NURS 310 FINAL EXAM QUESTIONS AND VERIFIED
ANSWERS
Which topics will the nurse plan to include in discharge teaching for a client who has
been admitted with heart failure? Select all that apply - Answers - daily weight, sx of
worsening HF, how to read for Na content
The nurse is reviewing the laboratory results for a client with an elevated cholesterol
level who is taking atorvastatin. Which result is most important to discuss with the health
care providers? - Answers - LDL 170 mg/dl
A client who has just arrived in the emergency department reports substernal and left
arm discomfort that has been going on for about 3 hours. Which laboratory test will be
MOST useful in determining whether the nurse should anticipate implementing the
acute coronary syndrome standard protocol? - Answers - Troponin 1 Level
The emergency department nurse is caring for a client who was just admitted with left
anterior chest pain, possible acute myocardial infarction(MI). Which action will the nurse
take FIRST? - Answers - Administer sublingual NTG after checking VS
The nurse is caring for a hospitalized client with heart failure who is receiving captopril
and spironolactone. Which laboratory value will be MOST important to monitor? -
Answers - Potassium level
At 10:00 AM, a hospitalized client receives a new order for transesophageal
echocardiography (TEE) as soon as possible. Which action will the nurse take FIRST? -
Answers - Put client on NPO status
During a home visit to an 88-year-old client who is taking digoxin 0.25mg/day to treat
heart failure and atrial fibrillation, the nurse obtains this assessment information. Which
finding is MOST important to communicate to the health care provider? - Answers -
vision that is becoming fuzzy
The nurse is preparing to administer the following medications to a client with multiple
health problems who have been hospitalized with deep vein thrombosis. Which
medication is MOST important to double-check based on the laboratory result every
day? - Answers - Warfarin 2.5 mg PO
A client seen in the clinic with shortness of breath and fatigue is being evaluated for a
possible diagnosis of heart failure. Which laboratory result will be MOST useful to
monitor? - Answers - B-type natriuretic peptide
, Signs of right -sided heart failure include - Answers - signs of fluid retention
Signs of left-heart failure include - Answers - a low cardiac output
Impaired blood flow to the extremities is caused by which of the following common
disorders? - Answers - peripheral vascular disease
A nurse in a long-term care facility is caring for an 83-year-old woman who has a history
of heart failure and peripheral arterial disease (PAD). At present, the client is unable to
stand or ambulate due to pain in the lower extremity. Based on his medical history, the
nurse should implement measures to prioritize the prevention of what complications? -
Answers - deep vein thrombosis
The nurse enters the room of the patient diagnosed with CHF. The patient is lying in
bed gasping for breath, is cool and clammy, and has buccal cyanosis. Which
intervention would the nurse implement FIRST to immediately relieve the symptoms. ? -
Answers - assist the patient to an upright position
You receive a morning report on your patient with CHF and are told that you are to
administer Lasix 40 mg IV to your patient at 0800 and 1800. The morning labs have just
been received and they are: Sodium 148, BNP 600, Potassium 3.0, Creat 1.2 and BUN
10. The night RN reports bilateral pitting edema of +3. Which of the following nursing
interventions is PRIORITY? - Answers - hold the dose of lasix and notify the physician
about the potassium level
A client has been diagnosed with heart failure that has not yet responded to treatment.
