NUR 242||NUR 242 Exam 3 BEST OF 2025/2026
QUESTION ANSWERS WELL DEFINED (latest update)
GRADED A+
An older client with a history of conges ve heart failure expresses concern about poten al
exposure to tuberculosis (TB) from his or her roommate at the extended care facility. The
roommate coughs a great deal and some mes spits up blood. Which is the primary reason that
the nurse pursues more informa on about the roommate?
TB adversely affects older adults with chronic illness
When the clinic nurse is teaching a group of clients with heart failure (HF) about dietary
interven ons to prevent fluid overload, which topic will be included?
Use of fresh or frozen vegetables instead of canned ones / low sodium
Which ac on would the nurse take first when a client with heart failure has an episode of
paroxysmal nocturnal dyspnea (PND)?
Assist the client to sit on the edge of the bed
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.
Dependent edema
Swollen hands and fingers
Right upper quadrant discomfort
The nurse's physical assessment of a client with heart failure reveals tachypnea and bilateral
crackles. Which is the priority nursing interven on?
Place client in a high-Fowler posi on.
Which treatment would the nurse an cipate when caring for an infant with heart failure?
Medica ons that are prescribed for both children and adults
Which feeding educa on would the nurse provide the parent of a 2-month-old infant with the
diagnosis of heart failure?
Feed slowly while allowing me for adequate periods of rest
Which assessment finding would indicate improvement in a 4-month-old infant admi7ed to the
pediatric unit with a diagnosis of conges ve heart failure?
,Weight loss during next 2 days
The parent of an infant with heart failure ques ons the necessity of weighing the baby every
morning. Which would the nurse say that this daily informa on is important in determining?
fluid reten on
While ausculta ng the heart, a health care provider no ces S 3 heart sounds in four clients.
Which client is at highest risk for heart failure?
Older adult client
Which assessment finding is a late sign of heart failure?
Peripheral edema
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?
Bilateral crackles
Which method would the nurse use to weigh a 2-month-old in heart failure with prac oner
orders for semi-Fowler posi oning?
Placing the infant in an infant seat, recording the weight, and then subtrac ng the weight of the
seat
Which early sign of heart failure would the nurse recognize in an infant who has a congenital
heart defect with le9-to-right shun ng of blood?
Increased respiratory rate
A 2-month-old infant with the diagnosis of heart failure is discharged with a prescrip on for oral
digoxin 0.05 mg every 12 hours. The bo7le of digoxin is labeled "0.05 mg/mL." Which item
would the nurse teach the mother to use when administering the medica on?
Calibrated syringe
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?
Potassium of 3.0 mEq/L (3.0 mmol/L)
A client with conges ve heart failure is receiving intravenous digoxin (Cardoxin) therapy. The
registered nurse iden fies that which items on the client's care plan are appropriate for a
, licensed prac cal nurse (LPN) to perform? Select all that apply. One, some, or all responses may
be correct.
Help the client ambulate when required.
Monitor the client's vitals every 30 minutes
Administer adequate oral fluids to the client
The nurse taught a client with heart failure who is scheduled for discharge about how
medica ons, diet, and exercise improve ac vity tolerance. During a follow-up visit, the nurse
finds that the client has learned how to adapt his or her exercise prescrip on to increase ac vity
tolerance. Which theory did the nurse follow to achieve this posi ve outcome?
Roy's theory
Which interven on would the nurse use a9er 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?
Ini ate 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
2700 ml
An infant with a congenital heart defect is in heart failure and is receiving daily weight
measurements. Which complica on of heart failure would daily weights help monitor?
Fluid reten on
Which interven on would the nurse implement for a 4-month-old infant with tetralogy of Fallot
and heart failure?
Providing small, frequent feedings
The nurse provides teaching to a client who is being discharged a9er an acute exacerba on of
chronic obstruc ve pulmonary disease (COPD). The nurse would instruct the client to monitor
for which indica on of right-sided heart failure?
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?
