NURS 640 Final Exam | Advanced Physical
Assessment Across The Lifespan | Questions With
Correct Answers Graded A+
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?
Impaired gas exchange
In planning the care for a client diagnosed with heart failure, which of the
following would be an appropriate goal?
Increased Activity levels
6.The nurse is instructing a client diagnosed with mild heart failure on dietary
modifications. Which of the following client statements indicates that the
instruction has been effective?
Low Salt Diet
A client is undergoing diagnostic testing for infective endocarditis. Which of the
following laboratory tests would be most useful in diagnosis?
,Blood cultures identify the causative organisms.
Which of the following would the nurse most likely assess in a client diagnosed
with rightsided heart failure?
An assessment finding in a client diagnosed with right-sided heart failure is
distended neck veins
Left Sided HF Findings
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?
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?
avoid caffeine, alcohol, and tobacco
,A client tells the nurse that she had rheumatic heart disease as a child. For which of
the following valvular disorders should this client be assessed?
Mitral stenosis
A client, recovering from surgery to replace a calcified aortic valve with a
mechanical valve, should be instructed that which of the following medications
will be needed long term?
Anticoagulant
A client is scheduled for annuloplasty surgery to the aortic valve. Which of the
following will most likely occur during this clients procedure?
A balloon valvuloplasty is done by inserting a catheter through the femoral vein or
artery and stretching the valve open with a balloon.
The nurse suspects a client is experiencing left-sided heart failure when which of
the following is assessed?
dysrhythmic heart rate, tachycardia, heart murmurs, extra heart sounds, lung
crackles, and decreased basilar lung sounds
, .A client diagnosed with heart failure is prescribed furosemide (Lasix). Which of
the following should this client be monitored for because of this medication?
(Select all that apply.)
dehydration, hyponatremia, and hypokalemia
Which of the following should the nurse instruct a client diagnosed with
hypertrophic cardiomyopathy? (Select all that apply.)
Activity level, avoid overexertion, and avoid dehydration
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?
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?
polycythemia caused by an increase in the number of red blood cells in response to
a reduced amount of oxygen in the body
Assessment Across The Lifespan | Questions With
Correct Answers Graded A+
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?
Impaired gas exchange
In planning the care for a client diagnosed with heart failure, which of the
following would be an appropriate goal?
Increased Activity levels
6.The nurse is instructing a client diagnosed with mild heart failure on dietary
modifications. Which of the following client statements indicates that the
instruction has been effective?
Low Salt Diet
A client is undergoing diagnostic testing for infective endocarditis. Which of the
following laboratory tests would be most useful in diagnosis?
,Blood cultures identify the causative organisms.
Which of the following would the nurse most likely assess in a client diagnosed
with rightsided heart failure?
An assessment finding in a client diagnosed with right-sided heart failure is
distended neck veins
Left Sided HF Findings
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?
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?
avoid caffeine, alcohol, and tobacco
,A client tells the nurse that she had rheumatic heart disease as a child. For which of
the following valvular disorders should this client be assessed?
Mitral stenosis
A client, recovering from surgery to replace a calcified aortic valve with a
mechanical valve, should be instructed that which of the following medications
will be needed long term?
Anticoagulant
A client is scheduled for annuloplasty surgery to the aortic valve. Which of the
following will most likely occur during this clients procedure?
A balloon valvuloplasty is done by inserting a catheter through the femoral vein or
artery and stretching the valve open with a balloon.
The nurse suspects a client is experiencing left-sided heart failure when which of
the following is assessed?
dysrhythmic heart rate, tachycardia, heart murmurs, extra heart sounds, lung
crackles, and decreased basilar lung sounds
, .A client diagnosed with heart failure is prescribed furosemide (Lasix). Which of
the following should this client be monitored for because of this medication?
(Select all that apply.)
dehydration, hyponatremia, and hypokalemia
Which of the following should the nurse instruct a client diagnosed with
hypertrophic cardiomyopathy? (Select all that apply.)
Activity level, avoid overexertion, and avoid dehydration
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?
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?
polycythemia caused by an increase in the number of red blood cells in response to
a reduced amount of oxygen in the body
