NUR 242 Exam 3 With Correct And
Verified Answers
An dolder dclient dwith da dhistory dof dcongestive dheart dfailure dexpresses dconcern
dabout dpotential dexposure dto dtuberculosis d(TB) dfrom dhis dor dher droommate dat dthe
dextended dcare dfacility. dThe droommate dcoughs da dgreat ddeal dand dsometimes dspits
dup dblood. dWhich dis dthe dprimary dreason dthat dthe dnurse dpursues dmore dinformation
dabout dthe droommate? d- dCORRECT✅✅TB dadversely daffects dolder dadults dwith
dchronic dillness
When dthe dclinic dnurse dis dteaching da dgroup dof dclients dwith dheart dfailure d(HF)
dabout ddietary dinterventions dto dprevent dfluid doverload, dwhich dtopic dwill dbe
dincluded? d- dCORRECT✅✅Use dof dfresh dor dfrozen dvegetables dinstead dof dcanned
dones d/ dlow dsodium
Which daction dwould dthe dnurse dtake dfirst dwhen da dclient dwith dheart dfailure dhas dan
depisode dof dparoxysmal dnocturnal ddyspnea d(PND)? d- dCORRECT✅✅Assist dthe
dclient dto dsit don dthe dedge dof dthe dbed
When dcaring dfor da dclient dwith da ddiagnosis dof dright dventricular dheart dfailure, dthe
dnurse dexpects dwhich dassessment dfindings? dSelect dall dthat dapply. dOne, dsome, dor
dall dresponses dmay dbe dcorrect. d- dCORRECT✅✅Dependent dedema
Swollen dhands dand dfingers
Right dupper dquadrant ddiscomfort
The dnurse's dphysical dassessment dof da dclient dwith dheart dfailure dreveals dtachypnea
dand dbilateral dcrackles. dWhich dis dthe dpriority dnursing dintervention? d-
dCORRECT✅✅Place dclient din da dhigh-Fowler dposition.
Which dtreatment dwould dthe dnurse danticipate dwhen dcaring dfor dan dinfant dwith dheart
dfailure? d- dCORRECT✅✅Medications dthat dare dprescribed dfor dboth dchildren dand
dadults
Which dfeeding deducation dwould dthe dnurse dprovide dthe dparent dof da d2-month-old
dinfant dwith dthe ddiagnosis dof dheart dfailure? d- dCORRECT✅✅Feed dslowly dwhile
dallowing dtime dfor dadequate dperiods dof drest
Which dassessment dfinding dwould dindicate dimprovement din da d4-month-old dinfant
dadmitted dto dthe dpediatric dunit dwith da ddiagnosis dof dcongestive dheart dfailure? d-
dCORRECT✅✅Weight dloss dduring dnext d2 ddays
,The dparent dof dan dinfant dwith dheart dfailure dquestions dthe dnecessity dof dweighing
dthe dbaby devery dmorning. dWhich dwould dthe dnurse dsay dthat dthis ddaily dinformation
dis dimportant din ddetermining? d- dCORRECT✅✅fluid dretention
While dauscultating dthe dheart, da dhealth dcare dprovider dnotices dS d3 dheart dsounds din
dfour dclients. dWhich dclient dis dat dhighest drisk dfor dheart dfailure? d-
dCORRECT✅✅Older dadult dclient
Which dassessment dfinding dis da dlate dsign dof dheart dfailure? d-
dCORRECT✅✅Peripheral dedema
Heart dfailure ddevelops din da d4-month-old dinfant dwith da dcongenital dheart ddefect, dand
dthe dinfant dexhibits dmarked ddyspnea dat drest. dWhich dassessment dfinding dwould dthe
dnurse dexpect din dthis dinfant? d- dCORRECT✅✅Bilateral dcrackles
Which dmethod dwould dthe dnurse duse dto dweigh da d2-month-old din dheart dfailure dwith
dpractitioner dorders dfor dsemi-Fowler dpositioning? d- dCORRECT✅✅Placing dthe
dinfant din dan dinfant dseat, drecording dthe dweight, dand dthen dsubtracting dthe dweight dof
dthe dseat
Which dearly dsign dof dheart dfailure dwould dthe dnurse drecognize din dan dinfant dwho
dhas da dcongenital dheart ddefect dwith dleft-to-right dshunting dof dblood? d-
dCORRECT✅✅Increased drespiratory drate
A d2-month-old dinfant dwith dthe ddiagnosis dof dheart dfailure dis ddischarged dwith da
dprescription dfor doral ddigoxin d0.05 dmg devery d12 dhours. dThe dbottle dof ddigoxin dis
dlabeled d"0.05 dmg/mL." dWhich ditem dwould dthe dnurse dteach dthe dmother dto duse
dwhen dadministering dthe dmedication? d- dCORRECT✅✅Calibrated dsyringe
An dinfant dwith da ddiagnosis dof dheart dfailure dis dbeing dgiven dfurosemide dtwice da
dday. dWhich dlaboratory dvalue dwould dthe dnurse dreport dto dthe dhealth dcare dprovider?
