NUR242 MED SURG EXAM 3 TEST BANK EXAM LATEST UPDATE THIS YEAR ALL COMPLETE 380 QUESTIONS AND CORRECT ANSWERS

Page 1 of 64




NUR242 MED SURG EXAM 3 TEST BANK EXAM
LATEST UPDATE THIS YEAR ALL COMPLETE 380
QUESTIONS AND CORRECT ANSWERS

Question: 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




Question: 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




Question: 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




Question: 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

, Page 2 of 64


Right upper quadrant discomfort




Question: 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.




Question: 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




Question: 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




Question: 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




Question: 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? - CORRECT ANSWER✔✔fluid retention

, Page 3 of 64


Question: 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




Question: Which assessment finding is a late sign of heart failure? - CORRECT
ANSWER✔✔Peripheral edema




Question: Heart failure develops in a 4-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




Question: Which method would the nurse use to weigh 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




Question: 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




Question: 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

, Page 4 of 64


Question: 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)




Question: 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




Question: 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




Question: 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.