NUR 257 EXAM 5 2026/2027 | 200 HIGH-YIELD
QUESTIONS & VERIFIED ANSWERS | LATEST TEST
PREP | RECENT & MOST TESTED TOPICS | A+
PREPARATION
A client with right-sided heart failure is admitted to the medical-surgical unit. What
information obtained from the client may indicate the presence of edema?
The client says his rings have become tight and are difficult to remove.
The client says that he has been urinating less frequently at night.
The client says he is short of breath when ambulating.
The client says he has been hungry in the evening. - correct answer-The client says his rings have
become tight and are difficult to remove.
A client is exhibiting digitalis toxicity. Which of the following medications would the nurse
expect to be ordered for this client?
Ibuprofen
Warfarin
Amlodipine
Digoxin immune FAB - correct answer-Digoxin immune FAB
The nurse is preparing to administer furosemide to a client with severe heart failure. What
lab study should be of most concern for this client while taking furosemide?
BNP of 100
Potassium level of 3.1
Sodium level of 135
Hemoglobin of 12 - correct answer-Potassium level of 3.1
A client is in the early stage of heart failure. During this time, which compensatory
mechanism occurs?
Chamberlain college of nursing
,Decreased renal blood flow causes the renin-angiotensin-aldosterone system to decrease secretion
of aldosterone and antidiuretic hormone.
Low blood pressure triggers the baroreceptors to increase sympathetic nervous system stimulation.
Low blood pressure triggers the baroreceptors to decrease sympathetic nervous system stimulation.
Increased renal blood flow causes the renin-angiotensin-aldosterone system to increase aldosterone
secretion. - correct answer-Low blood pressure triggers the baroreceptors to increase sympathetic
nervous system stimulation.
Which is a potassium-sparing diuretic used in the treatment of heart failure (HF)?
Ethacrynic acid
Chlorothiazide
Spironolactone
Bumetanide - correct answer-Spironolactone
A patient is seen in the emergency department (ED) with heart failure secondary to dilated
cardiomyopathy. What key diagnostic test does the nurse assess to determine the severity
of the patient's heart failure?
Complete blood count (CBC)
Blood urea nitrogen (BUN)
B-type natriuretic peptide (BNP)
Serum electrolytes - correct answer-B-type natriuretic peptide (BNP)
A nurse is caring for a client experiencing dyspnea, dependent edema, hepatomegaly,
crackles, and jugular vein distention. What condition should the nurse suspect?
Heart failure
Pulmonary embolism
Cardiac tamponade
Tension pneumothorax - correct answer-Heart failure
Chamberlain college of nursing
,The nurse is teaching a client with heart failure about the ability for the heart to pump out
blood. What diagnostic test will measure the ejection fraction of the heart?
pulmonary arterial pressure MRI echocardiogram
nuclear angiography - correct answer-echocardiogram
The nurse identifies which symptom as a characteristic of right-sided heart failure?
Pulmonary crackles
Jugular vein distention (JVD)
Dyspnea
Cough - correct answer-Jugular vein distention (JVD)
The nurse instructs a client with heart failure on restricting sodium in the diet. Which client
statement indicates that teaching was effective?
"Canned vegetables have low sodium content."
"Food prepared at home is saltless unless I add it while cooking."
"Lemon juice and herbs can be used to replace salt when cooking."
"I will add a water softener to my water at home." - correct answer-"Lemon juice and herbs can be
used to replace salt when cooking."
The nurse assessing a client with an exacerbation of heart failure identifies which symptom as a
cerebrovascular manifestation of heart failure (HF)?
Tachycardia
Nocturia
Ascites
Dizziness - correct answer-Dizziness
A client has been admitted to the cardiac step-down unit with acute pulmonary edema. Which
symptoms would the nurse expect to find during assessment?
Chamberlain college of nursing
, hypertension drowsiness,
numbness increased
cardiac output moist,
gurgling respirations -
correct answer-moist,
gurgling respirations
The critical care nurse is caring for a client who is in cardiogenic shock. What assessments must the
nurse perform on this client? Select all that apply.
Platelet level
Fluid status
Cardiac rhythm
Action of medications
Sputum volume - correct answer-Fluid status
Cardiac rhythm
Action of medications
A client with congestive heart failure is admitted to the hospital after reporting shortness of breath.
How should the nurse position the client in order to decrease preload?
Supine with arms elevated on pillows above the level of the heart
Head of the bed elevated 30 degrees and legs elevated on pillows
Prone with legs elevated on pillows
Head of the bed elevated 45 degrees and lower arms supported by pillows - correct answer-Head of
the bed elevated 45 degrees and lower arms supported by pillows
The instructor is talking with a nursing student who is caring for a client with pericarditis.
The instructor asks the student to name the main characteristic of pericarditis. What
should be the student's answer?
