NURS 242 EXAM 3 ACTUAL FINAL EXAM 2025
WITH 230 COMPLETE QUESTIONS AND
VERIFIED CORRECT ANSWERS | ALREADY
GRADED A+ | GUARANTEED SUCCESS | NURS
242 EXAM 3 MED SURG MIDTERM LATEST
EXAM VERSION 2025 [BRAND NEW!!]
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? - 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? - ANSWER-
Initiate a referral for assessment of home health and schedule a family conference.
A client with heart failure weighed 175 lb (79.4 kg) yesterday, and today's weight
is 181 lb (82.1 kg). How many milliliters of fluid has the client retained? . ___mL -
ANSWER- 2700 ml
An infant with a congenital heart defect is in heart failure and is receiving daily
weight measurements. Which complication of heart failure would daily weights
help monitor? - ANSWER- Fluid retention
,Which intervention would the nurse implement for a 4-month-old infant with
tetralogy of Fallot and heart failure? - ANSWER- Providing small, frequent
feedings
The nurse provides teaching to a client who is being discharged after an acute
exacerbation of chronic obstructive pulmonary disease (COPD). The nurse would
instruct the client to monitor for which indication of right-sided heart failure? -
ANSWER- Weight gain
When a client with heart failure reports frequent sudden waking during the night
with shortness of breath, how will the nurse document this finding? - ANSWER-
Paroxysmal nocturnal dyspnea
The nurse explains to a pregnant client with a class II heart failure that in
pregnancy the cardiac system is most compromised during which time? -
ANSWER- First 2 days after the birth
Which sign would indicate possible heart failure in a client with heart disease in
the immediate postpartum period? - ANSWER- Tachypnea
A client takes furosemide and digoxin for heart failure. Why would the nurse
advise the client to drink a glass of orange juice every day? - ANSWER-
Maintaining potassium levels
A client takes furosemide and digoxin for heart failure. Why would the nurse
advise the client to drink a glass of orange juice every day? - ANSWER-
Maintaining potassium levels
,When a client with type 1 diabetes develops heart failure, digoxin is prescribed.
Which nursing action is important to include when planning care? - ANSWER-
Monitor the client for cardiac dysrhythmias.
A client with left ventricular heart failure and supraventricular tachycardia is
prescribed digoxin 0.25 mg daily. Which changes would the nurse expect to find if
this medication is therapeutically effective? Select all that apply. One, some, or all
responses may be correct. - ANSWER- Diuresis
Decreased edema
Decreased pulse rate
A client with hypertensive heart disease who had an acute episode of heart failure
is to be discharged on a regimen of metoprolol and digoxin. Which outcome would
the nurse anticipate when metoprolol is administered with digoxin? - ANSWER-
Bradycardia
A health care provider prescribes milrinone for a client with congestive heart
failure. Which action would the nurse perform first? - ANSWER- Have the
prescription, dosage calculations, and pump settings checked by a second nurse
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? - 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? -
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)? - ANSWER- Assist the client to
sit on the edge of the bed
When caring for a client who has heart failure, with blood pressure 102/70 mm Hg,
pulse 106 beats/minute, and bilateral lung crackles, which prescribed action would
the nurse question? - ANSWER- Infuse normal saline at 100 mL/h
When a client with a history of heart failure arrives for a scheduled clinic
appointment and has gained 6 lb (2.7 kg), which nursing action has the highest
priority? - ANSWER- Listen to the client's breath sounds
When caring for a client with heart failure, which type of lung sounds would the
nurse expect to hear? - ANSWER- Crackles
When reviewing laboratory results for a client with heart failure who has been
receiving furosemide daily, the nurse notes a blood urea nitrogen (BUN) of 42
mg/dL (15.2 mmol/L) and a creatinine of 1.1 mg/dL (97 mcmol/L). Which action
by the nurse is a priority? - ANSWER- Notifying the health care provider about the
results
Which topics would be included when teaching a client with heart failure who will
be discharged with a new prescription for digoxin? Select all that apply. One,
some, or all responses may be correct. - ANSWER- Take your radial pulse daily
and write it down.
