NUR 417 Exam with question and well verified answers @2026
Mr E.F. has been admitted with complaints of shortness of breath. The nurse knows that a full
respiratory assessment is necessary. She proceeds with which of the following assessments? (select all
that apply).
a. observing for dyspnea
b. taking the patients temperature
c. counting the respiratory rate
d. obtaining an oxygen saturation
e. auscultating the lungs - ANSWERS✔️💫-a. observing for dyspnea
c. counting the respiratory rate
d. obtaining an oxygen saturation
e. auscultating the lungs
To assess Mr. E.F.'s complaint of shortness of breath thoroughly, the nurse should perform which of the
following assessments? (Select all that apply).
a. Observing for dyspnea: This is important to note the presence and severity of any difficulty in
breathing.
c. Counting the respiratory rate: Assessing the respiratory rate can provide crucial information about the
patient's breathing pattern and effort.
d. Obtaining an oxygen saturation (SpO2) reading: This measures the amount of oxygen in the blood and
is essential in evaluating oxygenation status.
e. Auscultating the lungs: Listening to the lung sounds can reveal any abnormalities such as crackles,
wheezes, or decreased breath sounds. - ANSWERS✔️💫-All of the above
Upon further assessment, you find that the client is a 68 year old male with a past medical history
(PMHX) of type 2 DM, HTN, hyperlipidemia, and CAD. He has had two MIs in the past. His height is 5'9"
and his weight is 270 lb. He is a 30-pack year smoker.
, Based on all of these findings, what medical diagnosis could you anticipate is the cause of the patient's
shortness of breath?
_________________________ - ANSWERS✔️💫-heart failure
The client tells you that he is having difficulty breathing at night but does not notice any swelling in his
feet. Based on this, what type of heart failure do you anticipate the patient is experiencing?
_____________________________________ - ANSWERS✔️💫-left-sided heart failure
In left-sided heart failure (specifically HFpEF), the heart's left ventricle has difficulty relaxing and filling
with blood properly during diastole (when the heart relaxes and fills with blood). This can lead to
increased pressure in the left atrium and subsequently in the pulmonary veins, causing fluid to leak into
the lungs. This fluid accumulation in the lungs leads to symptoms such as difficulty breathing, especially
noticeable when lying down (orthopnea) or during the night (paroxysmal nocturnal dyspnea).
The absence of noticeable swelling in the feet (typically indicative of right-sided heart failure) suggests
that the fluid accumulation and congestion are primarily occurring in the lungs (pulmonary congestion)
rather than in the peripheral tissues.
Based on the client's diagnosis of left-sided heart failure, what tests (including labs) do you anticipate
this patient will need? (Select all that apply).
a) CT Scan
b) HbgA1C
c) BNP
d) EKG
e) Troponin
f) Bilirubin
g) Lipids
h) AST/ALT
i) Albumin
j) CXR
k) ESR
l) ABG - ANSWERS✔️💫-a) CT Scan
Mr E.F. has been admitted with complaints of shortness of breath. The nurse knows that a full
respiratory assessment is necessary. She proceeds with which of the following assessments? (select all
that apply).
a. observing for dyspnea
b. taking the patients temperature
c. counting the respiratory rate
d. obtaining an oxygen saturation
e. auscultating the lungs - ANSWERS✔️💫-a. observing for dyspnea
c. counting the respiratory rate
d. obtaining an oxygen saturation
e. auscultating the lungs
To assess Mr. E.F.'s complaint of shortness of breath thoroughly, the nurse should perform which of the
following assessments? (Select all that apply).
a. Observing for dyspnea: This is important to note the presence and severity of any difficulty in
breathing.
c. Counting the respiratory rate: Assessing the respiratory rate can provide crucial information about the
patient's breathing pattern and effort.
d. Obtaining an oxygen saturation (SpO2) reading: This measures the amount of oxygen in the blood and
is essential in evaluating oxygenation status.
e. Auscultating the lungs: Listening to the lung sounds can reveal any abnormalities such as crackles,
wheezes, or decreased breath sounds. - ANSWERS✔️💫-All of the above
Upon further assessment, you find that the client is a 68 year old male with a past medical history
(PMHX) of type 2 DM, HTN, hyperlipidemia, and CAD. He has had two MIs in the past. His height is 5'9"
and his weight is 270 lb. He is a 30-pack year smoker.
, Based on all of these findings, what medical diagnosis could you anticipate is the cause of the patient's
shortness of breath?
_________________________ - ANSWERS✔️💫-heart failure
The client tells you that he is having difficulty breathing at night but does not notice any swelling in his
feet. Based on this, what type of heart failure do you anticipate the patient is experiencing?
_____________________________________ - ANSWERS✔️💫-left-sided heart failure
In left-sided heart failure (specifically HFpEF), the heart's left ventricle has difficulty relaxing and filling
with blood properly during diastole (when the heart relaxes and fills with blood). This can lead to
increased pressure in the left atrium and subsequently in the pulmonary veins, causing fluid to leak into
the lungs. This fluid accumulation in the lungs leads to symptoms such as difficulty breathing, especially
noticeable when lying down (orthopnea) or during the night (paroxysmal nocturnal dyspnea).
The absence of noticeable swelling in the feet (typically indicative of right-sided heart failure) suggests
that the fluid accumulation and congestion are primarily occurring in the lungs (pulmonary congestion)
rather than in the peripheral tissues.
Based on the client's diagnosis of left-sided heart failure, what tests (including labs) do you anticipate
this patient will need? (Select all that apply).
a) CT Scan
b) HbgA1C
c) BNP
d) EKG
e) Troponin
f) Bilirubin
g) Lipids
h) AST/ALT
i) Albumin
j) CXR
k) ESR
l) ABG - ANSWERS✔️💫-a) CT Scan
