Rasmussen College MDC 3 Final Exam
Questions and Answers (Verified Answers)
1. Which of the following is a priority nursing intervention for a client in
atrial fibrillation with a rate of 180 beats per minute?
a. Apply oxygen
b. Administer anticoagulants
c. Administer medications to slow the rate
d. Monitor urine output
ANS c. Administer medications to slow the rate
2. A nurse is caring for a client who was recently diagnosed with left
ventric- ular heart failure. What is an early sign the client is most likely to
report? a. Nocturia b. Weight gain c. Swollen legs d. Nocturnal coughing
ANS d. Nocturnal coughing
3. A nurse is performing discharge teaching for a patient who was recently
diagnosed with heart failure. Which of the following should be included in
,the patient and family teaching? (SATA)
a. Medication teaching
b. Low sodium diet
c. Fluid restriction
d. Daily weights
e. what their S/S are for CHF
ANS *a. Medication teaching
*b. Low sodium diet
*c. Fluid restriction
*d. Daily weights
*e. what their S/S are for CHF
4. Which of the following would be a sign of improvement in heart
failure symptoms after an exacerbation?
a. Weight gain of 3 lb in a week
b. Excessive awakening at night to urinate
c. Decreased swelling in the feet, ankles, or hands
d. Decrease in exercise tolerance
ANS c. Decreased swelling in the feet, ankles, or hands
5. A 56-year-old female presented to the emergency department with com-
,plaints of fatigue and dyspnea on exertion. Physical assessment reveals
jugular vein distention, pitting edema of the lower extremities, and irregular
heart rhythm. Which of the following tests would you anticipate to be
ordered as priority?
a. B-type natriuretic peptide
b. Complete blood count
c. Complete metabolic panel
d. Arterial blood gas
ANS a. B-type natriuretic peptide
, 6. The nurse is caring for a 65-year-old female who presented to the
emergency department with shortness of breath and chest discomfort. The
client has not been feeling well for the past few days and complains of a
productive cough of blood-tinged sputum. Laboratory tests reveal an
elevated BNP, and chest x-ray reveals pulmonary congestion. Based on the
assessment findings, which of the following diagnosis are consistent with
these findings?
a. Heart failure (left-sided)
b. Pulmonary embolism
c. Heart failure (right-sided)
d. Lung cancer
ANS a. Heart failure (left-sided)
7. The nurse educates the client on which of the following tests as the
best tool for diagnosing heart failure?
a. Echocardiography
b. Pulmonary artery catheter
c. Radionuclide studies
d. Multigated angiographic (MUGA) scan
ANS a. Echocardiography
Questions and Answers (Verified Answers)
1. Which of the following is a priority nursing intervention for a client in
atrial fibrillation with a rate of 180 beats per minute?
a. Apply oxygen
b. Administer anticoagulants
c. Administer medications to slow the rate
d. Monitor urine output
ANS c. Administer medications to slow the rate
2. A nurse is caring for a client who was recently diagnosed with left
ventric- ular heart failure. What is an early sign the client is most likely to
report? a. Nocturia b. Weight gain c. Swollen legs d. Nocturnal coughing
ANS d. Nocturnal coughing
3. A nurse is performing discharge teaching for a patient who was recently
diagnosed with heart failure. Which of the following should be included in
,the patient and family teaching? (SATA)
a. Medication teaching
b. Low sodium diet
c. Fluid restriction
d. Daily weights
e. what their S/S are for CHF
ANS *a. Medication teaching
*b. Low sodium diet
*c. Fluid restriction
*d. Daily weights
*e. what their S/S are for CHF
4. Which of the following would be a sign of improvement in heart
failure symptoms after an exacerbation?
a. Weight gain of 3 lb in a week
b. Excessive awakening at night to urinate
c. Decreased swelling in the feet, ankles, or hands
d. Decrease in exercise tolerance
ANS c. Decreased swelling in the feet, ankles, or hands
5. A 56-year-old female presented to the emergency department with com-
,plaints of fatigue and dyspnea on exertion. Physical assessment reveals
jugular vein distention, pitting edema of the lower extremities, and irregular
heart rhythm. Which of the following tests would you anticipate to be
ordered as priority?
a. B-type natriuretic peptide
b. Complete blood count
c. Complete metabolic panel
d. Arterial blood gas
ANS a. B-type natriuretic peptide
, 6. The nurse is caring for a 65-year-old female who presented to the
emergency department with shortness of breath and chest discomfort. The
client has not been feeling well for the past few days and complains of a
productive cough of blood-tinged sputum. Laboratory tests reveal an
elevated BNP, and chest x-ray reveals pulmonary congestion. Based on the
assessment findings, which of the following diagnosis are consistent with
these findings?
a. Heart failure (left-sided)
b. Pulmonary embolism
c. Heart failure (right-sided)
d. Lung cancer
ANS a. Heart failure (left-sided)
7. The nurse educates the client on which of the following tests as the
best tool for diagnosing heart failure?
a. Echocardiography
b. Pulmonary artery catheter
c. Radionuclide studies
d. Multigated angiographic (MUGA) scan
ANS a. Echocardiography
