NUR 242 Exam 3 | ACTUAL EXAMS QUESTIONS WITH 100% RATED
CORRECT ANSWERS | 2025 LATEST UPDATED | ALREADY GRADED
A+!!!!
An older client with a history of congestive heart failure expresses concern about potential
exposure to tuberculosis (TB) from his or her roommate at the extended care facility. The
roommate coughs a great deal and sometimes spits up blood. Which is the primary reason that
the nurse pursues more information about the roommate? - (ANSWER)TB adversely affects
older adults with chronic illness
When the clinic nurse is teaching a group of clients with heart failure (HF) about dietary
interventions to prevent fluid overload, which topic will be included? - (ANSWER)Use of fresh
or frozen vegetables instead of canned ones / low sodium
Which action would the nurse take first when a client with heart failure has an episode of
paroxysmal nocturnal dyspnea (PND)? - (ANSWER)Assist the client to sit on the edge of the
bed
When caring for a client with a diagnosis of right ventricular heart failure, the nurse expects
which assessment findings? Select all that apply. One, some, or all responses may be correct. -
(ANSWER)Dependent edema
Swollen hands and fingers 一个充满爱心的人，能温暖他人，
Right upper quadrant discomfort 传递希望。人与人之间的情感交流
The nurse's physical assessment of a client with heart failure reveals tachypnea and bilateral
crackles. Which is the priority nursing intervention? - (ANSWER)Place client in a high-Fowler
position.
Which treatment would the nurse anticipate when caring for an infant with heart failure? -
(ANSWER)Medications that are prescribed for both children and adults
,Which feeding education would the nurse provide the parent of a 2-month-old infant with the
diagnosis of heart failure? - (ANSWER)Feed slowly while allowing time for adequate periods
of rest
Which assessment finding would indicate improvement in a 4-month-old infant admitted to the
pediatric unit with a diagnosis of congestive heart failure? - (ANSWER)Weight loss during next
2 days
The parent of an infant with heart failure questions the necessity of weighing the baby every
morning. Which would the nurse say that this daily information is important in determining? -
(ANSWER)fluid retention
While auscultating the heart, a health care provider notices S 3 heart sounds in four clients.
Which client is at highest risk for heart failure? - (ANSWER)Older adult client
Which assessment finding is a late sign of heart failure? - (ANSWER)Peripheral edema
Heart failure develops in a 4-month-old infant with a congenital heart defect, and the infant
exhibits marked dyspnea at rest. Which assessment finding would the nurse expect in this infant?
- (ANSWER)Bilateral crackles
Which method would the nurse use一个充满爱心的人，能温暖他人，
to weigh a 2-month-old in heart failure with practitioner
orders for semi-Fowler positioning? - (ANSWER)Placing the infant in an infant seat, recording
传递希望。人与人之间的情感交流
the weight, and then subtracting the weight of the seat
Which early sign of heart failure would the nurse recognize in an infant who has a congenital
heart defect with left-to-right shunting of blood? - (ANSWER)Increased respiratory rate
A 2-month-old infant with the diagnosis of heart failure is discharged with a prescription for oral
digoxin 0.05 mg every 12 hours. The bottle of digoxin is labeled "0.05 mg/mL." Which item
would the nurse teach the mother to use when administering the medication? -
(ANSWER)Calibrated syringe
, An infant with a diagnosis of heart failure is being given furosemide twice a day. Which
laboratory value would the nurse report to the health care provider? - (ANSWER)Potassium of
3.0 mEq/L (3.0 mmol/L)
A client with congestive heart failure is receiving intravenous digoxin (Cardoxin) therapy. The
registered nurse identifies that which items on the client's care plan are appropriate for a licensed
practical nurse (LPN) to perform? Select all that apply. One, some, or all responses may be
correct. - (ANSWER)Help the client ambulate when required.
Monitor the client's vitals every 30 minutes
Administer adequate oral fluids to the client
The nurse taught a client with heart failure who is scheduled for discharge about how
medications, diet, and exercise improve activity tolerance. During a follow-up visit, the nurse
finds that the client has learned how to adapt his or her exercise prescription to increase activity
tolerance. Which theory did the nurse follow to achieve this positive outcome? -
(ANSWER)Roy's theory
Which intervention would the nurse use after observing that a 6-month-old child lies quietly,
rarely smiles or babbles, and has his basic needs barely met by the primary caregiver, who is a
grandparent with chronic heart failure? - (ANSWER)Initiate a referral for assessment of home
health and schedule a family conference.
一个充满爱心的人，能温暖他人，
A client with heart failure weighed 传递希望。人与人之间的情感交流
175 lb (79.4 kg) yesterday, and today's weight is 181 lb (82.1
kg). How many milliliters of fluid has the client retained? . ___mL - (ANSWER)2700 ml
An infant with a congenital heart defect is in heart failure and is receiving daily weight
measurements. Which complication of heart failure would daily weights help monitor? -
(ANSWER)Fluid retention
Which intervention would the nurse implement for a 4-month-old infant with tetralogy of Fallot
and heart failure? - (ANSWER)Providing small, frequent feedings
CORRECT ANSWERS | 2025 LATEST UPDATED | ALREADY GRADED
A+!!!!
