NURS 640 Exam 2 2025/2026 Exam
Questions and Answers | A+ Score
Assured
The nurse is reviewing the medications prescribed for a client diagnosed
with dilated cardiomyopathy. Which of the following medications are
commonly prescribed for this disease process? - 🧠 ANSWER ✔✔ACE
inhibitor to prevent further dilation of the heart,
Beta-blocker to reduce the strain Diuretics Anticoagulants Antiarrhythmics
A client is diagnosed with emphysema. For which of the following
hematologic disorders should the nurse include in the assessment of this
client? - 🧠 ANSWER ✔✔polycythemia caused by an increase in the number
of red blood cells in response to a reduced amount of oxygen in the body
Inpatient insulin dosing - 🧠 ANSWER ✔✔TDD
50% basal
,50% prandial
may need to add rapid acting for meal
titrate 10-20% until goal met
. The nurse is listening to the breath sounds of a patient with severe
asthma. Air passing through narrowed bronchioles would produce which of
these adventitious sounds? - 🧠 ANSWER ✔✔Wheezes
Caused by air squeezed or compressed through passageways narrowed
almost to closure by collapsing, swelling, secretions, or tumors, such as
with acute asthma or chronic emphysema - 🧠 ANSWER ✔✔Wheezes
The nurse has just recorded a positive iliopsoas test on a patient who has
abdominal pain. This test is used to confirm a(n): - 🧠 ANSWER ✔✔An
inflamed or perforated appendix irritates the iliopsoas muscle, producing
pain in the RLQ.
,S3 heart sound - 🧠 ANSWER ✔✔An auscultated S3 is a sign that increased
blood volume remains in the ventricle with each beat and that the heart is
beginning to fail
S4 heart sound - 🧠 ANSWER ✔✔An S4 sound may indicate increased
resistance to ventricular filling
A client is diagnosed with heart failure. Which of the following diagnostic
tests is useful to determine the degree of the failure? - 🧠 ANSWER
✔✔Brain natriuretic peptide is a hormone found in the left ventricle; it is
used to help diagnose and grade the severity of heart failure
Blood cultures - 🧠 ANSWER ✔✔used to diagnose carditis
Sed Rate - 🧠 ANSWER ✔✔used to diagnose pericarditis
A nurse is instructing a client regarding medications and substances
contraindicated for the client with heart failure. Which of the following would
not be contraindicated? - 🧠 ANSWER ✔✔Loop diuretics (e.g., furosemide)
are part of the recommended medications for heart failure.
Contraindications in HF - 🧠 ANSWER ✔✔Alcohol, metformin, and
pioglitazone (a thiazolidinedione) are contraindicated.
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, The nurse is determining nursing diagnoses appropriate for a client
demonstrating productive cough with pink frothy sputum, shortness of
breath, and crackles. Which of the following nursing diagnoses is of the
most importance? - 🧠 ANSWER ✔✔Impaired gas exchange
In planning the care for a client diagnosed with heart failure, which of the
following would be an appropriate goal? - 🧠 ANSWER ✔✔Increased Activity
levels
6.The nurse is instructing a client diagnosed with mild heart failure on
dietary modifications. Which of the following client statements indicates that
the instruction has been effective? - 🧠 ANSWER ✔✔Low Salt Diet
A client is undergoing diagnostic testing for infective endocarditis. Which of
the following laboratory tests would be most useful in diagnosis? - 🧠
ANSWER ✔✔Blood cultures identify the causative organisms.
Which of the following would the nurse most likely assess in a client
diagnosed with rightsided heart failure? - 🧠 ANSWER ✔✔An assessment
finding in a client diagnosed with right-sided heart failure is distended neck
veins
Questions and Answers | A+ Score
Assured
The nurse is reviewing the medications prescribed for a client diagnosed
with dilated cardiomyopathy. Which of the following medications are
commonly prescribed for this disease process? - 🧠 ANSWER ✔✔ACE
inhibitor to prevent further dilation of the heart,
Beta-blocker to reduce the strain Diuretics Anticoagulants Antiarrhythmics
A client is diagnosed with emphysema. For which of the following
hematologic disorders should the nurse include in the assessment of this
client? - 🧠 ANSWER ✔✔polycythemia caused by an increase in the number
of red blood cells in response to a reduced amount of oxygen in the body
Inpatient insulin dosing - 🧠 ANSWER ✔✔TDD
50% basal
,50% prandial
may need to add rapid acting for meal
titrate 10-20% until goal met
. The nurse is listening to the breath sounds of a patient with severe
asthma. Air passing through narrowed bronchioles would produce which of
these adventitious sounds? - 🧠 ANSWER ✔✔Wheezes
Caused by air squeezed or compressed through passageways narrowed
almost to closure by collapsing, swelling, secretions, or tumors, such as
with acute asthma or chronic emphysema - 🧠 ANSWER ✔✔Wheezes
The nurse has just recorded a positive iliopsoas test on a patient who has
abdominal pain. This test is used to confirm a(n): - 🧠 ANSWER ✔✔An
inflamed or perforated appendix irritates the iliopsoas muscle, producing
pain in the RLQ.
,S3 heart sound - 🧠 ANSWER ✔✔An auscultated S3 is a sign that increased
blood volume remains in the ventricle with each beat and that the heart is
beginning to fail
S4 heart sound - 🧠 ANSWER ✔✔An S4 sound may indicate increased
resistance to ventricular filling
A client is diagnosed with heart failure. Which of the following diagnostic
tests is useful to determine the degree of the failure? - 🧠 ANSWER
✔✔Brain natriuretic peptide is a hormone found in the left ventricle; it is
used to help diagnose and grade the severity of heart failure
Blood cultures - 🧠 ANSWER ✔✔used to diagnose carditis
Sed Rate - 🧠 ANSWER ✔✔used to diagnose pericarditis
A nurse is instructing a client regarding medications and substances
contraindicated for the client with heart failure. Which of the following would
not be contraindicated? - 🧠 ANSWER ✔✔Loop diuretics (e.g., furosemide)
are part of the recommended medications for heart failure.
Contraindications in HF - 🧠 ANSWER ✔✔Alcohol, metformin, and
pioglitazone (a thiazolidinedione) are contraindicated.
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, The nurse is determining nursing diagnoses appropriate for a client
demonstrating productive cough with pink frothy sputum, shortness of
breath, and crackles. Which of the following nursing diagnoses is of the
most importance? - 🧠 ANSWER ✔✔Impaired gas exchange
In planning the care for a client diagnosed with heart failure, which of the
following would be an appropriate goal? - 🧠 ANSWER ✔✔Increased Activity
levels
6.The nurse is instructing a client diagnosed with mild heart failure on
dietary modifications. Which of the following client statements indicates that
the instruction has been effective? - 🧠 ANSWER ✔✔Low Salt Diet
A client is undergoing diagnostic testing for infective endocarditis. Which of
the following laboratory tests would be most useful in diagnosis? - 🧠
ANSWER ✔✔Blood cultures identify the causative organisms.
Which of the following would the nurse most likely assess in a client
diagnosed with rightsided heart failure? - 🧠 ANSWER ✔✔An assessment
finding in a client diagnosed with right-sided heart failure is distended neck
veins
