NSG 430 EXAM 2 2026|| MOST RECENT EXAM 2026|2027
ACTUAL COMPLETE REAL EXAM QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+ |
GUARANTEED SUCCESS!! NEWEST EXAM | JUST RELEASED!!
A patient with acute decompensated heart failure has worsening
dyspnea, crackles, and peripheral edema. Which nursing assessment is
most important for evaluating fluid status?
A. Assess bowel sounds every 8 hours
B. Monitor daily weight and intake and output
C. Measure visual acuity
D. Assess skin color once per shift
Answer: B
Rationale: Daily weight is one of the most sensitive indicators of fluid
gain or loss in heart failure. Intake and output measurements help
evaluate fluid balance. Rapid weight gain can indicate worsening fluid
retention.
Which finding in a patient with acute decompensated heart failure
requires immediate intervention?
A. Mild fatigue after activity
B. Oxygen saturation of 84% with severe respiratory distress
C. Trace ankle edema
D. Heart rate of 82 beats/min
Answer: B
,Rationale: Severe hypoxemia and respiratory distress indicate
significant pulmonary congestion and impaired oxygenation. The nurse
should immediately address airway and breathing, provide oxygen as
indicated, and initiate appropriate emergency interventions.
A patient with mitral stenosis develops increasing pulmonary
congestion. Which complication should the nurse anticipate?
A. Pulmonary hypertension
B. Hypoglycemia
C. Neutropenia
D. Hyperthyroidism
Answer: A
Rationale: Narrowing of the mitral valve obstructs blood flow from the
left atrium into the left ventricle. This increases left atrial pressure,
which can be transmitted backward into the pulmonary circulation and
eventually cause pulmonary hypertension.
Which assessment finding is most consistent with worsening mitral
stenosis?
A. Exertional dyspnea and fatigue
B. Increased urine output
C. Severe hypoglycemia
D. Warm, dry skin
Answer: A
,Rationale: Reduced forward blood flow and increased pulmonary
pressures commonly produce exertional dyspnea and fatigue. As the
disease progresses, pulmonary edema and right-sided heart failure may
develop.
Which patient statement demonstrates correct understanding of
anticoagulant therapy after mechanical valve replacement?
A. "I can stop the medication when I feel better."
B. "I should report unusual bleeding or bruising."
C. "I do not need any laboratory monitoring."
D. "I should double the dose if I miss one dose."
Answer: B
Rationale: Anticoagulants increase bleeding risk. Patients should
report unusual bruising, bleeding, black stools, blood in the urine, or
other signs of excessive anticoagulation. Dosing changes should be
directed by the healthcare provider.
A patient with pericarditis reports severe chest pain. Which position
may help reduce the discomfort?
A. Lying completely flat
B. Sitting up and leaning forward
C. Trendelenburg position
D. Prone position
Answer: B
, Rationale: Pericarditis pain is often relieved when the patient sits
upright and leans forward. Pain may become worse when lying flat or
taking deep breaths.
Which assessment finding would be most concerning for cardiac
tamponade in a patient with pericarditis?
A. Hypotension with jugular venous distention
B. Increased appetite
C. Warm extremities with normal blood pressure
D. Increased urine output
Answer: A
Rationale: Cardiac tamponade can impair ventricular filling and
reduce cardiac output. Hypotension, jugular venous distention, muffled
heart sounds, tachycardia, and pulsus paradoxus are important
findings.
A patient with suspected cardiac tamponade suddenly becomes
hypotensive and increasingly dyspneic. What is the priority?
A. Prepare for emergency treatment of pericardial fluid accumulation
B. Encourage ambulation
C. Administer a high-sodium meal
D. Place the patient flat and leave the room
Answer: A
ACTUAL COMPLETE REAL EXAM QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+ |
GUARANTEED SUCCESS!! NEWEST EXAM | JUST RELEASED!!
A patient with acute decompensated heart failure has worsening
dyspnea, crackles, and peripheral edema. Which nursing assessment is
most important for evaluating fluid status?
A. Assess bowel sounds every 8 hours
B. Monitor daily weight and intake and output
C. Measure visual acuity
D. Assess skin color once per shift
Answer: B
Rationale: Daily weight is one of the most sensitive indicators of fluid
gain or loss in heart failure. Intake and output measurements help
evaluate fluid balance. Rapid weight gain can indicate worsening fluid
retention.
Which finding in a patient with acute decompensated heart failure
requires immediate intervention?
A. Mild fatigue after activity
B. Oxygen saturation of 84% with severe respiratory distress
C. Trace ankle edema
D. Heart rate of 82 beats/min
Answer: B
,Rationale: Severe hypoxemia and respiratory distress indicate
significant pulmonary congestion and impaired oxygenation. The nurse
should immediately address airway and breathing, provide oxygen as
indicated, and initiate appropriate emergency interventions.
A patient with mitral stenosis develops increasing pulmonary
congestion. Which complication should the nurse anticipate?
A. Pulmonary hypertension
B. Hypoglycemia
C. Neutropenia
D. Hyperthyroidism
Answer: A
Rationale: Narrowing of the mitral valve obstructs blood flow from the
left atrium into the left ventricle. This increases left atrial pressure,
which can be transmitted backward into the pulmonary circulation and
eventually cause pulmonary hypertension.
Which assessment finding is most consistent with worsening mitral
stenosis?
A. Exertional dyspnea and fatigue
B. Increased urine output
C. Severe hypoglycemia
D. Warm, dry skin
Answer: A
,Rationale: Reduced forward blood flow and increased pulmonary
pressures commonly produce exertional dyspnea and fatigue. As the
disease progresses, pulmonary edema and right-sided heart failure may
develop.
Which patient statement demonstrates correct understanding of
anticoagulant therapy after mechanical valve replacement?
A. "I can stop the medication when I feel better."
B. "I should report unusual bleeding or bruising."
C. "I do not need any laboratory monitoring."
D. "I should double the dose if I miss one dose."
Answer: B
Rationale: Anticoagulants increase bleeding risk. Patients should
report unusual bruising, bleeding, black stools, blood in the urine, or
other signs of excessive anticoagulation. Dosing changes should be
directed by the healthcare provider.
A patient with pericarditis reports severe chest pain. Which position
may help reduce the discomfort?
A. Lying completely flat
B. Sitting up and leaning forward
C. Trendelenburg position
D. Prone position
Answer: B
, Rationale: Pericarditis pain is often relieved when the patient sits
upright and leans forward. Pain may become worse when lying flat or
taking deep breaths.
Which assessment finding would be most concerning for cardiac
tamponade in a patient with pericarditis?
A. Hypotension with jugular venous distention
B. Increased appetite
C. Warm extremities with normal blood pressure
D. Increased urine output
Answer: A
Rationale: Cardiac tamponade can impair ventricular filling and
reduce cardiac output. Hypotension, jugular venous distention, muffled
heart sounds, tachycardia, and pulsus paradoxus are important
findings.
A patient with suspected cardiac tamponade suddenly becomes
hypotensive and increasingly dyspneic. What is the priority?
A. Prepare for emergency treatment of pericardial fluid accumulation
B. Encourage ambulation
C. Administer a high-sodium meal
D. Place the patient flat and leave the room
Answer: A
