NUR 242 Medical Surgical Exam 3 New Updated Version
2026 Questions And Correct Verified Answers
A 2-month-old infant with the diagnosis of heart failure is discharged with a prescription for oral
digoxin 0.05 mg every 12 hours. The bottle of digoxin is labeled "0.05 mg/mL."Which item would the
nurse teach the mother to use when administering the medication? - Correct Answer Calibrated
syringe
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? - Correct 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? - Correct Answer 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)? - Correct Answer 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. - Correct
Answer 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? - Correct Answer Place client in a high-Fowler
position.
Which treatment would the nurse anticipate when caring for an infant with heart failure?
- Correct Answer 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? - Correct Answer 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? - Correct Answer 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 ddaily information is important in
determining? - Correct Answer 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? - Correct Answer Older adult client
Which assessment finding is a late sign of heart failure? - Correct Answer Peripheral edema
Heart failure develops in a4-month-old infant with a congenital heart defect, and the infant
exhibits marked dyspnea at rest. Which assessment finding would the nurse expect in this
infant? - Correct Answer Bilateral crackles
Which method would the nurse use to wveigh a 2-month-old in heart failure with
practitioner orders for semi-Fowler positioning? - Correct Answer Placing the infant in an
infant seat, recording the weight, and then subtracting the weight of the seat
Which early sign of heart failure would the nurse recognize in an infant who has a congenital
heart defect with left-to-right shunting of blood? - Correct Answer Increased respiratory rate
, An infant with a diagnosis of heart failure is being given furosemide twice a day. Which laboratory
value would the nurse report to the health care provider? - Correct Answer Potassium of 3.0 mEq/L
(3.0 mmol/L)
A client with congestive heart failure is receiving intravenous digoxin (Cardoxin) therapy.The registered
nurse identifies that which items on the client's care plan are appropriate for a licensed practical nurse
(LPN) to perform? Select all that apply. One, some, or all responses may be correct. - Correct Answer
Help the client ambulate when required.Monitor the client's vitals every 30 minutes
Administer adequate oral fluids to the client
The nurse taught a client with heart failure who is scheduled for discharge about how medications,
diet, and exercise improve activity tolerance. During a follow-up visit, the nurse finds that the client
has learned how to adapt his or her exercise prescription to increase activity tolerance. Which theory
did the nurse follow to achieve this positive outcome? - Correct Answer Roy's theory
Which intervention would the nurse use after observing that a 6-month-old child lies quietly, rarely
smiles or babbles, and has his basic needs barely met by the primary caregiver, who is a grandparent
with chronic heart failure? - Correct Answer Initiate a referral for assessment of home health and
schedule a family conference.
2026 Questions And Correct Verified Answers
A 2-month-old infant with the diagnosis of heart failure is discharged with a prescription for oral
digoxin 0.05 mg every 12 hours. The bottle of digoxin is labeled "0.05 mg/mL."Which item would the
nurse teach the mother to use when administering the medication? - Correct Answer Calibrated
syringe
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? - Correct 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? - Correct Answer 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)? - Correct Answer 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. - Correct
Answer 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? - Correct Answer Place client in a high-Fowler
position.
Which treatment would the nurse anticipate when caring for an infant with heart failure?
- Correct Answer 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? - Correct Answer 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? - Correct Answer 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 ddaily information is important in
determining? - Correct Answer 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? - Correct Answer Older adult client
Which assessment finding is a late sign of heart failure? - Correct Answer Peripheral edema
Heart failure develops in a4-month-old infant with a congenital heart defect, and the infant
exhibits marked dyspnea at rest. Which assessment finding would the nurse expect in this
infant? - Correct Answer Bilateral crackles
Which method would the nurse use to wveigh a 2-month-old in heart failure with
practitioner orders for semi-Fowler positioning? - Correct Answer Placing the infant in an
infant seat, recording the weight, and then subtracting the weight of the seat
Which early sign of heart failure would the nurse recognize in an infant who has a congenital
heart defect with left-to-right shunting of blood? - Correct Answer Increased respiratory rate
, An infant with a diagnosis of heart failure is being given furosemide twice a day. Which laboratory
value would the nurse report to the health care provider? - Correct Answer Potassium of 3.0 mEq/L
(3.0 mmol/L)
A client with congestive heart failure is receiving intravenous digoxin (Cardoxin) therapy.The registered
nurse identifies that which items on the client's care plan are appropriate for a licensed practical nurse
(LPN) to perform? Select all that apply. One, some, or all responses may be correct. - Correct Answer
Help the client ambulate when required.Monitor the client's vitals every 30 minutes
Administer adequate oral fluids to the client
The nurse taught a client with heart failure who is scheduled for discharge about how medications,
diet, and exercise improve activity tolerance. During a follow-up visit, the nurse finds that the client
has learned how to adapt his or her exercise prescription to increase activity tolerance. Which theory
did the nurse follow to achieve this positive outcome? - Correct Answer Roy's theory
Which intervention would the nurse use after observing that a 6-month-old child lies quietly, rarely
smiles or babbles, and has his basic needs barely met by the primary caregiver, who is a grandparent
with chronic heart failure? - Correct Answer Initiate a referral for assessment of home health and
schedule a family conference.