Paroxysmal nocturnal dyspnea
QUESTION ANSWERS WELL DEFINED (latest update)
GRADED A+
An older client with a history of conges ve heart failure expresses concern about poten al
exposure to tuberculosis (TB) from his or her roommate at the extended care facility. The
roommate coughs a great deal and some mes spits up blood. Which is the primary reason that
the nurse pursues more informa on about the roommate?
TB adversely affects older adults with chronic illness
When the clinic nurse is teaching a group of clients with heart failure (HF) about dietary
interven ons to prevent fluid overload, which topic will be included?
Use of fresh or frozen vegetables instead of canned ones / low sodium
Which ac on would the nurse take first when a client with heart failure has an episode of
paroxysmal nocturnal dyspnea (PND)?
Assist the client to sit on the edge of the bed
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.
Dependent edema
Swollen hands and fingers
Right upper quadrant discomfort
The nurse's physical assessment of a client with heart failure reveals tachypnea and bilateral
crackles. Which is the priority nursing interven on?
Place client in a high-Fowler posi on.
Which treatment would the nurse an cipate when caring for an infant with heart failure?
Medica ons that are prescribed for both children and adults
Which feeding educa on would the nurse provide the parent of a 2-month-old infant with the
diagnosis of heart failure?
Feed slowly while allowing me for adequate periods of rest
Which assessment finding would indicate improvement in a 4-month-old infant admi7ed to the
pediatric unit with a diagnosis of conges ve heart failure?
,Weight loss during next 2 days
The parent of an infant with heart failure ques ons the necessity of weighing the baby every
morning. Which would the nurse say that this daily informa on is important in determining?
fluid reten on
While ausculta ng the heart, a health care provider no ces S 3 heart sounds in four clients.
Which client is at highest risk for heart failure?
Older adult client
Which assessment finding is a late sign of heart failure?
Peripheral edema
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?
Bilateral crackles
Which method would the nurse use to weigh a 2-month-old in heart failure with prac oner
orders for semi-Fowler posi oning?
Placing the infant in an infant seat, recording the weight, and then subtrac ng the weight of the
seat
Which early sign of heart failure would the nurse recognize in an infant who has a congenital
heart defect with le9-to-right shun ng of blood?
Increased respiratory rate
A 2-month-old infant with the diagnosis of heart failure is discharged with a prescrip on for oral
digoxin 0.05 mg every 12 hours. The bo7le of digoxin is labeled "0.05 mg/mL." Which item
would the nurse teach the mother to use when administering the medica on?
Calibrated syringe
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?
Potassium of 3.0 mEq/L (3.0 mmol/L)
A client with conges ve heart failure is receiving intravenous digoxin (Cardoxin) therapy. The
registered nurse iden fies that which items on the client's care plan are appropriate for a
, licensed prac cal nurse (LPN) to perform? Select all that apply. One, some, or all responses may
be correct.
Help the client ambulate when required.
Monitor the client's vitals every 30 minutes
Administer adequate oral fluids to the client
The nurse taught a client with heart failure who is scheduled for discharge about how
medica ons, diet, and exercise improve ac vity tolerance. During a follow-up visit, the nurse
finds that the client has learned how to adapt his or her exercise prescrip on to increase ac vity
tolerance. Which theory did the nurse follow to achieve this posi ve outcome?
Roy's theory
Which interven on would the nurse use a9er 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?
Ini ate 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
2700 ml
An infant with a congenital heart defect is in heart failure and is receiving daily weight
measurements. Which complica on of heart failure would daily weights help monitor?
Fluid reten on
Which interven on would the nurse implement for a 4-month-old infant with tetralogy of Fallot
and heart failure?
Providing small, frequent feedings
The nurse provides teaching to a client who is being discharged a9er an acute exacerba on of
chronic obstruc ve pulmonary disease (COPD). The nurse would instruct the client to monitor
for which indica on of right-sided heart failure?
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?
Paroxysmal nocturnal dyspnea
