressed
-Report dry mouth and excessive thirst
What is the most important intervention for the nurse to implement? - Answers Obtain a serum
potassium level
Which of the client's serum laboratory values requires intervention by the nurse - Answers Calcium 16
mg/dL
Which assessment finding provides the earlies indication that the client is experiencing digoxin
toxicity? - Answers Anorexia, nausea, and vomiting.
After treatment with digoxin immune FAB, which of the client's serum laboratory values requires
intervention by the nurse? - Answers Potassium 3.2 mEq.L
UPDATE 2026
Knowing that the client has two risk factors that cannot be modified, which intervention is most
important for the nurse to include in the clients plan of care? - Answers Complete a focused cardiac
history assessment.
Which assessment finding provides the earliest indication that the client is experiencing right-sided
heart failure? - Answers Peripheral Edema
Based on the electrocardiogram rhythm strip, what intervention should the nurse implement first? -
Answers Obtain a 12 lead ECG.
After the clients cardiac rhythm is confirmed, which action should the nurse implement next? -
Answers Administer a prescribed stat dose of digoxin.
When preparing the client for the echocardiogram, which intervention should the nurse implement? -
Answers Ask the client to lay on their left side during the test.
The nurse prepares a dose of digoxin 0.125 mg IV push. The medication is supplied as 0.25 mg in 2 mL.
How many mL should the nurse prepare to give? - Answers 1 mL
After administration of the prescribed captopril, which assessment finding warrants intervention by
the nurse? - Answers Decrease in baseline blood pressure.
The nurse is monitoring the clients serum electrolytes. Which of the client's serum laboratory values
requires intervention by the nurse? - Answers Potassium 3.0 mEq/L
The client is concerned about how easily they are bruising since they started taking the warfarin.
Which intervention is most important for the nurse to include in the client's plan of care? - Answers
Monitor INR levels every 4-6 weeks.
The nurse observed a family member bringing the client food from home. Which intervention is most
important for the nurse to implement? - Answers Teach the client and his family what foods are low
in sodium.
The client asks the nurse why they have to be weighed every day. The nurse explains that the weight
gain is one of the first signs of retaining fluid. Which intervention is most important for the nurse to
include in the client's plan of care? - Answers Report a gain of 3 pounds in one week
What is the first action that the nurse should implement when entering the client's room? - Answers
Elevate the head of the client's bed
Select additional instructions the nurse should include in the client's teaching plan. SATA - Answers -
Monitor blood pressure prior to administration of digoxin.
-Do not stop taking any prescribed potassium supplements.
-Regular blood draws will be necessary to measure PT and INR.
The client has been taking alpha- adrenergic blocker carvedilol 3.125 mg PO twice daily. Which
interventions are important for the nurse to include in the clients discharge plan? SATA - Answers -
Avoid abrupt transitions to an erect posture
-Take with food, restrict salt and alcohol intake
-Do not quickly discontinue medication
-Do not take extra medicine to make up a missed dose.
The client will be going home on carvedilol 12.5 mg PO twice daily. Choose the most important side
effect for the nurse to include in the discharge teaching and document in the EMR. - Answers Slow
pulse rate
The client is now on furosemide 20 mg PO twice daily. The client is aware that this medication
increases urinary output. Which interventions should be included in the client's discharge teaching?
SATA - Answers -Wear sunblock and long sleeves when out in the sun
-Swollen skin remains indented after being pressed
-Report dry mouth and excessive thirst
What is the most important intervention for the nurse to implement? - Answers Obtain a serum
potassium level
Which of the client's serum laboratory values requires intervention by the nurse - Answers Calcium 16
mg/dL
Which assessment finding provides the earlies indication that the client is experiencing digoxin
toxicity? - Answers Anorexia, nausea, and vomiting.
After treatment with digoxin immune FAB, which of the client's serum laboratory values requires
intervention by the nurse? - Answers Potassium 3.2 mEq.L
