NUR 257 Exam 2
Questions And Correct Verified
Answers New Version 2026 .
26
20
The nurse is interviewing a client during an initial visit at a
cardiologist's office. What symptom will the nurse expect to
find as an early symptom of chronic heart failure?
nocturia
fatigue
s
irregular pulse
am
pedal edema -ANSWER- fatigue
What is the main difference between Class I and Class If heart
failure as defined by the New York Heart Association (NYHA)?
Duration of symptoms
Ex
There is a marked limitation of physical activity.
The client is unable to carry out any physical activity.
The level of physical activity each allows -ANSWER- The level
of physical activity each allows
s
A client with a confirmed DVT is being discharged from
rt
the ED. Which client statement indicates that the client
has received proper nursing instruction and understands
how to manage this condition?
pe
"I should try not to drink too much during the daytime."
"I should lie on my side with my knees bent when sleeping."
"I need to ice my leg every 2 hours for about 20 minutes."
"I need to do my leg exercises five times or more every hour." -
Ex
ANSWER- "I need to do my leg exercises five times or more
every hour."
A nurse is caring for a client who had an aortic balloon
valvuloplasty. The nurse should inspect the surgical
insertion site closely for which complication(s)?
Bleeding and infection
Bleeding and wound dehiscence
Thrombosis and infection
Evisceration -ANSWER- Bleeding and infection
A client who recently had a myocardial infarction develops
, pericarditis and complains of chest pain rated 6 (on a scale of
0-10) with deep breathing. Which ordered pro re nata
medications is most appropriate for the nurse to administer?
Morphine sulfate 6 mg IVP every 2-4 hours
Fentanyl 2 mg intravenous pyelogram (IVP) every 2-4
hours
Acetaminophen 650 mg PO every 4 hours
Ibuprofen 800 mg PO every 8 hours -ANSWER- Ibuprofen 800
mg PO every 8 hours
26
The nurse instructs a client recovering from mechanical
valve replacement surgery. Which client statement
indicates that teaching has been effective?
"I can play soccer in a week or two."
20
"I will not drive until informed by my health care provider."
"I have a low risk of developing an infection in my heart."
"I will not need to take anticoagulant medication every day." -
ANSWER- "I will not drive until informed by my health care
provider."
s
am
A nurse is caring for a client receiving warfarin therapy
following a mechanical valve replacement. The client had a
prothrombin time and International Normalized Ratio (INR)
drawn before breakfast. The laboratory report shows the
client's INR reading was 4. What is the nurse's first priority ?
Ex
Assess the client for bleeding and notify the health care
provider of the results.
Notify the next nurse on afternoon shift to hold the
evening dose of warfarin.
Notify the health care provider to request an increase in
s
the warfarin dose.
rt
Be prepared to administer an I.M. vitamin K injection and
notify the healthcare provider of the results -ANSWER- Assess
the client for bleeding and notify the health care provider of
pe
the results.
The nurse is educating a client about the care related to a
new diagnosis of mitral valve prolapse. What statement
Ex
made by the client demonstrates understanding of the
teaching?
"I will take antibiotics before getting my teeth cleaned."
"I can get my tongue pierced at a store in the shopping
mall."
"I will avoid caffeine, alcohol, and smoking."
"I can get a tattoo at a local parlor." -ANSWER- "I will avoid
caffeine, alcohol, and smoking."
A nurse is caring for a client with aortic stenosis whose
compensatory mechanisms of the heart have begun to
fail. The nurse will monitor the client carefully for which
, initial symptoms?
Dizziness, nausea, diarrhea
Exertional dyspnea, orthopnea, pulmonary edema
Syncope, fever, vomiting
Nausea, vomiting, exertional fatigue -ANSWER Exertional
dyspnea, orthopnea, pulmonary edema
The nurse is assessing a client admitted with infective
endocarditis. Which manifestation would the nurse
expect to find?
26
Bruising on the palms of the hands and soles of the feet
Raised red rash on the trunk and face
Involuntary muscle movements of the extremities
Small painful lesions on the pads of the fingers and toes
20
-ANSWER- Small painful lesions on the pads of the fingers and
toes
During assessment of a client admitted for
cardiomyopathy, the nurse notes the following symptoms:
s
dyspnea on exertion, fatigue, fluid retention, and nausea. The
am
initial appropriate nursing diagnosis is which of the
following?
