HEART FAILURE WITH ATRIAL FIBRILLATION EXAM /
COMPREHENSIVE STUDY GUIDE – EXPERT STRATEGIES,
REVIEW OF KEY QUIZZES, AND PRACTICE QUESTIONS
FOR GUARANTEED SUCCESS
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? - Answer--Complete a focused cardiac
history assessment.
Which assessment finding provides the earliest indication that the client is experiencing right-sided
heart failure? - Answer--Peripheral Edema
Based on the electrocardiogram rhythm strip, what intervention should the nurse implement first? -
Answer--Obtain a 12 lead ECG.
While applying supplemental oxygen, which intervention is priority for the nurse to initiate? - Answer--
Patient upright unless contraindicated and give O2 by nasal cannula or non rebreather mask
How would this reading by interpreted by the nurse? - Answer--Respiratory acidosis
The client's daughter and the nurse should utilize which source during this decision making process? -
Answer--The clients documented wishes for life saving measures
, If the client had not provided an advance directive, who should be consulted next, with regard to
helping the daughter make the best decision regarding the client's care? SATA - Answer---Social worker
-Clergy person
-Healthcare providers
-Extended family
The best nursing action in response to this decision would be to? - Answer--Notify the HCP of the
daughter's wishes
The nurse's best response in this situation would be what? - Answer--"You are going through a very
difficult time."
Choose the best nursing action to implement in response to the daughter's behavior. - Answer--Stay
seated next to the daughter and remain quietly attentive.
Which menu selection by the client indicates that effective teaching has been taken place? - Answer--
Fruit snacks to include bananas, oranges, and dried apricots.
In an effort to monitor his heart failure, what is the most important intervention that the client can
perform at home? - Answer--Weighing everyday on the same scale.
After the clients cardiac rhythm is confirmed, which action should the nurse implement next? - Answer--
Administer a prescribed stat dose of digoxin.
When preparing the client for the echocardiogram, which intervention should the nurse implement? -
Answer--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? - Answer--1 mL
COMPREHENSIVE STUDY GUIDE – EXPERT STRATEGIES,
REVIEW OF KEY QUIZZES, AND PRACTICE QUESTIONS
FOR GUARANTEED SUCCESS
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? - Answer--Complete a focused cardiac
history assessment.
Which assessment finding provides the earliest indication that the client is experiencing right-sided
heart failure? - Answer--Peripheral Edema
Based on the electrocardiogram rhythm strip, what intervention should the nurse implement first? -
Answer--Obtain a 12 lead ECG.
While applying supplemental oxygen, which intervention is priority for the nurse to initiate? - Answer--
Patient upright unless contraindicated and give O2 by nasal cannula or non rebreather mask
How would this reading by interpreted by the nurse? - Answer--Respiratory acidosis
The client's daughter and the nurse should utilize which source during this decision making process? -
Answer--The clients documented wishes for life saving measures
, If the client had not provided an advance directive, who should be consulted next, with regard to
helping the daughter make the best decision regarding the client's care? SATA - Answer---Social worker
-Clergy person
-Healthcare providers
-Extended family
The best nursing action in response to this decision would be to? - Answer--Notify the HCP of the
daughter's wishes
The nurse's best response in this situation would be what? - Answer--"You are going through a very
difficult time."
Choose the best nursing action to implement in response to the daughter's behavior. - Answer--Stay
seated next to the daughter and remain quietly attentive.
Which menu selection by the client indicates that effective teaching has been taken place? - Answer--
Fruit snacks to include bananas, oranges, and dried apricots.
In an effort to monitor his heart failure, what is the most important intervention that the client can
perform at home? - Answer--Weighing everyday on the same scale.
After the clients cardiac rhythm is confirmed, which action should the nurse implement next? - Answer--
Administer a prescribed stat dose of digoxin.
When preparing the client for the echocardiogram, which intervention should the nurse implement? -
Answer--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? - Answer--1 mL