d- dCORRECT✅✅Potassium dof d3.0 dmEq/L d(3.0 dmmol/L)
A dclient dwith dcongestive dheart dfailure dis dreceiving dintravenous ddigoxin d(Cardoxin)
dtherapy. dThe dregistered dnurse didentifies dthat dwhich ditems don dthe dclient's dcare
dplan dare dappropriate dfor da dlicensed dpractical dnurse d(LPN) dto dperform? dSelect dall
dthat dapply. dOne, dsome, dor dall dresponses dmay dbe dcorrect. d- dCORRECT✅✅Help
dthe dclient dambulate dwhen drequired.
Monitor dthe dclient's dvitals devery d30 dminutes
Administer dadequate doral dfluids dto dthe dclient
The dnurse dtaught da dclient dwith dheart dfailure dwho dis dscheduled dfor ddischarge
dabout dhow dmedications, ddiet, dand dexercise dimprove dactivity dtolerance. dDuring da
dfollow-up dvisit, dthe dnurse dfinds dthat dthe dclient dhas dlearned dhow dto dadapt dhis dor
dher dexercise dprescription dto dincrease dactivity dtolerance. dWhich dtheory ddid dthe
dnurse dfollow dto dachieve dthis dpositive doutcome? d- dCORRECT✅✅Roy's dtheory
, Which dintervention dwould dthe dnurse duse dafter dobserving dthat da d6-month-old dchild
dlies dquietly, drarely dsmiles dor dbabbles, dand dhas dhis dbasic dneeds dbarely dmet dby
dthe dprimary dcaregiver, dwho dis da dgrandparent dwith dchronic dheart dfailure? d-
dCORRECT✅✅Initiate da dreferral dfor dassessment dof dhome dhealth dand dschedule da
dfamily dconference.
A dclient dwith dheart dfailure dweighed d175 dlb d(79.4 dkg) dyesterday, dand dtoday's
dweight dis d181 dlb d(82.1 dkg). dHow dmany dmilliliters dof dfluid dhas dthe dclient dretained?
d. d___mL d- dCORRECT✅✅2700 dml
An dinfant dwith da dcongenital dheart ddefect dis din dheart dfailure dand dis dreceiving ddaily
dweight dmeasurements. dWhich dcomplication dof dheart dfailure dwould ddaily dweights
dhelp dmonitor? d- dCORRECT✅✅Fluid dretention
Which dintervention dwould dthe dnurse dimplement dfor da d4-month-old dinfant dwith
dtetralogy dof dFallot dand dheart dfailure? d- dCORRECT✅✅Providing dsmall, dfrequent
dfeedings
The dnurse dprovides dteaching dto da dclient dwho dis dbeing ddischarged dafter dan dacute
dexacerbation dof dchronic dobstructive dpulmonary ddisease d(COPD). dThe dnurse dwould
dinstruct dthe dclient dto dmonitor dfor dwhich dindication dof dright-sided dheart dfailure? d-
dCORRECT✅✅Weight dgain
When da dclient dwith dheart dfailure dreports dfrequent dsudden dwaking dduring dthe dnight
dwith dshortness dof dbreath, dhow dwill dthe dnurse ddocument dthis dfinding? d-
dCORRECT✅✅Paroxysmal dnocturnal ddyspnea
The dnurse dexplains dto da dpregnant dclient dwith da dclass dII dheart dfailure dthat din
dpregnancy dthe dcardiac dsystem dis dmost dcompromised dduring dwhich dtime? d-
dCORRECT✅✅First d2 ddays dafter dthe dbirth
Which dsign dwould dindicate dpossible dheart dfailure din da dclient dwith dheart ddisease din
dthe dimmediate dpostpartum dperiod? d- dCORRECT✅✅Tachypnea
A dclient dtakes dfurosemide dand ddigoxin dfor dheart dfailure. dWhy dwould dthe dnurse
dadvise dthe dclient dto ddrink da dglass dof dorange djuice devery dday? d-
dCORRECT✅✅Maintaining dpotassium dlevels
A dclient dtakes dfurosemide dand ddigoxin dfor dheart dfailure. dWhy dwould dthe dnurse
dadvise dthe dclient dto ddrink da dglass dof dorange djuice devery dday? d-
dCORRECT✅✅Maintaining dpotassium dlevels
When da dclient dwith dtype d1 ddiabetes ddevelops dheart dfailure, ddigoxin dis dprescribed.
dWhich dnursing daction dis dimportant dto dinclude dwhen dplanning dcare? d-
dCORRECT✅✅Monitor dthe dclient dfor dcardiac ddysrhythmias.
