NUR 242 MED SURG EXAM 3 LATEST
2024-2025 ACTUAL EXAM 180
QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED A+
An older client with a history of congestive heart failure expresses concern about potential exposure to
tuberculosis (TB) from his or her roommate at the extended care facility. The roommate coughs a great
deal and sometimes spits up blood. Which is the primary reason that the nurse pursues more
information about the roommate? - ANSWER-TB adversely affects older adults with chronic illness
When the clinic nurse is teaching a group of clients with heart failure (HF) about dietary interventions to
prevent fluid overload, which topic will be included? - ANSWER-Use of fresh or frozen vegetables instead
of canned ones / low sodium
Which client is at an increased risk for right-sided heart failure? - ANSWER-Bilateral pressures higher
than 2.5 cm are considered elevated and are a sign of right-sided heart failure. Client A has both right
and left jugular venous pressure above 2.5 cm. This client is at risk for right-sided heart failure. One-
sided pressure elevation is caused by obstruction, as observed in clients B, C, and D.
,A neonate with heart failure is prescribed furosemide. Which changes to the dosage or time intervals
between doses would the nurse make? - ANSWER-The time between doses should be lengthened
Which nursing interventions promote safe administration of digoxin in a child diagnosed with heart
failure? Select all that apply. One, some, or all responses may be correct. - ANSWER-Checking for
compliance with the client's medication regimen
Monitoring the client's serum potassium and magnesium levels regularly
Calculating the correct dosage form, prescribed amounts, and the prescriber's prescription
Monitoring and recording the client's intake and output, heart rate, blood pressure, daily weight, and
respiration rate regularly
Which education would the nurse teach the parents of an infant with a cardiac defect about an early
sign of heart failure? - ANSWER-Increased heart rate
When assessing a client with heart failure for activity tolerance, which activity would the nurse expect to
cause the most distress for the client? - ANSWER-Climbing a flight of stairs to the bedroom
Which diet choices by a client who has heart failure indicate that the nurse's teaching about diet has
been effective? Select all that apply. One, some, or all responses may be correct. - ANSWER-Low
sodium- Lean steak
Fruit salad
Broiled chicken
Roasted potatoes
When caring for an older client who has had multiple recent hospital admissions for heart failure, which
action would the nurse take first? - ANSWER-Ask the client about medication use and activity level at
home
, Which assessment findings are consistent with a client diagnosis of right-sided heart failure? Select all
that apply. One, some, or all responses may be correct. - ANSWER-Distended abdomen
Dependent edema
Decreased appetite
Which explanation would the nurse include when teaching a client with heart failure about the reason
for a low-sodium diet? - ANSWER-Fluid retention
How can the nurse describe heart failure to a client? - ANSWER-an inability of the heart to pump blood
in proportion to metabolic needs
Which action would the nurse manager employ during implementation and evaluation of a quality
improvement project to decrease hospital readmissions for heart failure clients? Select all that apply.
One, some, or all responses may be correct. - ANSWER-Meeting regularly with staff throughout project
implementation
Using readmission data for heart failure clients to evaluate project effectiveness
Collaborating with staff to address continuing high readmission rates post-project implementation
Ensuring that staff are provided time to participate in development and implementation of the new
project
Coaching staff on effective implementation of the transition of care for heart failure clients being
discharged
Which action would the nurse include in the plan of care for a client admitted with heart failure who has
gained 20 pounds in 3 weeks? Select all that apply. One, some, or all responses may be correct. -
ANSWER-Diuretics
Low-salt diet
Daily weight checks
2024-2025 ACTUAL EXAM 180
QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED A+
An older client with a history of congestive heart failure expresses concern about potential exposure to
tuberculosis (TB) from his or her roommate at the extended care facility. The roommate coughs a great
deal and sometimes spits up blood. Which is the primary reason that the nurse pursues more
information about the roommate? - ANSWER-TB adversely affects older adults with chronic illness
When the clinic nurse is teaching a group of clients with heart failure (HF) about dietary interventions to
prevent fluid overload, which topic will be included? - ANSWER-Use of fresh or frozen vegetables instead
of canned ones / low sodium
Which client is at an increased risk for right-sided heart failure? - ANSWER-Bilateral pressures higher
than 2.5 cm are considered elevated and are a sign of right-sided heart failure. Client A has both right
and left jugular venous pressure above 2.5 cm. This client is at risk for right-sided heart failure. One-
sided pressure elevation is caused by obstruction, as observed in clients B, C, and D.
,A neonate with heart failure is prescribed furosemide. Which changes to the dosage or time intervals
between doses would the nurse make? - ANSWER-The time between doses should be lengthened
Which nursing interventions promote safe administration of digoxin in a child diagnosed with heart
failure? Select all that apply. One, some, or all responses may be correct. - ANSWER-Checking for
compliance with the client's medication regimen
Monitoring the client's serum potassium and magnesium levels regularly
Calculating the correct dosage form, prescribed amounts, and the prescriber's prescription
Monitoring and recording the client's intake and output, heart rate, blood pressure, daily weight, and
respiration rate regularly
Which education would the nurse teach the parents of an infant with a cardiac defect about an early
sign of heart failure? - ANSWER-Increased heart rate
When assessing a client with heart failure for activity tolerance, which activity would the nurse expect to
cause the most distress for the client? - ANSWER-Climbing a flight of stairs to the bedroom
Which diet choices by a client who has heart failure indicate that the nurse's teaching about diet has
been effective? Select all that apply. One, some, or all responses may be correct. - ANSWER-Low
sodium- Lean steak
Fruit salad
Broiled chicken
Roasted potatoes
When caring for an older client who has had multiple recent hospital admissions for heart failure, which
action would the nurse take first? - ANSWER-Ask the client about medication use and activity level at
home
, Which assessment findings are consistent with a client diagnosis of right-sided heart failure? Select all
that apply. One, some, or all responses may be correct. - ANSWER-Distended abdomen
Dependent edema
Decreased appetite
Which explanation would the nurse include when teaching a client with heart failure about the reason
for a low-sodium diet? - ANSWER-Fluid retention
How can the nurse describe heart failure to a client? - ANSWER-an inability of the heart to pump blood
in proportion to metabolic needs
Which action would the nurse manager employ during implementation and evaluation of a quality
improvement project to decrease hospital readmissions for heart failure clients? Select all that apply.
One, some, or all responses may be correct. - ANSWER-Meeting regularly with staff throughout project
implementation
Using readmission data for heart failure clients to evaluate project effectiveness
Collaborating with staff to address continuing high readmission rates post-project implementation
Ensuring that staff are provided time to participate in development and implementation of the new
project
Coaching staff on effective implementation of the transition of care for heart failure clients being
discharged
Which action would the nurse include in the plan of care for a client admitted with heart failure who has
gained 20 pounds in 3 weeks? Select all that apply. One, some, or all responses may be correct. -
ANSWER-Diuretics
Low-salt diet
Daily weight checks
