NCLEX EXAM zm
Exam Solution zm
Exam 3 ATI & Davis Q&A 2026 A+ GRADE ASSURED CO
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MPLETE SOLUTIONS AND VERIFIED ANSWERS (7D86C) zm zm zm zm zm
QUESTION 1 zm
A nurse is assessing a client who has right sided heart failure. Which of the following
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findings should the nurse expect?
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A. Decreased capillary refill
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B. Dyspnea
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C. Orthopnea
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D. Dependent edema
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ANSWER
D. Dependent edema Rationale Blood return from the venous system to the R atrium is impaired by
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a weakened R heart. The subsequent systemic venous backup leads to the development of depende
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nt edema
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QUESTION 2 zm
A nurse is showing a client who has right sided HF an illustration of the heart. Which
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of the following blood vessels carry deoxygenated blood to the right atrium?
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A. Right coronary artery
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B. Left carotid artery
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C. Aorta
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D. Superior vena cava
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ANSWER
D. Superior vena cava the nurse should identify that the superior and inferior vena cava carry deoxy
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genated blood to the right atrium
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QUESTION 3 zm
A nurse is monitoring a client who has HF related to mitral stenosis. The client report
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s SOB on exertion. Which of the following conditions should the nurse expect?
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A. Increased CO
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,B. Increased pulmonary congestion
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C. Decreased left atrial pressure
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D. Decreased pulmonary artery pressure
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ANSWER
B. Increased pulmonary congestion pulmonary congestion is a manifestation of mitral valve stenosis.
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mB/c of the defect in the mitral valve, the L atrial pressure rises and the left atrium dilates. The incr
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eased pressure results on a back-
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flow of blood from the L atrium through the pulmonary vein and into the lungs resulting in pulmon
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ary congestion
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QUESTION 4 zm
A nurse is assessing a client who has left sided HF. Which of the following findings sh
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ould the nurse expect?
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A. Pitting peripheral edema
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B. Crackles in the lung bases
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C. JVD
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D. Hepatomegaly
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ANSWER
B. Crackles in the lung bases L sided HF precipitates pulmonary congestion and edema, causing crac
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kles in the lungs
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QUESTION 5 zm
A nurse in a providers office is assessing a client who has HF. The client has gained w
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eight since her last visit, and her ankles are edematous. Which of the following findin
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gs is another clinical manifestation of fluid volume excess?
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A. Sunken eyeballs
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B. Hypotension
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C. Poor skin turgor
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D. Bounding pulses
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ANSWER
D. Bounding pulse a bounding pulse is an expected finding of fluid volume excess
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QUESTION 6 zm
A nurse is caring for a client with HF whose telemetry reading displays a flattening T
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wave. Which of the following lab results should the nurse anticipate as the cause of th
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is ECG change?
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A. Potassium 2.8
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B. Digoxin 0.7
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, C. Hemoglobin 9.8
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D. Calcium 8.0
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ANSWER
A. Potassium 2.8 a flattened t wave or the development of U waves is indicative of a low potassium
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level
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QUESTION 7 zm
A nurse is reviewing the menu selections of a client who has HF and anticipates to d/
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c home the following day. Which of the following lunch choices should the nurse ident
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ify as an indication that the client understands his dietary instructions?
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A. Turkey on whole wheat bread
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B. Hamburger and French fries
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C. Frankfurter on a white roll
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D. Macaroni and cheese
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ANSWER
A. Turkey on whole wheat the primary dietary alteration for a client with HF is sodium restriction.
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A turkey sandwich on whole wheat is relatively low sodium content.
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QUESTION 8 zm
A nurse is assessing an older adult client who has R sided HF. Which of the following
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findings is the nurses priority?
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A. The clients SpO2 is 92% on room air
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B. The client consumes 20% of her meals
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C. The client's weight increased by 0.91kg (2lbs) in 24 hrs
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D. The client has 1+ edema in the lower extremeties
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ANSWER
C. The clients weight increased by 0.91 lbs in 24 hrs indictaion of worsening HF
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QUESTION 9 zm
A nurse is assessing a client who has HF and is receiving digoxin. Which of the followi
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ng findings should indicate to the nurse the client is experiencing digoxin toxicity?
