NRSG 3320 EXAM 1 NEWEST 2026
ACTUAL EXAM| NRSG 3320 NURSING
CARE OF ADULTS 1 EXAM 1 REVIEW
WITH COMPLETE REAL EXAM
QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+
SECTION 1: HEART FAILURE & PULMONARY EDEMA
(Questions 1–50)
1. A client with pulmonary edema has been admitted to the ICU. What would be
the standard care for this client?
• Correct Answer: BP and pulse measurements every 15 to 30 minutes
2. The nurse identifies which symptom as a characteristic of right-sided heart
failure?
• Correct Answer: Jugular vein distention (JVD)
3. A nurse caring for a client recently admitted to the ICU observes the client
coughing up large amounts of pink, frothy sputum. Lung auscultation reveals
coarse crackles in the lower lobes bilaterally. Based on this assessment, the nurse
recognizes this client is developing:
• Correct Answer: Decompensated heart failure with pulmonary edema
,4. A patient in severe pulmonary edema is being intubated by the respiratory
therapist. What priority action by the nurse will assist in the confirmation of tube
placement in the proper position in the trachea?
• Correct Answer: Call for a chest x-ray
5. The diagnosis of heart failure is usually confirmed by which of the following?
• Correct Answer: Echocardiogram
6. The nurse is caring for a client with advanced heart failure. What treatment will
be considered after all other therapies have failed?
• Correct Answer: Heart Transplant
7. A client asks the nurse if systolic heart failure will affect any other body
function. What body system response correlates with systolic heart failure (HF)?
• Correct Answer: Decrease in renal perfusion
8. Which medication reverses digitalis toxicity?
• Correct Answer: Digoxin immune FAB
9. A client has been prescribed furosemide 80 mg twice daily. The asymptomatic
client begins to have rare premature ventricular contractions followed by runs of
bigeminy with stable signs. What action will the nurse perform next?
• Correct Answer: Check the client's potassium level
10. The clinical manifestations of cardiogenic shock reflect the pathophysiology of
heart failure (HF). By applying this correlation, the nurse notes that the degree of
shock is proportional to which of the following?
• Correct Answer: Left ventricular function
, 11. A client with left-sided heart failure reports increasing shortness of breath and
is agitated and coughing up pink-tinged, foamy sputum. The nurse should
recognize these findings as signs and symptoms of what condition?
• Correct Answer: Acute pulmonary edema
12. A client with stage IV heart failure has a living will indicating a ventilator may
not be used. The client begins experiencing severe dyspnea. What should the
nurse who is caring for this client do?
• Correct Answer: Administer oxygen, morphine, and a bronchodilator for client
comfort
13. When a client has increased difficulty breathing when lying flat, the nurse
records that the client is demonstrating:
• Correct Answer: Orthopnea
14. The client with cardiac failure is taught to report which symptom to the health
care provider or clinic immediately?
• Correct Answer: Persistent cough
15. A client with heart failure is having a decrease in cardiac output. What
indication does the nurse have that this is occurring?
• Correct Answer: Blood pressure 80/46 mm Hg
16. The nurse is discussing basic cardiac hemodynamics and explains preload to
the client. What nursing intervention will decrease preload?
• Correct Answer: Administration of a vasodilating drug (as ordered by a health
care provider)
17. A client with heart failure is prescribed an ACE inhibitor. The nurse should
monitor for which adverse effect?
ACTUAL EXAM| NRSG 3320 NURSING
CARE OF ADULTS 1 EXAM 1 REVIEW
WITH COMPLETE REAL EXAM
QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+
SECTION 1: HEART FAILURE & PULMONARY EDEMA
(Questions 1–50)
1. A client with pulmonary edema has been admitted to the ICU. What would be
the standard care for this client?
• Correct Answer: BP and pulse measurements every 15 to 30 minutes
2. The nurse identifies which symptom as a characteristic of right-sided heart
failure?
• Correct Answer: Jugular vein distention (JVD)
3. A nurse caring for a client recently admitted to the ICU observes the client
coughing up large amounts of pink, frothy sputum. Lung auscultation reveals
coarse crackles in the lower lobes bilaterally. Based on this assessment, the nurse
recognizes this client is developing:
• Correct Answer: Decompensated heart failure with pulmonary edema
,4. A patient in severe pulmonary edema is being intubated by the respiratory
therapist. What priority action by the nurse will assist in the confirmation of tube
placement in the proper position in the trachea?
• Correct Answer: Call for a chest x-ray
5. The diagnosis of heart failure is usually confirmed by which of the following?
• Correct Answer: Echocardiogram
6. The nurse is caring for a client with advanced heart failure. What treatment will
be considered after all other therapies have failed?
• Correct Answer: Heart Transplant
7. A client asks the nurse if systolic heart failure will affect any other body
function. What body system response correlates with systolic heart failure (HF)?
• Correct Answer: Decrease in renal perfusion
8. Which medication reverses digitalis toxicity?
• Correct Answer: Digoxin immune FAB
9. A client has been prescribed furosemide 80 mg twice daily. The asymptomatic
client begins to have rare premature ventricular contractions followed by runs of
bigeminy with stable signs. What action will the nurse perform next?
• Correct Answer: Check the client's potassium level
10. The clinical manifestations of cardiogenic shock reflect the pathophysiology of
heart failure (HF). By applying this correlation, the nurse notes that the degree of
shock is proportional to which of the following?
• Correct Answer: Left ventricular function
, 11. A client with left-sided heart failure reports increasing shortness of breath and
is agitated and coughing up pink-tinged, foamy sputum. The nurse should
recognize these findings as signs and symptoms of what condition?
• Correct Answer: Acute pulmonary edema
12. A client with stage IV heart failure has a living will indicating a ventilator may
not be used. The client begins experiencing severe dyspnea. What should the
nurse who is caring for this client do?
• Correct Answer: Administer oxygen, morphine, and a bronchodilator for client
comfort
13. When a client has increased difficulty breathing when lying flat, the nurse
records that the client is demonstrating:
• Correct Answer: Orthopnea
14. The client with cardiac failure is taught to report which symptom to the health
care provider or clinic immediately?
• Correct Answer: Persistent cough
15. A client with heart failure is having a decrease in cardiac output. What
indication does the nurse have that this is occurring?
• Correct Answer: Blood pressure 80/46 mm Hg
16. The nurse is discussing basic cardiac hemodynamics and explains preload to
the client. What nursing intervention will decrease preload?
• Correct Answer: Administration of a vasodilating drug (as ordered by a health
care provider)
17. A client with heart failure is prescribed an ACE inhibitor. The nurse should
monitor for which adverse effect?