Ineffective airway clearance
Disturbed sensory perception
Decreased cardiac output
Ex
Autonomic dysreflexia -ANSWER- Decreased cardiac output
s
rt
pe
Ex
, The nurse suspects a client has developed pericarditis after a week fever, chest discomfort, and elevated erythrocyte sedimentation rate (ESR)
of cold-like symptoms. Which of the client's signs and symptoms
indicate pericarditis?
low urine output secondary to left ventricular dysfunction
fever, chest discomfort, and elevated erythrocyte
sedimentation rate (ESR)
pitting edema, chest discomfort, and nonspecific ST-segment
elevation
lethargy, anorexia, and heart failure
A client is admitted to the hospital with aortic stenosis.What Dyspnea, orthopnea, pulmonary edema
26
assessment findings would indicate the
development of left ventricular failure?
Orthopnea, nausea, peddal edema
Distended jugular veins, pedal edema, nausea
20
Dyspnea, orthopnea, pulmonary edema
Dyspnea, distended jugular veins, orthopnea
Which would the nurse stress as a periodic lifelong necessity for Antibiotic therapy
a client managing infective endocarditis?
s
Exercise regimen am
Antihypertensive medication
Potassium replacement
Antibiotic therapy
The nurse is caring for a client who has been diagnosed with aortic left ventricular dysfunction
Ex
stenosis. The client is prescribed digoxin. What is the rationale for the
medication?
left ventricular dysfunction
angina
dyspnea
ts
edema
Echocardiography
r
A client is admitted to the hospital with possible acute pericarditis
and pericardial effusion. The nurse knows to prepare the client for
pe
which diagnostic test to confirm the client's diagnosis?
Computed tomography
Echocardiograpohy
Chest x-ray
Ex
Cardiac catheterization
A client comes to the clinic reporting fever, chills, and sore throat Rheumatic fever
and is diagnosed with streptococcal
pharyngitis. A nurse knows that early diagnosis and
effective treatment is essential to avoid which
preventable disease?
Rheumatic fever
Cardiomyopathy
Pericarditis
Mitral stenosis
Questions And Correct Verified
Answers New Version 2026 .
26
20
The nurse is interviewing a client during an initial visit at a
cardiologist's office. What symptom will the nurse expect to
find as an early symptom of chronic heart failure?
nocturia
fatigue
s
irregular pulse
am
pedal edema -ANSWER- fatigue
What is the main difference between Class I and Class If heart
failure as defined by the New York Heart Association (NYHA)?
Duration of symptoms
Ex
There is a marked limitation of physical activity.
The client is unable to carry out any physical activity.
The level of physical activity each allows -ANSWER- The level
of physical activity each allows
s
A client with a confirmed DVT is being discharged from
rt
the ED. Which client statement indicates that the client
has received proper nursing instruction and understands
how to manage this condition?
pe
"I should try not to drink too much during the daytime."
"I should lie on my side with my knees bent when sleeping."
"I need to ice my leg every 2 hours for about 20 minutes."
"I need to do my leg exercises five times or more every hour." -
Ex
ANSWER- "I need to do my leg exercises five times or more
every hour."
A nurse is caring for a client who had an aortic balloon
valvuloplasty. The nurse should inspect the surgical
insertion site closely for which complication(s)?
Bleeding and infection
Bleeding and wound dehiscence
Thrombosis and infection
Evisceration -ANSWER- Bleeding and infection
A client who recently had a myocardial infarction develops
, pericarditis and complains of chest pain rated 6 (on a scale of
0-10) with deep breathing. Which ordered pro re nata
medications is most appropriate for the nurse to administer?
Morphine sulfate 6 mg IVP every 2-4 hours
Fentanyl 2 mg intravenous pyelogram (IVP) every 2-4
hours
Acetaminophen 650 mg PO every 4 hours
Ibuprofen 800 mg PO every 8 hours -ANSWER- Ibuprofen 800
mg PO every 8 hours
26
The nurse instructs a client recovering from mechanical
valve replacement surgery. Which client statement
indicates that teaching has been effective?
"I can play soccer in a week or two."
20
"I will not drive until informed by my health care provider."
"I have a low risk of developing an infection in my heart."