Verified Answers
An dolder dclient dwith da dhistory dof dcongestive dheart dfailure dexpresses dconcern
dabout dpotential dexposure dto dtuberculosis d(TB) dfrom dhis dor dher droommate dat dthe
dextended dcare dfacility. dThe droommate dcoughs da dgreat ddeal dand dsometimes dspits
dup dblood. dWhich dis dthe dprimary dreason dthat dthe dnurse dpursues dmore dinformation
dabout dthe droommate? d- dCORRECT✅✅TB dadversely daffects dolder dadults dwith
dchronic dillness
When dthe dclinic dnurse dis dteaching da dgroup dof dclients dwith dheart dfailure d(HF)
dabout ddietary dinterventions dto dprevent dfluid doverload, dwhich dtopic dwill dbe
dincluded? d- dCORRECT✅✅Use dof dfresh dor dfrozen dvegetables dinstead dof dcanned
dones d/ dlow dsodium
Which daction dwould dthe dnurse dtake dfirst dwhen da dclient dwith dheart dfailure dhas dan
depisode dof dparoxysmal dnocturnal ddyspnea d(PND)? d- dCORRECT✅✅Assist dthe
dclient dto dsit don dthe dedge dof dthe dbed
When dcaring dfor da dclient dwith da ddiagnosis dof dright dventricular dheart dfailure, dthe
dnurse dexpects dwhich dassessment dfindings? dSelect dall dthat dapply. dOne, dsome, dor
dall dresponses dmay dbe dcorrect. d- dCORRECT✅✅Dependent dedema
Swollen dhands dand dfingers
Right dupper dquadrant ddiscomfort
The dnurse's dphysical dassessment dof da dclient dwith dheart dfailure dreveals dtachypnea
dand dbilateral dcrackles. dWhich dis dthe dpriority dnursing dintervention? d-
dCORRECT✅✅Place dclient din da dhigh-Fowler dposition.
Which dtreatment dwould dthe dnurse danticipate dwhen dcaring dfor dan dinfant dwith dheart
dfailure? d- dCORRECT✅✅Medications dthat dare dprescribed dfor dboth dchildren dand
dadults
Which dfeeding deducation dwould dthe dnurse dprovide dthe dparent dof da d2-month-old
dinfant dwith dthe ddiagnosis dof dheart dfailure? d- dCORRECT✅✅Feed dslowly dwhile
dallowing dtime dfor dadequate dperiods dof drest
Which dassessment dfinding dwould dindicate dimprovement din da d4-month-old dinfant
dadmitted dto dthe dpediatric dunit dwith da ddiagnosis dof dcongestive dheart dfailure? d-
dCORRECT✅✅Weight dloss dduring dnext d2 ddays
,The dparent dof dan dinfant dwith dheart dfailure dquestions dthe dnecessity dof dweighing
dthe dbaby devery dmorning. dWhich dwould dthe dnurse dsay dthat dthis ddaily dinformation
dis dimportant din ddetermining? d- dCORRECT✅✅fluid dretention
While dauscultating dthe dheart, da dhealth dcare dprovider dnotices dS d3 dheart dsounds din
dfour dclients. dWhich dclient dis dat dhighest drisk dfor dheart dfailure? d-
dCORRECT✅✅Older dadult dclient
Which dassessment dfinding dis da dlate dsign dof dheart dfailure? d-
dCORRECT✅✅Peripheral dedema
Heart dfailure ddevelops din da d4-month-old dinfant dwith da dcongenital dheart ddefect, dand
dthe dinfant dexhibits dmarked ddyspnea dat drest. dWhich dassessment dfinding dwould dthe
dnurse dexpect din dthis dinfant? d- dCORRECT✅✅Bilateral dcrackles
Which dmethod dwould dthe dnurse duse dto dweigh da d2-month-old din dheart dfailure dwith
dpractitioner dorders dfor dsemi-Fowler dpositioning? d- dCORRECT✅✅Placing dthe
dinfant din dan dinfant dseat, drecording dthe dweight, dand dthen dsubtracting dthe dweight dof
dthe dseat
Which dearly dsign dof dheart dfailure dwould dthe dnurse drecognize din dan dinfant dwho
dhas da dcongenital dheart ddefect dwith dleft-to-right dshunting dof dblood? d-
dCORRECT✅✅Increased drespiratory drate
A d2-month-old dinfant dwith dthe ddiagnosis dof dheart dfailure dis ddischarged dwith da
dprescription dfor doral ddigoxin d0.05 dmg devery d12 dhours. dThe dbottle dof ddigoxin dis
dlabeled d"0.05 dmg/mL." dWhich ditem dwould dthe dnurse dteach dthe dmother dto duse
dwhen dadministering dthe dmedication? d- dCORRECT✅✅Calibrated dsyringe
An dinfant dwith da ddiagnosis dof dheart dfailure dis dbeing dgiven dfurosemide dtwice da
dday. dWhich dlaboratory dvalue dwould dthe dnurse dreport dto dthe dhealth dcare dprovider?