An older client with a history of congestive heart failure expresses concern about potential
exposure to tuberculosis (TB) from his or her roommate at the extended care facility. The
roommate coughs a great deal and sometimes spits up blood. Which is the primary reason that
the nurse pursues more information about the roommate? - (ANSWER)TB adversely affects
older adults with chronic illness
When the clinic nurse is teaching a group of clients with heart failure (HF) about dietary
interventions to prevent fluid overload, which topic will be included? - (ANSWER)Use of fresh
or frozen vegetables instead of canned ones / low sodium
Which action would the nurse take first when a client with heart failure has an episode of
paroxysmal nocturnal dyspnea (PND)? - (ANSWER)Assist the client to sit on the edge of the
bed
When caring for a client with a diagnosis of right ventricular heart failure, the nurse expects
which assessment findings? Select all that apply. One, some, or all responses may be correct. -
(ANSWER)Dependent edema
Swollen hands and fingers 一个充满爱心的人，能温暖他人，
Right upper quadrant discomfort 传递希望。人与人之间的情感交流
The nurse's physical assessment of a client with heart failure reveals tachypnea and bilateral
crackles. Which is the priority nursing intervention? - (ANSWER)Place client in a high-Fowler
position.
Which treatment would the nurse anticipate when caring for an infant with heart failure? -
(ANSWER)Medications that are prescribed for both children and adults
,Which feeding education would the nurse provide the parent of a 2-month-old infant with the
diagnosis of heart failure? - (ANSWER)Feed slowly while allowing time for adequate periods
of rest
Which assessment finding would indicate improvement in a 4-month-old infant admitted to the
pediatric unit with a diagnosis of congestive heart failure? - (ANSWER)Weight loss during next
2 days
The parent of an infant with heart failure questions the necessity of weighing the baby every
morning. Which would the nurse say that this daily information is important in determining? -
(ANSWER)fluid retention
While auscultating the heart, a health care provider notices S 3 heart sounds in four clients.
Which client is at highest risk for heart failure? - (ANSWER)Older adult client
Which assessment finding is a late sign of heart failure? - (ANSWER)Peripheral edema
Heart failure develops in a 4-month-old infant with a congenital heart defect, and the infant
exhibits marked dyspnea at rest. Which assessment finding would the nurse expect in this infant?
- (ANSWER)Bilateral crackles
Which method would the nurse use一个充满爱心的人，能温暖他人，
to weigh a 2-month-old in heart failure with practitioner
orders for semi-Fowler positioning? - (ANSWER)Placing the infant in an infant seat, recording
传递希望。人与人之间的情感交流
the weight, and then subtracting the weight of the seat
Which early sign of heart failure would the nurse recognize in an infant who has a congenital
heart defect with left-to-right shunting of blood? - (ANSWER)Increased respiratory rate
A 2-month-old infant with the diagnosis of heart failure is discharged with a prescription for oral
digoxin 0.05 mg every 12 hours. The bottle of digoxin is labeled "0.05 mg/mL." Which item
would the nurse teach the mother to use when administering the medication? -
(ANSWER)Calibrated syringe
, An infant with a diagnosis of heart failure is being given furosemide twice a day. Which
laboratory value would the nurse report to the health care provider? - (ANSWER)Potassium of
3.0 mEq/L (3.0 mmol/L)
A client with congestive heart failure is receiving intravenous digoxin (Cardoxin) therapy. The
registered nurse identifies that which items on the client's care plan are appropriate for a licensed
practical nurse (LPN) to perform? Select all that apply. One, some, or all responses may be
correct. - (ANSWER)Help the client ambulate when required.
Monitor the client's vitals every 30 minutes
Administer adequate oral fluids to the client
The nurse taught a client with heart failure who is scheduled for discharge about how
medications, diet, and exercise improve activity tolerance. During a follow-up visit, the nurse
finds that the client has learned how to adapt his or her exercise prescription to increase activity
tolerance. Which theory did the nurse follow to achieve this positive outcome? -
(ANSWER)Roy's theory
Which intervention would the nurse use after observing that a 6-month-old child lies quietly,
rarely smiles or babbles, and has his basic needs barely met by the primary caregiver, who is a
grandparent with chronic heart failure? - (ANSWER)Initiate a referral for assessment of home
health and schedule a family conference.
一个充满爱心的人，能温暖他人，
A client with heart failure weighed 传递希望。人与人之间的情感交流
175 lb (79.4 kg) yesterday, and today's weight is 181 lb (82.1
kg). How many milliliters of fluid has the client retained? . ___mL - (ANSWER)2700 ml
An infant with a congenital heart defect is in heart failure and is receiving daily weight
measurements. Which complication of heart failure would daily weights help monitor? -
(ANSWER)Fluid retention
Which intervention would the nurse implement for a 4-month-old infant with tetralogy of Fallot
and heart failure? - (ANSWER)Providing small, frequent feedings