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A. Suppression of dysrhythmias
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B. Increased atrioventricular (AV) conduction
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C. Visual disturbances
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D. Weight gain
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ANSWER
C. Visual disturbances nurse should recognize that N/V, abd discomfort, fatigue, and visual disturban
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ces are common manifestation that can indicate client is experiencing digoxin toxicity
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Exam Solution zm
Exam 3 ATI & Davis Q&A 2026 A+ GRADE ASSURED CO
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MPLETE SOLUTIONS AND VERIFIED ANSWERS (7D86C) zm zm zm zm zm
QUESTION 1 zm
A nurse is assessing a client who has right sided heart failure. Which of the following
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findings should the nurse expect?
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A. Decreased capillary refill
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B. Dyspnea
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C. Orthopnea
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D. Dependent edema
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ANSWER
D. Dependent edema Rationale Blood return from the venous system to the R atrium is impaired by
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a weakened R heart. The subsequent systemic venous backup leads to the development of depende
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nt edema
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QUESTION 2 zm
A nurse is showing a client who has right sided HF an illustration of the heart. Which
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of the following blood vessels carry deoxygenated blood to the right atrium?
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A. Right coronary artery
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B. Left carotid artery
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C. Aorta
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D. Superior vena cava
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ANSWER
D. Superior vena cava the nurse should identify that the superior and inferior vena cava carry deoxy
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genated blood to the right atrium
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QUESTION 3 zm
A nurse is monitoring a client who has HF related to mitral stenosis. The client report
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s SOB on exertion. Which of the following conditions should the nurse expect?
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A. Increased CO
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,B. Increased pulmonary congestion
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C. Decreased left atrial pressure
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D. Decreased pulmonary artery pressure
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ANSWER
B. Increased pulmonary congestion pulmonary congestion is a manifestation of mitral valve stenosis.
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mB/c of the defect in the mitral valve, the L atrial pressure rises and the left atrium dilates. The incr
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eased pressure results on a back-
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flow of blood from the L atrium through the pulmonary vein and into the lungs resulting in pulmon
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ary congestion
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QUESTION 4 zm
A nurse is assessing a client who has left sided HF. Which of the following findings sh
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ould the nurse expect?
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A. Pitting peripheral edema
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B. Crackles in the lung bases
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C. JVD
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D. Hepatomegaly
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ANSWER
B. Crackles in the lung bases L sided HF precipitates pulmonary congestion and edema, causing crac
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kles in the lungs
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QUESTION 5 zm
A nurse in a providers office is assessing a client who has HF. The client has gained w
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eight since her last visit, and her ankles are edematous. Which of the following findin
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gs is another clinical manifestation of fluid volume excess?
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A. Sunken eyeballs
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B. Hypotension
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C. Poor skin turgor
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D. Bounding pulses
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ANSWER
D. Bounding pulse a bounding pulse is an expected finding of fluid volume excess
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QUESTION 6 zm
A nurse is caring for a client with HF whose telemetry reading displays a flattening T
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wave. Which of the following lab results should the nurse anticipate as the cause of th
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is ECG change?
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A. Potassium 2.8
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B. Digoxin 0.7
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, C. Hemoglobin 9.8
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D. Calcium 8.0
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ANSWER
A. Potassium 2.8 a flattened t wave or the development of U waves is indicative of a low potassium
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level
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QUESTION 7 zm
A nurse is reviewing the menu selections of a client who has HF and anticipates to d/
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c home the following day. Which of the following lunch choices should the nurse ident
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ify as an indication that the client understands his dietary instructions?
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A. Turkey on whole wheat bread
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B. Hamburger and French fries
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C. Frankfurter on a white roll
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D. Macaroni and cheese
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ANSWER
A. Turkey on whole wheat the primary dietary alteration for a client with HF is sodium restriction.
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A turkey sandwich on whole wheat is relatively low sodium content.
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QUESTION 8 zm
A nurse is assessing an older adult client who has R sided HF. Which of the following
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findings is the nurses priority?
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A. The clients SpO2 is 92% on room air
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B. The client consumes 20% of her meals
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C. The client's weight increased by 0.91kg (2lbs) in 24 hrs
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D. The client has 1+ edema in the lower extremeties
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ANSWER
C. The clients weight increased by 0.91 lbs in 24 hrs indictaion of worsening HF
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QUESTION 9 zm
A nurse is assessing a client who has HF and is receiving digoxin. Which of the followi
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ng findings should indicate to the nurse the client is experiencing digoxin toxicity?
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A. Suppression of dysrhythmias
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B. Increased atrioventricular (AV) conduction
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C. Visual disturbances
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D. Weight gain
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ANSWER
C. Visual disturbances nurse should recognize that N/V, abd discomfort, fatigue, and visual disturban
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ces are common manifestation that can indicate client is experiencing digoxin toxicity
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