NUR 242 Med-Surg Exam 3 | NUR242 (LATEST 2026 UPDATE)
ACTUAL EXAM | QUESTIONS AND CORRECT VERIFIED
ANSWERS (NCLEX-Style)- Galen College| ALREADY
GRADED A+
A client with heart failure is to receive digoxin. Which therapeutic
effect is associated with this medication?
Slows and strengthens cardiac contractions
A client is admitted to the hospital with a diagnosis of heart failure
and acute pulmonary edema. The health care provider prescribes
furosemide 40 mg intravenous (IV) stat to be repeated in 1 hour.
Which nursing action will best evaluate the effectiveness of the
furosemide in managing the client's condition?
Auscultating breath sounds
Digoxin is prescribed for a client with heart failure. The nurse will
assess for which signs and symptoms that indicate digoxin toxicity?
Select all that apply. One, some, or all responses may be correct.
Nausea
Yellow vision
Irregular pulse
Which action would the nurse take first when a client who has heart
failure reports fatigue and has an increase in heart rate from 90
beats/minute to 120 beats/minute while ambulating?
Have the client sit down and rest
When the home care nurse calls to make an appointment for the initial
visit with a client who has heart failure, the client reports that many
pg. 1
,family members are visiting today and requests that the nurse wait a
week for the appointment. Which response by the nurse is best?
Tell the client that it might be helpful to talk with family members
during the initial visit.
Which finding for a client who has just arrived in the emergency
department and has a history of heart failure requires the most rapid
action by the nurse?
Oxygen saturation 86%
When a client is diagnosed with left-sided congestive heart failure,
which assessment findings would the nurse expect? Select all that
apply. One, some, or all responses may be correct.
Dyspnea
Crackles
Frequent cough
When assessing a client with chronic heart failure, which clinical
finding would the nurse expect to find?
Dependent edema in the evening
When a client with heart failure reports sudden dyspnea and has
bilateral crackles throughout the lungs with a respiratory rate of 32
breaths/minute, which action would the nurse take first?
Elevate the head of the bed to 75 degrees.
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
pg. 2
,deal and sometimes spits up blood. Which is the primary reason that
the nurse pursues more information about the roommate?
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?
Use of fresh or frozen vegetables instead of canned ones / low sodium
Which action would the nurse take first when a client with heart
failure has an episode of paroxysmal nocturnal dyspnea (PND)?
Assist the client to sit on the edge of the bed
When caring for a client with a diagnosis of right ventricular heart
failure, the nurse expects which assessment findings? Select all that
apply. One, some, or all responses may be correct.
Dependent edema
Swollen hands and fingers
Right upper quadrant discomfort
The nurse's physical assessment of a client with heart failure reveals
tachypnea and bilateral crackles. Which is the priority nursing
intervention?
Place client in a high-Fowler position.
pg. 3
, Which treatment would the nurse anticipate when caring for an infant
with heart failure?
Medications that are prescribed for both children and adults
Which feeding education would the nurse provide the parent of a 2-
month-old infant with the diagnosis of heart failure?
Feed slowly while allowing time for adequate periods of rest
Which assessment finding would indicate improvement in a 4-month-
old infant admitted to the pediatric unit with a diagnosis of congestive
heart failure?
Weight loss during next 2 days
The parent of an infant with heart failure questions the necessity of
weighing the baby every morning. Which would the nurse say that
this daily information is important in determining?
fluid retention
While auscultating the heart, a health care provider notices S 3 heart
sounds in four clients. Which client is at highest risk for heart failure?
Older adult client
Which assessment finding is a late sign of heart failure?
Peripheral edema
pg. 4
ACTUAL EXAM | QUESTIONS AND CORRECT VERIFIED
ANSWERS (NCLEX-Style)- Galen College| ALREADY
GRADED A+
A client with heart failure is to receive digoxin. Which therapeutic
effect is associated with this medication?
Slows and strengthens cardiac contractions
A client is admitted to the hospital with a diagnosis of heart failure
and acute pulmonary edema. The health care provider prescribes
furosemide 40 mg intravenous (IV) stat to be repeated in 1 hour.
Which nursing action will best evaluate the effectiveness of the
furosemide in managing the client's condition?
Auscultating breath sounds
Digoxin is prescribed for a client with heart failure. The nurse will
assess for which signs and symptoms that indicate digoxin toxicity?
Select all that apply. One, some, or all responses may be correct.
Nausea
Yellow vision
Irregular pulse
Which action would the nurse take first when a client who has heart
failure reports fatigue and has an increase in heart rate from 90
beats/minute to 120 beats/minute while ambulating?
Have the client sit down and rest
When the home care nurse calls to make an appointment for the initial
visit with a client who has heart failure, the client reports that many
pg. 1
,family members are visiting today and requests that the nurse wait a
week for the appointment. Which response by the nurse is best?
Tell the client that it might be helpful to talk with family members
during the initial visit.
Which finding for a client who has just arrived in the emergency
department and has a history of heart failure requires the most rapid
action by the nurse?
Oxygen saturation 86%
When a client is diagnosed with left-sided congestive heart failure,
which assessment findings would the nurse expect? Select all that
apply. One, some, or all responses may be correct.
Dyspnea
Crackles
Frequent cough
When assessing a client with chronic heart failure, which clinical
finding would the nurse expect to find?
Dependent edema in the evening
When a client with heart failure reports sudden dyspnea and has
bilateral crackles throughout the lungs with a respiratory rate of 32
breaths/minute, which action would the nurse take first?
Elevate the head of the bed to 75 degrees.
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
pg. 2
,deal and sometimes spits up blood. Which is the primary reason that
the nurse pursues more information about the roommate?
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?
Use of fresh or frozen vegetables instead of canned ones / low sodium
Which action would the nurse take first when a client with heart
failure has an episode of paroxysmal nocturnal dyspnea (PND)?
Assist the client to sit on the edge of the bed
When caring for a client with a diagnosis of right ventricular heart
failure, the nurse expects which assessment findings? Select all that
apply. One, some, or all responses may be correct.
Dependent edema
Swollen hands and fingers
Right upper quadrant discomfort
The nurse's physical assessment of a client with heart failure reveals
tachypnea and bilateral crackles. Which is the priority nursing
intervention?
Place client in a high-Fowler position.
pg. 3
, Which treatment would the nurse anticipate when caring for an infant
with heart failure?
Medications that are prescribed for both children and adults
Which feeding education would the nurse provide the parent of a 2-
month-old infant with the diagnosis of heart failure?
Feed slowly while allowing time for adequate periods of rest
Which assessment finding would indicate improvement in a 4-month-
old infant admitted to the pediatric unit with a diagnosis of congestive
heart failure?
Weight loss during next 2 days
The parent of an infant with heart failure questions the necessity of
weighing the baby every morning. Which would the nurse say that
this daily information is important in determining?
fluid retention
While auscultating the heart, a health care provider notices S 3 heart
sounds in four clients. Which client is at highest risk for heart failure?
Older adult client
Which assessment finding is a late sign of heart failure?
Peripheral edema
pg. 4
