NURS 640 Final Exam Study| Advanced Physical Blood cultures identify the causative organisms.
Assessment Across the Lifespan | 2025 Prep Questions
with Answers (A+ Rated)
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
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 Left Sided HF Findings
Oliguria, cough with frothy blood-tinged sputum, and syncope are all clinical
manifestations of left-sided heart failure.
In planning the care for a client diagnosed with heart failure, which of the
following would be an appropriate goal?
Increased Activity levels .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
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 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 is undergoing diagnostic testing for infective endocarditis. Which of the
following laboratory tests would be most useful in diagnosis?
,A client tells the nurse that she had rheumatic heart disease as a child. For which of .A client diagnosed with heart failure is prescribed furosemide (Lasix). Which of
the following valvular disorders should this client be assessed? the following should this client be monitored for because of this medication?
(Select all that apply.)
Mitral stenosis
dehydration, hyponatremia, and hypokalemia
A client, recovering from surgery to replace a calcified aortic valve with a
mechanical valve, should be instructed that which of the following medications Which of the following should the nurse instruct a client diagnosed with
will be needed long term? hypertrophic cardiomyopathy? (Select all that apply.)
Anticoagulant Activity level, avoid overexertion, and avoid dehydration
A client is scheduled for annuloplasty surgery to the aortic valve. Which of the The nurse is reviewing the medications prescribed for a client diagnosed with
following will most likely occur during this clients procedure? dilated cardiomyopathy. Which of the following medications are commonly
prescribed for this disease process?
A balloon valvuloplasty is done by inserting a catheter through the femoral vein or
artery and stretching the valve open with a balloon. ACE inhibitor to prevent further dilation of the heart,
Beta-blocker to reduce the strain Diuretics Anticoagulants Antiarrhythmics
The nurse suspects a client is experiencing left-sided heart failure when which of
the following is assessed?
A client is diagnosed with emphysema. For which of the following hematologic
dysrhythmic heart rate, tachycardia, heart murmurs, extra heart sounds, lung disorders should the nurse include in the assessment of this client?
crackles, and decreased basilar lung sounds
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 The nurse has just recorded a positive iliopsoas test on a patient who has
abdominal pain. This test is used to confirm a(n):
TDD
An inflamed or perforated appendix irritates the iliopsoas muscle, producing pain
50% basal
in the RLQ.
50% prandial
may need to add rapid acting for meal
S3 heart sound
titrate 10-20% until goal met
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
. 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
S4 heart sound
sounds?
An S4 sound may indicate increased resistance to ventricular filling
Wheezes
A client is diagnosed with heart failure. Which of the following diagnostic tests is
useful to determine the degree of the failure?
Caused by air squeezed or compressed through passageways narrowed almost to
Brain natriuretic peptide is a hormone found in the left ventricle; it is used to help
closure by collapsing, swelling, secretions, or tumors, such as with acute asthma or
diagnose and grade the severity of heart failure
chronic emphysema
Wheezes
Blood cultures
used to diagnose carditis
Assessment Across the Lifespan | 2025 Prep Questions
with Answers (A+ Rated)
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
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 Left Sided HF Findings
Oliguria, cough with frothy blood-tinged sputum, and syncope are all clinical
manifestations of left-sided heart failure.
In planning the care for a client diagnosed with heart failure, which of the
following would be an appropriate goal?
Increased Activity levels .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
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 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 is undergoing diagnostic testing for infective endocarditis. Which of the
following laboratory tests would be most useful in diagnosis?
,A client tells the nurse that she had rheumatic heart disease as a child. For which of .A client diagnosed with heart failure is prescribed furosemide (Lasix). Which of
the following valvular disorders should this client be assessed? the following should this client be monitored for because of this medication?
(Select all that apply.)
Mitral stenosis
dehydration, hyponatremia, and hypokalemia
A client, recovering from surgery to replace a calcified aortic valve with a
mechanical valve, should be instructed that which of the following medications Which of the following should the nurse instruct a client diagnosed with
will be needed long term? hypertrophic cardiomyopathy? (Select all that apply.)
Anticoagulant Activity level, avoid overexertion, and avoid dehydration
A client is scheduled for annuloplasty surgery to the aortic valve. Which of the The nurse is reviewing the medications prescribed for a client diagnosed with
following will most likely occur during this clients procedure? dilated cardiomyopathy. Which of the following medications are commonly
prescribed for this disease process?
A balloon valvuloplasty is done by inserting a catheter through the femoral vein or
artery and stretching the valve open with a balloon. ACE inhibitor to prevent further dilation of the heart,
Beta-blocker to reduce the strain Diuretics Anticoagulants Antiarrhythmics
The nurse suspects a client is experiencing left-sided heart failure when which of
the following is assessed?
A client is diagnosed with emphysema. For which of the following hematologic
dysrhythmic heart rate, tachycardia, heart murmurs, extra heart sounds, lung disorders should the nurse include in the assessment of this client?
crackles, and decreased basilar lung sounds
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 The nurse has just recorded a positive iliopsoas test on a patient who has
abdominal pain. This test is used to confirm a(n):
TDD
An inflamed or perforated appendix irritates the iliopsoas muscle, producing pain
50% basal
in the RLQ.
50% prandial
may need to add rapid acting for meal
S3 heart sound
titrate 10-20% until goal met
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
. 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
S4 heart sound
sounds?
An S4 sound may indicate increased resistance to ventricular filling
Wheezes
A client is diagnosed with heart failure. Which of the following diagnostic tests is
useful to determine the degree of the failure?
Caused by air squeezed or compressed through passageways narrowed almost to
Brain natriuretic peptide is a hormone found in the left ventricle; it is used to help
closure by collapsing, swelling, secretions, or tumors, such as with acute asthma or
diagnose and grade the severity of heart failure
chronic emphysema
Wheezes
Blood cultures
used to diagnose carditis
