NUR242 MEDICAL SURGICAL NURSING 3 FINAL
REVIEW 2026 COMPLETE SOLVED QUESTIONS
◉ How would anxiety affect outcomes for a client with heart failure?
Answer: Increases the cardiac workload
◉ When a client with heart failure reports a 9-pound (4-kilogram)
weight gain in the past 2 weeks, which assessment is the priority?
Answer: Auscultate breath sounds.
◉ Which statement by a client who is seen for follow-up in the heart
failure clinic is most important for the nurse to communicate to the
health care provider? Answer: "I wake up at night short of breath"
◉ A client with heart failure reports waking suddenly and feeling
short of breath during the night. How will the nurse document this
information? Answer: Paroxysmal nocturnal dyspnea
◉ When a client with a history of heart failure on daily weights has a
4-pound (1.8-kilogram) weight gain since the previous day, which
action would the nurse take next? Answer: Perform a head-to-toe
assessment.
,◉ When caring for a client who has heart failure, with blood
pressure 102/70 mm Hg, pulse 106 beats/minute, and bilateral lung
crackles, which prescribed action would the nurse question?
Answer: Infuse normal saline at 100 mL/h
◉ When a client with a history of heart failure arrives for a
scheduled clinic appointment and has gained 6 lb (2.7 kg), which
nursing action has the highest priority? Answer: Listen to the
client's breath sounds
◉ When caring for a client with heart failure, which type of lung
sounds would the nurse expect to hear? Answer: Crackles
◉ When reviewing laboratory results for a client with heart failure
who has been receiving furosemide daily, the nurse notes a blood
urea nitrogen (BUN) of 42 mg/dL (15.2 mmol/L) and a creatinine of
1.1 mg/dL (97 mcmol/L). Which action by the nurse is a priority?
Answer: Notifying the health care provider about the results
◉ Which topics would be included when teaching a client with heart
failure who will be discharged with a new prescription for digoxin?
Select all that apply. One, some, or all responses may be correct.
Answer: Take your radial pulse daily and write it down.
Notify the health care provider if you develop any vision changes
Call the health care provider if your pulse is irregular or less than 60
beats/minute
, ◉ When an older client with heart failure is transferred from the
emergency department to the medical service, which would the
nurse on the unit do first? Answer: Assess the client's heart and lung
sounds
◉ When teaching a client with heart failure about signs and
symptoms that indicate a need to contact the primary health care
provider, which clinical manifestations would the nurse include?
Select all that apply. One, some, or all responses may be correct.
Answer: Extreme fatigue
Coughing at night
Difficulty breathing
◉ Which medication prescribed for a client with an acute episode of
heart failure would the nurse question? Answer: Beta blocker
◉ When caring for a client who was admitted with heart failure,
which action by the nurse will be most effective in determining
whether the client's fluid overload is improving? Answer: Weighing
the client
◉ Which statement by a client is consistent with a diagnosis of heart
failure? Answer: "I have trouble breathing when I climb a flight of
stairs.
REVIEW 2026 COMPLETE SOLVED QUESTIONS
◉ How would anxiety affect outcomes for a client with heart failure?
Answer: Increases the cardiac workload
◉ When a client with heart failure reports a 9-pound (4-kilogram)
weight gain in the past 2 weeks, which assessment is the priority?
Answer: Auscultate breath sounds.
◉ Which statement by a client who is seen for follow-up in the heart
failure clinic is most important for the nurse to communicate to the
health care provider? Answer: "I wake up at night short of breath"
◉ A client with heart failure reports waking suddenly and feeling
short of breath during the night. How will the nurse document this
information? Answer: Paroxysmal nocturnal dyspnea
◉ When a client with a history of heart failure on daily weights has a
4-pound (1.8-kilogram) weight gain since the previous day, which
action would the nurse take next? Answer: Perform a head-to-toe
assessment.
,◉ When caring for a client who has heart failure, with blood
pressure 102/70 mm Hg, pulse 106 beats/minute, and bilateral lung
crackles, which prescribed action would the nurse question?
Answer: Infuse normal saline at 100 mL/h
◉ When a client with a history of heart failure arrives for a
scheduled clinic appointment and has gained 6 lb (2.7 kg), which
nursing action has the highest priority? Answer: Listen to the
client's breath sounds
◉ When caring for a client with heart failure, which type of lung
sounds would the nurse expect to hear? Answer: Crackles
◉ When reviewing laboratory results for a client with heart failure
who has been receiving furosemide daily, the nurse notes a blood
urea nitrogen (BUN) of 42 mg/dL (15.2 mmol/L) and a creatinine of
1.1 mg/dL (97 mcmol/L). Which action by the nurse is a priority?
Answer: Notifying the health care provider about the results
◉ Which topics would be included when teaching a client with heart
failure who will be discharged with a new prescription for digoxin?
Select all that apply. One, some, or all responses may be correct.
Answer: Take your radial pulse daily and write it down.
Notify the health care provider if you develop any vision changes
Call the health care provider if your pulse is irregular or less than 60
beats/minute
, ◉ When an older client with heart failure is transferred from the
emergency department to the medical service, which would the
nurse on the unit do first? Answer: Assess the client's heart and lung
sounds
◉ When teaching a client with heart failure about signs and
symptoms that indicate a need to contact the primary health care
provider, which clinical manifestations would the nurse include?
Select all that apply. One, some, or all responses may be correct.
Answer: Extreme fatigue
Coughing at night
Difficulty breathing
◉ Which medication prescribed for a client with an acute episode of
heart failure would the nurse question? Answer: Beta blocker
◉ When caring for a client who was admitted with heart failure,
which action by the nurse will be most effective in determining
whether the client's fluid overload is improving? Answer: Weighing
the client
◉ Which statement by a client is consistent with a diagnosis of heart
failure? Answer: "I have trouble breathing when I climb a flight of
stairs.
