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NURS 640 Exam 2 Questions and Correct
Answers
The nurse is reviewing the medications prescribed for a client
diagnosed with dilated cardiomyopathy. Which of the following
medications are commonly prescribed for this disease process?
Ans: ACE inhibitor to prevent further dilation of the heart,
Beta-blocker to reduce the strain Diuretics Anticoagulants
Antiarrhythmics
A client is diagnosed with emphysema. For which of the following
hematologic disorders should the nurse include in the assessment
of this client? Ans: polycythemia caused by an increase in the
number of red blood cells in response to a reduced amount of
oxygen in the body
Inpatient insulin dosing Ans: TDD
50% basal
50% prandial
may need to add rapid acting for meal
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titrate 10-20% until goal met
. The nurse is listening to the breath sounds of a patient with
severe asthma. Air passing through narrowed bronchioles would
produce which of these adventitious sounds? Ans: Wheezes
Caused by air squeezed or compressed through passageways
narrowed almost to closure by collapsing, swelling, secretions, or
tumors, such as with acute asthma or chronic emphysema Ans:
Wheezes
The nurse has just recorded a positive iliopsoas test on a patient
who has abdominal pain. This test is used to confirm a(n): Ans:
An inflamed or perforated appendix irritates the iliopsoas muscle,
producing pain in the RLQ.
S3 heart sound Ans: An auscultated S3 is a sign that increased
blood volume remains in the ventricle with each beat and that the
heart is beginning to fail
S4 heart sound Ans: An S4 sound may indicate increased
resistance to ventricular filling
A client is diagnosed with heart failure. Which of the following
diagnostic tests is useful to determine the degree of the failure?
Ans: Brain natriuretic peptide is a hormone found in the left
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ventricle; it is used to help diagnose and grade the severity of
heart failure
Blood cultures Ans: used to diagnose carditis
Sed Rate Ans: used to diagnose pericarditis
A nurse is instructing a client regarding medications and
substances contraindicated for the client with heart failure. Which
of the following would not be contraindicated? Ans: Loop
diuretics (e.g., furosemide) are part of the recommended
medications for heart failure.
Contraindications in HF Ans: Alcohol, metformin, and
pioglitazone (a thiazolidinedione) are contraindicated.
The nurse is determining nursing diagnoses appropriate for a
client demonstrating productive cough with pink frothy sputum,
shortness of breath, and crackles. Which of the following nursing
diagnoses is of the most importance? Ans: Impaired gas exchange
In planning the care for a client diagnosed with heart failure,
which of the following would be an appropriate goal? Ans:
Increased Activity levels
6.The nurse is instructing a client diagnosed with mild heart
failure on dietary modifications. Which of the following client
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statements indicates that the instruction has been effective? Ans:
Low Salt Diet
A client is undergoing diagnostic testing for infective endocarditis.
Which of the following laboratory tests would be most useful in
diagnosis? Ans: Blood cultures identify the causative organisms.
Which of the following would the nurse most likely assess in a
client diagnosed with rightsided heart failure? Ans: An
assessment finding in a client diagnosed with right-sided heart
failure is distended neck veins
Left Sided HF Findings Ans: Oliguria, cough with frothy blood-
tinged sputum, and syncope are all clinical manifestations of left-
sided heart failure.
.Which of the following diagnostic tests is useful to diagnose
mitral valve prolapse? Ans: Transesophageal echocardiography is
useful in the assessment of cardiac murmurs, stenosis, and
regurgitation of all four cardiac valves
A client diagnosed with mitral valve prolapse is experiencing
palpitations. Which of the following should the nurse instruct this
client? Ans: avoid caffeine, alcohol, and tobacco
© 2025 All rights reserved
NURS 640 Exam 2 Questions and Correct
Answers
The nurse is reviewing the medications prescribed for a client
diagnosed with dilated cardiomyopathy. Which of the following
medications are commonly prescribed for this disease process?
Ans: ACE inhibitor to prevent further dilation of the heart,
Beta-blocker to reduce the strain Diuretics Anticoagulants
Antiarrhythmics
A client is diagnosed with emphysema. For which of the following
hematologic disorders should the nurse include in the assessment
of this client? Ans: polycythemia caused by an increase in the
number of red blood cells in response to a reduced amount of
oxygen in the body
Inpatient insulin dosing Ans: TDD
50% basal
50% prandial
may need to add rapid acting for meal
© 2025 All rights reserved
, 2 | Page
titrate 10-20% until goal met
. The nurse is listening to the breath sounds of a patient with
severe asthma. Air passing through narrowed bronchioles would
produce which of these adventitious sounds? Ans: Wheezes
Caused by air squeezed or compressed through passageways
narrowed almost to closure by collapsing, swelling, secretions, or
tumors, such as with acute asthma or chronic emphysema Ans:
Wheezes
The nurse has just recorded a positive iliopsoas test on a patient
who has abdominal pain. This test is used to confirm a(n): Ans:
An inflamed or perforated appendix irritates the iliopsoas muscle,
producing pain in the RLQ.
S3 heart sound Ans: An auscultated S3 is a sign that increased
blood volume remains in the ventricle with each beat and that the
heart is beginning to fail
S4 heart sound Ans: An S4 sound may indicate increased
resistance to ventricular filling
A client is diagnosed with heart failure. Which of the following
diagnostic tests is useful to determine the degree of the failure?
Ans: Brain natriuretic peptide is a hormone found in the left
© 2025 All rights reserved
, 3 | Page
ventricle; it is used to help diagnose and grade the severity of
heart failure
Blood cultures Ans: used to diagnose carditis
Sed Rate Ans: used to diagnose pericarditis
A nurse is instructing a client regarding medications and
substances contraindicated for the client with heart failure. Which
of the following would not be contraindicated? Ans: Loop
diuretics (e.g., furosemide) are part of the recommended
medications for heart failure.
Contraindications in HF Ans: Alcohol, metformin, and
pioglitazone (a thiazolidinedione) are contraindicated.
The nurse is determining nursing diagnoses appropriate for a
client demonstrating productive cough with pink frothy sputum,
shortness of breath, and crackles. Which of the following nursing
diagnoses is of the most importance? Ans: Impaired gas exchange
In planning the care for a client diagnosed with heart failure,
which of the following would be an appropriate goal? Ans:
Increased Activity levels
6.The nurse is instructing a client diagnosed with mild heart
failure on dietary modifications. Which of the following client
© 2025 All rights reserved
, 4 | Page
statements indicates that the instruction has been effective? Ans:
Low Salt Diet
A client is undergoing diagnostic testing for infective endocarditis.
Which of the following laboratory tests would be most useful in
diagnosis? Ans: Blood cultures identify the causative organisms.
Which of the following would the nurse most likely assess in a
client diagnosed with rightsided heart failure? Ans: An
assessment finding in a client diagnosed with right-sided heart
failure is distended neck veins
Left Sided HF Findings Ans: Oliguria, cough with frothy blood-
tinged sputum, and syncope are all clinical manifestations of left-
sided heart failure.
.Which of the following diagnostic tests is useful to diagnose
mitral valve prolapse? Ans: Transesophageal echocardiography is
useful in the assessment of cardiac murmurs, stenosis, and
regurgitation of all four cardiac valves
A client diagnosed with mitral valve prolapse is experiencing
palpitations. Which of the following should the nurse instruct this
client? Ans: avoid caffeine, alcohol, and tobacco
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