NSG 3850 EXAM 4 FINAL WITH
QUESTIONS AND CORRECT
ANSWER’S 2026
,1. A nurse is assessing a client with heart failure. Which finding requires immediate
interven on?
A. Bilateral ankle edema
B. Weight gain of 1 kg (2.2 lb) in 24 hours
C. Crackles with severe dyspnea at rest
D. Fa gue during ac vity
Correct Answer: C. Crackles with severe dyspnea at rest
Ra onale: Severe dyspnea and crackles may indicate acute pulmonary edema and require
immediate interven on to support oxygena on.
2. Which assessment finding is most consistent with le -sided heart failure?
A. Hepatomegaly
B. Jugular venous disten on
C. Pulmonary crackles
D. Ascites
Correct Answer: C. Pulmonary crackles
Ra onale: Le -sided heart failure causes blood to back up into the pulmonary circula on,
producing pulmonary conges on and crackles.
3. A client receiving furosemide should be monitored closely for which electrolyte imbalance?
A. Hyperkalemia
B. Hypokalemia
C. Hypercalcemia
D. Hypermagnesemia
Correct Answer: B. Hypokalemia
Ra onale: Loop diure cs increase potassium excre on and can cause hypokalemia.
4. Which finding should a nurse report before administering digoxin?
A. Respiratory rate of 18/min
B. Blood pressure of 130/76 mm Hg
,C. Apical pulse of 52/min
D. Temperature of 37°C (98.6°F)
Correct Answer: C. Apical pulse of 52/min
Ra onale: Digoxin can cause bradycardia. The medica on should generally be withheld and the
provider no fied when the pulse is significantly below the prescribed parameter.
5. A client reports crushing chest pain. What is the nurse's priority ac on?
A. Encourage ambula on
B. Assess airway, breathing, and circula on
C. Obtain a dietary history
D. Provide discharge teaching
Correct Answer: B. Assess airway, breathing, and circula on
Ra onale: The ABC approach guides emergency assessment and interven on.
6. Which symptom is commonly associated with myocardial infarc on?
A. Crushing chest pressure
B. Increased appe te
C. Polyuria
D. Painless swelling of the ankle only
Correct Answer: A. Crushing chest pressure
Ra onale: Myocardial infarc on commonly presents with chest pressure, discomfort, dyspnea,
diaphoresis, nausea, or pain radia ng to other areas.
7. Which laboratory test is most specific for myocardial injury?
A. Troponin
B. Hemoglobin
C. Sodium
D. Albumin
Correct Answer: A. Troponin
Ra onale: Cardiac troponin is a highly specific marker of myocardial injury.
, 8. A client is experiencing ventricular tachycardia without a pulse. Which ac on is the
priority?
A. Administer oral fluids
B. Begin CPR and prepare for defibrilla on
C. Obtain a blood glucose level
D. Place the client in Trendelenburg posi on
Correct Answer: B. Begin CPR and prepare for defibrilla on
Ra onale: Pulseless ventricular tachycardia is a shockable cardiac arrest rhythm requiring
immediate CPR and defibrilla on.
9. Which finding is expected in right-sided heart failure?
A. Pulmonary edema only
B. Peripheral edema
C. Pink frothy sputum only
D. Dry skin
Correct Answer: B. Peripheral edema
Ra onale: Right-sided heart failure causes systemic venous conges on, resul ng in peripheral
edema, jugular venous disten on, and hepatomegaly.
10. A client taking warfarin should be monitored using which laboratory value?
A. INR
B. Hemoglobin A1C
C. Troponin
D. Serum amylase
Correct Answer: A. INR
Ra onale: INR is used to monitor the an coagulant effect of warfarin.
11. Which statement by a client taking warfarin indicates understanding of teaching?
QUESTIONS AND CORRECT
ANSWER’S 2026
,1. A nurse is assessing a client with heart failure. Which finding requires immediate
interven on?
A. Bilateral ankle edema
B. Weight gain of 1 kg (2.2 lb) in 24 hours
C. Crackles with severe dyspnea at rest
D. Fa gue during ac vity
Correct Answer: C. Crackles with severe dyspnea at rest
Ra onale: Severe dyspnea and crackles may indicate acute pulmonary edema and require
immediate interven on to support oxygena on.
2. Which assessment finding is most consistent with le -sided heart failure?
A. Hepatomegaly
B. Jugular venous disten on
C. Pulmonary crackles
D. Ascites
Correct Answer: C. Pulmonary crackles
Ra onale: Le -sided heart failure causes blood to back up into the pulmonary circula on,
producing pulmonary conges on and crackles.
3. A client receiving furosemide should be monitored closely for which electrolyte imbalance?
A. Hyperkalemia
B. Hypokalemia
C. Hypercalcemia
D. Hypermagnesemia
Correct Answer: B. Hypokalemia
Ra onale: Loop diure cs increase potassium excre on and can cause hypokalemia.
4. Which finding should a nurse report before administering digoxin?
A. Respiratory rate of 18/min
B. Blood pressure of 130/76 mm Hg
,C. Apical pulse of 52/min
D. Temperature of 37°C (98.6°F)
Correct Answer: C. Apical pulse of 52/min
Ra onale: Digoxin can cause bradycardia. The medica on should generally be withheld and the
provider no fied when the pulse is significantly below the prescribed parameter.
5. A client reports crushing chest pain. What is the nurse's priority ac on?
A. Encourage ambula on
B. Assess airway, breathing, and circula on
C. Obtain a dietary history
D. Provide discharge teaching
Correct Answer: B. Assess airway, breathing, and circula on
Ra onale: The ABC approach guides emergency assessment and interven on.
6. Which symptom is commonly associated with myocardial infarc on?
A. Crushing chest pressure
B. Increased appe te
C. Polyuria
D. Painless swelling of the ankle only
Correct Answer: A. Crushing chest pressure
Ra onale: Myocardial infarc on commonly presents with chest pressure, discomfort, dyspnea,
diaphoresis, nausea, or pain radia ng to other areas.
7. Which laboratory test is most specific for myocardial injury?
A. Troponin
B. Hemoglobin
C. Sodium
D. Albumin
Correct Answer: A. Troponin
Ra onale: Cardiac troponin is a highly specific marker of myocardial injury.
, 8. A client is experiencing ventricular tachycardia without a pulse. Which ac on is the
priority?
A. Administer oral fluids
B. Begin CPR and prepare for defibrilla on
C. Obtain a blood glucose level
D. Place the client in Trendelenburg posi on
Correct Answer: B. Begin CPR and prepare for defibrilla on
Ra onale: Pulseless ventricular tachycardia is a shockable cardiac arrest rhythm requiring
immediate CPR and defibrilla on.
9. Which finding is expected in right-sided heart failure?
A. Pulmonary edema only
B. Peripheral edema
C. Pink frothy sputum only
D. Dry skin
Correct Answer: B. Peripheral edema
Ra onale: Right-sided heart failure causes systemic venous conges on, resul ng in peripheral
edema, jugular venous disten on, and hepatomegaly.
10. A client taking warfarin should be monitored using which laboratory value?
A. INR
B. Hemoglobin A1C
C. Troponin
D. Serum amylase
Correct Answer: A. INR
Ra onale: INR is used to monitor the an coagulant effect of warfarin.
11. Which statement by a client taking warfarin indicates understanding of teaching?