"I will not need to take anticoagulant medication every day." -
ANSWER- "I will not drive until informed by my health care
provider."
s
am
A nurse is caring for a client receiving warfarin therapy
following a mechanical valve replacement. The client had a
prothrombin time and International Normalized Ratio (INR)
drawn before breakfast. The laboratory report shows the
client's INR reading was 4. What is the nurse's first priority ?
Ex
Assess the client for bleeding and notify the health care
provider of the results.
Notify the next nurse on afternoon shift to hold the
evening dose of warfarin.
Notify the health care provider to request an increase in
s
the warfarin dose.
rt
Be prepared to administer an I.M. vitamin K injection and
notify the healthcare provider of the results -ANSWER- Assess
the client for bleeding and notify the health care provider of
pe
the results.
The nurse is educating a client about the care related to a
new diagnosis of mitral valve prolapse. What statement
Ex
made by the client demonstrates understanding of the
teaching?
"I will take antibiotics before getting my teeth cleaned."
"I can get my tongue pierced at a store in the shopping
mall."
"I will avoid caffeine, alcohol, and smoking."
"I can get a tattoo at a local parlor." -ANSWER- "I will avoid
caffeine, alcohol, and smoking."
A nurse is caring for a client with aortic stenosis whose
compensatory mechanisms of the heart have begun to
fail. The nurse will monitor the client carefully for which
, initial symptoms?
Dizziness, nausea, diarrhea
Exertional dyspnea, orthopnea, pulmonary edema
Syncope, fever, vomiting
Nausea, vomiting, exertional fatigue -ANSWER Exertional
dyspnea, orthopnea, pulmonary edema
The nurse is assessing a client admitted with infective
endocarditis. Which manifestation would the nurse
expect to find?
26
Bruising on the palms of the hands and soles of the feet
Raised red rash on the trunk and face
Involuntary muscle movements of the extremities
Small painful lesions on the pads of the fingers and toes
20
-ANSWER- Small painful lesions on the pads of the fingers and
toes
During assessment of a client admitted for
cardiomyopathy, the nurse notes the following symptoms:
s
dyspnea on exertion, fatigue, fluid retention, and nausea. The
am
initial appropriate nursing diagnosis is which of the
following?
Ineffective airway clearance
Disturbed sensory perception
Decreased cardiac output
Ex
Autonomic dysreflexia -ANSWER- Decreased cardiac output
s
rt
pe
Ex
, The nurse suspects a client has developed pericarditis after a week fever, chest discomfort, and elevated erythrocyte sedimentation rate (ESR)
of cold-like symptoms. Which of the client's signs and symptoms
indicate pericarditis?
low urine output secondary to left ventricular dysfunction
fever, chest discomfort, and elevated erythrocyte
sedimentation rate (ESR)
pitting edema, chest discomfort, and nonspecific ST-segment
elevation
lethargy, anorexia, and heart failure
A client is admitted to the hospital with aortic stenosis.What Dyspnea, orthopnea, pulmonary edema
26
assessment findings would indicate the
development of left ventricular failure?
Orthopnea, nausea, peddal edema
Distended jugular veins, pedal edema, nausea
20
Dyspnea, orthopnea, pulmonary edema
Dyspnea, distended jugular veins, orthopnea
Which would the nurse stress as a periodic lifelong necessity for Antibiotic therapy
a client managing infective endocarditis?
s
Exercise regimen am
Antihypertensive medication
Potassium replacement
Antibiotic therapy
The nurse is caring for a client who has been diagnosed with aortic left ventricular dysfunction
Ex
stenosis. The client is prescribed digoxin. What is the rationale for the
medication?
left ventricular dysfunction
angina
dyspnea
ts
edema
Echocardiography
r
A client is admitted to the hospital with possible acute pericarditis
and pericardial effusion. The nurse knows to prepare the client for
pe
which diagnostic test to confirm the client's diagnosis?
Computed tomography
Echocardiograpohy
Chest x-ray
Ex
Cardiac catheterization
A client comes to the clinic reporting fever, chills, and sore throat Rheumatic fever
and is diagnosed with streptococcal
pharyngitis. A nurse knows that early diagnosis and
effective treatment is essential to avoid which
preventable disease?
Rheumatic fever
Cardiomyopathy
Pericarditis
Mitral stenosis