d- dCORRECT✅✅Potassium dof d3.0 dmEq/L d(3.0 dmmol/L)
A dclient dwith dcongestive dheart dfailure dis dreceiving dintravenous ddigoxin d(Cardoxin)
dtherapy. dThe dregistered dnurse didentifies dthat dwhich ditems don dthe dclient's dcare
dplan dare dappropriate dfor da dlicensed dpractical dnurse d(LPN) dto dperform? dSelect dall
dthat dapply. dOne, dsome, dor dall dresponses dmay dbe dcorrect. d- dCORRECT✅✅Help
dthe dclient dambulate dwhen drequired.
Monitor dthe dclient's dvitals devery d30 dminutes
Administer dadequate doral dfluids dto dthe dclient
The dnurse dtaught da dclient dwith dheart dfailure dwho dis dscheduled dfor ddischarge
dabout dhow dmedications, ddiet, dand dexercise dimprove dactivity dtolerance. dDuring da
dfollow-up dvisit, dthe dnurse dfinds dthat dthe dclient dhas dlearned dhow dto dadapt dhis dor
dher dexercise dprescription dto dincrease dactivity dtolerance. dWhich dtheory ddid dthe
dnurse dfollow dto dachieve dthis dpositive doutcome? d- dCORRECT✅✅Roy's dtheory
, Which dintervention dwould dthe dnurse duse dafter dobserving dthat da d6-month-old dchild
dlies dquietly, drarely dsmiles dor dbabbles, dand dhas dhis dbasic dneeds dbarely dmet dby
dthe dprimary dcaregiver, dwho dis da dgrandparent dwith dchronic dheart dfailure? d-
dCORRECT✅✅Initiate da dreferral dfor dassessment dof dhome dhealth dand dschedule da
dfamily dconference.
A dclient dwith dheart dfailure dweighed d175 dlb d(79.4 dkg) dyesterday, dand dtoday's
dweight dis d181 dlb d(82.1 dkg). dHow dmany dmilliliters dof dfluid dhas dthe dclient dretained?
d. d___mL d- dCORRECT✅✅2700 dml
An dinfant dwith da dcongenital dheart ddefect dis din dheart dfailure dand dis dreceiving ddaily
dweight dmeasurements. dWhich dcomplication dof dheart dfailure dwould ddaily dweights
dhelp dmonitor? d- dCORRECT✅✅Fluid dretention
Which dintervention dwould dthe dnurse dimplement dfor da d4-month-old dinfant dwith
dtetralogy dof dFallot dand dheart dfailure? d- dCORRECT✅✅Providing dsmall, dfrequent
dfeedings
The dnurse dprovides dteaching dto da dclient dwho dis dbeing ddischarged dafter dan dacute
dexacerbation dof dchronic dobstructive dpulmonary ddisease d(COPD). dThe dnurse dwould
dinstruct dthe dclient dto dmonitor dfor dwhich dindication dof dright-sided dheart dfailure? d-
dCORRECT✅✅Weight dgain
When da dclient dwith dheart dfailure dreports dfrequent dsudden dwaking dduring dthe dnight
dwith dshortness dof dbreath, dhow dwill dthe dnurse ddocument dthis dfinding? d-
dCORRECT✅✅Paroxysmal dnocturnal ddyspnea
The dnurse dexplains dto da dpregnant dclient dwith da dclass dII dheart dfailure dthat din
dpregnancy dthe dcardiac dsystem dis dmost dcompromised dduring dwhich dtime? d-
dCORRECT✅✅First d2 ddays dafter dthe dbirth
Which dsign dwould dindicate dpossible dheart dfailure din da dclient dwith dheart ddisease din
dthe dimmediate dpostpartum dperiod? d- dCORRECT✅✅Tachypnea
A dclient dtakes dfurosemide dand ddigoxin dfor dheart dfailure. dWhy dwould dthe dnurse
dadvise dthe dclient dto ddrink da dglass dof dorange djuice devery dday? d-
dCORRECT✅✅Maintaining dpotassium dlevels
A dclient dtakes dfurosemide dand ddigoxin dfor dheart dfailure. dWhy dwould dthe dnurse
dadvise dthe dclient dto ddrink da dglass dof dorange djuice devery dday? d-
dCORRECT✅✅Maintaining dpotassium dlevels
When da dclient dwith dtype d1 ddiabetes ddevelops dheart dfailure, ddigoxin dis dprescribed.
dWhich dnursing daction dis dimportant dto dinclude dwhen dplanning dcare? d-
dCORRECT✅✅Monitor dthe dclient dfor dcardiac ddysrhythmias.