Notify the health care provider if you develop any vision changes
Call the health care provider if your pulse is irregular or less than 60 beats/minute
WITH 230 COMPLETE QUESTIONS AND
VERIFIED CORRECT ANSWERS | ALREADY
GRADED A+ | GUARANTEED SUCCESS | NURS
242 EXAM 3 MED SURG MIDTERM LATEST
EXAM VERSION 2025 [BRAND NEW!!]
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? - 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? - ANSWER-
Initiate a referral for assessment of home health and schedule a family conference.
A client with heart failure weighed 175 lb (79.4 kg) yesterday, and today's weight
is 181 lb (82.1 kg). How many milliliters of fluid has the client retained? . ___mL -
ANSWER- 2700 ml
An infant with a congenital heart defect is in heart failure and is receiving daily
weight measurements. Which complication of heart failure would daily weights
help monitor? - ANSWER- Fluid retention
,Which intervention would the nurse implement for a 4-month-old infant with
tetralogy of Fallot and heart failure? - ANSWER- Providing small, frequent
feedings
The nurse provides teaching to a client who is being discharged after an acute
exacerbation of chronic obstructive pulmonary disease (COPD). The nurse would
instruct the client to monitor for which indication of right-sided heart failure? -
ANSWER- Weight gain
When a client with heart failure reports frequent sudden waking during the night
with shortness of breath, how will the nurse document this finding? - ANSWER-
Paroxysmal nocturnal dyspnea
The nurse explains to a pregnant client with a class II heart failure that in
pregnancy the cardiac system is most compromised during which time? -
ANSWER- First 2 days after the birth
Which sign would indicate possible heart failure in a client with heart disease in
the immediate postpartum period? - ANSWER- Tachypnea
A client takes furosemide and digoxin for heart failure. Why would the nurse
advise the client to drink a glass of orange juice every day? - ANSWER-
Maintaining potassium levels
A client takes furosemide and digoxin for heart failure. Why would the nurse
advise the client to drink a glass of orange juice every day? - ANSWER-
Maintaining potassium levels
,When a client with type 1 diabetes develops heart failure, digoxin is prescribed.
Which nursing action is important to include when planning care? - ANSWER-
Monitor the client for cardiac dysrhythmias.
A client with left ventricular heart failure and supraventricular tachycardia is
prescribed digoxin 0.25 mg daily. Which changes would the nurse expect to find if
this medication is therapeutically effective? Select all that apply. One, some, or all
responses may be correct. - ANSWER- Diuresis
Decreased edema
Decreased pulse rate
A client with hypertensive heart disease who had an acute episode of heart failure
is to be discharged on a regimen of metoprolol and digoxin. Which outcome would
the nurse anticipate when metoprolol is administered with digoxin? - ANSWER-
Bradycardia
A health care provider prescribes milrinone for a client with congestive heart
failure. Which action would the nurse perform first? - ANSWER- Have the
prescription, dosage calculations, and pump settings checked by a second nurse
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? - 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? -
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)? - ANSWER- Assist the client to
sit on the edge of the bed
When caring for a client who has heart failure, with blood pressure 102/70 mm Hg,
pulse 106 beats/minute, and bilateral lung crackles, which prescribed action would
the nurse question? - ANSWER- Infuse normal saline at 100 mL/h
When a client with a history of heart failure arrives for a scheduled clinic
appointment and has gained 6 lb (2.7 kg), which nursing action has the highest
priority? - ANSWER- Listen to the client's breath sounds
When caring for a client with heart failure, which type of lung sounds would the
nurse expect to hear? - ANSWER- Crackles
When reviewing laboratory results for a client with heart failure who has been
receiving furosemide daily, the nurse notes a blood urea nitrogen (BUN) of 42
mg/dL (15.2 mmol/L) and a creatinine of 1.1 mg/dL (97 mcmol/L). Which action
by the nurse is a priority? - ANSWER- Notifying the health care provider about the
results
Which topics would be included when teaching a client with heart failure who will
be discharged with a new prescription for digoxin? Select all that apply. One,
some, or all responses may be correct. - ANSWER- Take your radial pulse daily
and write it down.
Notify the health care provider if you develop any vision changes
Call the health care provider if your pulse is irregular or less than 60 beats/minute