Respiratory symptoms
Dyspnea
Chamberlain college of nursing
QUESTIONS & VERIFIED ANSWERS | LATEST TEST
PREP | RECENT & MOST TESTED TOPICS | A+
PREPARATION
A client with right-sided heart failure is admitted to the medical-surgical unit. What
information obtained from the client may indicate the presence of edema?
The client says his rings have become tight and are difficult to remove.
The client says that he has been urinating less frequently at night.
The client says he is short of breath when ambulating.
The client says he has been hungry in the evening. - correct answer-The client says his rings have
become tight and are difficult to remove.
A client is exhibiting digitalis toxicity. Which of the following medications would the nurse
expect to be ordered for this client?
Ibuprofen
Warfarin
Amlodipine
Digoxin immune FAB - correct answer-Digoxin immune FAB
The nurse is preparing to administer furosemide to a client with severe heart failure. What
lab study should be of most concern for this client while taking furosemide?
BNP of 100
Potassium level of 3.1
Sodium level of 135
Hemoglobin of 12 - correct answer-Potassium level of 3.1
A client is in the early stage of heart failure. During this time, which compensatory
mechanism occurs?
Chamberlain college of nursing
,Decreased renal blood flow causes the renin-angiotensin-aldosterone system to decrease secretion
of aldosterone and antidiuretic hormone.
Low blood pressure triggers the baroreceptors to increase sympathetic nervous system stimulation.
Low blood pressure triggers the baroreceptors to decrease sympathetic nervous system stimulation.
Increased renal blood flow causes the renin-angiotensin-aldosterone system to increase aldosterone
secretion. - correct answer-Low blood pressure triggers the baroreceptors to increase sympathetic
nervous system stimulation.
Which is a potassium-sparing diuretic used in the treatment of heart failure (HF)?
Ethacrynic acid
Chlorothiazide
Spironolactone
Bumetanide - correct answer-Spironolactone
A patient is seen in the emergency department (ED) with heart failure secondary to dilated
cardiomyopathy. What key diagnostic test does the nurse assess to determine the severity
of the patient's heart failure?
Complete blood count (CBC)
Blood urea nitrogen (BUN)
B-type natriuretic peptide (BNP)
Serum electrolytes - correct answer-B-type natriuretic peptide (BNP)
A nurse is caring for a client experiencing dyspnea, dependent edema, hepatomegaly,
crackles, and jugular vein distention. What condition should the nurse suspect?
Heart failure
Pulmonary embolism
Cardiac tamponade
Tension pneumothorax - correct answer-Heart failure
Chamberlain college of nursing
,The nurse is teaching a client with heart failure about the ability for the heart to pump out
blood. What diagnostic test will measure the ejection fraction of the heart?
pulmonary arterial pressure MRI echocardiogram
nuclear angiography - correct answer-echocardiogram
The nurse identifies which symptom as a characteristic of right-sided heart failure?
Pulmonary crackles
Jugular vein distention (JVD)
Dyspnea
Cough - correct answer-Jugular vein distention (JVD)
The nurse instructs a client with heart failure on restricting sodium in the diet. Which client
statement indicates that teaching was effective?
"Canned vegetables have low sodium content."
"Food prepared at home is saltless unless I add it while cooking."
"Lemon juice and herbs can be used to replace salt when cooking."
"I will add a water softener to my water at home." - correct answer-"Lemon juice and herbs can be
used to replace salt when cooking."
The nurse assessing a client with an exacerbation of heart failure identifies which symptom as a
cerebrovascular manifestation of heart failure (HF)?
Tachycardia
Nocturia
Ascites
Dizziness - correct answer-Dizziness
A client has been admitted to the cardiac step-down unit with acute pulmonary edema. Which
symptoms would the nurse expect to find during assessment?
Chamberlain college of nursing
, hypertension drowsiness,
numbness increased
cardiac output moist,
gurgling respirations -
correct answer-moist,
gurgling respirations
The critical care nurse is caring for a client who is in cardiogenic shock. What assessments must the
nurse perform on this client? Select all that apply.
Platelet level
Fluid status
Cardiac rhythm
Action of medications
Sputum volume - correct answer-Fluid status
Cardiac rhythm
Action of medications
A client with congestive heart failure is admitted to the hospital after reporting shortness of breath.
How should the nurse position the client in order to decrease preload?
Supine with arms elevated on pillows above the level of the heart
Head of the bed elevated 30 degrees and legs elevated on pillows
Prone with legs elevated on pillows
Head of the bed elevated 45 degrees and lower arms supported by pillows - correct answer-Head of
the bed elevated 45 degrees and lower arms supported by pillows
The instructor is talking with a nursing student who is caring for a client with pericarditis.
The instructor asks the student to name the main characteristic of pericarditis. What
should be the student's answer?
Respiratory symptoms
Dyspnea
Chamberlain college of nursing