What breath sound should the nurse expect to assess on auscultation? - Answers -
crackles
Mrs. Hart is admitted with Heart Failure and is receiving furosemide (Lasix), a loop
diuretic to reduce edema. The nurse should observe for the following lab disorder: -
Answers - hypokalemia
Diagnostic tests for congestive heart failure include...... - Answers - echocardiogram,
ECG, CXR
Examination of a patient in a supine position reveals jugular veins distended from the
base of the neck to the angle of the jaw. This finding indicates: - Answers - right-sided
heart failure
Your client with CHF gained three pounds more since yesterday. You should...... -
Answers - notify the physician
A 50-year-old woman weighs 95 kg and has a history of tobacco use, high blood
pressure, high sodium intake, and a sedentary lifestyle. When developing an
individualized care plan for her, thenurse determines that the most important risk factors
ANSWERS
Which topics will the nurse plan to include in discharge teaching for a client who has
been admitted with heart failure? Select all that apply - Answers - daily weight, sx of
worsening HF, how to read for Na content
The nurse is reviewing the laboratory results for a client with an elevated cholesterol
level who is taking atorvastatin. Which result is most important to discuss with the health
care providers? - Answers - LDL 170 mg/dl
A client who has just arrived in the emergency department reports substernal and left
arm discomfort that has been going on for about 3 hours. Which laboratory test will be
MOST useful in determining whether the nurse should anticipate implementing the
acute coronary syndrome standard protocol? - Answers - Troponin 1 Level
The emergency department nurse is caring for a client who was just admitted with left
anterior chest pain, possible acute myocardial infarction(MI). Which action will the nurse
take FIRST? - Answers - Administer sublingual NTG after checking VS
The nurse is caring for a hospitalized client with heart failure who is receiving captopril
and spironolactone. Which laboratory value will be MOST important to monitor? -
Answers - Potassium level
At 10:00 AM, a hospitalized client receives a new order for transesophageal
echocardiography (TEE) as soon as possible. Which action will the nurse take FIRST? -
Answers - Put client on NPO status
During a home visit to an 88-year-old client who is taking digoxin 0.25mg/day to treat
heart failure and atrial fibrillation, the nurse obtains this assessment information. Which
finding is MOST important to communicate to the health care provider? - Answers -
vision that is becoming fuzzy
The nurse is preparing to administer the following medications to a client with multiple
health problems who have been hospitalized with deep vein thrombosis. Which
medication is MOST important to double-check based on the laboratory result every
day? - Answers - Warfarin 2.5 mg PO
A client seen in the clinic with shortness of breath and fatigue is being evaluated for a
possible diagnosis of heart failure. Which laboratory result will be MOST useful to
monitor? - Answers - B-type natriuretic peptide
, Signs of right -sided heart failure include - Answers - signs of fluid retention
Signs of left-heart failure include - Answers - a low cardiac output
Impaired blood flow to the extremities is caused by which of the following common
disorders? - Answers - peripheral vascular disease
A nurse in a long-term care facility is caring for an 83-year-old woman who has a history
of heart failure and peripheral arterial disease (PAD). At present, the client is unable to
stand or ambulate due to pain in the lower extremity. Based on his medical history, the
nurse should implement measures to prioritize the prevention of what complications? -
Answers - deep vein thrombosis
The nurse enters the room of the patient diagnosed with CHF. The patient is lying in
bed gasping for breath, is cool and clammy, and has buccal cyanosis. Which
intervention would the nurse implement FIRST to immediately relieve the symptoms. ? -
Answers - assist the patient to an upright position
You receive a morning report on your patient with CHF and are told that you are to
administer Lasix 40 mg IV to your patient at 0800 and 1800. The morning labs have just
been received and they are: Sodium 148, BNP 600, Potassium 3.0, Creat 1.2 and BUN
10. The night RN reports bilateral pitting edema of +3. Which of the following nursing
interventions is PRIORITY? - Answers - hold the dose of lasix and notify the physician
about the potassium level
A client has been diagnosed with heart failure that has not yet responded to treatment.
What breath sound should the nurse expect to assess on auscultation? - Answers -
crackles
Mrs. Hart is admitted with Heart Failure and is receiving furosemide (Lasix), a loop
diuretic to reduce edema. The nurse should observe for the following lab disorder: -
Answers - hypokalemia
Diagnostic tests for congestive heart failure include...... - Answers - echocardiogram,
ECG, CXR
Examination of a patient in a supine position reveals jugular veins distended from the
base of the neck to the angle of the jaw. This finding indicates: - Answers - right-sided
heart failure
Your client with CHF gained three pounds more since yesterday. You should...... -
Answers - notify the physician
A 50-year-old woman weighs 95 kg and has a history of tobacco use, high blood
pressure, high sodium intake, and a sedentary lifestyle. When developing an
individualized care plan for her, thenurse determines that the most important risk factors
